MRC Social, Genetic and Developmental Psychiatry Centre, The Institute of Psychiatry, King's College London, UK.
Addict Behav. 2011 Jan-Feb;36(1-2):6-13. doi: 10.1016/j.addbeh.2010.08.016. Epub 2010 Sep 24.
Despite the adverse externalising risks associated with bullying victimisation, no study has investigated the underlying mechanisms of adolescent victims' engagement with alcohol. This current study investigated the development of risky coping drinking motives as a mediator in the relationship between adolescent school victimisation and alcohol-related problem behaviour using a longitudinal design over 12 months.
We recruited 324 participants, aged 13 to 15 from schools across London, England. Participants were surveyed during class time at 2 time points: baseline and 12 months. At both time points participants answered questions related to bullying victimisation, alcohol-related problem behaviour, drinking motives and the quantity by frequency of alcohol consumption.
The relationships between victimisation, drinking and drinking motives were investigated using Pearson correlations. Path analysis showed that victimisation leads both directly and indirectly, through coping motives to alcohol-related problems, rather than to the quantity and frequency of alcohol use. Significance of mediation was tested using 5000 bias corrected and accelerated bootstrapped intervals. Baseline victimisation was significantly correlated with baseline alcohol-related problem behaviour and predictive of future problems at 12 months. Drinking to cope at 12 months partially mediated the relationship between baseline victimisation and alcohol-related problems at 12 months.
Results show that victims of bullying are drinking alcohol in a risky style, partly due to the development of self medicating drinking behaviour. Victims of bullying could therefore benefit from coping skills interventions targeting negative affect regulation in order to reduce the risk for future alcohol misuse.
尽管欺凌受害与外化问题风险相关,但目前尚无研究调查青少年受害者接触酒精的潜在机制。本研究采用纵向设计,在 12 个月的时间内,调查了风险应对性饮酒动机在青少年学校受害与酒精相关问题行为之间的关系中的中介作用。
我们招募了来自英国伦敦各地学校的 324 名 13 至 15 岁的参与者。在 2 个时间点:基线和 12 个月,通过课堂时间对参与者进行了调查。在这两个时间点,参与者回答了与欺凌受害、酒精相关问题行为、饮酒动机以及酒精摄入量和频率相关的问题。
使用皮尔逊相关分析了受害、饮酒和饮酒动机之间的关系。路径分析表明,受害既直接又间接地通过应对动机导致与酒精相关的问题,而不是导致酒精使用的数量和频率。使用 5000 次偏置校正和加速自举区间测试了中介的显著性。基线受害与基线酒精相关问题行为显著相关,并预测 12 个月后的未来问题。12 个月时的应对性饮酒在基线受害与 12 个月时的酒精相关问题之间存在部分中介作用。
结果表明,欺凌受害者以冒险的方式饮酒,部分原因是自我治疗性饮酒行为的发展。因此,欺凌受害者可以从针对负面情绪调节的应对技能干预中受益,以降低未来酒精滥用的风险。