Villarosa Margo C, Messer Mary Anne, Madson Michael B, Zeigler-Hill Virgil
a The University of Southern Mississippi , Hattiesburg , Mississipi , USA.
b Oakland University , Rochester , Michigan , USA.
Subst Use Misuse. 2018 Jan 2;53(1):143-153. doi: 10.1080/10826084.2017.1327974. Epub 2017 Aug 16.
College students with depressive symptoms tend to engage in more hazardous drinking and experience more alcohol-related consequences to cope with their symptoms. Given the perceived tension reducing effects of alcohol among these students, it is important to explore how protective factors, such as protective behavioral strategies, account for the relationships among depressive symptoms, drinking motives, and alcohol-related outcomes.
To examine the mediating role of drinking motives and protective behavioral strategies on the associations that depressive symptoms have with typical weekly alcohol consumption, hazardous drinking, and alcohol-related negative consequences in a sample of college student drinkers.
Traditional age college students (n = 566, 73% women; 58% White, non-Hispanic) completed measures of depression, drinking motives, protective behavioral strategies, weekly alcohol use, hazardous drinking, and alcohol-related negative consequences.
Coping with depression motives and controlled consumption PBS explained the association between depression and weekly alcohol consumption and hazardous drinking whereas coping with depression motives and serious harm reduction PBS explained the depression-negative consequences relationship. Conformity motives and serious harm reduction PBS explained the association between depression and hazardous drinking and alcohol-related negative consequences.
Findings suggest that students with more depressive symptoms would benefit from clinical interventions tailored to address negative reinforcement drinking motives and, by extension, increase student utilization of PBS related to minimizing harm. Clinical and research implications are provided.
有抑郁症状的大学生往往饮酒更危险，且经历更多与酒精相关的后果，以此来应对他们的症状。鉴于这些学生认为酒精有减轻紧张的作用，探索诸如保护性行为策略等保护因素如何解释抑郁症状、饮酒动机和与酒精相关的结果之间的关系很重要。
在大学生饮酒者样本中，检验饮酒动机和保护性行为策略在抑郁症状与典型每周饮酒量、危险饮酒及与酒精相关的负面后果之间关联中的中介作用。
传统年龄的大学生（n = 566，73%为女性；58%为非西班牙裔白人）完成了抑郁、饮酒动机、保护性行为策略、每周饮酒情况、危险饮酒及与酒精相关的负面后果的测量。
应对抑郁动机和控制性消费的保护性行为策略解释了抑郁与每周饮酒量及危险饮酒之间的关联，而应对抑郁动机和严重减少伤害的保护性行为策略解释了抑郁与负面后果之间的关系。从众动机和严重减少伤害的保护性行为策略解释了抑郁与危险饮酒及与酒精相关的负面后果之间的关联。
研究结果表明，抑郁症状较多的学生将受益于针对解决负强化饮酒动机而量身定制的临床干预措施，进而提高学生对与最小化伤害相关的保护性行为策略的利用。提供了临床和研究方面的启示。
