Paulus Daniel J, Valadka Jaclyn, Businelle Michael S, Gallagher Matthew W, Viana Andres G, Schmidt Norman B, Zvolensky Michael J
Department of Psychology.
Health Sciences Center, University of Oklahoma.
Psychol Addict Behav. 2017 Mar;31(2):189-199. doi: 10.1037/adb0000252. Epub 2017 Jan 12.
Smoking and drinking frequently co-occur. For example, alcohol use is associated with smoking lapses during quit attempts. However, little is known regarding psychological factors explaining drinking among smokers. Anxiety sensitivity is a risk factor associated with hazardous drinking and drinking to cope and/or conform, although little is known about mechanisms underlying such associations. One potential explanatory factor is emotion dysregulation. The current study examined emotion dysregulation as an explanatory factor underlying Anxiety Sensitivity and 5 alcohol-related outcomes: hazardous drinking, alcohol consumption, alcohol problems, coping-oriented drinking, and drinking to conform. Participants for this study were 467 treatment-seeking adult, daily smokers (48.2% women; Mage = 36.7 years, SD = 13.6) who reported smoking an average of 16.5 cigarettes per day. Results indicate significant indirect effects of Anxiety Sensitivity on hazardous drinking via emotion dysregulation, alcohol consumption, alcohol problems, drinking to cope, and drinking to conform. Effects were medium in size. Alternative models testing indirect effects of emotion dysregulation through Anxiety Sensitivity on outcomes, and Anxiety Sensitivity through outcomes on emotion dysregulation were nonsignificant and all had small effect sizes. Follow-up tests examined the path of effects from Anxiety Sensitivity through specific emotion-dysregulation subfactors. Thus, among treatment-seeking smokers, emotion dysregulation may explain the associations of Anxiety Sensitivity with alcohol-related outcomes. This pattern of findings highlights the potential importance of interventions targeting emotion dysregulation among hazardous-drinking smokers. (PsycINFO Database Record
吸烟和饮酒常常同时出现。例如，饮酒与戒烟尝试期间的复吸有关。然而，关于解释吸烟者饮酒行为的心理因素，我们知之甚少。焦虑敏感性是与危险饮酒以及为了应对和/或顺应而饮酒相关的一个风险因素，尽管我们对这些关联背后的机制了解甚少。一个潜在的解释因素是情绪失调。本研究考察了情绪失调作为焦虑敏感性与5种酒精相关结果之间的解释因素：危险饮酒、酒精消费、酒精问题、为应对而饮酒以及为顺应而饮酒。本研究的参与者为467名寻求治疗的成年每日吸烟者（48.2%为女性；年龄中位数 = 36.7岁，标准差 = 13.6），他们报告平均每天吸烟16.5支。结果表明，焦虑敏感性通过情绪失调对危险饮酒、酒精消费、酒精问题、为应对而饮酒以及为顺应而饮酒产生显著的间接影响。效应大小为中等。检验情绪失调通过焦虑敏感性对结果产生间接影响以及焦虑敏感性通过结果对情绪失调产生间接影响的替代模型不显著，且所有效应大小都很小。后续测试考察了从焦虑敏感性通过特定情绪失调子因素产生影响的路径。因此，在寻求治疗的吸烟者中，情绪失调可能解释了焦虑敏感性与酒精相关结果之间的关联。这一研究结果模式凸显了针对危险饮酒吸烟者的情绪失调干预措施的潜在重要性。（PsycINFO数据库记录
