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假设性的酒精相关后果评估是否会随时间而改变?探讨过去和当前后果的影响。

Do hypothetical evaluations of alcohol related consequences change over time? Examining the influence of past and ongoing consequences.

机构信息

Department of Psychology, Binghamton University, Binghamton, NY 13902, United States.

Department of Psychology, Binghamton University, Binghamton, NY 13902, United States.

出版信息

Addict Behav. 2024 Jul;154:108022. doi: 10.1016/j.addbeh.2024.108022. Epub 2024 Mar 20.

Abstract

OBJECTIVE

Despite experiencing alcohol-related consequences, college students continue to drink at high rates. Hypothetical evaluations of alcohol-related consequences (i.e., evaluations of where potential/hypothetical consequences lie on a spectrum from extremely positive to extremely negative) may contribute to the maintenance of drinking patterns among students. The purpose of the present study was to describe hypothetical evaluations in a sample of students mandated to an alcohol intervention, examine changes over time, and investigate the influence of both baseline and time-varying experienced consequences.

METHOD

This study was a secondary data analysis from a longitudinal randomized controlled trial. Participants were 474 mandated students (M = 18.65; 55.5 % male, 77.6 % White). Students completed an initial baseline assessment of demographics, alcohol use, consequences, and hypothetical evaluations, and 3-month and 9-month follow-up assessments that included hypothetical evaluations and experienced consequences.

RESULTS

Hierarchical linear modeling (HLM) analyses revealed significant change in hypothetical evaluations over time such that they became less negative. A piecewise model demonstrated that this change happened between baseline and 3-month, with no additional change between 3-month and 9-month. The experience of consequences at baseline did not significantly moderate changes in either time interval. Time-varying consequences also had no significant effect on same-timepoint hypothetical evaluations.

CONCLUSIONS

This study is the first to examine changes in hypothetical evaluations over time among mandated college students. Counter to expectations, hypothetical evaluations became less negative at 3-month follow-up. Though preliminary, findings add to the understanding of hypothetical evaluations of alcohol-related consequences.

摘要

目的

尽管经历了与酒精相关的后果,大学生仍继续大量饮酒。对与酒精相关的后果的假设评估(即,对潜在/假设后果在从非常积极到非常消极的范围内的位置的评估)可能有助于维持学生的饮酒模式。本研究的目的是在被强制参加酒精干预的学生样本中描述假设评估,考察随时间的变化,并研究基线和随时间变化的经历后果的影响。

方法

这是一项纵向随机对照试验的二次数据分析。参与者为 474 名被强制参加的学生(M=18.65;55.5%为男性,77.6%为白人)。学生完成了一项初始的基线评估,包括人口统计学、酒精使用、后果和假设评估,以及 3 个月和 9 个月的随访评估,包括假设评估和经历后果。

结果

分层线性模型(HLM)分析显示,假设评估随时间显著变化,变得不那么消极。分段模型表明,这种变化发生在基线和 3 个月之间,在 3 个月和 9 个月之间没有进一步变化。基线时的后果体验并没有显著调节两个时间间隔的变化。时间变化的后果也没有对同时间点的假设评估产生显著影响。

结论

这项研究是首次在被强制参加的大学生中考察随时间变化的假设评估。与预期相反,在 3 个月的随访中,假设评估变得不那么消极。尽管初步研究结果增加了对与酒精相关的后果的假设评估的理解。

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