Cobb Cory L
Department of Health Behavior, School of Public Health, Texas A&M University, College Station, Texas, USA.
J Clin Psychol. 2025 Feb;81(2):62-70. doi: 10.1002/jclp.23755. Epub 2024 Nov 29.
The present study evaluated sex differences in the direct and indirect links between depressive symptoms, coping motives to drink, and alcohol use severity among Latinos who drink.
A large and diverse panel sample of Latinos, who were strategically sampled to be reflective of the Latino demographics of the state of Texas, completed questionnaires assessing their depressive symptomatology, coping motives to drink, and alcohol use behaviors.
Direct effects were significant in hypothesized directions such that depressive symptoms was positively associated with both coping motives to drink and alcohol use severity, and drinking motives to cope were positively associated with alcohol use severity. Moderator analysis showed that, compared to Latina women, the association of depressive symptoms with both drinking to cope and alcohol use severity was significantly higher among Latino men. Regarding indirect effects, a moderated mediation analysis showed that the indirect effect of depressive symptoms on alcohol use severity through coping motives to drink was statistically significant for both Latino/a men and women; however, the index of moderated mediation showed that this indirect effect was significantly greater among Latino men.
Although both Latino/a men and women may consume alcohol and turn to alcohol to drink with negative affect associated with depressive symptoms, this process may be stronger among Latino men. Findings are discussed considering prior work and implications for practitioners.
本研究评估了饮酒的拉丁裔人群中，抑郁症状、饮酒的应对动机与酒精使用严重程度之间直接和间接联系的性别差异。
一个来自拉丁裔的大型多样化样本小组，该样本经过策略性抽样，以反映德克萨斯州拉丁裔的人口统计学特征，完成了评估其抑郁症状、饮酒应对动机和酒精使用行为的问卷调查。
直接效应在假设方向上具有显著性，即抑郁症状与饮酒应对动机和酒精使用严重程度均呈正相关，且饮酒应对动机与酒精使用严重程度呈正相关。调节分析表明，与拉丁裔女性相比，抑郁症状与饮酒应对和酒精使用严重程度之间的关联在拉丁裔男性中显著更高。关于间接效应，有调节的中介分析表明，抑郁症状通过饮酒应对动机对酒精使用严重程度的间接效应在拉丁裔男性和女性中均具有统计学显著性；然而，有调节的中介指数表明，这种间接效应在拉丁裔男性中显著更大。
尽管拉丁裔男性和女性都可能饮酒，并转向酒精以应对与抑郁症状相关的负面影响，但这一过程在拉丁裔男性中可能更强。结合先前的研究工作对研究结果进行了讨论，并探讨了其对从业者的启示。
