Carrigan Maureen H, Ham Lindsay S, Thomas Suzanne E, Randall Carrie L
Department of Psychology, University of South Carolina Aiken, Aiken, SC 29801, United States.
Addict Behav. 2008 Sep;33(9):1162-6. doi: 10.1016/j.addbeh.2008.04.020. Epub 2008 May 10.
Repeated use of alcohol as a coping strategy to reduce anxiety or discomfort increases one's risk of developing alcohol dependence. Previous studies have found alcohol outcome expectancies (AOE) strongly predict drinking behavior, in general, and also are related to drinking to cope. The purpose of the current study was to examine AOE that may be related to drinking to cope with discomfort in social situations. It was hypothesized that positive AOE, especially related to assertion and tension reduction, would be most associated with drinking to cope with social situations. Fifty-six community volunteers from a larger study on attentional bias and drinking to cope were divided into high (n=36) and low (n=20) drinking to cope groups following completion of a questionnaire battery. Findings indicated AOE were well able to classify drinking to cope status, with 91% of cases correctly classified. As hypothesized, assertion and tension reduction AOE uniquely contributed to the discriminant function in classifying drinking to cope groups. These findings have implications for the prevention and treatment of alcohol use disorders and suggest that AOE should be further investigated as potential moderators of the relationship between social anxiety and alcohol use disorders.
反复将饮酒作为减轻焦虑或不适的应对策略会增加一个人产生酒精依赖的风险。先前的研究发现，一般而言，酒精结果预期（AOE）能强烈预测饮酒行为，并且也与为了应对而饮酒有关。本研究的目的是检验可能与为应对社交场合中的不适而饮酒相关的AOE。研究假设是，积极的AOE，尤其是与坚定自信和减轻紧张相关的AOE，将与为应对社交场合而饮酒最相关。在完成一系列问卷后，来自一项关于注意力偏差和为应对而饮酒的更大规模研究的56名社区志愿者被分为高（n = 36）和低（n = 20）为应对而饮酒组。研究结果表明，AOE能够很好地对为应对而饮酒的状态进行分类，91%的案例被正确分类。正如所假设的那样，坚定自信和减轻紧张的AOE在对为应对而饮酒组进行分类时对判别函数有独特贡献。这些发现对酒精使用障碍的预防和治疗具有启示意义，并表明AOE应作为社交焦虑与酒精使用障碍之间关系的潜在调节因素进行进一步研究。
