Self-Efficacy to Limit Drinking Mediates the Association between Attitudes and Alcohol-Related Outcomes
Self-Efficacy to Limit Drinking Mediates the Association between Attitudes and Alcohol-Related Outcomes
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DOI：
10.1080/10826084.2019.1653322
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发表时间：
2019-08-21
影响因子：
2
通讯作者：
Carey, Kate B.
中科院分区：
文献类型：
--
作者：
DiBello, Angelo M.;Miller, Mary Beth;Carey, Kate B.
个人对酒精消费的态度是酒精使用和相关问题的可靠预测因素，新的研究表明，一个人对有限饮酒的良好态度（即，浓度低于重度间歇性饮酒的阈值）是防止饮酒和酗酒的缓冲剂。然而，很少有研究表明，个人对有限饮酒的态度与酒精使用和相关问题之间存在着特定的机制。其中一个机制可能是个人限制饮酒的自我效能。目前的研究旨在评估自我效能，以限制一个人的酒精使用是否介导的个人态度之间的关联有限的饮酒和实际的酒精使用和相关问题随着时间的推移。参与者是强制学生（n = 568; 28%的女性）谁违反校园酒精政策，并接受了简短的动机干预。中介模型用于测试（a）限制饮酒的自我效能作为态度-饮酒量关联的传统中介，以及（B）自我效能和饮酒量作为态度-饮酒量关联的系列中介。酒精问题链接。基线时对限制饮酒的良好态度与1个月时限制饮酒的自我效能呈正相关，这与3个月时饮酒量的减少有关;反过来，这与5个月时酒精相关问题的减少有关。这些研究结果提供了一个理由，将态度和自我效能的发展和完善的干预策略。
Personal attitudes toward alcohol consumption are reliable predictors of alcohol use and related problems, with emerging work suggesting that one's favorable attitude toward limited drinking (i.e., at levels below the threshold for heavy episodic drinking) is a buffer against alcohol use and binge drinking. However, little work has examined the specific mechanism(s) through which one's personal attitude toward limited drinking is associated with alcohol use and related problems. One such mechanism may be an individual's self-efficacy to limit their alcohol use. The current study aimed to evaluate whether self-efficacy to limit one's alcohol use mediates the association between one's personal attitude toward limited drinking and actual alcohol use and related problems over time. Participants were mandated students (n = 568; 28% female) who violated campus alcohol policy and received a brief motivational intervention. Mediation models were used to test (a) self-efficacy to limit one's alcohol use as a traditional mediator of the attitudes-drinking quantity association and (b) self-efficacy and drinking quantity as serial mediators of the attitudes-alcohol-problems link. Favorable attitudes toward limiting drinking at baseline were positively associated with self-efficacy to limit drinking at 1 month, which was associated with a reduction in drinking quantity at 3 months; this, in turn, was associated with a reduction in alcohol-related problems at 5 months. These findings provide a rationale for incorporating attitudes and self-efficacy in the development and refinement of intervention strategies.