探讨大一学生中经验性回避、酒精使用障碍和与酒精相关问题之间的关系。
Exploring the relationship between experiential avoidance, alcohol use disorders, and alcohol-related problems among first-year college students.
机构信息
Department of Psychology, University of Nevada, Reno, Reno, Nevada 89557-0208, USA.
出版信息
J Am Coll Health. 2012;60(6):443-8. doi: 10.1080/07448481.2012.673522.
Abstract
OBJECTIVE
This study explored the relationship of experiential avoidance (eg, the tendency to avoid, suppress, or otherwise control internal experiences even when doing so causes behavioral harm) to alcohol use disorders and alcohol-related problems.
PARTICIPANTS
Cross-sectional data were collected from 240 undergraduate college students in their first year in college between December 2009 and April 2010.
METHODS
Participants completed a diagnostic interview and online self-report survey.
RESULTS
Students with a history of alcohol abuse or dependence had significantly higher levels of experiential avoidance relative to students with no alcohol use disorder diagnosis. A hierarchical linear regression analysis found that experiential avoidance significantly predicted alcohol-related problems, even after controlling for gender and psychological distress. Furthermore, experiential avoidance mediated the relationship of psychological distress to alcohol-related problems.
CONCLUSIONS
These findings suggest that experiential avoidance may play a role in problematic alcohol use among college students.
摘要
目的
本研究探讨了经验性回避（例如，即使回避、抑制或控制内部体验会导致行为伤害，仍倾向于回避、抑制或控制内部体验的趋势）与酒精使用障碍和与酒精相关问题的关系。
参与者
2009 年 12 月至 2010 年 4 月期间，从大学一年级的 240 名本科生中收集了横断面数据。
方法
参与者完成了诊断访谈和在线自我报告调查。
结果
与没有酒精使用障碍诊断的学生相比，有酒精滥用或依赖史的学生的经验性回避水平显著更高。分层线性回归分析发现，即使在控制了性别和心理困扰后，经验性回避仍能显著预测与酒精相关的问题。此外，经验性回避中介了心理困扰与与酒精相关问题之间的关系。
结论
这些发现表明，经验性回避可能在大学生中存在问题性饮酒行为中发挥作用。
相似文献
1
Exploring the relationship between experiential avoidance, alcohol use disorders, and alcohol-related problems among first-year college students.探讨大一学生中经验性回避、酒精使用障碍和与酒精相关问题之间的关系。
J Am Coll Health. 2012;60(6):443-8. doi: 10.1080/07448481.2012.673522.
2
Is reducing drinking always the answer to reducing consequences in first-year college students?减少饮酒量总是解决大一学生后果问题的答案吗？
J Stud Alcohol Drugs. 2011 Mar;72(2):240-6. doi: 10.15288/jsad.2011.72.240.
3
Exploring college students' use of general and alcohol-related social media and their associations with alcohol-related behaviors.探究大学生对一般社交媒体和与酒精相关的社交媒体的使用情况及其与酒精相关行为的关联。
J Am Coll Health. 2014;62(5):328-35. doi: 10.1080/07448481.2014.902837.
4
The relationship between substance use, experiential avoidance, and personally meaningful experiences.物质使用、体验回避与个人有意义体验之间的关系。
Subst Use Misuse. 2019;54(11):1834-1844. doi: 10.1080/10826084.2019.1618329. Epub 2019 May 29.
5
Family history density of substance use problems among undergraduate college students: Associations with heavy alcohol use and alcohol use disorder.大学生物质使用问题的家族史密度：与重度饮酒及酒精使用障碍的关联
Addict Behav. 2017 Aug;71:1-6. doi: 10.1016/j.addbeh.2017.02.015. Epub 2017 Feb 9.
6
Drinking game participation among undergraduate students attending National Alcohol Screening Day.参加全国酒精筛查日的大学生饮酒游戏参与情况。
J Am Coll Health. 2010 Mar-Apr;58(5):499-506. doi: 10.1080/07448481003599096.
