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易内疚倾向与饮酒发作期使用保护性行为策略有关。

Guilt-proneness is associated with the use of protective behavioral strategies during episodes of alcohol use.

机构信息

School of Medicine, University of Tasmania, Sandy Bay Campus, Hobart, Tasmania 7001, Australia.

Orygen, The National Centre of Excellence in Youth Mental Health, Centre for Youth Mental Health, The University of Melbourne, Australia.

出版信息

Addict Behav. 2018 Apr;79:120-123. doi: 10.1016/j.addbeh.2017.12.027. Epub 2017 Dec 22.

Abstract

INTRODUCTION

Shame and guilt are closely related emotions with diverging implications for the development, and potential treatment, of substance use disorders. Accumulating research indicates that a guilt-prone affect style buffers individuals against the development of problematic alcohol use, while shame-proneness appears to offer no protective function. However, little is known about the manner in which guilt-prone individuals avoid the experience of alcohol use-related harms. The present study aimed to extend the shame, guilt, and substance use literature by examining whether these two self-conscious affect styles are differentially related to the use of protective behavioral strategies which reduce the risk of harms during drinking episodes.

METHODS

Participants (N=281; female n=207) completed pen-and-paper measures of shame and guilt-proneness, level of alcohol use, and the habitual use of protective behavioral strategies during drinking episodes. Part-correlation analysis isolated shame-free guilt and guilt-free shame residuals in exploring relationships between self-conscious affect style and the use of protective behavioral strategies during drinking episodes.

RESULTS

Guilt-proneness was consistently associated with the routine use of protective behavioral strategies during episodes of alcohol intake. In contrast, shame-proneness was unrelated to the use of such protective and harm avoidance strategies when drinking.

CONCLUSION

Findings provide additional support for the argument that guilt and shame need to be considered separately in both research and substance use treatment settings.

摘要

简介

羞耻感和内疚感是两种密切相关的情绪,它们对物质使用障碍的发展和潜在治疗有不同的影响。越来越多的研究表明,内疚倾向的情感风格可以缓冲个体形成问题性饮酒行为,而羞耻倾向似乎没有提供任何保护功能。然而,对于内疚倾向的个体如何避免体验与酒精使用相关的伤害,我们知之甚少。本研究旨在通过考察这两种自我意识情感风格是否与减少饮酒过程中伤害风险的保护性行为策略的使用存在差异,来扩展羞耻感、内疚感和物质使用文献。

方法

参与者(N=281;女性 n=207)完成了纸笔版的羞耻感和内疚感倾向、饮酒水平以及饮酒过程中习惯性使用保护性行为策略的测量。部分相关分析分离了羞耻感无内疚感和内疚感无羞耻感残差,以探讨自我意识情感风格与饮酒过程中保护性行为策略的使用之间的关系。

结果

内疚感倾向与饮酒过程中习惯性使用保护性行为策略始终相关。相比之下,当人们饮酒时,羞耻感倾向与使用这类保护和避免伤害的策略无关。

结论

研究结果进一步支持了这样的观点,即内疚感和羞耻感在研究和物质使用治疗环境中都需要分别考虑。

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