Addiction Medicine, Lausanne University Hospital CHUV, Lausanne, Switzerland.
Addiction Switzerland, Lausanne, Switzerland.
PLoS One. 2019 Jun 19;14(6):e0218469. doi: 10.1371/journal.pone.0218469. eCollection 2019.
Although there is evidence that Attention Deficit Hyperactivity Disorder (ADHD) symptoms are positively related to alcohol use and related problems among young adults, little research has examined the mechanisms that might explain this association. In response, this study examined the mediating effects of coping and enhancement drinking motives on the prospective associations between ADHD symptoms and alcohol outcomes.
Participants (N = 4,536) were young men from the Cohort Study on Substance Use Risk Factors. Measures of ADHD symptoms and those of drinking motives, heavy episodic drinking (HED) and alcohol use disorder symptoms were used from the baseline and 15-month follow-up assessments.
Findings indicated that the associations of ADHD-inattention symptoms with alcohol use disorder (AUD) symptoms and with HED were partially and completely mediated through drinking motives, respectively, whereas drinking motives did not mediate the ADHD-hyperactivity/impulsivity-symptoms-alcohol outcomes associations.
Results indicated that coping and enhancement motives partially explained the ADHD-inattention symptoms-subsequent alcohol outcomes association. These findings suggest that interventions targeting enhancement and coping motives may help prevent problematic drinking among young men with elevated ADHD-inattention symptoms.
尽管有证据表明，注意力缺陷多动障碍（ADHD）症状与年轻人的酒精使用和相关问题呈正相关，但很少有研究探讨可能解释这种关联的机制。有鉴于此，本研究检验了应对和增强性饮酒动机对 ADHD 症状与酒精结果之间前瞻性关联的中介作用。
参与者（N=4536）来自物质使用风险因素队列研究中的年轻男性。从基线和 15 个月随访评估中使用 ADHD 症状和饮酒动机、重度间断性饮酒（HED）和酒精使用障碍症状的测量值。
研究结果表明，ADHD 注意力不集中症状与酒精使用障碍（AUD）症状和 HED 的关联分别通过饮酒动机部分和完全中介，而饮酒动机并未中介 ADHD 多动/冲动症状与酒精结果的关联。
研究结果表明，应对和增强性动机部分解释了 ADHD 注意力不集中症状与随后的酒精结果之间的关联。这些发现表明，针对增强和应对动机的干预措施可能有助于预防 ADHD 注意力不集中症状升高的年轻人出现问题性饮酒。
