Institute of Clinical Psychology and Psychotherapy, University of Cologne, Cologne, Germany.
Subst Use Misuse. 2022;57(10):1587-1598. doi: 10.1080/10826084.2022.2102185. Epub 2022 Jul 22.
Previous research suggests that rumination acts as a mediating mechanism in the association between depression and drinking motives, particularly drinking to cope, as well as negative alcohol-related consequences. In this study, we tested the connections between depressive symptoms, rumination, drinking motives, alcohol consumption, and alcohol-related problems in a clinically depressed population ( = 209). Structural equation modeling was used to test the models. Specifications were based on the results of a previously evaluated model in a sample of college students. The complex model showed a significant positive association between depressive symptoms and rumination. Drinking motives (enhancement and coping) were linked to more negative alcohol-related consequences. In a simplified model, pronounced depressive symptoms were associated with both increased ruminative thinking and more negative alcohol-related problems. Rumination was connected with stronger drinking motives (combined in one general factor), which were again associated with alcohol consumption and alcohol-related problems. The use of self-report measures to determine diagnostic validity. In a clinically depressed sample, depressive symptoms were linked to increased negative alcohol-related consequences. This association was partially explained by rumination and drinking motives. However, rumination was less relevant than previous studies suggested.
先前的研究表明，反刍在抑郁和饮酒动机之间的关联中起着中介作用，特别是为了应对而饮酒，以及与酒精相关的负面后果。在这项研究中，我们在临床抑郁人群（n=209）中测试了抑郁症状、反刍、饮酒动机、饮酒量和与酒精相关问题之间的联系。使用结构方程模型来测试模型。规格是基于之前在大学生样本中评估的模型的结果。复杂模型显示抑郁症状与反刍之间存在显著的正相关。饮酒动机（增强和应对）与更多的与酒精相关的负面后果有关。在简化模型中，明显的抑郁症状与更强烈的反刍思维和更多的与酒精相关的问题有关。反刍与更强的饮酒动机（综合为一个一般因素）有关，而饮酒动机又与饮酒量和与酒精相关的问题有关。使用自我报告的措施来确定诊断的有效性。在临床抑郁样本中，抑郁症状与增加的与酒精相关的负面后果有关。这种关联部分可以通过反刍和饮酒动机来解释。然而，反刍的相关性不如之前的研究表明的那么大。
