Affective and Personality Risk and Cognitive Mediators of Initial Adolescent Alcohol Use

Affective and Personality Risk and Cognitive Mediators of Initial Adolescent Alcohol Use
复制标题

DOI:
10.15288/jsad.2010.71.570
复制
发表时间:
2010-07-01
影响因子:
3.4
通讯作者:
Brown, Sandra A.
Brown, Sandra A.
中科院分区:
医学3区
文献类型:
--
作者:
Bekman, Nicole M.;Cummins, Kevin;Brown, Sandra A.

文献摘要

被引文献

相似文献

目的:本研究探讨了认知因素的作用,如预期的后果,不喝酒和同伴饮酒的看法,在介导的情感和基于个性的风险与青少年的决定,开始使用酒精。方法:不饮酒的高中生(N = 1,268)连续2年完成了关于青少年物质使用相关态度和行为的保密调查。自我报告的酒精使用进行了评估,在这两年中,社交焦虑,抑郁,感觉寻求,不喝酒的期望,并在第二年进行了评估。结果如下:与那些期望值较低的学生相比,期望值较高的学生开始喝酒的几率要低得多。每增加一个同伴的饮酒量,开始的几率就会显著上升。这两个认知因素介导的社交焦虑,抑郁,感觉寻求,和酒精使用启动之间的关系。结论:关于不饮酒的后果的信念和感知同伴饮酒在青少年饮酒的情感和人格风格之间的关系中起着关键作用。这些认知差异可以解释青春期饮酒和饮酒的不同情感风险特征,它们可以为预防工作提供工具。(J.酒精药物研究,71,570-580,2010)
Objective: This study examined the role of cognitive factors such as expectancies regarding the consequences of not drinking and perceptions of peer drinking in mediating affective and personality-based risk associated with adolescents' decisions to initiate alcohol use. Method: Nondrinking high school students (N = 1,268) completed confidential surveys on adolescent attitudes and behaviors related to substance use in 2 consecutive years. Self-reported alcohol use was assessed in both years, and social anxiety, depression, sensation seeking, expectancies for not drinking, and perceived peer alcohol use were assessed in the second year. Results: The odds of initiation were considerably lower for students with higher expectancies for not drinking, compared with those with lower expectancies. Odds of initiation rose significantly with each additional perceived peer drink reported. Both cognitive factors mediated the relationships between social anxiety, depression, sensation seeking, and alcohol-use initiation. Conclusions: Beliefs regarding the consequences of not drinking and perceived peer drinking play key roles in the relationship between affective and personality styles on adolescent drinking. These cognitive differences may explain varying affective risk profiles for alcohol initiation and use during adolescence, and they can provide tools for prevention efforts. (J. Stud. Alcohol Drugs, 71, 570-580, 2010)