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大学时期为排解情绪而饮酒的动机作为大学毕业后人际问题和抑郁症状的预测指标

Drinking to Cope Motivation in College as a Predictor of Post-College Interpersonal Problems and Depressive Symptoms.

作者信息

Armeli Stephen, Bragard Elise, Tennen Howard

机构信息

Department of Psychology, Fairleigh Dickinson University, Teaneck, NJ, USA.

Alcohol Research Center, University of Connecticut School of Medicine, Farmington, CT, USA.

出版信息

Subst Use Misuse. 2025;60(8):1140-1147. doi: 10.1080/10826084.2025.2487983. Epub 2025 Apr 8.

Abstract

BACKGROUND

Evidence indicates that high levels of drinking to cope (DTC) motivation, independent of drinking level, might precede temporally proximal increases in negative affect and interpersonal stress. In the present study, we examined whether high levels of DTC motivation were related to these outcomes prospectively over a 5-year period.

METHOD

We assessed college student drinkers first in college and then approximately 5 years later after leaving the college environment. At both time points participants reported depression symptoms in a one-time survey and daily drinking level, motives, and interpersonal stress a 30-day diary. Interpersonal chronic stress was also assessed at wave 2 using a semi-structured phone-based interview. Finally, neuroticism, trait avoidance coping, and drinking-related problems were assessed in college and used as control variables.

RESULTS

DTC motivation assessed in college was uniquely and positively related to post-college depressive symptoms, mean levels of daily interpersonal stress, and interview-rated interpersonal stress.

CONCLUSIONS

Engagement in high levels of coping-motivated alcohol use in college could be a risk factor for longer-term internalizing symptoms and interpersonal problems. Individuals with high levels of DTC motivation in college could be a useful target for prevention and intervention.

摘要

背景

有证据表明,高水平的借酒消愁动机(DTC),与饮酒量无关,可能在时间上先于负面影响和人际压力的近期增加。在本研究中,我们前瞻性地考察了在5年期间高水平的DTC动机是否与这些结果相关。

方法

我们首先在大学期间对大学生饮酒者进行评估,然后在他们离开大学环境大约5年后再次评估。在两个时间点,参与者通过一次性调查报告抑郁症状,并通过30天的日记报告每日饮酒量、动机和人际压力。在第二轮中,还通过基于电话的半结构化访谈评估人际慢性压力。最后,在大学期间评估神经质、特质回避应对和与饮酒相关的问题,并将其用作控制变量。

结果

在大学期间评估的DTC动机与大学毕业后的抑郁症状、每日人际压力平均水平以及访谈评定的人际压力存在独特的正相关。

结论

在大学期间大量饮酒以应对可能是长期内化症状和人际问题的一个风险因素。大学期间DTC动机水平高的个体可能是预防和干预的有用目标。

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