title: Drinking to cope and alcohol use and abuse in unipolar depression: a 10-year model.
abstract: This study examined drinking to cope with distress and drinking behavior in a baseline sample of 412 unipolar depressed patients assessed 4 times over a 10-year period. Baseline drinking to cope operated prospectively as a risk factor for more alcohol consumption at 1-, 4-, and 10-year follow-ups and for more drinking problems at 1- and 4-year follow-ups. Findings elucidate a key mechanism in this process by showing that drinking to cope strengthened the link between depressive symptoms and drinking behavior. Individuals who had a stronger propensity to drink to cope at baseline showed a stronger connection between depressive symptoms and both alcohol consumption and drinking problems.
authors.affiliation: Department of Psychology, University of Texas at Austin, 78712, USA. holahan@psy.utexas.edu
authors.forename: Charles J
authors.initials: CJ
authors.lastname: Holahan
authors.forename: Rudolf H
authors.initials: RH
authors.lastname: Moos
authors.forename: Carole K
authors.initials: CK
authors.lastname: Holahan
authors.forename: Ruth C
authors.initials: RC
authors.lastname: Cronkite
authors.forename: Patrick K
authors.initials: PK
authors.lastname: Randall
mesh_terms: D000203:Activities of Daily Living; D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000428:Alcohol Drinking / Q000453:epidemiology / Q000523:psychology*; D000437:Alcoholism / Q000453:epidemiology / Q000523:psychology*; D003866:Depressive Disorder / Q000453:epidemiology / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies