Alcohol's link with sexuality is long-standing and prominent. While research continues to document robust associations between drinking and sexual behavior, attention now centers primarily on evaluating mechanisms and attendant theoretical frameworks to advance our understanding of how alcohol exerts a causal impact. We describe four domains with reliable evidence of alcohol effects: sexualized social perceptions, sexual arousal, sexual risk taking, and sexual assault. We consider three contextual frames: distal factors associated with encountering opportunities for alcohol-involved sex, proximal factors associated with alcohol's acute effects, and distal–proximal interactions. We then examine the empirical support for mechanisms embedded within four theoretical frameworks: alcohol disinhibition, alcohol expectancy, alcohol myopia, and emotion regulation. Support for disinhibition mechanisms is evident with sexual arousal only. Expectancy and myopia mechanisms enjoy support across domains and make up bases for integrative expectancy–myopia causal explanations. Emotion regulation mechanisms evidence preliminary support in risk taking and sexual assault. Implications and future directions are considered.Expected final online publication date for the Annual Review of Clinical Psychology, Volume 20 is May 2024. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.

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急性饮酒对性的影响：心理机制研究

酒精与性的联系由来已久且显着。虽然研究继续证明饮酒和性行为之间存在强有力的关联，但现在的注意力主要集中在评估机制和随之而来的理论框架上，以增进我们对酒精如何产生因果影响的理解。我们描述了酒精影响的四个有可靠证据的领域：性化的社会观念、性唤起、性冒险和性侵犯。我们考虑三个背景框架：与遇到酒精性行为机会相关的远端因素、与酒精的急性影响相关的近端因素以及远端-近端相互作用。然后，我们研究了四个理论框架中嵌入机制的实证支持：酒精去抑制、酒精预期、酒精近视和情绪调节。仅在性唤起时，对去抑制机制的支持就很明显。期望和近视机制得到跨领域的支持，并为综合期望-近视因果解释奠定了基础。情绪调节机制证明了冒险和性侵犯的初步支持。考虑了影响和未来方向。《临床心理学年度评论》第 20 卷的预计最终在线发布日期为 2024 年 5 月。请参阅 http://www.annualreviews.org/page/journal/pubdates 了解修订后的估计。