Faculty of Psychology and Educational Sciences, Open University of the Netherlands, Heerlen, The Netherlands.
Am J Drug Alcohol Abuse. 2020;46(1):88-97. doi: 10.1080/00952990.2019.1635606. Epub 2019 Aug 20.
: Consuming alcohol for coping with negative affect (NA) or enhancing positive affect (PA) may lead to risky drinking patterns. Previous research has yielded mixed findings regarding these affective drinking associations.: To examine support for the self-medication and expectancy models of alcohol use in an adult community sample, by examining reciprocal associations between alcohol consumption and NA and PA within and between persons.: During seven consecutive days, 162 adults from the community (109 female) reported their affective experiences and alcohol consumption, following a signal contingent ecological momentary assessment protocol on their smartphones.: Within-person daily NA preceding the first drinking event was associated with increased likelihood of same-day alcohol consumption. Within-person momentary NA was associated with a decrease in the amount of next-moment alcohol consumption. Within-person momentary PA was positively associated with likelihood of next-moment alcohol consumption. Between persons, levels of daily and momentary NA and PA were not associated with any index of alcohol consumption. The intercepts and slopes of NA were not significantly different before and after alcohol consumption. The intercept of PA was higher after alcohol consumption, whereas the slope of PA decreased after alcohol consumption.: In the current sample affective drinking was a within-person process (i.e. persons were sensitive to their varying levels of affect). Some support was found for the self-medication and expectancy models. People may drink for coping with NA, but may also be at risk for developing affective drinking patterns in response to PA.
: 为了应对负性情绪（NA）或增强正性情绪（PA）而饮酒可能导致危险的饮酒模式。先前的研究对于这些情感性饮酒关联的结果存在差异。: 本研究旨在通过检验个体内和个体间的饮酒与 NA 和 PA 的相互关系，来检验酒精使用的自我治疗和预期模型在成人社区样本中的支持情况。: 在连续的 7 天内，社区中的 162 名成年人（109 名女性）使用智能手机按照信号依赖的生态瞬时评估方案报告他们的情感体验和饮酒情况。: 第 1 次饮酒前的个体内每日 NA 与当天饮酒的可能性增加有关。个体内即时 NA 与下一刻饮酒量的减少有关。个体内即时 PA 与下一刻饮酒的可能性呈正相关。个体间，每日和即时的 NA 和 PA 水平与任何酒精消费指标均无关。NA 的截距和斜率在饮酒前后没有显著差异。饮酒后 PA 的截距更高，而 PA 的斜率在饮酒后下降。: 在当前样本中，情感性饮酒是一个个体内的过程（即，个体对其变化的情绪水平敏感）。自我治疗和预期模型得到了一些支持。人们可能会为了应对 NA 而饮酒，但也可能会因为 PA 而面临发展情感性饮酒模式的风险。
