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应对策略在调节消极触发因素与物质使用渴求的日内关联中的作用:一项日记式调查研究。

The role of coping in moderating within-day associations between negative triggers and substance use cravings: a daily diary investigation.

机构信息

Department of Human Development and Family Studies, The Pennsylvania State University, University Park, PA 16802, USA.

出版信息

Addict Behav. 2010 Jan;35(1):60-3. doi: 10.1016/j.addbeh.2009.08.010. Epub 2009 Aug 20.

DOI:10.1016/j.addbeh.2009.08.010
PMID:19744796
Abstract

To address the lack of research examining within-person processes associated with the maintenance of abstinence from substance use, this study examines both associations between negative affect and social experiences and same-day levels of substance use cravings among college students in 'Twelve-Step' substance abuse recovery and the role of coping strategies in moderating these within-day associations. The sample consisted of 1222 end-of-day reports made by 55 recovering college students, 39 males and 16 females. Findings include that daily cravings were predicted by same-day negative affect and each of four negative social experiences. Moreover, each of these within-day associations was moderated by individuals' levels of avoidance coping. In contrast, problem-solving coping only moderated the associations between negative affect and cravings. These findings document a within-day mechanism through which coping strategies, especially avoidance coping, may influence daily variation in cravings and in turn affect abstinence.

摘要

为了解决缺乏研究检验与物质使用戒除维持相关的个体内部过程的问题,本研究检验了在 12 步物质滥用康复中大学生的负面情绪和社交体验与物质使用渴望之间的关联,以及应对策略在调节这些日内关联中的作用。该样本由 55 名康复大学生的 1222 个日末报告组成,其中 39 名男性和 16 名女性。研究结果表明,每日的渴望与当日的负面情绪和四种负面社交体验中的每一种都有关联。此外,这些日内关联中的每一种都受到个体回避应对的调节。相比之下,解决问题的应对方式仅调节了负面情绪和渴望之间的关联。这些发现记录了一个通过应对策略,特别是回避应对,可能影响每日渴望变化的日内机制,进而影响戒除。

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