7
Density of familial alcoholism and its effects on alcohol use and problems in college students.家族性酒精中毒的密度及其对大学生饮酒行为和问题的影响。
Alcohol Clin Exp Res. 2008 Aug;32(8):1451-8. doi: 10.1111/j.1530-0277.2008.00716.x. Epub 2008 Jun 28.
8
Alcohol use disorders among US college students and their non-college-attending peers.美国大学生及其未上大学的同龄人中的酒精使用障碍
Arch Gen Psychiatry. 2005 Mar;62(3):321-7. doi: 10.1001/archpsyc.62.3.321.
9
Discrimination and alcohol-related problems among college students: a prospective examination of mediating effects.大学生中的歧视与酒精相关问题：中介效应的前瞻性检验。
Drug Alcohol Depend. 2011 Jun 1;115(3):213-20. doi: 10.1016/j.drugalcdep.2010.11.002. Epub 2010 Dec 9.
10
The relation between alcohol abuse or dependence and academic performance in first-year college students.酗酒或酒精依赖与大学一年级学生学业成绩之间的关系。
J Adolesc Health. 2002 Sep;31(3):223-5. doi: 10.1016/s1054-139x(02)00362-2.
引用本文的文献
1
Maladaptive Coping Strategies Mediate the Relationship Between Depression and Anxiety and Moderate-to-Heavy Alcohol Use in Young South Africans with HIV.适应不良的应对策略在感染艾滋病毒的南非年轻人中，介导了抑郁与焦虑以及中度至重度酒精使用之间的关系。
AIDS Behav. 2025 Aug 11. doi: 10.1007/s10461-025-04849-x.
2
The Mediating Role of Psychological Flexibility and Inflexibility Between Impulsivity and Opioid Misuse in People With Chronic Noncancer Pain.心理灵活性和僵化在慢性非癌性疼痛患者冲动性与阿片类药物滥用之间的中介作用
Eur J Pain. 2025 Jul;29(6):e70048. doi: 10.1002/ejp.70048.
3
Assessing shared psychological constructs as risk factors in comorbid PTSD-AUD combat-exposed male veterans.评估共享心理结构作为共病创伤后应激障碍-酒精使用障碍的参战男性退伍军人的风险因素。
Mil Psychol. 2025;37(5):410-420. doi: 10.1080/08995605.2024.2387914. Epub 2024 Aug 29.
4
Psychological flexibility and cognitive-affective processes in young adults' daily lives.年轻人日常生活中的心理灵活性和认知情感过程。
Sci Rep. 2024 Apr 8;14(1):8182. doi: 10.1038/s41598-024-58598-3.
5
Acceptance and Commitment Therapy for Destructive Experiential Avoidance (ACT-DEA): A Feasibility Study.接纳与承诺疗法对破坏性经验回避（ACT-DEA）的研究：一项可行性研究。
Int J Environ Res Public Health. 2022 Dec 7;19(24):16434. doi: 10.3390/ijerph192416434.
6
Socio-demographic characteristics, lifestyles, social support quality and mental health in college students: a cross-sectional study.大学生的社会人口学特征、生活方式、社会支持质量与心理健康：一项横断面研究。
BMC Public Health. 2022 Aug 20;22(1):1583. doi: 10.1186/s12889-022-14002-1.
7
Cultural adaptation and psychometric properties of the Substance Abuse Self-Stigma Scale among Latinos with Substance Use Disorders: An effective screening tool for correctional and community settings.物质使用障碍拉丁裔人群中物质滥用自我污名量表的文化适应性及心理测量特性：一种适用于惩教和社区环境的有效筛查工具。
Stigma Health. 2022 Aug;7(3):347-357. doi: 10.1037/sah0000383. Epub 2022 May 19.
8
Case Conceptualizing in Acceptance and Commitment Therapy for Moral Injury: An Active and Ongoing Approach to Understanding and Intervening on Moral Injury.道德伤害的接纳与承诺疗法中的案例概念化：一种理解和干预道德伤害的积极且持续的方法。
Front Psychiatry. 2022 Jun 30;13:910414. doi: 10.3389/fpsyt.2022.910414. eCollection 2022.
