Comparison of cross-sectional and daily reports in studying the relationship between depression and use of alcohol in response to stress in college students
Comparison of cross-sectional and daily reports in studying the relationship between depression and use of alcohol in response to stress in college students
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DOI：
10.1111/j.1530-0277.2000.tb04552.x
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发表时间：
2000-01-01
影响因子：
3.2
通讯作者：
Flynn, HA
中科院分区：
文献类型：
--
作者：
Flynn, HA
背景：大学生在压力下饮酒可能会受到抑郁症状的影响。然而，这是一个具有挑战性的问题，研究由于各种方法的使用，以及抑郁情绪对自我报告的准确性可能产生的影响。本研究的重点是方法问题，作为可能的来源模棱两可的结果之间的关系抑郁情绪和酒精使用在应对压力的大学生人群。调查结果可能会有所不同，当这些变量进行检查横截面与longitudinal.Methods：抑郁情绪和酒精应对进行了评估，横截面和反复随着时间的推移，在125名大学生。参与者在基线时使用抑郁症的诊断自我报告测量以及典型应对方式的测量进行评估。此外，每天的压力，抑郁症的症状，应对措施完成了连续45 days.Results：抑郁情绪和酒精应对之间的不同关系被发现时，抑郁症患者进行了分析，分别从那些谁不抑郁。虽然发现每日饮酒应对与每日抑郁情绪之间存在显著相关性，但抑郁和非抑郁参与者之间没有差异结论：这些发现对研究设计以及临床评估情绪和使用酒精应对之间的关系有影响;研究结果表明，随着时间的推移，对情绪和酒精使用的横截面测量可能会掩盖反复评估的差异。此外，这些研究结果支持在实施或评估针对大学生应对技能的计划时，频繁评估抑郁症状的实用性。
Background: Alcohol use in response to stress in college students may be affected by the presence of symptoms of depression. However, this is a challenging issue to study due to the various methodologies used as well as the possible effect of depressed mood on the accuracy of self-report. This study focused on methodological issues as possible sources of equivocal findings regarding the relationship between depressed mood and alcohol use in response to stress in a college student population. Findings may differ when these variables are examined cross-sectionally versus longitudinally.Methods: Depressed mood and alcohol coping were assessed both cross-sectionally and repeatedly over time in 125 college students. Participants were assessed at baseline using a diagnostic self-report measure of depression as well as a measure of typical coping style. In addition, daily measures of stress, symptoms of depression, and coping were completed for 45 consecutive days.Results: Different relationships between depressed mood and alcohol coping were found when depressed individuals were analyzed separately from those who were not depressed. Although a significant correlation between daily use of alcohol coping and daily depressed mood was found, there were no differences between depressed and nondepressed participants (as assessed at baseline) on daily alcohol coping.Conclusions: These findings have implications for research design as well as clinical assessment regarding the relationships between mood and use of alcohol for coping; the findings suggest that cross-sectional measures of mood and alcohol use may obscure differences as assessed repeatedly over time. In addition, these findings support the utility of frequent assessment of depressive symptoms when implementing or evaluating programs that target coping skills in college students.