스트레스와 정서, 알코올 갈망 간의 관계: 경험 표집법을 사용하여
A Study on the Relationships Between Stress, Emotion, and Alcohol Craving: Using Experience Sampling Method
초록
스트레스 및 부정 정서에 대처하기 위한 음주는 잘 알려져 있으며 선행 연구를 통해 반복적으로 연구되어 왔다 . 본 연구에서는 일상생활에서 순간적인 경험과 정서를 탐지할 수 있는 경험 표집을 이용하여 스트레스와 알코올 갈망 간의 관계를 부정 정서가 매개하는지 확인하고자 하였다. 선행 연구를 확장하기 위하여 개별적인 정서(예, 분노, 좌절, 우울 등)의 효과를 탐색하였다. 연구에는 사회적으로 음주하는 25～50세 성인 남녀 19명이 참여하였다. 대상자들이 일상생활에서 경험하는 스트레스, 정서 상태 및 갈망 수준을 측정하기 위하여 경험 표집법을 이용하였다. 경험 표집을 위한 질문지는 웹설문지 형태로 스마트폰을 통해 직접 작성할 수 있었으며, 잠자는 시간을 제외하고 하루에 4회 대상자들에게 절달되었다. 대상자들은 스마트폰을 통해 신호를 받는 즉시 그 순간의 스트레스, 정서 상태 및 음주 갈망에 대해 응답하도록 요청되었다. 데이터는 19명을 대상으로 13일간 매일 4회씩 52회 획득되어, 최종적으로 총 988개가 획득되었다. 개인 내 변화를 포함한 다층 구조의 데이터를 HLM(hierarchical linear model: HLM)을 이용하여 분석한 결과, 부정 정서 중 분노와 좌절이 스트레스와 알코올 갈망 간의 관계를 유의하게 매개하는 것으로 나타났다. 본 연구 결과는 생태학적 타당도가 높은 경험 표집 연구를 이용하여 스트레스에 의해 유발된 음주와의 관계에서 부정 정서 중 특정 정서의 역할을 제안하였다. 이를 기반으로 음주자 및 알코올 사용자들이 음주 수준을 낮추거나 스트레스에 대처할 수 있는 효과적인 방안이 제안될 수 있을 것으로 기대한다.
- keywords
- 경험표집법, 알코올 갈망, 스트레스, 정서, Experience sampling method (ESM), alcohol craving, stress, emotion
Abstract
Drinking alcohol to cope with stress and negative emotions, has been repeatedly through previous studies. The purpose of this study was to determine negative emotion mediates the relationship between stress and alcohol craving by using experience sampling method (ESM) to detect instantaneous experiences and emotions in daily life. To expand upon previous studies, the effects of individual emotions (eg, anger, frustration, depression, etc. among negative emotions) were examined. Th study involved 19 males and females age 25-50 who were social drinkers. ESM was used to measure the levels of stress, emotional states, and alcohol craving for the subjects in their daily lives. The questionnaires for ESM were in the form of a web survey, and delivered to the subjects directly through a smartphone four times daily. Subjects were asked to respond to the stress, emotional states and alcohol craving at the moment they received a signal through their smartphone. The data were obtained 52 times, four times daily. For 13 days of surveying 19 subjects, a total of 988 data were obtained. The hierarchical linear model (HLM) of the multi-layered data showed that anger and frustration among negative emotions significantly mediated the relationship between stress and alcohol craving. This study suggests the role of certain negative emotions in relation to stress-induced drinking by using ESM. Based on this, it is expected that an effective way to reduce the level of alcohol consumption or cope with stress for drinkers or individuals with alcohol use disorders can be proposed.
- keywords
- 경험표집법, 알코올 갈망, 스트레스, 정서, Experience sampling method (ESM), alcohol craving, stress, emotion
참고문헌
김종성 (1998). 알코올리즘 환자의 회복 과정에 대한이해. 가정의학회지, 19, S304-S12.
김종성, 오미경, 박병강, 이민규, 김갑중, 오장균(1999). 한국에서 Alcohol use disorder identification test (AUDIT)를 통한 알코올리즘의 선별 기준. 가정의학회지, 20(9):1152-9.
이정은 (2005). 자기복잡성과 자기 효능감이 우울과 지각된 스트레스에 미치는 영향. 아주대학교 대학원석사학위 청구논문.
Are valo, S., Prado, G., & Amaro, H. (2008). Spirituality, sense of coherence, and coping responses in women receiving treatment for alcohol and drug addiction. Evaluation and Program Planning, 31, 113-123.
