Unplanned Heavy Episodic and High-Intensity Drinking: Daily-Level Associations With Mood, Context, and Negative Consequences
Unplanned Heavy Episodic and High-Intensity Drinking: Daily-Level Associations With Mood, Context, and Negative Consequences
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DOI：
10.15288/jsad.2019.80.331
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发表时间：
2019-05-01
影响因子：
3.4
通讯作者：
Lee, Christine M.
中科院分区：
文献类型：
--
作者：
Fairlie, Anne M.;Cadigan, Jennifer M.;Lee, Christine M.
目的：低估一个人的饮酒量会导致更严重的酒精相关后果。情绪高涨或饮酒环境可能与大学生饮酒超过计划(或意图)有关。目前这项研究的目的是测试(A)某一天积极和消极的情绪和背景因素是否与计划外大量饮酒(定义为计划外大量饮酒或高强度饮酒)的可能性有关，以及(B)计划外大量饮酒的日子是否与更多负面后果相关。方法：分析样本包括352名大学生(女性占53.4%，非西班牙裔白人占71.3%)，他们通过自动电话访谈完成了日常评估。多水平模型被用来测试意外酗酒的预测因素(目标1)和后果预测因素(目标2)。结果：近三分之一(29.60%)的饮酒日是计划外的重度饮酒日。在抽样期间，平均积极情绪较高的人意外酗酒的几率较低。没有观察到负面情绪和意外酗酒之间的显著关联。周末和有特殊场合的日子与意外酗酒的几率较低有关。计划外的大量饮酒与当天更多的负面后果有关。结论：学生经常无法准确预测他们当天的饮酒量，这增加了产生负面后果的风险。干预措施可以包括一些策略，帮助学生预测自己的酒精消费，以便在高危环境中采取保护性行为策略。
Objective: Underestimating how much one will drink has been associated with greater alcohol-related consequences. Elevated mood or drinking context may relate to drinking more than planned (or intended) among college students. The aims of the current study were to test (a) whether positive and negative mood and contextual factors on a given day were associated with the likelihood of unplanned heavy drinking (defined as unplanned heavy episodic or high-intensity drinking), and (b) whether days with unplanned heavy drinking were associated with more negative consequences. Method: The analytic sample included 352 college students (53.4% female; 71.3% non-Hispanic White) who completed daily assessments via automated telephone interviews. Multilevel models were used to test predictors of unplanned heavy drinking (Aim 1) and predictors of consequences (Aim 2). Results: Almost a third (29.60%) of drinking days were unplanned heavy drinking days. Individuals with higher average positive mood across the sampled days had lower odds of unplanned heavy drinking. No significant associations were observed between negative mood and unplanned heavy drinking. Weekend days and days with special occasions were associated with lower odds of unplanned heavy drinking. Unplanned heavy drinking was associated with more negative consequences on that day. Conclusions: Students were frequently not able to accurately predict the amount of alcohol they would consume on that day, which conferred an increased risk of negative consequences. Interventions could incorporate strategies that help students anticipate their alcohol consumption in order to employ protective behavioral strategies in high-risk contexts.