The association between pain and negative alcohol-related consequences among college students engaged in binge drinking: The moderating role of reward and relief drinking motives

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL Addictive behaviors Pub Date : 2025-02-08 DOI:10.1016/j.addbeh.2025.108287

Faith Holmes , Luke Herchenroeder , Victoria R. Votaw , Tessa Frohe , Ellen W. Yeung

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Abstract

Binge drinking, defined as consuming 4 or more drinks for females and 5 or more for males within a two-hour timeframe, is common among college students and associated with harmful health outcomes. Similarly, pain is prevalent in this population and can negatively affect students’ psychological, social, and academic functioning. However, the limited research examining associations between pain and alcohol-related constructs among college students has yielded inconsistent results. Individual differences in levels of reward and relief drinking motives (i.e., drinking in response to positive affect/social situations versus negative affect/stressful situations) may contribute to the complex, heterogeneous nature of these associations. The aim of the present study was to examine the moderating effects of reward and relief drinking on the association between pain and alcohol-related negative consequences in college students who binge drink. Participants were 436 college students who had engaged in past-month binge drinking. Most participants identified as White (66.7 %) and female (78.2 %), with a mean age of 19.62 (SD = 1.56) years. Results revealed significant moderating effects of both reward and relief motives on the association between pain at time 1 and alcohol-related negative consequences at time 2. In participants with either higher levels of relief or lower levels of reward drinking greater pain was significantly associated with a higher number of alcohol-related negative consequences. In participants demonstrating higher levels of reward drinking, greater pain was significantly associated with a lower number of alcohol-related negative consequences. Our work indicates targeting pain as a possible intervention to prevent alcohol-related negative consequences among those who report lower levels of reward or higher levels of relief drinking.

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大学生豪饮中疼痛与酒精相关负面后果的关系：奖励和缓解饮酒动机的调节作用

酗酒的定义是女性在两小时内喝4杯或更多，男性喝5杯或更多，这在大学生中很常见，并与有害的健康结果有关。同样，疼痛在这一人群中也很普遍，并且会对学生的心理、社会和学术功能产生负面影响。然而，对大学生中疼痛和酒精相关结构之间关系的有限研究得出了不一致的结果。奖励和救济饮酒动机水平的个体差异（即，对积极影响/社会情境的饮酒反应与对消极影响/压力情境的饮酒反应）可能导致这些关联的复杂性和异质性。本研究的目的是检验奖励和缓解饮酒对酗酒大学生疼痛和酒精相关负面后果之间关系的调节作用。参与者是436名在过去一个月里酗酒的大学生。大多数参与者为白人（66.7%）和女性（78.2%），平均年龄为19.62岁（SD = 1.56）。结果显示，奖励动机和缓解动机对时间1疼痛和时间2酒精相关负面后果之间的关联具有显著的调节作用。在缓解程度较高或奖励程度较低的参与者中，饮酒带来的更大痛苦与酒精相关的更多负面后果显著相关。在表现出更高水平奖励饮酒的参与者中，更大的疼痛与更少的酒精相关负面后果显著相关。我们的工作表明，针对疼痛作为一种可能的干预措施，可以预防那些报告奖励水平较低或缓解饮酒水平较高的人与酒精相关的负面后果。

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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.