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独身饮酒与成年初期人群的特定酒精问题有关。

Solitary drinking is associated with specific alcohol problems in emerging adults.

机构信息

University of Manitoba, Department of Psychology, 190 Dysart Road, Winnipeg, Manitoba R3T 2N2, Canada.

Department of Psychology, Concordia University, 7141 Sherbrooke St. West, Montreal, Quebec H4B 1R6, Canada.

出版信息

Addict Behav. 2018 Jan;76:285-290. doi: 10.1016/j.addbeh.2017.08.024. Epub 2017 Aug 31.

Abstract

Hazardous drinking in emerging adulthood is associated with multiple domains of alcohol problems, which range in type and severity. Alcohol problems at the severe end of the spectrum (e.g., impaired control) may be early warning signs of alcohol use disorders (AUDs) among emerging adults. However, given the emphasis in the literature on predictors of overall problem risk, we still know very little about predictors of these specific (and severe) domains of alcohol problems in emerging adults. Many emerging adults drink at social events (e.g., parties), but an estimated 15% engage in solitary drinking. Solitary drinking - a developmentally atypical behavior in emerging adulthood - may be especially risky. Data suggests that frequent solitary drinking may reflect a loss of control over drinking, leading to hazardous use and subsequent problems. Accordingly, we expected that frequent solitary drinking among emerging adults would predict severe alcohol problems that map onto diagnostic criteria for AUDs and these effects would be mediated by hazardous alcohol use. Undergraduates (N=118) completed self-report measures as a part of a larger study on motivation and alcohol use. As predicted, path analysis showed that solitary drinking positively predicted hazardous alcohol use, and this in turn predicted severe alcohol problems associated with diagnostic criteria for AUDs, particularly risky behaviors and blackout drinking. Solitary drinking also positively predicted less severe problems of diminished self-perception and poor self-care through hazardous use. Though comparatively smaller, some indirect effects were observed from social drinking (at parties, but not at bars) to alcohol problems, via hazardous alcohol use. Overall, our results suggest that solitary drinking is particularly harmful in emerging adulthood.

摘要

成年初显期的危险饮酒与多种类型和严重程度的酒精问题有关。在酒精问题的严重范围内(例如,控制受损),可能是成年初显期个体出现酒精使用障碍(AUD)的早期预警信号。然而,鉴于文献中强调了总体问题风险的预测因素,我们对于成年初显期个体特定(和严重)酒精问题的预测因素仍知之甚少。许多成年初显期个体在社交活动(例如聚会)中饮酒,但估计有 15%的个体独自饮酒。独自饮酒 - 是成年初显期的一种非典型行为 - 可能特别危险。数据表明,频繁的独自饮酒可能反映出对饮酒的控制丧失,导致危险使用和随后的问题。因此,我们预计成年初显期个体频繁的独自饮酒会预测严重的酒精问题,这些问题与 AUD 的诊断标准相对应,并且这些影响将通过危险的酒精使用来介导。大学生(N=118)作为一项关于动机和酒精使用的更大研究的一部分,完成了自我报告的测量。正如预期的那样,路径分析表明,独自饮酒与危险的酒精使用呈正相关,而这反过来又预测了与 AUD 诊断标准相关的严重酒精问题,特别是风险行为和断片饮酒。独自饮酒也通过危险使用与自我认知和自我护理不良等不太严重的问题呈正相关。尽管间接影响相对较小,但从社交饮酒(在派对上,而不是在酒吧)到酒精问题,通过危险的酒精使用,也观察到了一些间接影响。总的来说,我们的结果表明,独自饮酒在成年初显期特别有害。

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