Daily-level Associations between Negative Mood, Perceived Stress, and College Drinking: Do Associations Differ by Sex and Fraternity/Sorority Affiliation?

Daily-level Associations between Negative Mood, Perceived Stress, and College Drinking: Do Associations Differ by Sex and Fraternity/Sorority Affiliation?
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DOI:
10.1080/10826084.2017.1392980
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发表时间:
2018-01-01
影响因子:
2
通讯作者:
Lee, Christine M.
Lee, Christine M.
中科院分区:
医学4区
文献类型:
--
作者:
Luk, Jeremy W.;Fairlie, Anne M.;Lee, Christine M.

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背景资料:经历负面情绪和压力升高的人可能会喝酒自我安慰,但这些关联的日常证据是混合的。目的:为了澄清在高风险大学生中消极情绪和感知压力与酒精使用之间的日常关联,并测试这些关联是否会因当天与第二天饮酒,性别和兄弟会/姐妹会关系而有所不同。研究方法:经常饮酒的大学生(n = 347)参加了每日日记研究,其中包括每天早上和晚上的评估,连续两周,在四个学术季度。进行了多水平零膨胀泊松回归,以检查日常负面情绪和感知压力对当天和第二天饮酒的影响。结果:在抽样的日子里,平均消极情绪和感知压力较高的学生饮酒的可能性较低。对日常水平关联的研究表明,在学生经历负面情绪和感知压力升高的日子里,他们不太可能在同一天喝酒。然而,消极情绪升高的日子与第二天更多的酒精使用有关。跨层次的相互作用的测试表明,四个日常水平之间的关联较高的负面情绪或感知压力和减少饮酒被发现是显着的女性和学生不隶属于兄弟会/姐妹会。结论/重要性:在高风险的大学饮酒者中,消极情绪和感知压力与饮酒风险降低有关,特别是在女性和不隶属于兄弟会/姐妹会的学生中。每天负面情绪的升高可能会导致第二天的饮酒,这种滞后效应的原因值得进一步研究。
Background: Individuals experiencing elevated negative mood and stress may drink to self-medicate, yet daily-level evidence for these associations is mixed. Objective: To clarify daily associations between negative mood and perceived stress with alcohol use among high-risk college students and test whether these associations may vary by same-day versus next-day drinking, sex, and fraternity/sorority affiliation. Methods: Frequently drinking college students (n = 347) participated in a daily diary study, which included daily morning and evening assessments that occurred for two weeks in four consecutive academic quarters. Multilevel zero-inflated Poisson regressions were conducted to examine the effects of daily negative mood and perceived stress on same-day and next-day drinking. Results: Students with higher average negative mood and perceived stress across the sampled days reported a lower likelihood of drinking. Examination of daily-level associations showed that on days students experienced elevated negative mood and perceived stress, they were less likely to drink any alcohol the same day. However, days with elevated negative mood were associated with greater alcohol use the next day. Tests of cross-level interactions indicated that four daily-level associations between higher negative mood or perceived stress and reductions in drinking were found to be significant among females and students unaffiliated with fraternity/sorority only. Conclusions/Importance: Among high-risk college drinkers, negative mood and perceived stress were associated with decreased risk of drinking, particularly among females and students unaffiliated with fraternity/sorority. Daily elevations in negative mood may lead to drinking on a subsequent day and the reason for this lagged effect warrants future research.