Associations between solitary drinking and increased alcohol consumption, alcohol problems, and drinking to cope motives in adolescents and young adults: a systematic review and meta-analysis.

摘要: BACKGROUND AND AIMS Emerging evidence suggests that solitary drinking may be an important early risk marker for alcohol use disorder. The current paper is the first meta-analysis and systematic review on adolescent young adult to examine associations between increased consumption, problems, cope motives. METHODS PsychINFO, PubMed, Google Scholar were searched using Preferred Reporting Items Systematic Reviews Meta-Analyses (PRISMA) methodology a pre-registered International Prospective Register of (PROSPERO) protocol (no. CRD42020143449). Data from self-report questionnaires regarding negative correlates (e.g. problems) motives cope) pooled across studies random-effects models. Studies included adolescents (aged 12-18 years) adults (mean age 18 30 years or samples with majority participants aged younger). RESULTS Meta-analytical results 21 unique including 28,372 showed significant effects following factors: r = 0.23, 95% confidence interval (CI) = 0.12, 0.33; CI = 0.13, 0.32; affect, r = 0.21, CI = 0.16, 0.26; social discomfort, r = 0.17, CI = 0.06, 0.27; reinforcement, r = 0.28, CI = 0.24, 0.31; positive r = 0.10, CI = 0.03, 0.17. These not moderated by group (i.e. versus adult), study quality, differing definitions. Accounting publication bias effect sizes r = 0.23 0.34 consumption 0.30 lowered it r = 0.10 0.06 r = 0.17 0.11 reinforcement respectively. CONCLUSIONS Solitary among appears associated psychosocial/alcohol problems