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明确的饮酒身份与酒精问题:以酒消愁的中介作用。

Explicit drinking identity and alcohol problems: The mediating role of drinking to cope.

机构信息

Brown University, United States; University of Houston, United States.

University of Missouri School of Medicine, United States.

出版信息

Addict Behav. 2018 Jan;76:88-94. doi: 10.1016/j.addbeh.2017.07.031. Epub 2017 Jul 27.

Abstract

Drinking identity, or the tendency to view one's self as a drinker, is a unique predictor of alcohol use and related consequences among young adults; yet the mechanism by which it leads to alcohol problems is poorly understood. Based on self-presentation and self-verification perspectives, we examined drinking to cope as a mediator of the association between explicit drinking identity and alcohol-related problems among two samples of young adults. Study data come from two large, longitudinal studies. Participants from Sample 1 and Sample 2 included undergraduates (55% and 59% female, respectively) who reported drinking in the previous three months. Tests of the indirect effects indicated that 3-month drinking to cope significantly mediated the positive association between baseline drinking identity and 6-month alcohol-related problems in both samples. In contrast, 3-month drinking identity did not mediate the association between baseline drinking to cope and 6-month alcohol-related problems. Findings indicate that individuals with a stronger drinking identity are more likely to use alcohol to cope and, subsequently, experience more problems. Thus, drinking identity may be an important intervention target for college students as it appears to temporally proceed drinking to cope in the prediction of alcohol-related problems.

摘要

饮酒身份,即倾向于将自己视为饮酒者,是预测年轻人饮酒和相关后果的独特因素;然而,其导致酒精问题的机制仍不清楚。基于自我呈现和自我验证的观点,我们考察了饮酒应对作为明确的饮酒身份与两个年轻成年人样本中的酒精相关问题之间关联的中介因素。研究数据来自两个大型纵向研究。样本 1 和样本 2 的参与者包括本科生(分别为 55%和 59%为女性),他们报告了过去三个月的饮酒情况。对间接效应的检验表明,3 个月的饮酒应对显著中介了基线饮酒身份与两个样本中 6 个月的酒精相关问题之间的正相关。相比之下,3 个月的饮酒身份并不能中介基线饮酒应对与 6 个月的酒精相关问题之间的关联。研究结果表明,具有更强饮酒身份的个体更有可能使用酒精来应对,随后会出现更多问题。因此,饮酒身份可能是大学生的一个重要干预目标,因为它似乎在预测酒精相关问题方面先于饮酒应对。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecab/5757870/76caea69cd8b/nihms897448f1.jpg

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