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一项关于酒精自我概念在成年初期个体的饮酒行为、动机、负性情绪和与酒精相关问题中的作用的纵向评估。

A longitudinal evaluation of the role of alcohol self-concept in alcohol use, motives, negative affect, and alcohol-related problems among emerging adults.

机构信息

Butler Hospital, Behavioral Medicine and Addictions Research, Providence, Rhode Island.

Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, Rhode Island.

出版信息

Am J Addict. 2018 Sep;27(6):501-508. doi: 10.1111/ajad.12768. Epub 2018 Jul 24.

Abstract

BACKGROUND AND OBJECTIVES

Emerging adulthood is a time of identity formation, and is also the most common time period for individuals to consume alcohol. Alcohol self-concept (or drinking identity) has been associated cross-sectionally with rates of alcohol use and use-related problems. Additionally, there is preliminary evidence that alcohol self-concept is related to negative affect and to alcohol use motives. However, less research has evaluated the longitudinal nature of these variables, particularly in a community sample. The current study evaluated relationships between self-concept, alcohol-related variables, and negative affect among emerging adults. Additionally, the study explored self-concept as a mediator between motives and alcohol use and problems.

METHODS

Community-recruited participants (n = 226, 55.3% male) involved in a health behaviors study were assessed over the course of 12 months.

RESULTS

Results substantiated both the cross-sectional and longitudinal relationships between these variables. Self-concept, rates of use, and problems decreased over the course of time. Decreases in motives for alcohol use (including coping and enhancement motives) were related to subsequent decreases in alcohol self-concept, which in turn were associated with decreases in use and use-related problems. Alcohol self-concept mediated the longitudinal relationship between coping motives and use as well as use-related problems.

DISCUSSION AND CONCLUSIONS

Results from this study underscore the importance of motivation for alcohol use and internalization of alcohol identity in predicting changes in behavior across emerging adulthood and suggest future avenues of research.

SCIENTIFIC SIGNIFICANCE

Alcohol self-concept may be a risk factor and intervention target. (Am J Addict 2018;27:501-508).

摘要

背景与目的

成年初显期是一个身份形成的时期,也是个体饮酒最常见的时期。酒精自我概念(或饮酒身份)与饮酒率和与饮酒相关的问题呈横断面相关。此外,有初步证据表明,酒精自我概念与负面情绪和饮酒动机有关。然而,较少的研究评估了这些变量的纵向性质,特别是在社区样本中。本研究评估了成年初显期个体的自我概念、与酒精相关的变量和负面情绪之间的关系。此外,该研究还探讨了自我概念作为动机与饮酒和问题之间的中介。

方法

参与健康行为研究的社区招募参与者(n=226,55.3%为男性)在 12 个月的时间内接受评估。

结果

研究结果证实了这些变量之间的横断面和纵向关系。自我概念、饮酒率和问题在研究过程中逐渐减少。饮酒动机的下降(包括应对和增强动机)与随后的酒精自我概念下降有关,而酒精自我概念的下降又与饮酒和与饮酒相关的问题减少有关。酒精自我概念在应对动机和饮酒以及与饮酒相关的问题的纵向关系中起中介作用。

讨论与结论

本研究结果强调了饮酒动机和酒精身份内化在预测成年初显期行为变化中的重要性,并提出了未来的研究方向。

科学意义

酒精自我概念可能是一个风险因素和干预目标。(美国成瘾杂志 2018;27:501-508)。

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