Putting Things in Context: Longitudinal Relations Between Drinking Contexts, Drinking Motives, and Negative Alcohol Consequences

被引:40
作者
Waddell, Jack T. [1 ]
Corbin, William R. [1 ]
Marohnic, Shane D. [1 ]
机构
[1] Arizona State Univ, Dept Psychol, 900 South McAllister Ave, Tempe, AZ 85281 USA
关键词
solitary drinking; coping motives; tension reduction; alcohol consequences; NATIONAL EPIDEMIOLOGIC SURVEY; SOLITARY DRINKING; HEAVY DRINKING; USE DISORDER; MOTIVATIONAL MODEL; SOCIAL ANXIETY; BINGE-DRINKING; UNITED-STATES; YOUNG-ADULTS; COLLEGE;
D O I
10.1037/adb0000653
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
Recent studies suggest that solitary (but not social) drinking may confer risk for negative alcohol consequences via beliefs about alcohol's ability to reduce tension, and explicit motivations to drink to cope with negative mood states. However, because prior studies are largely cross-sectional, it is unclear if tension reduction expectancies and drinking to cope are antecedents or consequences of solitary drinking. The current study aimed to address this gap in the literature using prospective data (3 waves across 12 months) from a sample of moderate to heavy drinking young adults. Data were drawn from a larger investigation of contextual influences on subjective alcohol response. Participants (N = 448) reported on alcohol use in multiple drinking contexts and tension reduction expectancies at baseline (T1), drinking motives at a 6-month follow-up (T2), and past-month negative alcohol consequences at a 12-month follow-up (T3). We examined potential indirect effects of drinking contexts on negative consequences operating through alcohol expectancies and drinking motives. Solitary drinking was indirectly associated with later negative consequences through stronger coping motives, although tension reduction expectancies did not serve as a significant mediator. Social drinking was not directly or indirectly related to later alcohol consequences. Results suggest that solitary drinking contexts confer risk for negative consequences through coping motives, and that these effects are invariant across sex, race, and ethnicity. These findings have important clinical implications as they suggest that targeting solitary drinkers for skills-based coping interventions may reduce risk for a developmental trajectory toward negative alcohol consequences.
引用
收藏
页码:148 / 159
页数:12
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