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对有危险饮酒行为的新兴成年人饮酒热情二元模型的评估。

Evaluation of the Dualistic Model of Passion for Alcohol Consumption among Emerging Adults Engaged in Risky Drinking.

作者信息

Davis Alan K, Arterberry Brooke J, Schneeberger Diane, Bonar Erin E, Bauermeister José A, Young Sean D, Cunningham Rebecca M, Walton Maureen A

机构信息

Behavioral Pharmacology Research Unit, Department of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, 5510 Nathan Shock Drive, Baltimore, MD.

Department of Psychology, University of Iowa, 901 Stange Road, Ames, IA.

出版信息

Addict Res Theory. 2020;28(1):21-28. doi: 10.1080/16066359.2019.1571192. Epub 2019 Feb 27.

Abstract

Understanding factors influencing risky drinking among emerging adults could enhance interventions to reduce adverse outcomes. As a motivational construct, the dualistic model of passion (i.e., obsessive passion: drinking is compelling and conflicts with other life activities/values; harmonious passion: drinking is an important, but not overwhelming, part of life) offers a novel explanation for persistent alcohol use. Yet, the dualistic model of passion has not yet been evaluated in this at-risk population. Therefore, we examined whether the variables proposed by the dualistic model of passion were associated with sex, binge-drinking, and alcohol-related consequences among young risky drinkers. We analyzed cross-sectional baseline data collected as part of an ongoing randomized controlled trial of emerging adults (n=327; =22.6, =1.1, range 21-24; 61% female; 76% White non-Hispanic) engaged in risky drinking (AUDIT-C score ≥ 4 females, ≥ 5 males) recruited nationally via social media advertisements. A path analysis revealed significant positive direct effects between obsessive passion and binge drinking and alcohol-related consequences, and significant negative direct effects between male sex and harmonious passion and binge drinking. There was also a positive direct effect between binge drinking and alcohol-related consequences. Male sex and obsessive passion were both indirectly related to alcohol-related consequences via binge drinking. Type of passion and male sex differentiates risky drinkers who binge drink and who experienced alcohol-related consequences. Future research should examine whether targeting obsessive passion reduces binge drinking and negative outcomes.

摘要

了解影响新兴成年人危险饮酒的因素有助于加强干预措施,以减少不良后果。作为一种动机结构,激情二元模型(即强迫性激情:饮酒具有强制性且与其他生活活动/价值观相冲突;和谐性激情:饮酒是生活中重要但并非压倒性的一部分)为持续饮酒行为提供了一种新颖的解释。然而,激情二元模型尚未在这一高危人群中得到评估。因此,我们研究了激情二元模型提出的变量是否与年轻危险饮酒者的性别、暴饮和酒精相关后果有关。我们分析了作为一项正在进行的针对新兴成年人的随机对照试验(n = 327;平均年龄= 22.6岁,标准差= 1.1,年龄范围21 - 24岁;61%为女性;76%为非西班牙裔白人)的一部分所收集的横断面基线数据,这些参与者通过社交媒体广告在全国范围内招募,均有危险饮酒行为(女性酒精使用障碍识别测试 - 消费版[AUDIT - C]得分≥4分,男性≥5分)。路径分析显示,强迫性激情与暴饮及酒精相关后果之间存在显著的正直接效应,男性性别与和谐性激情及暴饮之间存在显著的负直接效应。暴饮与酒精相关后果之间也存在正直接效应。男性性别和强迫性激情均通过暴饮与酒精相关后果间接相关。激情类型和男性性别区分了有暴饮行为和经历过酒精相关后果的危险饮酒者。未来的研究应探讨针对强迫性激情是否能减少暴饮和负面后果。

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