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创伤暴露样本中的冲动性与饮酒应对动机:痛苦耐受性的中介作用

Impulsivity and Alcohol Use Coping Motives in a Trauma-Exposed Sample: The Mediating Role of Distress Tolerance.

作者信息

Marshall-Berenz Erin C, Vujanovic Anka A, Macpherson Laura

机构信息

University of Vermont; 2 Colchester Ave.; Burlington, VT 05405.

出版信息

Pers Individ Dif. 2011 Feb 1;50(5):588-592. doi: 10.1016/j.paid.2010.11.033.

DOI:10.1016/j.paid.2010.11.033
PMID:21483650
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3072811/
Abstract

The present investigation examined the mediating role of distress tolerance in the association between impulsivity and alcohol use coping motives among trauma-exposed individuals. Participants were 86 adults (64.3% women; M(age) = 23.4, SD = 9.3) who met the DSM-IV-TR posttraumatic stress disorder (PTSD) criterion A for at least one traumatic life event and endorsed alcohol use in the past month. Distress tolerance at least partially mediated the association between impulsivity and alcohol use coping motives, after controlling for the variance explained by PTSD symptom severity and alcohol use problems. Clinical implications and future directions related to this line of inquiry are presented and discussed.

摘要

本研究考察了痛苦耐受力在创伤暴露个体的冲动性与饮酒应对动机之间的关联中所起的中介作用。参与者为86名成年人(64.3%为女性;年龄均值M = 23.4,标准差SD = 9.3),他们至少经历过一次创伤性生活事件,符合《精神疾病诊断与统计手册第四版修订版》(DSM-IV-TR)创伤后应激障碍(PTSD)的A类标准,且在过去一个月内有饮酒行为。在控制了PTSD症状严重程度和饮酒问题所解释的方差后,痛苦耐受力至少部分中介了冲动性与饮酒应对动机之间的关联。文中呈现并讨论了与此研究方向相关的临床意义和未来方向。

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本文引用的文献

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Posttraumatic Stress and Alcohol Use Motives: A Test of the Incremental and Mediating Role of Distress Tolerance.创伤后应激与饮酒动机:对痛苦耐受性的增量和中介作用的检验。
J Cogn Psychother. 2011;25(2):130-141. doi: 10.1891/0889-8391.25.2.130.
2
Multimethod study of distress tolerance and PTSD symptom severity in a trauma-exposed community sample.创伤暴露社区样本中困扰容忍度和 PTSD 症状严重程度的多方法研究。
J Trauma Stress. 2010 Oct;23(5):623-30. doi: 10.1002/jts.20568.
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Early recovery from alcohol dependence: factors that promote or impede abstinence.酒精依赖的早期康复:促进或阻碍戒酒的因素。
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Alcohol use motives among traumatic event-exposed, treatment-seeking adolescents: associations with posttraumatic stress.创伤后暴露于治疗中的青少年的饮酒动机:与创伤后应激的关联。
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Emotion-based dispositions to rash action: positive and negative urgency.基于情绪的鲁莽行动倾向:积极紧迫性和消极紧迫性。
Psychol Bull. 2008 Nov;134(6):807-28. doi: 10.1037/a0013341.
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Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models.用于评估和比较多重中介模型中间接效应的渐近和重抽样策略。
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Integration of impulsivity and positive mood to predict risky behavior: development and validation of a measure of positive urgency.整合冲动性与积极情绪以预测冒险行为:一种积极紧迫性测量方法的开发与验证
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Problematic alcohol and cannabis use among young adults: the roles of depression and discomfort and distress tolerance.年轻成年人中存在问题的酒精和大麻使用:抑郁、不适与痛苦耐受性的作用。
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Domestic violence and alcohol use: trauma-related symptoms and motives for drinking.家庭暴力与酒精使用:创伤相关症状及饮酒动机
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