Lau-Barraco Cathy, Stamates Amy L, Ehlke Sarah J, Glenn Douglas J
Old Dominion University.
Virginia Consortium Program in Clinical Psychology.
Addict Res Theory. 2023;31(2):127-136. doi: 10.1080/16066359.2022.2127693. Epub 2022 Oct 10.
The current study tested a mediation model of psychological functioning (i.e., perceived stressors, psychological distress, and self-regulation) and risky drinking through a drinking to cope pathway comparing college and noncollege young adults. Participants were 623 young adult drinkers ( age = 21.46) who completed an online survey. Multigroup analyses examined the proposed mediation model for college students and nonstudents. For nonstudents, the indirect effects of psychological distress to alcohol use outcomes (i.e., alcohol quantity, binge drinking frequency, and alcohol-related problems) via coping motives was significant. Further, coping motives significantly mediated the positive effects of self-regulation on alcohol quantity, binge drinking frequency, and alcohol-related problems. For students, greater psychological distress was associated with greater coping motives, which in turn, related to greater alcohol-related problems. Coping motives significantly mediated the positive effect of self-regulation on binge drinking frequency. Findings highlight the different pathways that may result in risky drinking and alcohol problems based on young adult's educational attainment. These results have important clinical implications, particularly for those who have not attended college.
本研究通过饮酒应对途径，比较了大学生和非大学生年轻成年人，检验了心理功能（即感知应激源、心理困扰和自我调节）与危险饮酒之间的中介模型。参与者为623名年轻成年饮酒者（年龄=21.46岁），他们完成了一项在线调查。多组分析检验了针对大学生和非大学生提出的中介模型。对于非大学生，心理困扰通过应对动机对饮酒结果（即饮酒量、暴饮频率和与酒精相关的问题）的间接影响是显著的。此外，应对动机显著中介了自我调节对饮酒量、暴饮频率和与酒精相关问题的积极影响。对于大学生，更大的心理困扰与更强的应对动机相关，而应对动机又与更多与酒精相关的问题相关。应对动机显著中介了自我调节对暴饮频率的积极影响。研究结果突出了基于年轻成年人教育程度可能导致危险饮酒和酒精问题的不同途径。这些结果具有重要的临床意义，特别是对于那些未上过大学的人。
