Affect-Based Problem Drinking Risk: The Reciprocal Relationship between Affective Lability and Problem Drinking.
Affect-Based Problem Drinking Risk: The Reciprocal Relationship between Affective Lability and Problem Drinking.
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基于情感的问题饮酒风险：情感不稳定性与问题饮酒之间的相互关系。
DOI：
10.1093/alcalc/agab024
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发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Smith,GregoryT
中科院分区：
文献类型：
--
作者：
Peterson,SarahJ;Atkinson,EmilyA;Riley,ElizabethN;Davis,HeatherA;Smith,GregoryT
目的消极情绪已被认为与不良饮酒行为发展的风险有关。此外，有证据表明消极情绪和问题饮酒之间存在相互关系，比如参与问题饮酒也预示着消极情绪的增加。然而，风险的情感模型往往没有考虑到情感的不稳定性——情绪的快速变化。尽管情感不稳定似乎增加了饮酒问题的风险，但尚不清楚这种关系是否高于其他与情感相关的构念（如抑郁、焦虑），以及它是否在本质上是相互的。因此，我们采用了纵向调查设计来检验(a)情感不稳定是否比抑郁和焦虑更能预测饮酒问题，以及(b)情感不稳定和饮酒问题是否表现出相互关系。方法358名大学一年级学生参与三波纵向研究。我们构建了随机截距交叉滞后面板模型的结构方程模型（SEM）来检验我们的假设。结果与我们的假设一致，情感不稳定预示着饮酒问题的增加，而焦虑和抑郁则不然。酗酒问题和情感不稳定表现出一种相互关系，其中一方的增加预示着另一方在随后的时间点上的增加。这种关系超越了焦虑或抑郁的预测作用。结论情绪不稳定是问题饮酒的重要影响因素，情绪不稳定与问题饮酒之间可能存在相互作用、风险增加的关系。负面情绪的组成部分，如抑郁或焦虑，已经被证明可以预测饮酒问题的风险，反之亦然。一个较少考虑的结构，情感不稳定，预测了饮酒问题，而焦虑和抑郁没有增加任何预测能力。酗酒问题和情感不稳定也表现出一种相互关系。
AimsNegative affect has been implicated in risk for the development of problematic drinking behavior. Furthermore, there is evidence for reciprocal relationships between negative affect and problem drinking, such that engagement in problem drinking also predicts increases in negative affect. However, affective models of risk often fail to consider affective lability—the experience of rapidly changing mood. Although affective lability appears to increase risk for problem drinking, it is unknown if this relationship persists above and beyond other affect-related constructs (e.g. depression, anxiety) and if it is reciprocal in nature. Accordingly, we used a longitudinal survey design to examine (a) if affective lability predicts problem drinking above and beyond depression and anxiety and (b) if affective lability and problem drinking demonstrate a reciprocal relationship.MethodsFirst-year college students (n= 358) participated in a three wave longitudinal study. We constructed a structural equation model (SEM) of a random intercept cross-lagged panel model to test our hypotheses.ResultsConsistent with our hypotheses, affective lability predicted increases in problem drinking while anxiety and depression did not. Problem drinking and affective lability demonstrated a reciprocal relationship in which increases in one predicted increases in the other at subsequent time points. This relationship was present beyond the predictive effects of anxiety or depression.ConclusionsAffective lability appears to be an important affect-based predictor of problem drinking, and there may be a reciprocal, risk-enhancing relationship between affective lability and problem drinking.Components of negative affect, such as depression or anxiety, have been shown to predict risk for problem drinking, and vice versa. A less considered construct, affective lability, predicted problem drinking while anxiety and depression did not add any predictive power. Problem drinking and affective lability also appeared to demonstrate a reciprocal relationship.
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DOI：
--
发表时间：
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期刊：
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