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大学生饮酒者的应激-易损性模型的应用。

An Application of the Stressor-Vulnerability Model of Drinking in College Student Drinkers.

机构信息

Virginia Consortium Program in Clinical Psychology, Norfolk, VA, USA.

Old Dominion University, Norfolk, VA, USA.

出版信息

Subst Use Misuse. 2024;59(10):1527-1536. doi: 10.1080/10826084.2024.2360106. Epub 2024 Jun 4.

Abstract

The stressor vulnerability model provides theoretical support for conditions under which drinking to cope (DTC) is likely to occur (i.e., decreased adaptive coping, increased positive alcohol expectancies). However, research has only tested this model in a college sample reporting trauma. Generalizability to a non-trauma-specific sample college drinkers would support applications of the model and inferences about coping-related drinking across a broader group of young adults. Our sample included 565 college student drinkers ( = 20.3 years; = 2.0 years; 77.0% female; 54.2% White) from a large southeastern university. Mediation analyses examined DTC as a mediator between negative affect and alcohol-related outcomes (i.e., drinking quantity, drinking frequency, binge drinking frequency, and alcohol-related consequences). Moderated mediation models tested the influence of tension reduction expectancies and cognitive reappraisal on mediation pathways. Drinking to cope was found to be a full mediator for associations between negative affect and drinking-related outcomes. For associations between negative affect and alcohol-related consequences, DTC was a partial mediator. For all alcohol outcomes, results indicated the mediation between negative affect and outcomes through DTC is strongest for individuals with greater cognitive reappraisal use. Positive alcohol expectancies did not moderate any indirect effects. Although cognitive reappraisal is typically considered an adaptive emotion regulation technique, our results suggest that this may not always be the case with drinking outcomes. Given our findings, further research is needed to discern the conditions wherein cognitive reappraisal may and may not be adaptive. This could be useful in informing interventions to reduce harmful DTC behaviors.

摘要

压力易损性模型为以下情况提供了理论支持,即在这些情况下,人们可能会通过饮酒来应对(即,适应性应对能力下降,积极的酒精预期增加)。然而,研究仅在报告创伤的大学生样本中测试了该模型。该模型在非特定于创伤的大学生饮酒者样本中的可推广性将支持该模型的应用,并支持在更广泛的年轻成年人群体中对与应对相关的饮酒进行推断。 我们的样本包括来自一所大型东南部大学的 565 名大学生饮酒者(=20.3 岁;=2.0 岁;77.0%女性;54.2%白人)。中介分析检验了 DTC(应对性饮酒)作为负性情绪与酒精相关结果(即饮酒量、饮酒频率、狂饮频率和酒精相关后果)之间的中介变量。调节中介模型检验了缓解紧张预期和认知重评对中介途径的影响。 发现应对性饮酒是负性情绪与饮酒相关结果之间关联的完全中介。对于负性情绪与酒精相关后果之间的关联,DTC 是部分中介。对于所有的饮酒结果,结果表明,对于认知重评使用较多的个体,通过 DTC 进行负性情绪与结果之间的中介作用最强。积极的酒精预期并没有调节任何间接影响。 虽然认知重评通常被认为是一种适应性情绪调节技术,但我们的研究结果表明,在饮酒结果方面情况并非总是如此。鉴于我们的发现,需要进一步研究以确定认知重评在哪些情况下可能是适应性的,在哪些情况下可能不是适应性的。这对于告知减少有害的 DTC 行为的干预措施可能很有用。

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