The stress-response dampening hypothesis: How self-esteem and stress act as mechanisms between negative parental bonds and alcohol-related problems in emerging adulthood

The stress-response dampening hypothesis: How self-esteem and stress act as mechanisms between negative parental bonds and alcohol-related problems in emerging adulthood
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DOI:
10.1016/j.addbeh.2011.12.012
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发表时间:
2012-04-01
影响因子:
4.4
通讯作者:
Hagen, Leslie
Hagen, Leslie
中科院分区:
医学2区
文献类型:
--
作者:
Backer-Fulghum, Lindsey M.;Patock-Peckham, Julie A.;Hagen, Leslie

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压力抑制模型(Marlatt,1987;Sayette,1993;Sher,1987)表明,某些人可能会使用酒精来逃避他们的负面生活经历。饮酒的病理原因(例如,使用酒精作为一种应对手段)反映了个人为了抑制或减轻他们所经历的压力而使用酒精的动机的程度(Johnson,Schwitters,Wilson,Nagoshi,&McClearen,1985)。探讨了父母关系(拒绝、关心、过度保护、自主性和忽视)、自尊、压力、饮酒的病理原因和与酒精相关的问题之间的直接和中介联系。对405名大学生(女164名,男241名)的结构方程模型进行了检验。三条路径的中介分析揭示了几条中介路径。感觉到父亲/母亲疏忽(即,子女感觉父母不会出现在他们身边)的感觉更大,通过增加压力和饮酒的病理原因,间接地与更多与酒精有关的问题(例如,表明成年后饮酒或依赖)有关。此外,更高水平的父亲拒绝(即感觉不受欢迎)间接地与通过自尊不足和压力增加而饮酒的更多病理性原因有关。然而,更多的母亲关爱(深情和专注)与通过更高的自尊和较低的压力水平而减少饮酒的病理原因间接相关。此外,研究发现,通过减少压力和饮酒的病理原因,高自尊与较少的酒精相关问题间接相关。这些发现提出了几种使用酒精进行自我治疗(即,为了特定目的而饮酒)或抑制压力感的具体途径。(C)2011爱思唯尔有限公司。保留所有权利。
The stress dampening model (Marlatt, 1987; Sayette, 1993; Sher, 1987) suggests certain individuals may use alcohol to escape from their negative life experiences. Pathological reasons for drinking (e.g., using alcohol as a means to cope) reflect the degree to which individuals are motivated to use alcohol in order to dampen or alleviate the stress they are experiencing (Johnson, Schwitters, Wilson, Nagoshi, & McClearn, 1985). Direct and mediational links among parental bonds (rejection, care, overprotection, autonomy, and neglect), self-esteem, stress, pathological reasons for drinking, and alcohol-related problems were explored. A Structural Equation Model with (405 students; 164 women, 241 men) college students was examined. Three path mediational analyses revealed several mediated pathways. Greater feelings of perceived father/mother neglectfulness (i.e., offspring feeling parents do not show up for them) were indirectly linked to more alcohol-related problems (e.g., indicative of alcohol use or dependence in emerging adulthood) through increased stress and pathological reasons for drinking. Furthermore, higher levels of father rejection (i.e., perception of feeling unwanted) were indirectly linked to more pathological reasons for drinking through low self-esteem and increased stress. However, greater feelings of mother care (affectionate and attentive) were indirectly linked to fewer pathological reasons for drinking through higher self-esteem and lower levels of stress. Moreover, high self-esteem was found to be indirectly linked to fewer alcohol-related problems through decreased stress and pathological reasons for drinking. These findings suggest several specific pathways for using alcohol to self-medicate (i.e., consume alcohol for a specific purpose) or dampen feelings of stress. (C) 2011 Elsevier Ltd. All rights reserved.