Drinking Motives in the Prospective Prediction of Unique Alcohol-Related Consequences in College Students
Drinking Motives in the Prospective Prediction of Unique Alcohol-Related Consequences in College Students
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DOI：
10.15288/jsad.2014.75.93
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发表时间：
2014-01-01
影响因子：
3.4
通讯作者：
Read, Jennifer P.
中科院分区：
文献类型：
--
作者：
Merrill, Jennifer E.;Wardell, Jeffrey D.;Read, Jennifer P.
目的：尽管大学生经历了各种各样的酒精后果，但大多数研究都集中在全球范围内，而不是不同的后果类型。一个预测独特后果的饮酒动机只进行了横断面研究。我们的目的是研究预测独特的酒精后果域（社会/人际，学术/职业，危险行为，控制能力受损，自我照顾差，自我感觉下降，停电饮酒，生理依赖）的应对和增强的动机在一年的过程中。我们假设，应对动机将直接预测和增强动机将间接（通过饮酒）预测独特的后果。方法：网络调查管理的样本大学生（n = 552，62%的女性）在秋季学期开始连续2学年。结构方程模型被用来测试从动机到后果的直接和间接路径。结果如下：这些数据支持假设的直接，前瞻性的路径，从应对动机到几个酒精的后果（控制受损，自我感觉降低，自我保健差，危险行为，学术/职业和生理依赖）。这些关联不受饮酒的影响。增强动机间接与所有八个领域的结果，增加酒精使用的方式在后续。模型在性别、在校时间和创伤后应激症状方面都是不变的。结论：研究结果表明，动机是否作为一个最终的共同途径问题饮酒可能取决于哪些动机和饮酒的结果进行检查。随着时间的推移，应对动机表现出与独特的酒精问题类型的直接联系，赞同这些动机的个人可能需要优先进行干预。
Objective: Although college students experience a diverse range of alcohol consequences, most studies focus on global, rather than distinct, consequence types. One predictor of unique consequences drinking motives has been studied only cross-sectionally. We aimed to examine the prediction of unique alcohol consequence domains (social/interpersonal, academic/occupational, risky behavior, impaired control, poor self-care, diminished self-perception, blackout drinking, and physiological dependence) by coping and enhancement motives over the course of one year. We hypothesized that coping motives would directly predict and that enhancement motives would indirectly (through alcohol use) predict unique consequences. Method: Web surveys were administered to a sample of college students (n = 552, 62% female) at the beginning of the fall semester for 2 consecutive academic years. Structural equation modeling was used to test direct and indirect paths from motives to consequences. Results: The data supported hypothesized direct, prospective paths from coping motives to several alcohol consequences (impaired control, diminished self-perception, poor self-care, risky behaviors, academic/occupational, and physiological dependence). These associations were not mediated by alcohol consumption. Enhancement motives were indirectly associated with all eight consequence domains by way of increased alcohol use at follow-up. Models were invariant across gender, year in school, and symptoms of posttraumatic stress. Conclusions: Findings suggest that whether motives act as a final common pathway to problem drinking may depend on which motives and which drinking outcomes are examined. As coping motives demonstrate a direct link to unique alcohol problem types over time, individuals endorsing these motives may need to be prioritized for intervention.