Armeli, S., Tennen, H., Todd, M., Carney, M. A., Mohr, C., Affleck, G., & Hromi, A. (2003). A daily process examination of the stress-response dampening effects of alcohol consumption. Psychology of Addictive Behaviors, 17(4), 266-276.
Armeli, S., Tennen, H., Affleck, G., & Kranzler, H. R. (2000). Does affect mediate the association between daily events and alcohol use?. Journal of Studies on Alcohol, 61(6), 862-871.
Baars, M. Y., Müller, M. J., Gallhofer, B., & Netter, P. (2013). Relapse (number of detoxifications) in abstinent male alcohol-dependent patients as related to personality traits and types of tolerance to frustration. Neuropsychobiology, 67(4), 241-248.
Baron, R. M., & Kenny, D. A. (1986). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173-1182.
Berkowitz, L. (1989). Frustration-aggression hypothesis: Examination and reformulation. Psychological Bulletin, 106, 59-73.
Clark, D. M., & Teasdale, J. D. (1982). Diurnal variation in clinical depression and accessibility of memories of positive and negative experiences. Journal of Abnormal Psychology, 91(2), 87-95.
Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A Global Measure of Perceived Stress. Journal of Health and Social Behavior, 24(4), 385-396.
Cohen, S. & Williamson, G. M. (1998). Perceived stress in a probability sample of the United States. In S. Spacapan & S. Oskamp (Eds.), The Social Psychology of Health (pp. 31-67). Newbury Park, CA: Sage.
Constantinou, N., Morgan, C. J. A., Battistella, S. O., Ryan, D., Davis, P., & Curran, H. V. (2010). Attentional bias, inhibitory control and acute stress in current and former opiate addicts. Drug and Alcohol Dependence, 109(1-3), 220-225.
Cooper, M. L., Frone, M. R., Russell, M., & Mudar, P. (1995). Drinking to regulate positive and negative emotions: a motivational model of alcohol use. Journal of Personality and Social Psychology, 69(5), 990-1005.
Cyders, M. A., & Smith, G. T. (2008). Emotion-based dispositions to rash action:Positive and negative urgency. Psychological Bulletin, 134(6), 807-828.
Denson, T. F., Pedersen, W. C., Ronquillo, J., & Nandy, A. S. (2009). The angry brain: Neural correlates of anger, angry rumination, and aggressive personality. Journal of Cognitive Neuroscience, 21(4), 734-744.
Dollard, J., Doob, L., Miller, N., Mowrer, Q, & Sears, R. (1939). frustration and aggression. New Haven, CT: Yale University Press.
Dvorak, R. D., Pearson, M. R., & Day, A. M. (2014). Ecological momentary assessment of acute alcohol use disorder symptoms: Associations with mood, motives, and use on planned drinking days. Experimental and Clinical Psychopharmacology, 22(4), 285-297.
Dvorak, R. D., & Simons, J. S. (2014). Daily associations between anxiety and alcohol use:Variation by sustained attention, set shifting, and gender. Psychology of Addictive Behaviors, 28(4), 969-979.
Ekman, P. (1994). Strong evidence for universals in facial expressions: A reply to Russell's mistaken critique, Psychological Bulletin, 115(2), 268-287,
Greeley, J., & Oei, T. (1999). Alcohol and tension reduction. In: Leonard, K.E., and Blane, H.T., Eds. Psychological Theories of Drinking and Alcoholism, 2nd Edition. New York: Guilford Press, pp. 14–53.
Kassel, J. D. (2010). Substance abuse and emotion. American Psychological Association.
Grzywacz, J. G., & Almeida, D. M. (2008). Stress and binge drinking: A daily process examination of stressor pile-up and socioeconomic status in affect regulation. International Journal of Stress Management, 15(4), 364-380.
Maggs, J. L. (1999). Alcohol use and binge drinking as goal-directed action during the transition to postsecondary education. In: Schulenberg, J.;Maggs, J. L.; and Hurrelmann, K., Eds. Health Risks and Developmental Transitions during Adolescence. New York: Cambridge University Press, pp. 345–371.
Milgrom , J. & Burrow, G. D. (2001). Psychology and psychiatry: integrating Medical practice. (ed.). Chapter 2. chichester:John Wiley and Sons.
Murphy, F. C., Nimmo-Smith, I. A. N., & Lawrence, A. D. (2003). Functional neuroanatomy of emotions: a meta-analysis. Cognitive, Affective, & Behavioral Neuroscience, 3(3), 207-233.
Henderson, M. J., Galen, L. W., & DeLuca, J. W. (1998). Temperament style and substance abuse characteristics. Substance Abuse, 19(2), 61-70.
