Psychological Distress, Obsessive Compulsive Thoughts about Drinking, and Alcohol Consumption in Young Adult Drinkers.
Psychological Distress, Obsessive Compulsive Thoughts about Drinking, and Alcohol Consumption in Young Adult Drinkers.
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DOI：
10.1080/14659891.2021.1941346
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发表时间：
2022
影响因子：
0.8
通讯作者：
Erblich, Joel
中科院分区：
文献类型：
--
作者：
Greene, Brittney;Seepaul, Ashley;Htet, Khin;Erblich, Joel
心理困扰是酗酒的一个重要预测因素，特别是在低收入饮酒者中。这种影响的机制尚未得到很好的表征。一种可能性是，痛苦的人更容易对饮酒产生强迫性和强迫性的想法。我们假设：1）痛苦会预测对酒精的强迫性和强迫性想法，这反过来又会预测饮酒，2）这种影响在低收入饮酒者中尤其明显。从一所城市大学招募年轻人（n=105），并完成简明症状指数（BSI），强迫性饮酒量表（OCDS）和90天时间轴随访（TLFB）饮酒访谈。与假设一致，具有较高痛苦水平（BSI）的饮酒者表现出较高水平的强迫性和强迫性饮酒相关想法，这反过来又与过去90天的饮酒有关（p <.0001）。路径分析显示，BSI通过增加OCDS对饮酒结果有显着的间接影响。此外，条件过程分析显示，家庭收入较低的饮酒者的影响尤其明显。研究结果强调了心理困扰作为对酒精的强迫性和强迫性想法以及饮酒行为的预测的重要性，并强调了特别是低收入饮酒者解决心理功能的迫切需要。
Psychological distress is an important predictor of heavy drinking, especially among lower-income drinkers. The mechanisms underlying this effect have not been well characterized. One possibility is that distressed individuals are more vulnerable to obsessive and compulsive thoughts about drinking. We hypothesized that: 1) distress would predict obsessive and compulsive thoughts about alcohol, which in turn would predict drinking, and 2) effects would be particularly pronounced among lower-income drinkers. Young adults (n=105) were recruited from an urban university and completed the Brief Symptoms Index (BSI), the Obsessive-Compulsive Drinking Scale (OCDS), and a 90-day timeline follow-back (TLFB) drinking interview. Consistent with the hypotheses, drinkers with higher levels of distress (BSI) exhibited higher levels of obsessive and compulsive drinking-related thoughts, which in turn were related to drinking over the past ninety days (p’s <.0001). Path analyses revealed that the BSI had a significant indirect effect on drinking outcomes through increased OCDS. Furthermore, conditional process analyses revealed that effects were particularly pronounced among drinkers with lower household incomes. Findings highlight the importance of psychological distress as a predictor of obsessive and compulsive thoughts about alcohol, as well as drinking behavior, and underscore the critical need to address psychological functioning among lower-income drinkers in particular.
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