酒精滥用与依赖症状：常见及特定病因的多维模型
Alcohol abuse and dependence symptoms: a multidimensional model of common and specific etiology.
作者信息
Simons Jeffrey S, Carey Kate B, Wills Thomas A
机构信息
Department of Psychology, University of South Dakota, Vermillion, SD, USA.
出版信息
Psychol Addict Behav. 2009 Sep;23(3):415-27. doi: 10.1037/a0016003.
Abstract
This study tested a theoretical model hypothesizing differential pathways from 5 predictors to alcohol abuse and dependence symptoms. The participants were college students (N = 2,270) surveyed on 2 occasions in a 6-month prospective design. Social norms, perceived utility of alcohol use, and family history of alcohol problems were indirectly associated with Time 2 abuse and dependence symptoms through influencing level of alcohol consumption. Poor behavioral control had a direct effect on alcohol abuse but not on dependence symptoms at Time 2, whereas affective lability exhibited a direct prospective effect on alcohol dependence but not on abuse symptoms. A multigroup analysis showed that high levels of poor control increased the strength of paths from both consumption level and affective lability to abuse symptoms. Implications for prevention of alcohol problems among college students are discussed.
摘要
本研究检验了一个理论模型，该模型假设了从5个预测因素到酒精滥用和依赖症状的不同路径。参与者为大学生（N = 2270），采用6个月前瞻性设计，分两次进行调查。社会规范、对饮酒效用的认知以及酒精问题家族史通过影响饮酒量，与第二次调查时的滥用和依赖症状存在间接关联。行为控制能力差对第二次调查时的酒精滥用有直接影响，但对依赖症状没有影响，而情感不稳定对酒精依赖有直接的前瞻性影响，但对滥用症状没有影响。多组分析表明，行为控制能力差的程度较高会增强从饮酒量和情感不稳定到滥用症状的路径强度。文中还讨论了对预防大学生酒精问题的启示。
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