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作为特定情境中介因素的保护性行为策略:对每日饮酒的个体内和个体间关联的多层次考察。

Protective behavioral strategies as a context-specific mediator: A multilevel examination of within- and between-person associations of daily drinking.

作者信息

Braitman Abby L, Linden-Carmichael Ashley N, Henson James M

机构信息

Department of Psychology.

出版信息

Exp Clin Psychopharmacol. 2017 Jun;25(3):141-155. doi: 10.1037/pha0000111. Epub 2017 Feb 27.

DOI:10.1037/pha0000111
PMID:28240925
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5426965/
Abstract

Research indicates that a drinker's environmental and social context can be differentially associated with drinking outcomes. Further, although many researchers have identified that more frequent use of protective behavioral strategies (PBS) is associated with lower alcohol consumption and negative consequences, scant research has examined how one's drinking context may promote or hinder PBS use. The present study examined how the context of drinking each day (i.e., where and with whom) is associated with level of consumption and reported alcohol-related problems among n = 284 college drinkers (69.0% female) directly, as well as indirectly through the use of PBS. Two different dimensions of PBS are examined (i.e., "Limits" or limiting consumption, and "Avoidance" or avoiding alcohol in general or specific alcohol situations), as well as their relationship with daily drinking. Moreover, we explored these relationships intraindividually (within-person across time), as well as interindividually (between people). Daily drinking was assessed using a weekly diary design. Using multilevel structural equation modeling, we found that environmental context (i.e., drinking at a bar or party) is associated with heavier alcohol use directly and indirectly through PBS that involve limiting one's drinking; these effects occurred only at the daily (within-person) level. Additionally, social context (i.e., drinking with friends) predicts elevated drinking but is unrelated to PBS use. Similar findings were present for alcohol-related problems, controlling for consumption level. College student drinking interventions may benefit from a focus on increasing the use of PBS within potentially risky drinking environments to help reduce problematic alcohol use. (PsycINFO Database Record

摘要

研究表明,饮酒者的环境和社会背景与饮酒结果的关联可能存在差异。此外,尽管许多研究人员已经确定,更频繁地使用保护性饮酒策略(PBS)与较低的酒精摄入量和负面后果相关,但很少有研究探讨饮酒环境如何促进或阻碍PBS的使用。本研究直接考察了每天的饮酒环境(即地点和与谁一起)与n = 284名大学生饮酒者(69.0%为女性)的饮酒量以及报告的与酒精相关问题之间的关联,同时也考察了通过使用PBS产生的间接关联。研究考察了PBS的两个不同维度(即“限制”或限制饮酒量,以及“回避”或在一般或特定饮酒情境中避免饮酒),以及它们与日常饮酒的关系。此外,我们还从个体内部(个体随时间)以及个体之间(个体与个体之间)探索了这些关系。使用每周日记设计评估日常饮酒情况。通过多水平结构方程模型,我们发现环境背景(即在酒吧或聚会上饮酒)直接且通过涉及限制饮酒的PBS间接与更大量的酒精使用相关;这些影响仅在每日(个体内部)水平上出现。此外,社会背景(即与朋友一起饮酒)预示着饮酒量增加,但与PBS的使用无关。在控制饮酒量的情况下,与酒精相关问题也有类似的发现。大学生饮酒干预措施可能受益于关注在潜在危险饮酒环境中增加PBS的使用,以帮助减少有问题的酒精使用。(《心理学文摘数据库记录》

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