Devynck Faustine, Kornacka Monika, Sgard Fabienne, Douilliez Céline
a Université Lille Nord de France , Lille , France.
b UDL3, PSITEC , Villeneuve d'Ascq , France.
Subst Use Misuse. 2017 Jan 2;52(1):108-118. doi: 10.1080/10826084.2016.1222621. Epub 2016 Sep 28.
Recent studies proposed that a tendency to have repetitive negative thinking (RNT) could be a predictor of alcohol use. Nevertheless, results differ depending on the studied population (nonclinical samples or patients with alcohol abuse or alcohol dependence) and on the type of repetitive thinking (rumination or worry). These heterogeneous results might be explained by the impact of anxiety and depression level on RNT and alcohol consumption.
The aim of the present study was to explore different type of repetitive thinking (i.e., worry, brooding and reflection rumination, analytic-abstract repetitive thinking, and concrete-experiential thinking) in a clinical sample of alcohol-dependent patients and a non-clinical sample and the role played by depression and anxiety.
Eighty-four inpatients with a diagnosis of alcohol dependence and 68 individuals from a nonclinical sample completed questionnaires evaluating repetitive thinking, anxiety, depression and alcohol consumption.
Mann-Whitney U tests showed that patients with alcohol dependence reported more analytic-abstract repetitive thinking, brooding and reflection rumination and worry, as well as anxious and depressive symptoms, compared with social drinkers, who reported more concrete-experiential repetitive thinking. Moreover, a multiple mediation model indicated that the link between RNT and alcohol consumption was significantly mediated by both anxiety and depression. Conclusion/Importance: The results support the implication of RNT in alcohol dependence and the distinction between different types of repetitive thinking with adaptive or maladaptive consequences. This link seems to be explained by the levels of depression and anxiety that mediate the impact of RNT on alcohol consumption.
近期研究表明，具有重复性消极思维（RNT）的倾向可能是酒精使用的一个预测指标。然而，研究结果因研究人群（非临床样本或酒精滥用或酒精依赖患者）以及重复性思维的类型（沉思或担忧）而异。这些不同的结果可能是由焦虑和抑郁水平对RNT及酒精消费的影响所解释的。
本研究的目的是在酒精依赖患者的临床样本和非临床样本中探索不同类型的重复性思维（即担忧、沉思和反思性沉思、分析性抽象重复性思维以及具体体验性思维），以及抑郁和焦虑所起的作用。
84名诊断为酒精依赖的住院患者和68名非临床样本个体完成了评估重复性思维、焦虑、抑郁和酒精消费的问卷。
曼-惠特尼U检验显示，与报告更多具体体验性重复性思维的社交饮酒者相比，酒精依赖患者报告了更多的分析性抽象重复性思维、沉思和反思性沉思以及担忧，以及焦虑和抑郁症状。此外，一个多重中介模型表明，RNT与酒精消费之间的联系显著地由焦虑和抑郁两者介导。结论/重要性：结果支持RNT与酒精依赖有关，以及不同类型的重复性思维之间存在具有适应性或适应不良后果的区别。这种联系似乎是由抑郁和焦虑水平所解释的，它们介导了RNT对酒精消费的影响。
