Department of Psychology and Adolescent Health Research Program, Reed College, Portland, OR 97202, USA.
Alcohol Clin Exp Res. 2013 May;37(5):860-7. doi: 10.1111/acer.12030. Epub 2012 Dec 20.
Adolescent selective intervention programs for alcohol have focused on the identification of youth at risk as a function of personality and associated alcohol-related cognitions. Research into the role of personality, drinking motivations, and alcohol-related outcomes has generally focused exclusively on motives to drink. We expand on this literature by focusing on both motives to drink and motives not to drink across time from adolescence to early adulthood in a community sample.
Using 3 waves of data from 3 cohorts from the Rutgers Health and Human Development Project (n = 1,380; 49.4% women), we modeled the influence of baseline alcohol consumption, disinhibition (DIS), and harm avoidance (ages 15, 18, and 21 years) on drinking motives and motives not to drink 3 years later (ages 18, 21, and 24 years) and alcohol use and drinking-related problems 7 years subsequently (ages 25, 28, and 31 years).
Path analytic models were relatively invariant across cohort. Across cohorts, DIS and baseline alcohol consumption related to later positive reinforcement drinking motives, but less consistency was found for the prediction of negative reinforcement motives to drink. While positive reinforcement motives were associated with greater alcohol consumption and problems 7 years later, negative reinforcement motives were generally associated with problems alone. Positive reinforcement motives for drinking mediated relations between baseline consumption and later consumption. However, results were mixed when considering DIS as a predictor and drinking problems as an outcome. Similarly, personality and baseline consumption related to later motives not to drink and such motives predicted subsequent alcohol-related problems. However, mediation was not generally supported for pathways through motives to abstain.
The results of this study replicate and extend previous longitudinal findings with youth and add to the growing literature on motivations not to engage in alcohol use.
青少年选择性干预酒精项目侧重于识别具有特定人格特质和相关酒精认知的风险青年。关于人格、饮酒动机和酒精相关结果的研究通常仅专注于饮酒动机。我们通过关注社区样本中从青少年到成年早期的时间内的饮酒和不饮酒动机,扩展了这一文献。
使用来自罗格斯健康与人类发展项目的 3 个队列的 3 波数据(n = 1380;49.4%为女性),我们根据基线饮酒量、冲动性(DIS)和回避伤害(年龄为 15、18 和 21 岁),对 3 年后的饮酒动机和不饮酒动机(年龄为 18、21 和 24 岁)以及 7 年后的饮酒量和饮酒相关问题(年龄为 25、28 和 31 岁)进行建模。
路径分析模型在队列间相对不变。跨队列,DIS 和基线饮酒量与后来的正强化饮酒动机有关,但对负强化饮酒动机的预测一致性较低。虽然正强化饮酒动机与 7 年后的更高饮酒量和问题有关,但负强化饮酒动机通常与问题有关。正强化饮酒动机在基线饮酒量与后来饮酒量之间的关系中起中介作用。然而,当考虑 DIS 作为预测因子和饮酒问题作为结果时,结果是混合的。同样,人格和基线饮酒量与后来的不饮酒动机有关,而这些动机预测了随后的酒精相关问题。然而,一般来说,通过不饮酒动机的途径不支持中介。
本研究的结果复制和扩展了之前对青少年的纵向研究结果,并为不参与饮酒的动机的不断增长的文献做出了贡献。