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精神科治疗环境下成年初期个体心境、应对方式和饮酒的生态瞬时评估。

An ecological momentary assessment of mood, coping and alcohol use among emerging adults in psychiatric treatment.

机构信息

Department of Psychiatry and Human Behavior, Brown University , Providence, RI, USA.

Butler Hospital , Providence, RI, USA.

出版信息

Am J Drug Alcohol Abuse. 2020 Sep 2;46(5):651-658. doi: 10.1080/00952990.2020.1783672. Epub 2020 Aug 27.

Abstract

: Emerging adulthood is a critical period for the onset of both mental health disorders and problematic alcohol use. Coping strategies can play an important role in mitigating the onset and progression of these conditions in emerging adulthood. The current study examined daily mood, coping strategy use, and alcohol use during an individualized, ecological momentary intervention (EMI).: To examine the within-person relationship between mood, coping strategy use, and alcohol use.: Emerging adults ( = 20, 55% female) in a partial hospital program for anxiety or mood disorders who endorsed drinking to cope completed a 6-week EMI to increase non-substance coping skills. The study also measured mood, coping strategy use, and alcohol use over the course of the intervention.: Mood and coping variables did not predict the likelihood of drinking on a given day. On drinking days, the number of pre-consumption coping strategies were related to reduced alcohol use (p =.02) and there was a significant interaction between negative mood and coping in predicting alcohol use ( <.01). When pre-consumption negative mood was high, coping strategies predicted decreased alcohol use ( =.02), but when negative mood was low, this relationship was nonsignificant.: Using coping skills was associated with reduced alcohol use on days when negative mood was high. Increasing non-substance coping skills may help emerging adults reduce their alcohol use in response to negative mood.

摘要

成年初显期是心理健康障碍和酒精使用问题开始出现的关键时期。应对策略可以在减轻成年初显期这些情况的发生和发展方面发挥重要作用。本研究在个体的生态瞬时干预(EMI)中检查了日常情绪、应对策略的使用和酒精使用情况。

为了检验情绪、应对策略的使用和酒精使用之间的个体内关系。

参加焦虑或情绪障碍部分住院计划的成年初显期(n = 20,女性占 55%),他们为了应对而饮酒,完成了为期 6 周的 EMI,以增加非物质应对技能。该研究还在干预过程中测量了情绪、应对策略的使用和酒精使用情况。

情绪和应对变量并不能预测某一天饮酒的可能性。在饮酒日,饮酒前的应对策略数量与减少饮酒量有关(p =.02),情绪和应对在预测饮酒量方面存在显著交互作用(<.01)。当饮酒前的负面情绪较高时,应对策略预测饮酒量减少(=.02),但当负面情绪较低时,这种关系则不显著。

使用应对技巧与负面情绪较高时的饮酒量减少有关。增加非物质应对技能可能有助于成年初显期人群在面对负面情绪时减少饮酒量。

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