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大学生一年级和二年级的关键人格特质与酒精使用障碍症状:厘清前因与后果。

Key personality traits and alcohol use disorder symptoms in first and second year college students: detangling antecedent from consequence.

机构信息

Department of Human Development and Family Studies, Auburn University, United States.

Department of Human Development and Family Studies, Auburn University, United States.

出版信息

Addict Behav. 2019 Feb;89:178-187. doi: 10.1016/j.addbeh.2018.10.004. Epub 2018 Oct 6.

DOI:10.1016/j.addbeh.2018.10.004
PMID:30316144
Abstract

BACKGROUND

Studies have consistently shown that low constraint and high negative emotionality are associated with higher levels of alcohol use and greater alcohol related problems. Less research has examined associations between these traits and alcohol use disorder (AUD) from the first to second year of college, when alcohol use increases rapidly, or has evaluated gender differences in these associations.

METHODS

The longitudinal College Experiences Study (N = 209, 60% female, 90% white) was used to detangle antecedent vs. consequence between constraint, negative emotionality, and AUD symptoms using multiple methods (cross-lagged panel analysis, latent difference score approach).

RESULTS

Providing evidence for a scar/complication model, greater AUD symptoms in the first year of college was predictive of rank-order and correlated decreases in constraint in the second year, but only for males. Surprisingly, negative emotionality was not associated with AUD symptoms for either gender. Qualitative analyses show that the vast majority of those that met an AUD diagnosis (90%+) did not consider their drinking to be problematic.

CONCLUSION

Given the vast majority of college students with AUD do not perceive their drinking to be problematic, results support the potential of using personality-based risk prevention/intervention programs to target at-risk individuals for problematic drinking, rather than targeting problematic drinking alone.

摘要

背景

研究一致表明,低约束和高负情感性与更高的饮酒水平和更大的酒精相关问题有关。较少的研究从大学第一年到第二年检查了这些特征与酒精使用障碍(AUD)之间的关联,在这段时间里,酒精的使用迅速增加,或者评估了这些关联中的性别差异。

方法

使用纵向大学生经历研究(N=209,60%女性,90%白种人),使用多种方法(交叉滞后面板分析、潜在差异得分方法)来梳理约束、负情感性和 AUD 症状之间的前因后果关系。

结果

为疤痕/并发症模型提供了证据,即大学第一年 AUD 症状的增加预测了第二年约束的等级和相关下降,但仅适用于男性。令人惊讶的是,负情感性与两性的 AUD 症状都没有关联。定性分析表明,绝大多数符合 AUD 诊断的人(90%+)并不认为他们的饮酒有问题。

结论

鉴于绝大多数 AUD 大学生并不认为他们的饮酒有问题,结果支持使用基于人格的风险预防/干预计划来针对有问题饮酒的高风险个体,而不是仅针对有问题的饮酒本身。

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