Relations among stress, coping strategies, coping motives, alcohol consumption and related problems: A mediated moderation model
Relations among stress, coping strategies, coping motives, alcohol consumption and related problems: A mediated moderation model
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DOI：
10.1016/j.addbeh.2012.12.005
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发表时间：
2013-04-01
影响因子：
4.4
通讯作者：
Nolen-Hoekesma, Susan
中科院分区：
文献类型：
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作者：
Corbin, William R.;Farmer, Nicole M.;Nolen-Hoekesma, Susan
虽然酒精使用和滥用的突出模型暗示压力是酒精消费的重要动机，但研究并没有一致地确定压力和饮酒结果之间的关系。据推测，压力导致更重的酒精消费和相关问题，主要是对那些缺乏其他适应方法来有效应对压力经历的人。为了验证这一假设，我们研究了四种适应性应对方法（积极应对，计划，抑制竞争活动，克制），作为预测的酒精使用和相关问题，以及在大学生人群（N=225）的压力和饮酒结果之间的关系的调节器。此外，我们研究了应对动机饮酒的应对策略的影响，以及应对策略的相互作用的压力作为潜在的调解人。分析支持限制和抑制竞争活动作为缓和剂的压力对酒精使用的影响，但不是问题。约束相互作用的压力也很明显，在预测的应对动机，和应对的动机都与较高水平的每周饮酒和酒精相关的问题。最后，饮酒的应对动机起到了调解压力的作用，每周饮酒的约束相互作用。总的来说，这些结果表明，在面对压力时抑制竞争性活动和抑制冲动反应的努力可能会降低从高中到大学过渡期间酗酒的风险。(C)2013爱思唯尔有限公司保留所有权利。
Although prominent models of alcohol use and abuse implicate stress as an important motivator of alcohol consumption, research has not consistently identified a relationship between stress and drinking outcomes. Presumably stress leads to heavier alcohol consumption and related problems primarily for individuals who lack other adaptive methods for coping effectively with stressful experiences. To test this hypothesis, we examined four adaptive coping approaches (active coping, planning, suppression of competing activities, and restraint), as predictors of alcohol use and related problems as well as moderators of relations between stress and drinking outcomes in an undergraduate population (N=225). Further, we examined coping motives for drinking as potential mediators of the effects of coping strategies as well as stress by coping strategy interactions. Analyses supported both restraint and suppression of competing activities as moderators of the influence of stress on alcohol use but not problems. The stress by restraint interaction was also evident in the prediction of coping motives, and coping motives were related to higher levels of both weekly drinking and alcohol-related problems. Finally, coping motives for drinking served to mediate the stress by restraint interaction on weekly drinking. Overall, these results suggest that efforts to suppress competing activities and restrain impulsive responses in the face of stress may reduce the risk for heavy drinking during the transition from high school to college. (C) 2013 Elsevier Ltd. All rights reserved.