Klanecky Alicia K, Woolman Erin O, Becker Madelyn M
Psychology Department, Creighton University , Omaha, NE , USA.
Am J Drug Alcohol Abuse. 2015 Mar;41(2):188-96. doi: 10.3109/00952990.2014.998365.
Problem drinking in college is a longstanding problem with potentially severe consequences. More recently, problem drinking has been linked to emotion regulation difficulties. However, these results are mixed and emphasize the need to examine moderating variables that may strengthen the problem drinking/emotion regulation relationship. Two such variables are child/adolescent sexual abuse (CASA) and drinking refusal self-efficacy (DRSE).
The current study hypothesized that the relations between emotion regulation difficulties and problem drinking would be most salient for college students with increased CASA exposure and decreased DRSE. Secondary analyses examined the hypothesis taking into consideration cumulative child/adolescent trauma exposure.
Undergraduate students (n = 200) completed a large survey battery for course credit.
Three-way interactions across the CASA and cumulative trauma models were significant and in a similar direction. RESULTS indicated that for students without trauma exposure, problem drinking was the greatest for those with decreased DRSE and increased emotion regulation difficulties. As trauma exposure increased, problem drinking was the greatest for those with decreased DRSE and decreased emotion regulation difficulties (or superior perceived regulatory abilities).
Discussion highlights the importance of considering DRSE and the possibility of reduced insight in trauma-exposed students, who may perceive alcohol use as an adaptive regulatory strategy.
大学生饮酒问题由来已久，可能会产生严重后果。最近，饮酒问题与情绪调节困难有关。然而，这些结果并不一致，强调需要研究可能加强饮酒问题与情绪调节关系的调节变量。其中两个变量是儿童/青少年性虐待（CASA）和饮酒拒绝自我效能感（DRSE）。
本研究假设，对于CASA暴露增加和DRSE降低的大学生，情绪调节困难与饮酒问题之间的关系最为显著。二次分析在考虑儿童/青少年累积创伤暴露的情况下检验了这一假设。
本科生（n = 200）为获得课程学分完成了一项大型调查问卷。
CASA和累积创伤模型的三向交互作用显著且方向相似。结果表明，对于没有创伤暴露的学生，DRSE降低且情绪调节困难增加的学生饮酒问题最严重。随着创伤暴露的增加，DRSE降低且情绪调节困难降低（或更高的感知调节能力）的学生饮酒问题最严重。
讨论强调了考虑DRSE的重要性，以及创伤暴露学生洞察力降低的可能性，这些学生可能将饮酒视为一种适应性调节策略。
