Negative evaluation of role transitions is associated with perceived stress and alcohol consequences: Examination of the Transitions Overload Model in young adulthood using two years of monthly data.
Negative evaluation of role transitions is associated with perceived stress and alcohol consequences: Examination of the Transitions Overload Model in young adulthood using two years of monthly data.
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DOI：
10.1111/acer.14636
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发表时间：
2021-08
期刊：
影响因子：
--
通讯作者：
Lee CM
中科院分区：
文献类型：
--
作者：
Cadigan JM;Fleming CB;Patrick ME;Lewis MA;Rhew IC;Abdallah DA;Fairlie AM;Schulenberg JE;Larimer ME;Lee CM
青年期的特点是在多个领域中进入和退出社会角色。与酒精使用的自我药物模型一致，过渡过载模型假设在年轻成年期增加酒精使用的一种机制可能来自导航同时角色转换的压力。本研究探讨了同时发生的主要发展角色转变的领域的教育，就业，浪漫的关系，和居民身份和协会与感知压力，大量的情节性饮酒（HED），酒精相关的负面后果。此外，我们扩展了过渡超载模型，以探讨是否有负面影响的过渡被评为一个人的生活与感知的压力，HED和酒精相关的后果。在太平洋西北部的年轻成年饮酒者（N = 767，57%为女性，年龄18-25岁）的社区样本提供了两年的月度数据。多层次模型被用来评估平均（人与人之间）和每月（人与人之间）的角色转换与感知压力，HED和负面酒精相关后果的关联。虽然有更多的角色转换与HED频率和酒精相关的后果在人与人之间（每月）的水平呈正相关，但它与压力增加无关。然而，被评定为对一个人的生活有负面影响的过渡次数与压力呈正相关。结果表明，而不是总数的过渡，这是一些负面的主要发展角色的转变，与感知压力和增加风险的负面酒精相关的后果。与过渡超载模型的假设相反，更多的过渡并不是更多感知压力的重要预测因素;相反，将过渡评估为负面与压力和负面酒精相关结果相关。这种区别可能有助于阐明压力和随后的酒精后果的病因，并确定那些处于危险之中。
Young adulthood is characterized by transitions into and out of social roles in multiple domains. Consistent with self-medication models of alcohol use, the Transitions Overload Model hypothesizes one mechanism of increased alcohol use during young adulthood may occur from the stress of navigating simultaneous role transitions. This study examined the simultaneous occurrence of major developmental role transitions in the domains of education, employment, romantic relationships, and residential status and associations with perceived stress, heavy episodic drinking (HED), and negative alcohol-related consequences. Further, we extended the Transitions Overload Model to explore whether the number of transitions rated as having a negative impact on one’s life was related to perceived stress, HED, and alcohol-related consequences. A community sample of young adult drinkers (N = 767, 57% women, ages 18–25 years) in the Pacific Northwest provided monthly data across two years. Multilevel models were used to assess the average (between-person) and month-to-month (within-person) associations of role transitions with perceived stress, HED, and negative alcohol-related consequences. Although having more role transitions was positively associated with HED frequency and alcohol-related consequences at both the between- and within-person (monthly) levels, it was not associated with increased stress. Number of transitions rated as having a negative impact on one’s life, however, was positively associated with stress. Results indicate that rather than total number of transitions, it is the number of negatively perceived major developmental role transitions that are associated with perceived stress and increased risk for negative alcohol-related consequences. Contrary to Transitions Overload Model assumptions, more transitions were not a significant predictor of more perceived stress; rather, the evaluation of the transition as negative was associated with stress and negative alcohol-related outcomes. This distinction may help elucidate the etiology of stress and subsequent alcohol consequences, and identify those at-risk.
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影响因子：
5
作者：
COHEN, S;KAMARCK, T;MERMELSTEIN, R
通讯作者：
MERMELSTEIN, R
影响因子：
4.2
作者：
Rhew IC;Cadigan JM;Lee CM
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3.4
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