Department of Psychology, Fordham University, Bronx, New York, USA.
Department of Psychological Science, University of Arkansas, Fayetteville, Arkansas, USA.
Subst Use Misuse. 2024;59(14):2073-2083. doi: 10.1080/10826084.2024.2392558. Epub 2024 Sep 17.
Despite the commonly observed co-occurrence of obsessive-compulsive symptoms (OCS) and substance use in clinical populations, few researchers have examined potential mechanisms which contribute to this relationship. This study assessed the mediating role of drinking motives in the relationship between OCS, alcohol consumption, and its resulting health risks among U.S. adults. Adult participants ( = 1966; = 47.72, = 17.91; 76.30% female; 86.10% non-Hispanic White) sourced from Research Match answered an online questionnaire containing measures related to substance use and anxiety-related symptoms. As hypothesized, there was a significant positive indirect path between OCS and both alcohol consumption and risky alcohol use through coping motives. However, there were also small indirect effects of OCS through social motivations for consumption and conformity motivations for risky alcohol use. These results add evidence that coping motives play a role in OCS and alcohol misuse and highlights the need to also consider drinking motives related to social facilitation and conformity in those with co-occurring OCS and alcohol misuse.
尽管在临床人群中普遍观察到强迫症症状（OCS）和物质使用同时存在，但很少有研究人员研究导致这种关系的潜在机制。本研究评估了饮酒动机在 OCS、酒精消费及其对美国成年人健康风险之间关系中的中介作用。成年参与者（ = 1966；女性占 76.30%，非西班牙裔白人占 86.10%；年龄中位数为 47.72，标准差为 17.91）来自 Research Match，他们回答了一个在线问卷，其中包含与物质使用和焦虑相关症状相关的测量。正如假设的那样，OCS 通过应对动机与酒精消费和危险饮酒之间存在显著的正间接关系。然而，OCS 也通过消费的社交动机和危险饮酒的从众动机产生了较小的间接影响。这些结果增加了应对动机在 OCS 和酒精滥用中的作用的证据，并强调了在同时存在 OCS 和酒精滥用的人群中，还需要考虑与社交促进和从众有关的饮酒动机。
