Department of Psychological Sciences, Institute of Psychology Health and Society, University of Liverpool, Liverpool, UK.
King's Centre for Military Health Research, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Occup Med (Lond). 2020 Jun 20;70(4):259-267. doi: 10.1093/occmed/kqaa003.
Drinking motivations within the UK military have not been studied despite the high prevalence of alcohol misuse in this group.
We aimed to characterize drinking motivations and their demographic, military and mental health associations in UK serving and ex-serving personnel.
Serving and ex-serving personnel reporting mental health, stress or emotional problems occurring in the last 3 years were selected from an existing cohort study. A semi-structured telephone interview survey examined participants' mental health, help-seeking, alcohol use and drinking motivations.
Exploratory factor analysis of drinking motivations in military personnel (n = 1279; response rate = 84.6%) yielded 2 factors, labelled 'drinking to cope' and 'social pressure'. Higher drinking to cope motivations were associated with probable anxiety (rate ratio [RR] = 1.4; 95% confidence interval [CI] = 1.3-1.5), depression (RR = 1.3; 95% CI = 1.2-1.4) and post-traumatic stress disorder (RR = 1.4; 95% CI = 1.3-1.6). Higher social pressure motivations were associated with probable anxiety (odds ratio = 1.1; 95% CI = 1.0-1.1). Alcohol misuse and binge drinking were associated with reporting higher drinking to cope motivations, drinking at home and drinking alone.
Amongst military personnel with a stress, emotional or mental health problem, those who drink to cope with mental disorder symptoms or because of social pressure, in addition to those who drink at home or drink alone, are more likely to also drink excessively.
尽管英国军人中酒精滥用的现象普遍存在，但该群体的饮酒动机尚未得到研究。
我们旨在描述英国现役和退役军人的饮酒动机及其与人口统计学、军事和心理健康的关联。
从一项现有的队列研究中选择了报告过去 3 年内出现心理健康、压力或情绪问题的现役和退役军人。半结构式电话访谈调查评估了参与者的心理健康、寻求帮助、饮酒和饮酒动机。
对 1279 名军人（应答率为 84.6%）的饮酒动机进行探索性因素分析，得出 2 个因素，分别命名为“借酒消愁”和“社交压力”。较高的借酒消愁动机与可能的焦虑（比率比 [RR] = 1.4；95%置信区间 [CI] = 1.3-1.5）、抑郁（RR = 1.3；95% CI = 1.2-1.4）和创伤后应激障碍（RR = 1.4；95% CI = 1.3-1.6）相关。较高的社交压力动机与可能的焦虑（比值比 [OR] = 1.1；95% CI = 1.0-1.1）相关。酒精滥用和狂饮与报告更高的借酒消愁动机、在家中饮酒和独自饮酒有关。
在有压力、情绪或心理健康问题的军人中，那些为了应对精神障碍症状或由于社交压力而饮酒的人，以及那些在家中或独自饮酒的人，更有可能过度饮酒。
