Department of Psychology, University of Kentucky, Lexington KY, 40506, Kentucky, United States.
Curr Drug Res Rev. 2020;12(1):42-51. doi: 10.2174/2589977511666191021105154.
Affective disturbances have long been implicated in the onset and maintenance of problematic alcohol use. Affective risk theory for problem drinking has moved beyond early documentation that negative affect broadly confers risk to models specifying specific affectbased risk processes.
This paper provides a theory-driven review of recent literature on the role of affect-based factors in the etiology of problematic alcohol use. First, we review recent advances in the understanding of affect-based risk for problem drinking. Second, we highlight the importance of three specific affect-based risk factors: urgency, affective lability, and rumination. Third, we offer hypotheses regarding the reciprocal relationships between specific risk factors and drinking problems. Finally, we suggest possible avenues for future research.
Recent advances in the understanding of reciprocal prediction between affect-based risk factors and problem drinking have set the stage for important new avenues of investigation into the risk process. Affect-based risk processes appear to influence each otherover time, and they influence and are influenced by problem drinking. Further understanding of these processes will pave the way for a new generation of intervention strategies.
情感障碍长期以来一直被认为是导致问题性饮酒的发生和维持的原因。情感风险理论已经超越了早期的研究，即广泛认为负面情绪会带来风险，而是提出了更具体的基于情感的风险过程模型。
本文提供了对近期关于基于情感的因素在问题性饮酒病因学中的作用的文献进行了理论驱动的综述。首先，我们回顾了对问题性饮酒的基于情感的风险的理解的最新进展。其次，我们强调了三个特定的基于情感的风险因素的重要性：冲动、情感不稳定性和沉思。第三，我们提出了关于特定风险因素和饮酒问题之间的互惠关系的假设。最后，我们提出了未来研究的可能途径。
对基于情感的风险因素与问题性饮酒之间的相互预测的理解的最新进展为进一步研究风险过程开辟了重要的新途径。基于情感的风险过程似乎随着时间的推移而相互影响，并且它们影响和受到问题性饮酒的影响。进一步了解这些过程将为新一代的干预策略铺平道路。
