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并非老一套:随着时间的推移,确立饮酒身份的独特贡献作为预测饮酒和问题的指标。

Not the same old thing: Establishing the unique contribution of drinking identity as a predictor of alcohol consumption and problems over time.

机构信息

Center for the Study of Health and Risk Behaviors.

Department of Psychology, University of Houston.

出版信息

Psychol Addict Behav. 2016 Sep;30(6):659-671. doi: 10.1037/adb0000195. Epub 2016 Jul 18.

Abstract

Drinking identity-how much individuals view themselves as drinkers-is a promising cognitive factor that predicts problem drinking. Implicit and explicit measures of drinking identity have been developed (the former assesses more reflexive/automatic cognitive processes; the latter more reflective/controlled cognitive processes): each predicts unique variance in alcohol consumption and problems. However, implicit and explicit identity's utility and uniqueness as predictors relative to cognitive factors important for problem drinking screening and intervention has not been evaluated. Thus, the current study evaluated implicit and explicit drinking identity as predictors of consumption and problems over time. Baseline measures of drinking identity, social norms, alcohol expectancies, and drinking motives were evaluated as predictors of consumption and problems (evaluated every 3 months over 2 academic years) in a sample of 506 students (57% female) in their first or second year of college. Results found that baseline identity measures predicted unique variance in consumption and problems over time. Further, when compared to each set of cognitive factors, the identity measures predicted unique variance in consumption and problems over time. Findings were more robust for explicit versus implicit identity and in models that did not control for baseline drinking. Drinking identity appears to be a unique predictor of problem drinking relative to social norms, alcohol expectancies, and drinking motives. Intervention and theory could benefit from including and considering drinking identity. (PsycINFO Database Record

摘要

饮酒身份——个体将自己视为饮酒者的程度——是一个很有前途的认知因素,可以预测酗酒问题。已经开发出了内隐和外显的饮酒身份测量方法(前者评估更具反射性/自动的认知过程;后者评估更具反思性/控制性的认知过程):每种方法都可以预测饮酒量和问题方面的独特差异。然而,相对于用于酗酒筛查和干预的重要认知因素,内隐和外显身份作为预测因子的效用和独特性尚未得到评估。因此,本研究评估了内隐和外显饮酒身份作为随时间推移预测饮酒量和问题的指标。在一项为期 2 学年的研究中,对 506 名(57%为女性)大一或大二学生的饮酒身份、社会规范、酒精期望和饮酒动机的基线测量进行了评估,作为随时间推移饮酒量和问题的预测指标(每 3 个月评估一次)。结果发现,身份测量的基线水平可以预测随时间推移的饮酒量和问题方面的独特差异。此外,与每组认知因素相比,身份测量可以预测随时间推移的饮酒量和问题方面的独特差异。与内隐身份相比,外显身份的预测结果更稳健,而且在不控制基线饮酒量的模型中也是如此。与社会规范、酒精期望和饮酒动机相比,饮酒身份似乎是预测酗酒问题的独特因素。干预和理论可以从纳入和考虑饮酒身份中受益。

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