Department of Special Education, Rehabilitation, and Counseling, Auburn University, Auburn, Alabama, USA.
School of Nursing and Health Studies, University of Miami, Coral Gables, Florida, USA.
Subst Use Misuse. 2024;59(2):306-311. doi: 10.1080/10826084.2023.2270550. Epub 2023 Dec 28.
Young adult college students experience a high risk for heavy alcohol use and resulting consequences. Symptoms of anxiety and depression increase this risk. Coping style has been associated with alcohol use and consequences, with approach coping being inversely related to use and consequences, and avoidance coping being directing related to use and consequences. The purpose of this study is to examine whether coping style moderates or mediates the relationship between anxiety/depression and alcohol use and consequences.
250 young adult college students ages 18 to 25 years (Women = 85, 34%) anonymously self-reported anxiety, depression, coping style, alcohol use and consequences.
Path analysis showed that avoidance coping was positively related to alcohol use ( = 0.33, < 0.05), social consequences ( = 0.39, < 0.05), and personal consequences ( = 0.26, < 0.05), while approach coping was inversely related to use ( = -0.20, = 0.005). Coping did not moderate the relationship between anxiety and depression and alcohol use or consequences. Avoidance coping mediated the relationship between depression and alcohol use ( = 0.14, < 0.05), social consequences ( = 0.16, < 0.05), and personal consequences ( = 0.11, < 0.05).
Findings build on alcohol use and consequences research, and support further research into implementing coping-based alcohol use interventions. Interventions aimed at reducing avoidance coping and increasing approach coping may be beneficial for young adult college students.
青年大学生有较高的酗酒风险，并可能导致相应后果。焦虑和抑郁的症状会增加这种风险。应对方式与酒精使用和后果有关，趋近应对与使用和后果呈负相关，回避应对与使用和后果呈正相关。本研究旨在检验应对方式是否调节或中介焦虑/抑郁与酒精使用和后果之间的关系。
250 名 18 至 25 岁的青年大学生（女性 85 名，34%）匿名自我报告焦虑、抑郁、应对方式、酒精使用和后果。
路径分析显示，回避应对与酒精使用（ = 0.33， < 0.05）、社交后果（ = 0.39， < 0.05）和个人后果（ = 0.26， < 0.05）呈正相关，而趋近应对与使用呈负相关（ = -0.20， = 0.005）。应对方式不能调节焦虑和抑郁与酒精使用或后果之间的关系。回避应对中介了抑郁与酒精使用（ = 0.14， < 0.05）、社交后果（ = 0.16， < 0.05）和个人后果（ = 0.11， < 0.05）之间的关系。
研究结果为酒精使用和后果的研究提供了依据，并支持进一步开展基于应对方式的酒精使用干预研究。减少回避应对和增加趋近应对的干预措施可能对青年大学生有益。