Hussong, A. M. (2007). Predictors of drinking immediacy following daily sadness: An application of survival analysis to experience sampling data. Addictive Behaviors, 32(5), 1054-1065.
Hussong, A. M., & Chassin, L. (1994). The stress-negative affect model of adolescent alcohol use: disaggregating negative affect. Journal of Studies on Alcohol, 55(6), 707-718.
Hussong, A. M., Chassin, L., & Hicks, R. E. (1999). The elusive relation between negative affect and adolescent substance use: Does it exist. Poster session presented at the Society for Research in Child Development, Albuquerque, NM.
Hussong, A. M., Hicks, R. E., Levy, S. A., & Curran, P. J. (2001). Specifying the relations between affect and heavy alcohol use among young adults. Journal of Abnormal Psychology, 110(3), 449-461.
Izard, C. E. (1994). Innate and universal facial expressions: evidence from developmental and cross-cultural research.
Ito, T. A., Miller, N., & Pollock, V. E. (1996). Alcohol and aggression: A meta-analysis on the moderating effects of inhibitory cues, triggering events, and self-focused attention. Psychological Bulletin, 120(1), 60-82.
Khantzian, E. J. (1987). The self-medication hypothesis of addictive disorders: focus on heroin and cocaine dependence. In The cocaine crisis (pp. 65-74). Springer, Boston, MA.
Park, M. S., Lee, B. H., & Sohn, J. H. (2017). Neural substrates involved in anger induced by audio-visual film clips among patients with alcohol dependency. Journal of Physiological Anthropology, 36(1), 5. https://doi.org/10.1186/s40101-016-0102-x
Phan, K. L., Wager, T., Taylor, S. F., & Liberzon, I. (2002). Functional neuroanatomy of emotion: a meta-analysis of emotion activation studies in PET and fMRI. Neuroimage, 16(2), 331-348.
Randall, D. M., & Cox, W. M. (2001). Experimental mood inductions in persons at high and low risk for alcohol problems. American Journal of Drug and Alcohol Abuse, 27(1), 183-187.
Saunders, J. B., Aasland, O. G., Babor, T. F., De la Fuente, J. R., & Grant, M. (1993). Development of the alcohol use disorders identification test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption‐II. Addiction, 88(6), 791-804.
Sayette, M. A. (1999). Does drinking reduce stress?. Alcohol Research & Health, 23(4), 250-255.
Sher, K. J. (1987). Stress response dampening. In:Blane H.T., and Leonard, K.E., Eds. Psychological Theories of Drinking and Alcoholism, 2nd Ed. New York: Guilford Press, pp. 227–271.
Shiyko, M. P., & Ram, N. (2011). Conceptualizing and estimating process speed in studies employing ecological momentary assessment designs: A multilevel variance decomposition approach. Multivariate Behavioral Research, 46(6), 875-899.
Simons, J. S., Dvorak, R. D., Batien, B. D., & Wray, T. B. (2010). Event-level associations between affect, alcohol intoxication, and acute dependence symptoms: Effects of urgency, self-control, and drinking experience. Addictive Behaviors, 35(12), 1045-1053.
Fox, H. C., Bergquist, K. L., Hong, K. I., & Sinha, R. (2007). Stress‐induced and alcohol cueinduced craving in recently abstinent alcoholdependent individuals. Alcoholism: Clinical and Experimental Research, 31(3), 395-403.
Swaim, R. C., Oetting, E. R., Edwards, R. W., & Beauvais, F. (1989). Links from emotional distress to adolescent drug use: A path model. Journal of Consulting and Clinical Psychology, 57(2), 227-231.
Swendsen, J. D., Tennen, H., Carney, M. A., Affleck, G., Willard, A., & Hromi, A. (2000). Mood and alcohol consumption: an experience sampling test of the self-medication hypothesis. Journal of Abnormal Psychology, 109(2), 198-204.
Valentino, R., & Aston-Jones, G. (2010). Special issue on neuropeptides in stress and addiction:Overview. Brain Research, 1314, 1-2.
Wagner, E. F., Myers, M. G., & McIninch, J. L. (1999). Stress-coping and temptation-coping as predictors of adolescent substance use. Addictive Behaviors, 24(6), 769-779.
Wray, T. B., Merrill, J. E., & Monti, P. M. (2014). Using ecological momentary assessment (EMA)to assess situation-level predictors of alcohol use and alcohol-related consequences. Alcohol Research: Current Reviews, 36(1), 19-27.
Zhang, Z., Zyphur, M. J., & Preacher, K. J. (2009). Testing multilevel mediation using hierarchical linear models: Problems and solutions. Organizational Research Methods, 12(4), 695-719.
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