Drinking motives for self and others predict alcohol use and consequences among college women: the moderating effects of PTSD.

Drinking motives for self and others predict alcohol use and consequences among college women: the moderating effects of PTSD.
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自我和他人的饮酒动机可以预测大学女性的饮酒及其后果:创伤后应激障碍的调节作用。

DOI:
10.1016/j.addbeh.2012.10.012
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发表时间:
2013
影响因子:
4.4
通讯作者:
Kaysen,Debra
Kaysen,Debra
中科院分区:
医学2区
文献类型:
--
作者:
Stappenbeck,CynthiaA;Bedard-Gilligan,Michele;Lee,ChristineM;Kaysen,Debra

文献摘要

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虽然饮酒动机已被证明会影响有创伤史和创伤后应激障碍的女性的饮酒行为,但没有已知的研究已经研究了饮酒动机对创伤后应激障碍女性饮酒和酒精相关后果的影响,与有创伤史但没有创伤后应激障碍的女性和没有创伤史的女性相比。因此,本研究试图探讨女性为自己持有的饮酒动机之间的关联,以及她们对他人饮酒动机的看法与她们自己的饮酒和后果之间的关联,以及这种关联是否受到创伤史和/或创伤后应激障碍的影响。大学女性(N=827)被归类为没有创伤暴露(n=105),创伤暴露但没有PTSD(n=580),或PTSD(n=142)。回归分析的结果显示,创伤暴露和创伤后应激障碍的妇女消耗更多的酒精,并在经历酒精相关的后果的风险最大。创伤后应激障碍的诊断缓和了一个人自己的抑郁和焦虑,应对和顺从,饮酒动机和酒精相关后果之间的关联。PTSD也调节了对他人抑郁应对动机的感知与自己后果之间的关联。这些研究结果强调了为PTSD女性提供替代应对策略以帮助减少其酒精使用和后果的重要性,并且还表明了其他女性饮酒的原因和自己的饮酒行为可能具有重要临床意义的感知可能发挥的作用。
Although drinking motives have been shown to influence drinking behavior among women with trauma histories and PTSD, no known research has examined the influence of drinking motives on alcohol use and alcohol-related consequences for women with PTSD as compared to women with a trauma history but no PTSD and women with no trauma history. Therefore, the present study sought to examine the associations between drinking motives women held for themselves as well as their perception of the drinking motives of others and their own alcohol use and consequences, and whether this was moderated by a history of trauma and/or PTSD. College women (N=827) were categorized as either having no trauma exposure (n=105), trauma exposure but no PTSD (n=580), or PTSD (n=142). Results of regression analyses revealed that women with trauma exposure and PTSD consume more alcohol and are at greatest risk of experiencing alcohol-related consequences. A diagnosis of PTSD moderated the association between one's own depression and anxiety coping and conformity drinking motives and alcohol-related consequences. PTSD also moderated the association between the perception of others' depression coping motives and one's own consequences. These findings highlight the importance of providing alternative coping strategies to women with PTSD to help reduce their alcohol use and consequences, and also suggest a possible role for the perceptions regarding the reasons other women drink alcohol and one's own drinking behavior that may have important clinical implications.