对自述饮酒者身份变化的预测因素和饮酒者身份变化作为酒精使用变化及其相关后果的预测因素的研究。

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors Pub Date : 2025-01-12 DOI:10.1016/j.addbeh.2025.108262

Angelo M. DiBello , Clayton Neighbors , Kristen P. Lindgren , Melissa Hatch , Kate B. Carey

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引用次数: 0

摘要

目的：自我报告的饮酒者身份，即一个人将自己视为饮酒者的程度，与年轻人的酒精消费及其相关危害有关。目前的研究调查了自我报告的饮酒者身份的变化，与饮酒者身份发展相关的理论相关因素，以及饮酒者身份与饮酒变化和酒精相关后果的关系。我们假设饮酒者身份会随着时间的推移而增加；从理论上讲，相关因素将与这种增加显著正相关，而饮酒身份的增加将与饮酒增加及其相关后果相关。方法：参与者为来自两所大学的588名重度饮酒大学生（63%为女性，50.5%为白人，平均年龄为19.87人），报告最近的重度间歇性饮酒和上个月经历的酒精相关后果。学生在1个月、3个月和6个月完成了与理论相关因素、饮酒者身份和饮酒/相关后果相关的基线和随访评估。结果：利用平行过程潜在增长曲线模型，我们考察了饮酒者身份的变化作为初始水平和理论相关因素变化的函数。我们还研究了饮酒者身份变化对酒精使用的影响及其相关后果。结果表明，对大量饮酒的更有利的初始态度和对大量饮酒的有利态度的增加与饮酒者身份的增加有关。总体而言，随着时间的推移，酒精的使用及其相关后果会减少，但饮酒者身份的增加与酒精后果的减少程度较小相关。结论：该研究强调了态度对饮酒者身份发展的潜在影响因素的重要性，尤其是在酗酒的大学生中。这项工作进一步证明了饮酒者身份的变化与饮酒行为的变化及其相关后果之间的联系。这项工作可以为未来针对饮酒身份的干预提供信息。

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An Examination of predictors of prospective changes in self-reported drinker identity and changes in drinker identity as a predictor of changes in alcohol use and associated consequences

Purpose

Self-reported drinker identity, the extent to which one views oneself as a drinker, is associated with alcohol consumption and related harms in young adults. The current study examined changes in self-reported drinker identity, theoretically relevant factors associated with drinker identity development, and drinker identity’s association with changes in drinking and alcohol-related consequences. We hypothesized that drinker identity would increase over time; theoretically relevant factors would be significantly and positively associated with that increase, and increases in drinking identity would be associated with elevated drinking and related consequences.

Method

Participants were 588 heavy-drinking college students (63 % female, 50.5 % White, Mean_age = 19.87, from two universities) reporting recent heavy episodic drinking and experiencing alcohol-related consequences in the previous month. Students completed baseline and follow-up assessments at 1-, 3-, and 6-months related to theoretically relevant factors, drinker identity, and drinking/related consequences.

Results

Using parallel process latent growth curve modeling, we examined changes in drinker identity as a function of initial levels and changes in theoretically relevant factors. We also examined changes in alcohol use and related consequences as a function of changes in drinker identity. Results indicated that a more favorable initial attitude toward heavy drinking and an increase in favorable attitude toward heavy drinking were associated with an increase in drinker identity. Overall, alcohol use and associated consequences diminished over time, but increases in drinker identity were associated with smaller reductions in alcohol outcomes.

Conclusions

The study highlights the importance of attitudes as a potential contributing factor to drinker identity development, particularly among college students who drink heavily. This work further demonstrates a link between changes in drinker identity and changes in drinking and associated consequences. This work can inform future interventions aimed at targeting drinking identity.

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来源期刊

Addictive behaviors 医学-药物滥用

CiteScore

8.40

自引率

4.50%

发文量

283

审稿时长

46 days

期刊介绍： Addictive Behaviors is an international peer-reviewed journal publishing high quality human research on addictive behaviors and disorders since 1975. The journal accepts submissions of full-length papers and short communications on substance-related addictions such as the abuse of alcohol, drugs and nicotine, and behavioral addictions involving gambling and technology. We primarily publish behavioral and psychosocial research but our articles span the fields of psychology, sociology, psychiatry, epidemiology, social policy, medicine, pharmacology and neuroscience. While theoretical orientations are diverse, the emphasis of the journal is primarily empirical. That is, sound experimental design combined with valid, reliable assessment and evaluation procedures are a requisite for acceptance. However, innovative and empirically oriented case studies that might encourage new lines of inquiry are accepted as well. Studies that clearly contribute to current knowledge of etiology, prevention, social policy or treatment are given priority. Scholarly commentaries on topical issues, systematic reviews, and mini reviews are encouraged. We especially welcome multimedia papers that incorporate video or audio components to better display methodology or findings. Studies can also be submitted to Addictive Behaviors? companion title, the open access journal Addictive Behaviors Reports, which has a particular interest in ''non-traditional'', innovative and empirically-oriented research such as negative/null data papers, replication studies, case reports on novel treatments, and cross-cultural research.