Problematic drinking is common in college, with many students experiencing a range of detrimental alcohol-related consequences. An understanding of the etiological factors involved in the development and maintenance of this behavior is important, as it would inform intervention efforts. Drinking refusal self-efficacy (DRSE) plays a central role in drinking behavior. Social learning theory's principle of reciprocal determinism suggests that cognitions such as DRSE are not only learned over time from drinking experiences but also impact an individual's subsequent drinking behavior. To date, no study has tested reciprocal determinism in relation to DRSE. Accordingly, in the current study, we examined within-person reciprocal associations between DRSE and drinking experiences (alcohol use and related consequences) in college drinkers during the first year of college (n = 728). Data were drawn from a larger study of trauma, posttraumatic stress, and substance use in young adulthood. Data were analyzed using a random intercept cross-lagged panel model to disaggregate between-person and within-person effects. At the between-person level, DRSE was negatively associated with both alcohol use and alcohol-related consequences. Furthermore, DRSE exhibited significant negative prospective within-person associations with alcohol-related consequences but not with alcohol consumption. Both alcohol consumption and alcohol-related consequences exhibited significant negative prospective within-person associations with DRSE. As such, findings support reciprocal determinism between alcohol-related consequences and DRSE. These findings have several clinical implications, as they point to a risky learning process that could be targeted in treatment or in prevention programs. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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从大学的饮酒经历中学习：对拒绝饮酒自我效能的互惠决定论的测试。

有问题的饮酒在大学里很常见，许多学生经历了一系列与酒精相关的有害后果。了解参与这种行为的发展和维持的病因因素很重要，因为它将为干预工作提供信息。拒绝饮酒的自我效能感（DRSE）在饮酒行为中起着核心作用。社会学习理论的互惠决定原则表明，诸如 DRSE 等认知不仅是随着时间的推移从饮酒经历中习得的，而且还会影响个人随后的饮酒行为。迄今为止，没有研究测试过与 DRSE 相关的互惠决定论。因此，在目前的研究中，我们检查了大学第一年（n = 728）大学饮酒者的 DRSE 与饮酒经历（酒精使用和相关后果）之间的个人相互关联。数据来自一项针对青年期创伤、创伤后压力和物质使用的大型研究。使用随机截距交叉滞后面板模型分析数据，以分解人与人之间和人内的影响。在人与人之间，DRSE 与酒精使用和酒精相关后果呈负相关。此外，DRSE 表现出与酒精相关后果但与饮酒无关的显着负面前瞻性个人关联。饮酒和与酒精相关的后果都与 DRSE 表现出显着的负面前瞻性个人关联。像这样，研究结果支持酒精相关后果和 DRSE 之间的相互确定性。这些发现有几个临床意义，因为它们指出了一个危险的学习过程，可以作为治疗或预防项目的目标。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。