A qualitative examination of intentions and willingness for heavy drinking among young adult high-intensity drinkers.

A qualitative examination of intentions and willingness for heavy drinking among young adult high-intensity drinkers.
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DOI:
10.1037/adb0000708
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发表时间:
2022-05
期刊:
Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors
影响因子:
--
通讯作者:
Merrill JE
Merrill JE
中科院分区:
其他
文献类型:
--
作者:
Stevens AK;Boyle HK;Miller MB;Carey K;Jackson KM;Barnett NP;Merrill JE

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重度间歇性饮酒(HED)和高强度饮酒(HID)在青年成年中很常见,但具有独特的风险。定量研究使用计划行为理论(TPB)和原型意愿模型(PWM)来理解酒精滥用背后的决策过程。然而,我们对HED/HID的意图(计划)和意愿(开放性)的理解还处于初级阶段。本研究首次对参与HED/HID的意图和意愿之间的关系进行了定性研究。我们对28名高强度饮酒者(12名男性,15名女性,1名变性男性,年龄23岁)进行了单独访谈。访谈的重点是HED/HID事件,并提出开放式问题,审查:(a)不同场合和饮酒事件中意图/意愿的可变性;(b)消费和/或中毒意图的形成;(c)意愿和意图在酗酒之夜的相互作用。在NVivo软件中对逐字抄本进行编码,并使用应用主题分析对内容进行分析。参与者描述的意图和意愿因场合而异,并认为他们在一次饮酒活动中会发生变化。大量饮酒的意图反映了期望的醉酒程度,而不是特定数量的饮料。更明显的是,酗酒/酗酒的意愿,而不是意图。研究结果对该领域未来的测量工作具有重要意义。每天和在饮酒期间多次评估意图和意愿可能是有价值的。我们还建议评估消费和中毒水平的意图,特别是在旨在检查控制受损的研究中。
Heavy episodic drinking (HED) and high intensity drinking (HID) are common in young adulthood but pose unique risks. Quantitative studies have used the Theory of Planned Behavior (TPB) and the Prototype-Willingness Model (PWM) to understand decision-making processes underlying alcohol misuse. However, our understanding of intentions (plans) and willingness (openness) for HED/HID is in its nascent stages. This study represents the first qualitative examination of relationships between intentions and willingness to engage in HED/HID. We conducted individual interviews among 28 young adult high intensity drinkers (12 male, 15 female, 1 trans male; Mage=23 years). Interviews focused on HED/HID events with open-ended questions examining: (a) variability in intentions/willingness by occasion and within a drinking event; (b) formation of intentions for consumption and/or intoxication; and (c) interplay of willingness and intentions on heavy drinking nights. Verbatim transcripts were coded within NVivo software and content was analyzed using applied thematic analysis. Participants described intentions and willingness as varying by occasion and perceived their shifting across a drinking event. Intentions for heavy drinking reflected a desired level of intoxication, rather than a specific number of drinks. Willingness, rather than intentions, to engage in heavy drinking/HID was more evident. Findings have significant implications for future measurement work in this area. There may be value in assessing intentions and willingness multiple times per day and during the drinking event itself. We also recommend that intentions for both consumption and intoxication levels be assessed, particularly in studies aiming to examine impaired control.
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发表时间: 2009-07
影响因子: 4
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