School of Psychology & Psychiatry, Monash University, Clayton, Vic. 3800, Australia.
Addict Behav. 2011 May;36(5):479-87. doi: 10.1016/j.addbeh.2011.01.014. Epub 2011 Jan 20.
Numerous models have been proposed in an attempt to explain both alcohol use and alcohol abuse. Many of these models propose that drinking behaviour is the result of a complex interplay of cognitive and behavioural variables including coping strategies, alcohol expectancies and motives for drinking. However few studies have explored how these elements may work together to predict drinking. The current study proposed a mediational model of alcohol use in which coping strategies are related to alcohol expectancies, which in turn are related to drinking motives. Drinking motives were then viewed as proximal predictors of drinking behaviour. There were 454 participants (55.78% female) who completed self-report questionnaires assessing the above constructs. Approximately half the participants completed the questionnaires online, while the others completed the paper and pencil versions of the same measures. Findings generally supported the hypothesised model. The relationship between avoidant coping and drinking behaviour was mediated by alcohol expectancies of increased confidence and tension reduction, which in turn were related to drinking motives. As expected, drinking motives were positively related to drinking behaviour. Negative expectancies were also directly related to drinking behaviour. The results are discussed in light of cognitive models of drinking, and implications for prevention and early intervention of alcohol-use problems.
已经提出了许多模型来试图解释饮酒行为和酗酒行为。其中许多模型提出,饮酒行为是认知和行为变量复杂相互作用的结果,包括应对策略、酒精期望和饮酒动机。然而,很少有研究探讨这些因素如何共同作用来预测饮酒。本研究提出了一个酒精使用的中介模型,其中应对策略与酒精期望有关,而酒精期望又与饮酒动机有关。然后,饮酒动机被视为饮酒行为的近端预测因子。共有 454 名参与者(55.78%为女性)完成了评估上述结构的自我报告问卷。大约一半的参与者在线完成了问卷,而其他人则完成了相同措施的纸笔版本。研究结果普遍支持假设模型。回避应对与饮酒行为之间的关系是通过增加信心和减轻紧张的酒精期望来介导的,而这些期望又与饮酒动机有关。正如预期的那样,饮酒动机与饮酒行为呈正相关。负面期望也与饮酒行为直接相关。根据饮酒的认知模型讨论了这些结果,并讨论了预防和早期干预饮酒问题的意义。