Poor mental health, peer drinking norms, and alcohol risk in a social network of first-year college students.

Poor mental health, peer drinking norms, and alcohol risk in a social network of first-year college students.
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DOI:
10.1016/j.addbeh.2018.04.012
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发表时间:
2018-09
影响因子:
4.4
通讯作者:
Barnett NP
Barnett NP
中科院分区:
医学2区
文献类型:
--
作者:
Kenney SR;DiGuiseppi GT;Meisel MK;Balestrieri SG;Barnett NP

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患有焦虑和抑郁性酒精中毒的大学生面临酒精相关负面后果的风险增加。虽然它是公认的,规范的看法,近同伴的饮酒行为影响学生自己的饮酒行为,目前尚不清楚如何心理健康状况影响这种关联。在本研究中,我们研究了焦虑和抑郁情绪,感知饮酒行为和态度的重要同龄人,过去一个月的饮酒量和相关问题的大学生第一学期的社会网络之间的横截面关系。参与者(N = 1,254,55%女性,47%非西班牙裔白色)是居住在一所大学校园内的一年级学生,他们完成了一项基于网络的调查,评估了一年级学生之间的饮酒,心理健康和社会联系。网络自相关模型被用来检查心理健康和亲密同伴饮酒对饮酒结果的看法之间的独立和交互关联,控制重要变量。心理健康与感知相互作用,以预测过去一个月的饮酒结果,例如,更高的焦虑和对同龄人大量饮酒的更高感知与更多的饮酒量和后果相关,更高的抑郁和感知与更多的饮酒量,大量饮酒频率和后果相关。在抑郁情绪较低(与较高)的学生中,同伴赞成大量饮酒的态度与更多的饮酒量和大量饮酒的频率相关。这项研究提供了强有力的证据表明,感知亲密的同龄人大量饮酒对焦虑和抑郁的大学生来说特别危险,并提供了针对这些亚组的酒精干预的启示。
College students with anxiety and depressive symptomatology face escalated risk for alcohol-related negative consequences. While it is well-established that normative perceptions of proximal peers’ drinking behaviors influence students’ own drinking behaviors, it is not clear how mental health status impacts this association. In the current study, we examined cross-sectional relationships between anxiety and depressed mood, perceived drinking behaviors and attitudes of important peers, and past month alcohol consumption and related problems in a first-semester college student social network. Participants (N = 1,254, 55% female, 47% non-Hispanic White) were first-year students residing on campus at a single university who completed a web-based survey assessing alcohol use, mental health, and social connections among first-year student peers. Network autocorrelation models were used to examine the independent and interactive associations between mental health and perceptions of close peers’ drinking on drinking outcomes, controlling for important variables. Mental health interacted with perceptions to predict past-month drinking outcomes, such that higher anxiety and higher perceptions that peers drink heavily was associated with more drinks consumed and consequences, and higher depression and perceptions was associated with more drinks consumed, heavy drinking frequency, and consequences. Attitudes that peers approve of heavy drinking were associated with more drinks consumed and heavy drinking frequency among students with lower (vs. higher) depressed mood. This study provides strong evidence that perceiving that close peers drink heavily is particularly risk-enhancing for anxious and depressed college students, and offers implications about alcohol intervention targeted at these subgroups.
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