Department of Psychological Science, Creighton University.
Psychol Addict Behav. 2019 May;33(3):274-284. doi: 10.1037/adb0000448. Epub 2019 Jan 31.
Past research has reported that college students use alcohol to manage their negative affective experiences. However, this finding is somewhat mixed in mood induction studies, and it is also unclear which students are most vulnerable to drinking for these reasons. The current study examined the roles of child/adolescent trauma exposure with emphasis on early sexual abuse and emotion regulation difficulties on college students' alcohol-related tension reduction expectancies during a mood induction paradigm. Participants were randomly assigned to an experimentally induced negative or neutral mood condition with questionnaire batteries completed pre- and postinduction. Primary results were based on participants reporting exposure to at least one traumatic event (n = 134). Findings indicated that participants in the negative compared to the neutral mood condition reported heightened tension reduction expectancies; this was particularly salient as exposure to child/adolescent sexual abuse increased. A trend (p = .08) suggested that tension reduction expectancies were higher for participants in the negative mood condition, as reports of sexual abuse and emotion regulation difficulties increased, and after accounting for posttraumatic stress symptoms. Tension reduction expectancies as a risk factor for problem drinking following trauma exposure are discussed, and further, indications that risk for problem drinking following sexual abuse is associated with difficulties managing typical, rather than extreme levels of negative affect are emphasized. Clinical implications include the potential modification of brief alcohol interventions. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
过去的研究报告称,大学生使用酒精来应对负面情绪体验。然而,在情绪诱导研究中,这一发现有些混杂,也不清楚哪些学生最容易因为这些原因而饮酒。本研究在情绪诱导范式中,考察了儿童/青少年创伤暴露(重点是早期性虐待和情绪调节困难)对大学生饮酒缓解紧张预期的作用。参与者被随机分配到实验诱导的负面或中性情绪状态,并在诱导前后完成问卷。主要结果基于报告至少经历过一次创伤事件的参与者(n = 134)。研究结果表明,与中性情绪状态相比,处于负面情绪状态的参与者报告的紧张缓解预期更高;而当暴露于儿童/青少年性虐待时,这种情况更为明显。一个趋势(p =.08)表明,随着性虐待和情绪调节困难报告的增加,以及考虑到创伤后应激症状后,负面情绪状态下的参与者的紧张缓解预期更高。讨论了紧张缓解预期作为创伤后饮酒问题的风险因素,并且强调了在应对典型而不是极端水平的负面情绪时,性虐待后饮酒问题的风险与管理困难有关。临床意义包括对简短酒精干预的潜在修正。(APA 版权所有,2019)