Stress and Binge Drinking: A Daily Process Examination of Stressor Pile-up and Socioeconomic Status in Affect Regulation.
Stress and Binge Drinking: A Daily Process Examination of Stressor Pile-up and Socioeconomic Status in Affect Regulation.
复制标题
DOI：
10.1037/a0013368
复制
发表时间：
2008-11-01
影响因子：
4
通讯作者：
Almeida, David M
中科院分区：
文献类型：
--
作者：
Grzywacz, Joseph G;Almeida, David M
这项研究的目的是加强对压力，消极情绪和酒精使用之间相互联系的理解。为了实现这一目标，使用从全国代表性成人队列中连续8个晚上收集的每日日记数据来确定是否：1）日常压力和压力堆积都与酗酒风险增加有关，2）负面情绪介导了压力变量和酗酒之间的关联，3）压力之间的关联，社会经济地位的指标受教育程度的调节，负面影响和酗酒。分层线性模型的结果表明，酗酒的几率更高的日子里，个人经历了更严重的压力相比，没有压力的日子。此外，随着压力因素连续几天堆积，酗酒的几率也会增加。没有证据表明，负面情绪介导的压力暴露对酗酒的影响。压力源暴露（包括日常压力和压力堆积）和酗酒之间的关联受到教育程度的调节。这项研究的结果与之前研究压力和酒精之间关系的日常过程研究一致。然而，这项研究的结果表明，影响调节研究人员需要处理“压力”在一个多维度的方式和更好的压力源和个人的压力反应在他们的社会背景。
The goal of this study was to enhance understanding of the interconnections between stress, negative mood, and alcohol use. To achieve this goal, daily diary data collected over eight consecutive nights from a nationally representative adult cohort were used to identify if: 1) both daily stress and stress pile-up were associated with increased risk of binge drinking, 2) negative affect mediated associations between stressor variables and binge drinking, and 3) associations among stress, negative affect and binge drinking were moderated by educational attainment as an indicator of socioeconomic status. Results from hierarchical linear models indicated that the odds of binge drinking was higher on days that individuals experienced more severe stressors in contrast to no stress days. Further, the odds of binge drinking also increased as stressors piled-up over consecutive days. There was no evidence indicating that negative affect mediated the effect of stressor exposure on binge drinking. Associations between stressor exposure (both daily stress and stress pile-up) and binge drinking were moderated by educational attainment. The findings of this study are consistent with previous daily process studies examining the association between stress and alcohol. However, the pattern of results from this study suggest that affect regulation researchers need to handle “stress” in a multidimensional way and better situate stressors and individuals stress responses within their social context.