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消防员的疼痛强度、饮酒动机与饮酒行为:疼痛相关焦虑的调节作用

Pain intensity, alcohol use motives, and alcohol use among firefighters: The moderating role of pain-related anxiety.

作者信息

Rogers Andrew H, Zegel Maya, Tran Jana K, Zvolensky Michael J, Vujanovic Anka A

机构信息

University of Houston, Department of Psychology, United States.

Firefighter Support Network, Houston Fire Department, United States.

出版信息

Addict Behav. 2020 Aug;107:106415. doi: 10.1016/j.addbeh.2020.106415. Epub 2020 Mar 28.

DOI:10.1016/j.addbeh.2020.106415
PMID:32247252
Abstract

Firefighters are an understudied population that reports high rates of alcohol use and hazardous drinking. Pain, which is also commonly experienced by firefighters, may be associated with alcohol use and alcohol use motives, as research among the general population suggests that pain is associated with coping-oriented drinking. Pain-related anxiety, reflecting a tendency to respond to pain with anxiety or fear, may link pain to coping-oriented drinking among firefighters. Therefore, the current study examined the moderating role of pain-related anxiety on the association between pain intensity and alcohol use motives as well as alcohol use severity. The sample was comprised of 189 (M = 40.33, SD = 9.97, 89.9% male) firefighters. Results from the current study supported a significant moderation effect of pain-related anxiety on the association between pain intensity and alcohol use coping motives, whereby the association between pain intensity and coping motives was stronger for those with high compared to low pain-related anxiety. No significant moderation effects were documented for social, enhancement, or conformity motives; and no significant moderation effect was found for alcohol use severity. These results highlighted the potential importance of pain intensity and pain-related anxiety in coping-oriented alcohol use among firefighters.

摘要

消防员是一个研究较少的群体,他们报告的酒精使用率和危险饮酒率很高。疼痛也是消防员经常经历的,可能与酒精使用及饮酒动机有关,因为普通人群的研究表明,疼痛与以应对为导向的饮酒有关。与疼痛相关的焦虑反映了对疼痛产生焦虑或恐惧反应的倾向,可能将疼痛与消防员中以应对为导向的饮酒联系起来。因此,本研究考察了与疼痛相关的焦虑在疼痛强度与饮酒动机以及饮酒严重程度之间的关联中所起的调节作用。样本包括189名消防员(M = 40.33,标准差 = 9.97,89.9%为男性)。本研究结果支持了与疼痛相关的焦虑对疼痛强度与饮酒应对动机之间的关联具有显著的调节作用,即与低疼痛相关焦虑者相比,高疼痛相关焦虑者的疼痛强度与应对动机之间的关联更强。对于社交、增强或从众动机,未记录到显著的调节作用;对于饮酒严重程度,也未发现显著的调节作用。这些结果凸显了疼痛强度和与疼痛相关的焦虑在消防员以应对为导向的饮酒行为中的潜在重要性。

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