ArticleDrug and alcohol dependence2015
Stress and alcohol use in rural Chinese residents: A moderated mediation model examining the roles of resilience and negative emotions.
Article in Drug and alcohol dependence, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
11 citing papers in PubMed, 24 citations in OpenAlex.
- Moderating effect of resilience on the associations of perceived stress and anxiety with unhealthy alcohol use and insomnia in Chinese hospital staff.Frontiers in public health · 2026Article
- Social support and anxiety, a moderated mediating model.Scientific reports · 2025Article
- The role of resilience in the relationship between stress and alcohol.Neurobiology of stress · 2024Article
- The mediating and moderating effects of resilience on the relationship between sleep quality and psychological distress in Chinese women with infertility.BMC women's health · 2024Article
- Anger and Aggression in Relation to Psychological Resilience and Alcohol Abuse among Health Professionals during the First Pandemic Wave.Healthcare (Basel, Switzerland) · 2023Article
- University students' (binge) drinking during COVID-19 lockdowns: An investigation of depression, social context, resilience, and changes in alcohol use.Social science & medicine (1982) · 2023Article
- The association between workload, alcohol use, and alcohol misuse among psychiatrists in China.Frontiers in psychiatry · 2023Article
- Social Isolation-Mediated Exacerbation of Negative Affect in Young Drinkers during the COVID-19 Pandemic.Brain sciences · 2022Article
- Alcohol Use and Misuse Among Chinese Psychiatrists During the Early COVID-19 Pandemic.Frontiers in psychiatry · 2022Article
- Alcohol consumption/dependence and resilience in older adults with high blood pressure.Revista latino-americana de enfermagem · 2018Article
- Effectiveness of the behavior change intervention to improve harm reduction self-efficacy among people who inject drugs in Thailand.Psychology research and behavior management · 2016Article
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 2 countries.
Funding
Abstract
objectiveLittle research has been done on alcohol use and dependence among rural residents in China, a sub-population that might be under increased stress due to the rapid modernization and urbanization processes. We aimed to assess rural residents' levels of stress, negative emotions, resilience, alcohol use/dependence and the complex relationships among them.
methodsSurvey data from a large random sample (n=1145, mean age=35.9, SD=7.7, 50.7% male) of rural residents in Wuhan, China were collected using Audio Computer-Assisted Self-Interview.
resultsThe sample had high prevalence of frequently perceived stress (47%) and high prevalence of ever (54.4%), past 30-day (40.4%), and binge drinking (13.8%). Approximately 11% met the criterion for intermediate to severe alcohol dependence. Mediation analysis indicated that the association between perceived stress (predictor) and alcohol dependence (outcome) was fully mediated by anxiety (indirect effect=.203, p<.01) and depression (indict effect=.158, p<.05); moderation analysis indicated that association between stress and two negative emotions (mediators) was significantly modified by resilience (moderator); an integrative moderated mediation analysis indicated that the indirect effect from stress to alcohol dependence through negative emotions was also moderated by resilience.
conclusionsNegative emotions play a key role in bridging stress and alcohol dependence, while resilience significantly buffers the impact of stress on depression, reducing the risk of alcohol dependence. Resilience training may be an effective component for alcohol intervention in rural China.
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