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与问题饮酒相关的痛苦驱动冲动性与特质强迫性相互作用:一项双样本研究。

Distress-driven impulsivity interacts with trait compulsivity in association with problematic drinking: A two-sample study.

作者信息

Liu Chang, Rotaru Kristian, Chamberlain Samuel R, Yücel Murat, Grant Jon E, Lee Rico S C, Wulandari Teresa, Suo Chao, Albertella Lucy

机构信息

BrainPark, Turner Institute for Brain and Mental Health and School of Psychological Sciences, Monash University, Clayton, VIC, Australia.

Monash Business School, Monash University, Caulfield, VIC, Australia.

出版信息

Front Psychiatry. 2022 Sep 15;13:938275. doi: 10.3389/fpsyt.2022.938275. eCollection 2022.

Abstract

OBJECTIVE

Problematic drinking is highly prevalent among the general population, oftentimes leading to significant negative consequences, including physical injury, psychological problems and financial hardship. In order to design targeted early interventions for problematic drinking, it is important to understand the mechanisms that render individuals at risk for and/or maintain this behavior. Two candidate drivers of problematic drinking are distress-driven impulsivity and trait compulsivity, with recent research suggesting these constructs may interact to enhance risk for addictive behaviors. The current study examined whether individual differences in distress-driven impulsivity and trait compulsivity interact in relation to problematic drinking.

METHOD

Distress-driven impulsivity (indexed by the S-UPPS-P negative urgency subscale), trait compulsivity (indexed by the CHIT scale) and problematic drinking (indexed by the BATCAP alcohol scale) were assessed in two independent online samples (Sample 1, = 117; Sample 2, = 474). Bootstrapped moderation analysis was conducted to examine whether trait compulsivity moderated the relationship between distress-driven impulsivity and problematic drinking.

RESULTS

In both samples, there was a significant interaction between distress-driven impulsivity and trait compulsivity in relation to problematic drinking. Follow-up tests revealed that, in both samples, higher distress-driven impulsivity was associated with more problematic drinking behaviors among participants with high trait compulsivity only.

CONCLUSIONS

The current findings add to the growing literature supporting an interactive relationship between impulsivity and compulsivity-related traits in relation to addictive behaviors and have implications for informing early detection of risk and targeted early interventions.

摘要

目的

问题饮酒在普通人群中极为普遍,常常会导致严重的负面后果,包括身体伤害、心理问题和经济困难。为了设计针对问题饮酒的有针对性的早期干预措施,了解使个体面临这种行为风险和/或维持这种行为的机制非常重要。问题饮酒的两个潜在驱动因素是痛苦驱动的冲动性和特质强迫性,最近的研究表明这些构念可能相互作用,增加成瘾行为的风险。本研究考察了痛苦驱动的冲动性和特质强迫性方面的个体差异在问题饮酒方面是否相互作用。

方法

在两个独立的在线样本(样本1,n = 117;样本2,n = 474)中评估了痛苦驱动的冲动性(由S-UPPS-P消极紧迫性子量表索引)、特质强迫性(由CHIT量表索引)和问题饮酒(由BATCAP酒精量表索引)。进行了自抽样调节分析,以检验特质强迫性是否调节了痛苦驱动的冲动性与问题饮酒之间的关系。

结果

在两个样本中,痛苦驱动的冲动性和特质强迫性在问题饮酒方面均存在显著的交互作用。后续测试表明,在两个样本中,仅在特质强迫性高的参与者中,较高的痛苦驱动的冲动性与更多的问题饮酒行为相关。

结论

目前的研究结果进一步丰富了支持冲动性和强迫性相关特质在成瘾行为方面存在交互关系的文献,并对早期风险检测和有针对性的早期干预具有启示意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e1a/9530652/4a2b0e3ff9a6/fpsyt-13-938275-g0001.jpg

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