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年轻人的宿醉症状、大量饮酒与抑郁:一项交叉滞后分析

Hangover Symptoms, Heavy Episodic Drinking, and Depression in Young Adults: A Cross-Lagged Analysis.

作者信息

Piasecki Thomas M, Trela Constantine J, Mermelstein Robin J

机构信息

Department of Psychological Sciences, University of Missouri, Columbia, Missouri.

Department of Psychology and Institute for Health Research and Policy, University of Illinois at Chicago, Chicago, Illinois.

出版信息

J Stud Alcohol Drugs. 2017 Jul;78(4):580-587. doi: 10.15288/jsad.2017.78.580.

Abstract

OBJECTIVE

The objective of this study was to examine associations between symptoms of alcohol hangover and depression, both cross-sectionally and prospectively.

METHOD

Data were from a survey of young adults (N = 986, 60% female) initially recruited as part of an observational study of youth smoking. Participants reported past-year hangover symptoms, past-year frequency of heavy episodic drinking (HED), and past-week depression symptoms on two occasions separated by 1 year. Path analysis was used to evaluate prospective, directional associations linking symptoms of depression and hangover after taking into account their stabilities and cross-sectional associations. Individual differences in HED frequency were accounted for to permit interpretation of residual hangover score variance in terms of susceptibility to hangover effects.

RESULTS

Past-week depression and past-year hangover symptoms were associated at Time 1. Path analysis indicated that Time 1 depression symptoms were associated with elevated hangover symptoms a year later at Time 2. In contrast, Time 1 hangover symptoms did not predict future depression.

CONCLUSIONS

Depression symptoms are associated with current and future hangover susceptibility. Hangover and depression overlap symptomatically and are empirically associated with one another, suggesting the possibility that common underlying causal mechanisms may contribute to both phenomena.

摘要

目的

本研究的目的是从横断面和前瞻性角度研究酒精宿醉症状与抑郁之间的关联。

方法

数据来自一项针对年轻人的调查(N = 986,60%为女性),这些年轻人最初是作为青少年吸烟观察性研究的一部分招募的。参与者报告了过去一年的宿醉症状、过去一年的重度饮酒(HED)频率以及在相隔1年的两个时间点上过去一周的抑郁症状。路径分析用于评估在考虑到抑郁症状和宿醉症状的稳定性及横断面关联后,二者之间的前瞻性、方向性关联。考虑到HED频率的个体差异,以便从对宿醉效应的易感性角度解释剩余宿醉评分方差。

结果

在时间1时,过去一周的抑郁与过去一年的宿醉症状相关。路径分析表明,时间1的抑郁症状与一年后的时间2宿醉症状升高相关。相反,时间1的宿醉症状不能预测未来的抑郁。

结论

抑郁症状与当前及未来的宿醉易感性相关。宿醉和抑郁在症状上有重叠,且在经验上相互关联,这表明可能存在共同的潜在因果机制导致这两种现象。

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