Affect and alcohol use: an ecological momentary assessment study of outpatients with borderline personality disorder.
Affect and alcohol use: an ecological momentary assessment study of outpatients with borderline personality disorder.
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情感和饮酒：对具有边缘人格障碍的门诊患者的生态瞬时评估研究。
DOI：
10.1037/a0024686
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发表时间：
2011-08
影响因子：
4.6
通讯作者：
Trull TJ
中科院分区：
文献类型：
--
作者：
Jahng S;Solhan MB;Tomko RL;Wood PK;Piasecki TM;Trull TJ
饮酒可能被视为一种调节消极情绪状态的尝试（尽管是不适应的）。我们研究了被诊断为边缘型人格障碍（BPD; n = 74）的门诊妇女的消极和积极影响与酒精使用之间的关系，BPD是一种情绪失调的原型，同时我们也研究了一组患有抑郁症（重度抑郁症/心境恶劣障碍[MDD\DYS]； n = 50）的妇女的精神对照组。参与者在28天的时间里，每天用电子日记完成6次随机提示的情绪和酒精使用报告。在两个诊断组中，饮酒者和不饮酒者的平均积极或消极影响水平没有区别。然而，在BPD饮酒者中，消极和积极影响的水平都与短暂水平的酒精使用呈正相关。在个人情感变异方面获得了更有力的发现，这与多种方式的酒精使用有关。与不饮酒者相比，BPD饮酒者在大多数负面影响上表现出更高的个人变异性；总的来说，MDD\DYS饮酒者比不饮酒者在负面影响方面表现出更小的个人变异性。对BPD饮酒者的多水平滞后分析表明，酒精使用与所有影响的变异性呈正相关，同时，但影响变异性对第二天饮酒的显著影响较少，或酒精使用对第二天影响变异性的显著影响较少。在MDD / DYS饮酒者中，我们观察到第二天酒精使用的情绪变异性和第二天酒精使用的情绪变异性之间存在更显著的关联。我们讨论了与这些发现相关的理论和方法问题，以及对未来研究的影响。
Alcohol use may be viewed as an attempt (albeit maladaptive) to regulate negative emotional states. We examined associations between both negative and positive affects and alcohol use in outpatient women diagnosed with borderline personality disorder (BPD; n = 74), a prototype of emotional dysregulation, as well as a psychiatric control group of women with current depressive disorder (major depressive disorder/dysthymic disorder [MDD\DYS]; n = 50). Participants completed randomly prompted reports of mood and alcohol use up to six times a day over a 28-day period using electronic diaries. Mean levels of either positive or negative affects did not distinguish between drinkers and nondrinkers in either diagnostic group. However, levels of both negative and positive affects were positively associated with alcohol use at the momentary level in BPD drinkers. More robust findings were obtained with respect to within-person affective variability, which was related to alcohol use in multiple ways. BPD drinkers showed higher within-person variability for most negative affects than BPD nondrinkers; MDD\DYS drinkers in general showed less within-person variability than MDD\DYS nondrinkers for negative affects. Multilevel lagged analyses for BPD drinkers indicated that alcohol use was positively related to variability in all affects, concurrently, but fewer significant effects of affect variability on the next day’s drinking or significant effects of alcohol use on the next day’s affect variability were observed. Among MDD\DYS drinkers, we observed more significant associations between affect variability on next day’s alcohol use and of alcohol use on next day’s affect variability. We discuss theoretical and methodological issues relevant to these findings as well as implications for future research.
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影响因子：
3.4
作者：
Chakroun, Nadia;Johnson, Elizabeth I.;Swendsen, Joel
通讯作者：
Swendsen, Joel
影响因子：
7.6
作者：
Mohr, CD;Armeli, S;Hromi, A
通讯作者：
Hromi, A
影响因子：
10.6
作者：
Skodol, AE;Gunderson, JG;Siever, LJ
通讯作者：
Siever, LJ
影响因子：
3.4
作者：
Mohr, CD;Armeli, S;Carney, MA
通讯作者：
Carney, MA
DOI：
10.1111/j.1530-0277.2000.tb04552.x
发表时间：
2000-01-01
影响因子：
3.2
作者：
Flynn, HA
通讯作者：
Flynn, HA