Internalizing Risk Factors for College Students' Alcohol use: A Combined Person- and Variable-Centered Approach.

Internalizing Risk Factors for College Students' Alcohol use: A Combined Person- and Variable-Centered Approach.
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DOI:
10.1080/10826084.2017.1355385
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发表时间:
2018-03-21
影响因子:
2
通讯作者:
Israel AC
Israel AC
中科院分区:
医学4区
文献类型:
--
作者:
Wemm SE;Ernestus SM;Glanton Holzhauer C;Vaysman R;Wulfert E;Israel AC

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大多数调查内化问题的研究(即,抑郁和焦虑症状)和酒精使用障碍使用以变量为中心的方法,丢失了关于个体差异的重要信息。采用以人为中心的聚类分析,对两个独立样本中的大学生进行不同的饮酒风险因素分组。在这两项研究中使用的问卷,以评估积极的期望,酒精使用,应对动机,抑郁和焦虑的症状。在第一项研究(2012年)中,我们收集了过去一个月饮酒的信息,包括频率和酗酒事件(n=171)。在第二项研究(2013年)中,我们还纳入了外化行为和酒精相关负面后果的测量(n=526)。在研究1中,聚类分析确定了四组学生表现出不同的风险模式:低风险组,中度认知/低内化集群集群,高内化/低应对动机饮酒者组,高内化/高应对动机饮酒者集群。这第四组表现出高水平的抑郁,中度焦虑,高积极的期望和应对饮酒的动机,并报告了最高的饮酒频率。研究2重复了先前研究的结果。确定了三组个体,复制低风险集群,中度认知/低内化集群,以及研究1中饮酒者的内化集群。后一组的参与者认可酒精使用的负面后果最多。这两项研究的结果都强调了为认可内化症状的年轻人亚组量身定制酒精滥用预防工作的重要性。
Most studies that investigate internalizing problems (i.e., depression and anxiety symptoms) and alcohol use disorders use variable-centered approaches, losing important information about differences among individuals. To group college students by different profiles of alcohol-use risk factors using a person-centered cluster analysis in two separate samples. Questionnaires were used in both studies to assess positive expectancies regarding alcohol use, coping motives for alcohol use, and symptoms of depression and anxiety. In the first study (2012), we collected information about past month alcohol use, including frequency and binge drinking episode (n=171). In the second study (2013), we also included measures of externalizing behaviors and negative alcohol-related consequences (n=526). In Study 1, the cluster analysis identified four groups of students who displayed different patterns of risk: a low-risk group, moderate cognitions/low internalizing cluster cluster, a high internalizing/low coping motives group of drinkers, and a high internalizing/high coping motives cluster of drinkers. This fourth group showed high levels of depression, moderate anxiety, high positive expectancies and coping motives for alcohol use, and reported the highest frequency of alcohol use. Study 2 replicated the findings from the previous study. Three groups of individuals were identified, replicating the low-risk cluster, the moderate cognitions/low internalizing cluster, and the internalizing cluster of drinkers from Study 1. Participants in the latter cluster endorsed the highest number of negative consequences of alcohol use. Results from both studies highlight the importance of tailoring alcohol abuse prevention efforts to a subgroup young adult who endorse internalizing symptoms.
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