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内化症状、消极紧迫性和应对动机:导致酒精相关后果的潜在途径。

Internalizing symptoms, negative urgency, and coping motives: Potential pathways to alcohol consequences.

作者信息

McDonald Abigail, Corbin Will

机构信息

Department of Psychology, Arizona State University.

出版信息

Psychol Addict Behav. 2025 Mar;39(2):219-225. doi: 10.1037/adb0001038. Epub 2024 Oct 14.

DOI:10.1037/adb0001038
PMID:39404831
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11875988/
Abstract

OBJECTIVE

Building upon prior research, the present study tested coping motives as a mediator of relations between both negative urgency and internalizing symptoms (depression, anxiety, and stress), and alcohol-related consequences using longitudinal data. We also tested negative urgency as a moderator of prospective relations between specific internalizing symptoms and alcohol-related consequences.

METHOD

The study utilized data from a longitudinal study of young adults ( = 448; = 22.27, = 1.25). Participants (56.5% male) were evaluated at baseline and at 12-month and 24-month follow-ups. Mood, impulsivity, coping motives, and alcohol consequences were assessed at baseline, and motives and consequences were assessed at follow-ups.

RESULTS

Prospective indirect effects of internalizing symptoms and negative urgency on alcohol consequences through coping motives were not observed. However, cross-sectional post hoc analyses indicated that higher levels of internalizing and negative urgency were indirectly associated with greater alcohol consequences through coping motives, with similar patterns observed for depression, anxiety, and stress. Although support was found for mediated effects in the cross-sectional model, no evidence was found for negative urgency moderating the impact of internalizing, stress, anxiety, or depression on alcohol consequences in either cross-sectional or longitudinal models.

CONCLUSION

Findings provide cross-sectional but not longitudinal support for coping motives as a potential mechanism through which a broad range of internalizing symptoms are associated with alcohol consequences. Findings did not support interactions between negative urgency and internalizing symptoms. The results highlight the need for further exploration of mediated effects using ecological momentary assessments. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

摘要

目的

在先前研究的基础上,本研究使用纵向数据检验应对动机作为消极冲动性与内化症状(抑郁、焦虑和压力)以及酒精相关后果之间关系的中介变量。我们还检验了消极冲动性作为特定内化症状与酒精相关后果之间前瞻性关系的调节变量。

方法

该研究使用了一项针对年轻人的纵向研究数据(n = 448;M = 22.27,SD = 1.25)。参与者(56.5%为男性)在基线、12个月和24个月随访时接受评估。在基线时评估情绪、冲动性、应对动机和酒精后果,在随访时评估动机和后果。

结果

未观察到内化症状和消极冲动性通过应对动机对酒精后果的前瞻性间接效应。然而,横断面事后分析表明,较高水平的内化和消极冲动性通过应对动机与更大的酒精后果间接相关,抑郁、焦虑和压力的情况类似。虽然在横断面模型中发现了中介效应的支持证据,但在横断面或纵向模型中均未发现消极冲动性调节内化、压力、焦虑或抑郁对酒精后果影响的证据。

结论

研究结果为应对动机作为广泛内化症状与酒精后果相关的潜在机制提供了横断面而非纵向的支持。研究结果不支持消极冲动性与内化症状之间的相互作用。结果强调需要使用生态瞬时评估进一步探索中介效应。(PsycInfo数据库记录(c)2025美国心理学会,保留所有权利)

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