Does drinking refusal self-efficacy mediate the impulsivity-problematic alcohol use relation?

Does drinking refusal self-efficacy mediate the impulsivity-problematic alcohol use relation?
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拒绝饮酒自我效能是否介导冲动与有问题的饮酒关系?

DOI:
10.1016/j.addbeh.2015.10.019
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发表时间:
2016
影响因子:
4.4
通讯作者:
Brown,JenniferL
Brown,JenniferL
中科院分区:
医学2区
文献类型:
--
作者:
Stevens,AngelaK;Littlefield,AndrewK;Blanchard,BrittanyE;Talley,AmeliaE;Brown,JenniferL

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有一致的证据表明,类似冲动的特征与有问题的酒精接触有关;然而,确定这种关系的机制仍然是一个重要的研究领域。饮酒拒绝自我效能感(或一个人抵制酒精的能力;DRSE)已被证明可以预测大学生的饮酒行为,并可能是冲动与酒精关系的相关中介。本研究通过DRSE的几个方面(即社会压力、机会主义和情绪缓解)考察了与冲动(即紧迫感、感觉寻求和责任感缺失)相关的各种结构对大样本(N=891)大学生酒精相关问题的间接影响。总体而言,结果表明,某些DRSE方面是冲动相关结构和酒精问题之间关系的重要中介。更具体地说,情绪释放型DRSE是紧迫感和自觉性缺陷与酒精问题之间关系的中介变量,而社会DRSE是酒精问题中紧迫感和感觉寻求之间关系的显著中介变量。这项研究的结果表明,特定类型的DRSE是特定冲动结构和酒精相关问题之间关系的重要中介。这些发现支持旨在提高大学生饮酒拒绝自我效能感技能的预防和干预努力,特别是那些某些人格特征较高的大学生,以减少这一人群中与酒精有关的问题。
There is consistent evidence that impulsivity-like traits relate to problematic alcohol involvement; however, identifying mechanisms that account for this relation remains an important area of research. Drinking refusal self-efficacy (or a person's ability to resist alcohol; DRSE) has been shown to predict alcohol use among college students and may be a relevant mediator of the impulsivity–alcohol relation. The current study examined the indirect effect of various constructs related to impulsivity (i.e., urgency, sensation seeking, and deficits in conscientiousness) via several facets of DRSE (i.e., social pressure, opportunistic, and emotional relief) on alcohol-related problems among a large sample of college students (N= 891). Overall, results indicated that certain DRSE facets were significant mediators of the relation between impulsivity-related constructs and alcohol problems. More specifically, emotional-relief DRSE was a mediator for the respective relations between urgency and deficits in conscientiousness and alcohol problems, whereas social-DRSE was a significant mediator of the respective relations between urgency and sensation seeking with alcohol problems. Results from this study suggest particular types of DRSE are important mediators of the relations between specific impulsivity constructs and alcohol-related problems. These findings support prevention and intervention efforts that seek to enhance drinking refusal self-efficacy skills of college students, particularly those high in certain personality features, in order to reduce alcohol-related problems among this population.