Kelley Michelle L, Milletich Robert J, Hollis Brittany F, Veprinsky Anna, Robbins Allison T, Snell Alicia K
*Department of Psychology, Old Dominion University; †Virginia Consortium Program in Clinical Psychology; ‡Booz Allen Hamilton, Norfolk, VA; and §Carlsbad, CA.
J Nerv Ment Dis. 2017 Feb;205(2):99-105. doi: 10.1097/NMD.0000000000000555.
The present study examined associations between stress and problematic alcohol use among US Navy members anticipating deployment, whether depressive symptoms mediated the stress-alcohol link, and whether social support and relationship satisfaction moderated associations between stress, depressive symptoms, and problematic alcohol use. Participants were 108 US Navy members assigned to an Arleigh Burke-class destroyer anticipating an 8-month deployment after Operational Enduring Freedom/Operation Iraqi Freedom. Stress was indirectly related to problematic alcohol use such that higher levels of stress were associated with higher levels of depressive symptoms, which were further associated with higher levels of alcohol use. The indirect effect of stress to problematic alcohol use via depressive symptoms was tested at different levels of social support and relationship satisfaction. At higher levels of social support and relationship satisfaction, the association between stress and problematic alcohol use via depressive symptoms decreased. Results help identify targets for alcohol prevention efforts among current military members.
本研究调查了预期将被部署的美国海军成员中压力与酒精使用问题之间的关联，抑郁症状是否介导了压力与酒精之间的联系，以及社会支持和关系满意度是否调节了压力、抑郁症状与酒精使用问题之间的关联。研究参与者为108名被分配到阿利·伯克级驱逐舰的美国海军成员，他们预计在持久自由行动/伊拉克自由行动后进行为期8个月的部署。压力与酒精使用问题存在间接关联，即压力水平越高，抑郁症状水平越高，而抑郁症状水平越高又与酒精使用水平越高相关。在不同的社会支持和关系满意度水平上，测试了压力通过抑郁症状对酒精使用问题的间接影响。在社会支持和关系满意度较高的水平上，压力通过抑郁症状与酒精使用问题之间的关联有所降低。研究结果有助于确定当前军事人员酒精预防工作的目标。