9
Gender Differences in Transdiagnostic Predictors of Problematic Alcohol Consumption in a Large Sample of College Students in Ecuador.厄瓜多尔大学生大样本中酒精消费问题的跨诊断预测因素中的性别差异
Front Psychol. 2022 Feb 24;13:784896. doi: 10.3389/fpsyg.2022.784896. eCollection 2022.
10
Measuring Psychological Flexibility: The Cultural Adaptation and Psychometric Properties of the AAQ for Substance Abuse among Spanish Speaking Population in Correctional and Community settings.测量心理灵活性：针对教养机构和社区环境中讲西班牙语人群的药物滥用问题，对接纳与行动问卷（AAQ）进行文化调适及心理测量特性研究
J Contextual Behav Sci. 2022 Jan;23:31-37. doi: 10.1016/j.jcbs.2021.11.002. Epub 2021 Nov 10.
本文引用的文献
1
Does acceptance and relationship focused behavior therapy contribute to bupropion outcomes? A randomized controlled trial of functional analytic psychotherapy and acceptance and commitment therapy for smoking cessation.接纳与关系焦点行为疗法是否有助于促进安非他酮的疗效？一项功能性分析心理疗法和接纳与承诺疗法治疗戒烟的随机对照试验。
Behav Ther. 2011 Dec;42(4):700-15. doi: 10.1016/j.beth.2011.03.002. Epub 2011 May 25.
2
Preliminary psychometric properties of the Acceptance and Action Questionnaire-II: a revised measure of psychological inflexibility and experiential avoidance.接纳与行动问卷-II 的初步心理测量特性：修订版的心理灵活性和体验回避度量。
Behav Ther. 2011 Dec;42(4):676-88. doi: 10.1016/j.beth.2011.03.007. Epub 2011 May 25.
3
Protective behavioral strategies and the relationship between depressive symptoms and alcohol-related negative consequences among college students.大学生抑郁症状与酒精相关不良后果的保护性行为策略及关系。
J Couns Psychol. 2008 Oct;55(4):535-41. doi: 10.1037/a0013588.
4
The use of protective behavioral strategies is related to reduced risk in heavy drinking college students with poorer mental and physical health.使用保护性的行为策略与心理健康和身体健康较差的酗酒大学生风险降低有关。
J Drug Educ. 2010;40(4):361-78. doi: 10.2190/DE.40.4.c.
5
Mental disorders as risk factors for substance use, abuse and dependence: results from the 10-year follow-up of the National Comorbidity Survey.精神障碍作为物质使用、滥用和依赖的风险因素：来自全国共病调查 10 年随访的结果。
Addiction. 2010 Jun;105(6):1117-28. doi: 10.1111/j.1360-0443.2010.02902.x. Epub 2010 Mar 10.
6
Experiential avoidance and problem behavior: a mediational analysis.经验回避与问题行为：中介分析。
Behav Modif. 2010 Mar;34(2):145-63. doi: 10.1177/0145445510362575.
7
Mental health problems and help-seeking behavior among college students.大学生的心理健康问题和寻求帮助行为。
J Adolesc Health. 2010 Jan;46(1):3-10. doi: 10.1016/j.jadohealth.2009.08.008. Epub 2009 Oct 20.
8
Emotion-regulation strategies across psychopathology: A meta-analytic review.情绪调节策略在精神病理学中的跨学科研究：一项元分析综述。
Clin Psychol Rev. 2010 Mar;30(2):217-37. doi: 10.1016/j.cpr.2009.11.004. Epub 2009 Nov 20.
9
Mindfulness-based relapse prevention for substance use disorders: a pilot efficacy trial.基于正念的物质使用障碍复发预防：一项初步疗效试验。
Subst Abus. 2009 Oct-Dec;30(4):295-305. doi: 10.1080/08897070903250084.
10
A test of the relations between avoidance of panic-related situations and substance use, substance dependence, and depression among subclinical panickers.对亚临床惊恐障碍者回避惊恐相关情境与物质使用、物质依赖和抑郁之间关系的检验。
Behav Res Ther. 2010 Feb;48(2):158-63. doi: 10.1016/j.brat.2009.10.001. Epub 2009 Oct 12.
Zotero 插件