Drinking motives link positive and negative life events to problematic alcohol use during the COVID-19 pandemic: a longitudinal study.

IF 2.1 4区 医学 Q3 SUBSTANCE ABUSE Alcohol and alcoholism Pub Date : 2024-09-21 DOI:10.1093/alcalc/agae068
Daniel W Geda, Bethany L Stangl, Avery Arsenault, Matthew F Thompson, Melanie L Schwandt, David Goldman, Vijay A Ramchandani, Nancy Diazgranados, Jeremy W Luk
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Abstract

Purpose: Stressful life events are associated with problematic drinking, and alcohol misuse has been exacerbated during the coronavirus disease 2019 (COVID-19) pandemic. While coping motives may account for this association, positive life events (PLEs) and enhancement motives are understudied. To address these gaps, we examined the associations of history of alcohol use disorder (AUD), negative life events (NLEs), and PLEs with problematic alcohol use and tested coping and enhancement motives as mediators.

Methods: The sample included baseline and follow-up data from 241 participants enrolled in the National Institute on Alcohol Abuse and Alcoholism COVID-19 Pandemic Impact on Alcohol Study. Endorsements of past year PLEs and NLEs and their associations with problematic alcohol use were examined. Among the 202 current drinkers, path analyses tested mediational pathways via coping and enhancement motives.

Results: The top two PLEs were change in work conditions (21.6%) and taking a vacation (20.3%). The top two NLEs were change in social activities (36.5%) and major change in recreation (26.6%). Individuals with a history of AUD and those who experienced more NLEs reported higher coping and enhancement motives, which were associated with higher problematic alcohol use. Individuals who experienced more PLEs reported lower coping motives, which was associated with lower problematic alcohol use.

Conclusions: Besides coping motives, enhancement motives were also associated with pandemic problematic alcohol use. Alcohol interventions targeting reward- and relief-driven drinking patterns may be beneficial to individuals with a history of AUD and those who experienced more NLEs. More research is needed to study PLEs which may help inform the development of strength-based alcohol interventions.

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在 COVID-19 大流行期间,饮酒动机将积极和消极的生活事件与问题性饮酒联系起来:一项纵向研究。
目的:生活中的压力事件与问题性饮酒有关,而在冠状病毒病 2019(COVID-19)大流行期间,酒精滥用现象更加严重。虽然应对动机可能是造成这种关联的原因,但对积极生活事件(PLEs)和增强动机的研究却不足。为了填补这些空白,我们研究了酒精使用障碍(AUD)病史、消极生活事件(NLEs)和积极生活事件与问题性酒精使用之间的关联,并测试了应对动机和增强动机作为中介因素的作用:样本包括美国国家酒精滥用和酒精中毒研究所 COVID-19 大流行对酒精影响研究 241 名参与者的基线和后续数据。研究对过去一年 PLEs 和 NLEs 的认可度及其与问题性饮酒的关系进行了考察。在 202 名当前饮酒者中,路径分析测试了通过应对和增强动机的中介路径:结果:前两个 PLE 是工作条件变化(21.6%)和休假(20.3%)。前两个 NLE 是社交活动的改变(36.5%)和娱乐活动的重大改变(26.6%)。有 AUD 病史的人和经历较多 NLEs 的人报告的应对动机和提高动机较高,这与较高的问题酒精使用率有关。经历过更多 PLEs 的个体报告的应对动机较低,这与较低的问题性饮酒相关:结论:除应对动机外,增强动机也与大流行性问题酒精使用有关。针对奖励和解脱驱动型饮酒模式的酒精干预措施可能对有 AUD 病史的人和经历过更多 NLE 的人有益。还需要进行更多的研究来研究PLEs,这可能有助于开发基于力量的酒精干预措施。
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来源期刊
Alcohol and alcoholism
Alcohol and alcoholism 医学-药物滥用
CiteScore
4.70
自引率
3.60%
发文量
62
审稿时长
4-8 weeks
期刊介绍: About the Journal Alcohol and Alcoholism publishes papers on the biomedical, psychological, and sociological aspects of alcoholism and alcohol research, provided that they make a new and significant contribution to knowledge in the field. Papers include new results obtained experimentally, descriptions of new experimental (including clinical) methods of importance to the field of alcohol research and treatment, or new interpretations of existing results. Theoretical contributions are considered equally with papers dealing with experimental work provided that such theoretical contributions are not of a largely speculative or philosophical nature.
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