Drinking to cope as a mechanism between sleep problems and heavy episodic drinking among trauma survivors.
Drinking to cope as a mechanism between sleep problems and heavy episodic drinking among trauma survivors.
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DOI：
10.1037/adb0000709
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发表时间：
2022-06
期刊：
影响因子：
--
通讯作者：
DiLillo D
中科院分区：
文献类型：
--
作者：
Brockdorf AN;Haws JK;Brock RL;Gratz KL;Messman TL;DiLillo D
经历过创伤的妇女报告说，大量间歇性饮酒（HED）和睡眠问题的发生率很高。先前的研究表明，睡眠不好会加剧酗酒;然而，这种关联的潜在机制尚不清楚。与自我药疗模型一致，一种可能性可能是有创伤史的女性为了科普睡眠不良的情感后果而增加饮酒率。为了检验这种可能性，目前的研究测试了饮酒以科普动机的作用，作为经历过创伤的女性之间睡眠问题和HED之间前瞻性关联的中介。报告有创伤史的社区妇女（N = 414，法师= 21.8，59.9%白色，36.2%黑人）在基线和4个月和8个月随访时完成了自我报告测量。从基线开始测量创伤暴露（生活事件清单）和睡眠问题（Cohen-Hoberman身体症状量表-修订版），在4个月时测量饮酒动机（修订的饮酒动机问卷），在8个月时测量重度间歇性饮酒（HED）。研究结果支持通过增加饮酒来科普动机，睡眠问题与后来的HED之间存在间接关联（B = 0.05，95% CI [0.018，0.108]，β = 0.05）。正如假设的那样，饮酒来科普睡眠问题和后来的HED之间的关联。研究结果强调了解决饮酒以科普动机作为减少HED的一种手段的潜在价值，特别是在有创伤史的睡眠不佳的女性中。
Women who have experienced trauma report high rates of heavy episodic drinking (HED) and sleep problems. Prior work suggests that poor sleep exacerbates heavy alcohol use; however, potential mechanisms for this association are unclear. Consistent with the self-medication model, one possibility may be that women with a history of trauma are drinking at increased rates in order to cope with the affective consequences of poor sleep. To examine this possibility, the current study tested the role of drinking to cope motives as a mediator of prospective associations between sleep problems and HED among women who have experienced trauma. Community women reporting a history of trauma (N = 414, Mage = 21.8, 59.9% White, 36.2% Black) completed self-report measures at baseline and 4-month and 8-month follow ups. Measures of trauma exposure (Life Events Checklist) and sleep problems (Cohen-Hoberman Inventory of Physical Symptoms – Revised) were taken from baseline, drinking motives (Revised Drinking Motives Questionnaire) at 4-months, and heavy episodic drinking (HED) at 8-months. Findings supported an indirect association between sleep problems and later HED through increased drinking to cope motives (b = .05, 95% CI [.018, .108], β = .05). As hypothesized, drinking to cope accounted for associations between sleep problems and later HED. Findings underscore the potential value in addressing drinking to cope motives as a means of reducing HED, particularly among women with a history of trauma who are sleeping poorly.
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