The prospective interactive effects of alcohol expectancies and subjective response on future drinking behavior.

The prospective interactive effects of alcohol expectancies and subjective response on future drinking behavior.
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DOI:
10.1037/pha0000430
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发表时间:
2022-06
影响因子:
2.3
通讯作者:
Anderson, Samantha F.
Anderson, Samantha F.
中科院分区:
医学3区
文献类型:
--
作者:
Waddell, Jack T.;Corbin, William R.;Chassin, Laurie;Anderson, Samantha F.

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虽然酒精预期和主观反应是饮酒的独立预测因素,但社会认知理论表明,预期可能会扭曲一个人的主观反应,造成预期和实际酒精效果之间的差异。最近的一项横断面研究发现,未达到预期(使用差异评分)与酗酒有关。然而,横截面数据不能建立时间优先性,并且使用差异分数忽略了重要的条件主效应。因此,目前的研究试图评估预期主观反应差异如何预测未来的饮酒使用前瞻性数据和互动的方法。参与者(N = 258)被随机分配在安慰剂对照酒精给药期间饮酒(目标BAC = 0.08%)。酒精的预期和主观反应进行了评估,在整个效价的唤醒情感空间使用平行的措施。结果表明,一个显着的高唤醒积极(高+)的相互作用,这样,作为高+期望增加,个人在低和平均水平的高+主观反应喝得更重12个月后。还有一个显著的高唤醒负(HIGH−)相互作用,具有类似的调节效应模式。没有发现低唤醒效应的相互作用。这些结果表明,高+和高−期望值未得到满足的个体在12个月后饮酒量更大,控制之前的饮酒量。这表明临床医生可以考虑推荐特定的干预措施(例如,预期挑战与药物治疗),基于个体的预期水平和主观反应,以优化干预效果。
Although alcohol expectancies and subjective response are independent predictors of drinking, social–cognitive theory suggests that expectancies may distort one’s subjective response, creating discrepancies between expected and actual alcohol effects. A recent cross-sectional study found that unmet expectancies (using difference scores) were associated with heavier drinking. However, cross-sectional data cannot establish temporal precedence, and using difference scores ignores important conditional main effects. As such, the current study sought to evaluate how expectancy-subjective response discrepancies predict future drinking using prospective data and an interaction approach. Participants (N = 258) were randomly assigned to consume alcohol (target BAC = .08%) within a placebo-controlled alcohol administration session. Alcohol expectancies and subjective response were assessed across the full valence by arousal affective space using parallel measures. Results indicated a significant high arousal positive (HIGH+) interaction, such that, as HIGH+ expectancies increased, individuals at low and mean levels of HIGH+ subjective response drank more heavily 12 months later. There was also a significant high arousal negative (HIGH−) interaction with a similar pattern of moderated effects. No interactions were found for low arousal effects. These results indicate that individuals with unmet HIGH+ and HIGH− expectancies drink more heavily 12 months later, controlling for prior drinking. This suggests that clinicians may consider recommending specific interventions (e.g., expectancy challenges vs. pharmacotherapy) based upon an individual’s levels of expectancies and subjective response to optimize intervention efficacy.
DOI: 10.15288/jsa.2004.65.774
发表时间: 2004-11-01
期刊: JOURNAL OF STUDIES ON ALCOHOL
影响因子: --
作者:
Carey, KB;Carey, MP;Henson, JM
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发表时间: 2009-07
期刊: Journal of American college health : J of ACH
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DOI: 10.1111/j-1469-7610.2007.01826.x
发表时间: 2008-02-01
影响因子: 7.6
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发表时间: 2000-01-01
期刊: JOURNAL OF STUDIES ON ALCOHOL
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通讯作者: Del Boca, F
DOI: 10.1037/0022-006x.61.2.344
发表时间: 1993-04-01
影响因子: 5.9
作者:
DARKES, J;GOLDMAN, MS
通讯作者: GOLDMAN, MS