Center for Clinical Research and Prevention, Bispebjerg and Frederiksberg Hospital, Nordre Fasanvej 57, 2000, Frederiksberg, Denmark.
Unit of Medical Psychology, Section of Environmental Health, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
BMC Public Health. 2022 Jan 31;22(1):204. doi: 10.1186/s12889-021-12463-4.
Alcohol consumption potentially influences psychological well-being in beneficial and harmful ways, but prospective studies on the association show mixed results. Our main purpose was to examine prospective associations between alcohol consumption and psychological well-being in middle-aged men and women.
The study sample included 4148 middle-aged individuals (80% men) from the Copenhagen Aging and Midlife Biobank who reported their alcohol consumption (average weekly consumption and frequency of binge drinking) at baseline in 2004 or 2006 and reported their psychological well-being (satisfaction with life and vitality) at follow-up in 2009-2011. Analyses were adjusted for sociodemographic factors, lifestyle, social relations, and morbidity.
For satisfaction with life at follow-up, lower scores were observed in men and women who were alcohol abstinent at baseline as well as in men with heavy alcohol consumption compared with moderate alcohol consumption at baseline. Moreover, men with weekly binge drinking at baseline had lower satisfaction with life scores at follow-up than men with moderate frequency of binge drinking (1-3 times/month). In relation to vitality at follow-up, alcohol abstinence at baseline in men and women and heavy alcohol consumption at baseline in men were associated with lower scores compared with moderate alcohol consumption (yet in men these findings were not robust to adjustment for covariates).
Alcohol abstinence seems to be prospectively associated with adverse psychological well-being (vitality and life satisfaction) in men and women, while heavy alcohol consumption seems to be prospectively associated with adverse satisfaction with life in men. Finally, a prospective association between weekly binge drinking and lower life satisfaction was observed in men.
饮酒可能以有益和有害的方式影响心理健康，但前瞻性研究的结果存在差异。我们的主要目的是检验中年男女饮酒与心理健康之间的前瞻性关联。
研究样本包括来自哥本哈根老龄化和中年生物库的 4148 名中年个体（80%为男性），他们在 2004 年或 2006 年基线时报告了饮酒情况（平均每周饮酒量和 binge drinking 频率），并在 2009-2011 年随访时报告了心理健康状况（生活满意度和活力）。分析调整了社会人口因素、生活方式、社会关系和发病情况。
在随访时的生活满意度方面，与基线时适度饮酒相比，基线时完全戒酒的男性和女性以及基线时大量饮酒的男性得分较低。此外，与基线时适度 binge drinking（1-3 次/月）相比，基线时每周 binge drinking 的男性随访时的生活满意度得分较低。在随访时的活力方面，与基线时适度饮酒相比，男性和女性基线时完全戒酒以及男性基线时大量饮酒与较低的活力评分相关（但在男性中，这些发现不受协变量调整的影响）。
在男性和女性中，完全戒酒似乎与心理健康不良（活力和生活满意度）呈前瞻性关联，而大量饮酒似乎与男性的生活满意度不良呈前瞻性关联。最后，在男性中观察到每周 binge drinking 与较低的生活满意度之间存在前瞻性关联。
