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应对方式和负性情绪:酒精渴求与饮酒行为的前因的生态研究。

Coping motives and negative affect: An ecological study of the antecedents of alcohol craving and alcohol use.

机构信息

Department of Psychology.

Department of Psychological Sciences.

出版信息

Psychol Addict Behav. 2021 Aug;35(5):565-576. doi: 10.1037/adb0000696. Epub 2021 Jan 28.

Abstract

OBJECTIVE

Negative affect (NA) is presumed to be an important trigger for drinking, particularly among coping-motivated drinkers. However, diary studies attempting to predict alcohol use from interactions between state NA and coping motives have proved inconsistent. Craving or momentary desire for alcohol may be a more proximal and robust consequence of NA in coping-motivated drinkers.

METHOD

Data were drawn from an ecological momentary assessment investigation. Frequent drinkers ( = 403) carried electronic diaries for 21 consecutive days, recording their drinking behavior, and rating cravings for alcohol and NA.

RESULTS

Outside of active drinking episodes, within-person elevations of momentary NA were associated with increased craving intensity, and this effect was more prominent among drinkers with higher dispositional coping motives. There was no significant interaction between coping motives and momentary NA in predicting the occurrence and amount of same-day alcohol use. Significant conditional indirect effects indicated that NA promoted drinking through increases in craving. These indirect effects were stronger among drinkers reporting higher coping motives.

CONCLUSIONS

Coping motives and within-person fluctuations in NA interactively predict alcohol craving. NA promotes drinking indirectly via increased craving, particularly among coping-motivated drinkers. Alcohol craving may be a proximal and sensitive response channel for investigating interactions between affective distress and coping motives. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

摘要

目的

消极情绪(NA)被认为是饮酒的一个重要诱因,尤其是对于以应对为动机的饮酒者。然而,试图从状态 NA 与应对动机的相互作用来预测饮酒行为的日记研究结果并不一致。对于以应对为动机的饮酒者来说,对酒精的渴望或即时欲望可能是 NA 的一个更接近和更强烈的后果。

方法

数据来自生态瞬间评估研究。经常饮酒者(n = 403)携带电子日记 21 天,记录他们的饮酒行为和对酒精渴望和 NA 的评分。

结果

在非主动饮酒期间,个体内瞬间 NA 的升高与渴望强度的增加有关,而这种效应在具有较高特质应对动机的饮酒者中更为明显。在预测当天的饮酒量和饮酒量方面,应对动机和瞬间 NA 之间没有显著的交互作用。显著的条件间接效应表明,NA 通过增加渴望来促进饮酒。对于报告有较高应对动机的饮酒者,这些间接效应更强。

结论

应对动机和个体内 NA 的波动交互预测酒精渴望。NA 通过增加渴望间接促进饮酒,特别是对于以应对为动机的饮酒者。酒精渴望可能是研究情感困扰和应对动机之间相互作用的一个接近和敏感的反应渠道。

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