Linking Depression with Negative Alcohol-Related Consequences: A Structural Equation Model Among a Clinically
Lana Gawron1, Alexander L Gerlach1
1Institute of Clinical Psychology and Psychotherapy, University of Cologne, Cologne, Germany.
Substance Use & Misuse
|July 23, 2022
Summary
Depression increases alcohol-related problems in clinically depressed individuals, partly through rumination and drinking motives. However, rumination
Area of Science:
- Psychiatry
- Clinical Psychology
- Addiction Research
Background:
- Previous research indicates rumination mediates the link between depression and drinking motives, especially coping-related drinking.
- Rumination is also associated with negative alcohol-related consequences.
Purpose of the Study:
- To investigate the relationships between depressive symptoms, rumination, drinking motives, alcohol consumption, and alcohol-related problems.
- To test these associations in a sample of clinically depressed individuals.
Main Methods:
- Employed structural equation modeling to analyze data from 209 clinically depressed participants.
- Utilized a model previously validated in a college student sample as a basis for specifications.
Main Results:
- Depressive symptoms showed a significant positive association with rumination.
- Drinking motives (enhancement and coping) were linked to increased negative alcohol-related consequences.
- In a simplified model, depressive symptoms correlated with higher rumination and more negative alcohol-related problems; rumination was linked to stronger drinking motives, which predicted alcohol consumption and problems.
Conclusions:
- Depressive symptoms are associated with greater negative alcohol-related consequences in clinically depressed individuals.
- This association is partially mediated by rumination and drinking motives.
- The role of rumination appeared less significant in this clinical sample compared to prior research.
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