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日常冲动性与酒精预期:习得性准备模型的多层次检验。

Daily impulsivity and alcohol expectancies: A multilevel examination of the acquired preparedness model.

机构信息

Department of Psychology, University of Rhode Island, Kingston, Rhode Island, USA.

Department of Psychology, Old Dominion University, Norfolk, Virginia, USA.

出版信息

Alcohol Clin Exp Res (Hoboken). 2023 Mar;47(3):540-548. doi: 10.1111/acer.15023. Epub 2023 Mar 6.

Abstract

BACKGROUND

The acquired preparedness model (APM) integrates personality traits and psychosocial learning to posit amechanism whereby individuals initiate and continue alcohol use. The present study examined within-person associations between impulsivity, alcohol expectancies, alcohol use, and alcohol problems to inform daily process models of drinking and test the APM.

METHODS

Participants were 89 college student drinkers who completed momentary reports (three random and two user-initiated reports) for 14 days. Multilevel mediation analyses examined whether daily associations between impulsivity and alcohol use and problems were mediated by positive and negative expectancies.

RESULTS

Daily impulsivity was positively associated with daily positive expectancies, prior to drinking. Greater daily positive expectancies were associated with more alcohol consumed and alcohol problems that day. The indirect effects were significant, indicating greater than usual impulsivity was associated with greater alcohol use and alcohol problems through greater positive expectancies. Impulsivity was positively associated with negative expectancies at the within-subject and between-subject levels, but negative expectancies did not serve as a mediator between impulsivity and either alcohol outcome.

CONCLUSIONS

This is the first study to test the APM at the day level. Findings supported daily fluctuations in beliefs regarding the positive effects of alcohol as a salient mechanism explaining the link between daily impulsivity and level of alcohol use. Because impulsivity was linked to changes in expectancy states that were proximal to drinking that day, this information may be used to develop prevention and intervention programs to reduce alcohol harms.

摘要

背景

习得准备模型(APM)整合了人格特质和社会心理学习,提出了一种机制,即个体开始并持续饮酒的机制。本研究通过考察冲动性、酒精期望、饮酒和酒精问题之间的个体内关联,为每日饮酒过程模型提供信息,并检验 APM。

方法

参与者为 89 名大学生饮酒者,他们在 14 天内完成了即时报告(3 次随机报告和 2 次用户发起报告)。多层次中介分析检验了冲动性与饮酒和问题之间的每日关联是否由积极和消极期望所中介。

结果

每日冲动性与饮酒前的每日积极期望呈正相关。更大的每日积极期望与当天更多的饮酒量和酒精问题有关。间接效应显著,表明与平常相比,更高的冲动性与更大的酒精使用量和酒精问题通过更大的积极期望有关。冲动性在个体内和个体间水平上与消极期望呈正相关,但消极期望不能作为冲动性与任何酒精结果之间的中介。

结论

这是首次在每日水平上测试 APM 的研究。研究结果支持了关于酒精积极影响的信念的日常波动,这是解释每日冲动性与酒精使用水平之间联系的一个重要机制。由于冲动性与当天饮酒时的期望状态变化有关,因此这些信息可以用于制定预防和干预计划,以减少酒精危害。

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