Waddell Jack T, Chassin Laurie
Department of Psychology, Arizona State University, Tempe, Arizona, USA.
Alcohol Clin Exp Res (Hoboken). 2023 May;47(5):996-1009. doi: 10.1111/acer.15064. Epub 2023 Apr 19.
The Acquired Preparedness Model (APM) posits that highly impulsive individuals develop stronger positive alcohol expectancies, which in turn predicts heavier drinking. However, most acquired preparedness studies have focused solely on between-person relations, despite the theory suggesting that there are potential developmental-specific within-person relations. Thus, the current study tested the APM from late adolescence into adulthood, while disaggregating within- from between-person relations.
Data come from a multigenerational study of familial alcohol use disorder (N=653) spanning three waves 5 years apart. Participants reported their lack of conscientiousness, sensation seeking, positive alcohol expectancies, and binge drinking at each wave. First, missing data techniques were used to create a "ghost timepoint," allowing the specification of four developmental-specific timepoints representing late adolescence (age 18 to 20), emerging adulthood (age 21 to 25), young adulthood (age 26 to 29), and adulthood (age 30 to 39). Second, a Random-Intercept Cross-Lagged Panel Model tested between-person and within-person relations among variables.
At the between-person level, lower conscientiousness and sensation seeking were correlated with higher positive expectancies, and positive expectancies were correlated with more binge drinking. There were no within-person prospective relations among conscientiousness, sensation seeking, and positive expectancies. However, within-person increases in lack of conscientiousness during late adolescence predicted within-person increases in emerging adult binge drinking, and within-person increases in late adolescent and emerging adult binge drinking predicted within-person increases in lack of conscientiousness during emerging and young adulthood, respectively. Similarly, within-person increases in late adolescent and young adult sensation seeking predicted within-person increases in binge drinking during emerging adulthood and adulthood, respectively. Binge drinking did not reciprocally predict sensation seeking.
Findings suggest that acquired preparedness effects may be between persons rather than within persons. However, several within-person developmental-specific relations among conscientiousness, sensation seeking, and binge drinking were observed, outside of expectancies. Findings are discussed in terms of theory and prevention.
习得性准备模型(APM)假定,高度冲动的个体形成更强的积极饮酒预期,这反过来又预示着饮酒量更大。然而,尽管该理论表明存在潜在的特定发展阶段的个体内部关系,但大多数习得性准备研究仅关注个体间关系。因此,本研究在从青少年晚期到成年期的过程中对APM进行了测试,同时区分了个体内部关系和个体间关系。
数据来自一项关于家族性酒精使用障碍的多代研究(N = 653),研究分三个阶段进行,相隔5年。参与者在每个阶段报告他们的尽责性缺乏、寻求刺激、积极饮酒预期和暴饮情况。首先,使用缺失数据技术创建一个“虚拟时间点”,从而确定四个代表青少年晚期(18至20岁)、成年初期(21至25岁)、青年期(26至29岁)和成年期(30至39岁)的特定发展阶段时间点。其次,采用随机截距交叉滞后面板模型测试变量之间的个体间关系和个体内部关系。
在个体间层面,较低的尽责性和寻求刺激与较高的积极预期相关,而积极预期与更多的暴饮相关。尽责性、寻求刺激和积极预期之间不存在个体内部的前瞻性关系。然而,青少年晚期尽责性缺乏的个体内部增加预示着成年初期暴饮的个体内部增加,青少年晚期和成年初期暴饮的个体内部增加分别预示着成年初期和青年期尽责性缺乏的个体内部增加。同样,青少年晚期和青年期寻求刺激的个体内部增加分别预示着成年初期和成年期暴饮的个体内部增加。暴饮并没有反过来预示寻求刺激。
研究结果表明,习得性准备效应可能存在于个体之间而非个体内部。然而,在预期之外,观察到了尽责性、寻求刺激和暴饮之间的几种特定发展阶段的个体内部关系。研究结果将从理论和预防的角度进行讨论。