Affective Risk for Problem Drinking: Reciprocal Influences Among Negative Urgency, Affective Lability, and Rumination.
Affective Risk for Problem Drinking: Reciprocal Influences Among Negative Urgency, Affective Lability, and Rumination.
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DOI：
10.2174/2589977511666191021105154
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发表时间：
2020-01-01
影响因子：
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通讯作者：
Smith, Gregory T
中科院分区：
文献类型：
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作者：
Atkinson, Emily A;Ortiz, Anna M L;Smith, Gregory T
背景：情感障碍长期以来一直与问题性饮酒的发生和维持有关。问题饮酒的情感风险理论已经超越了早期那种广泛认为负面情感会带来风险的记载，发展到了明确特定基于情感的风险过程的模型。
目的：本文从理论驱动的角度回顾了近期关于基于情感的因素在问题性饮酒病因学中作用的文献。首先，我们回顾了在理解基于情感的问题饮酒风险方面的最新进展。其次，我们强调了三个特定的基于情感的风险因素的重要性：冲动性、情感不稳定性和沉思。第三，我们提出了关于特定风险因素与饮酒问题之间相互关系的假设。最后，我们为未来的研究提出了可能的途径。
结论：在理解基于情感的风险因素与问题饮酒之间的相互预测方面的最新进展，为风险过程的重要新研究途径奠定了基础。随着时间的推移，基于情感的风险过程似乎相互影响，并且它们影响问题饮酒，同时也受到问题饮酒的影响。对这些过程的进一步理解将为新一代干预策略铺平道路。
BACKGROUND: Affective disturbances have long been implicated in the onset and maintenance of problematic alcohol use. Affective risk theory for problem drinking has moved beyond early documentation that negative affect broadly confers risk to models specifying specific affectbased risk processes.OBJECTIVE: This paper provides a theory-driven review of recent literature on the role of affect-based factors in the etiology of problematic alcohol use. First, we review recent advances in the understanding of affect-based risk for problem drinking. Second, we highlight the importance of three specific affect-based risk factors: urgency, affective lability, and rumination. Third, we offer hypotheses regarding the reciprocal relationships between specific risk factors and drinking problems. Finally, we suggest possible avenues for future research.CONCLUSION: Recent advances in the understanding of reciprocal prediction between affect-based risk factors and problem drinking have set the stage for important new avenues of investigation into the risk process. Affect-based risk processes appear to influence each otherover time, and they influence and are influenced by problem drinking. Further understanding of these processes will pave the way for a new generation of intervention strategies.