Background
Methods
Sampling and data collection
Minimal sample size calculation
Questionnaire
The alcohol use disorders identification test (AUDIT)
Toronto alexithymia scale (TAS-20)
Rosenberg self-esteem scale (RSES)
Hamilton depression rating scale (HDRS)
Hamilton anxiety scale (HAM-A)
Evaluation of the three-dimensional work fatigue inventory (3D-WFI)
Columbia–suicide severity rating scale (C-SSRS)
The perceived stress scale (PSS)
Liebowitz social anxiety scale (LSAS)
The quick emotional intelligence self-assessment
Statistical analyses
Results
Alcohol use disorder | p-value | ||
---|---|---|---|
Low risk | High risk | ||
Frequency (%) | Frequency (%) | ||
Gender | |||
Male | 173 (41.2%) | 247 (58.8%) | < 0.001 |
Female | 216 (61.9%) | 133 (38.1%) | |
Education level | |||
Illiterate | 4 (33.3%) | 8 (66.7%) | < 0.001 |
Primary | 9 (23.1%) | 30 (76.9%) | |
Complementary | 18 (34.6%) | 34 (65.4%) | |
Secondary | 57 (51.8%) | 53 (48.2%) | |
University | 258 (55.8%) | 204 (44.2%) | |
higher education | 36 (56.3%) | 28 (43.8%) | |
Socioeconomic status | |||
< 1000 $ | 195 (51.9%) | 181(48.1%) | 0.446 |
1000–2000 $ | 126 (48.8%) | 132 (51.2%) | |
> 2000 $ | 47 (45.2%) | 57 (54.8%) | |
Marital status | |||
Single | 257 (52.9%) | 229 (47.1%) | 0.001 |
Married | 124 (52.8%) | 111 (47.2%) | |
Widowed | 3 (15.8%) | 16 (84.2%) | |
Divorced | 8 (26.7%) | 22 (73.3%) | |
Mean ± SD | Mean ± SD | ||
Age (in years) | 30.27 ± 13.14 | 30.33 ± 11.90 | 0.945 |
Number of kids | 0.91 ± 1.62 | 0.62 ± 1.28 | 0.008 |
Bivariate analysis
Alcohol dependence | p-value | ||
---|---|---|---|
Low risk | High risk | ||
Mean ± SD | Mean ± SD | ||
Alexithymia Scale (TAS-20) | 49.73 ± 10.01 | 54.55 ± 10.30 | < 0.001 |
Depression score (HAM-D) | 8.00 ± 7.93 | 17.31 ± 10.71 | < 0.001 |
Anxiety score (HAM-A) | 10.90 ± 9.40 | 17.58 ± 9.69 | < 0.001 |
Perceived stress scale (PSC) | 17.64 ± 6.14 | 19.37 ± 5.58 | < 0.001 |
Liebowitz social anxiety scale | 36.58 ± 24.77 | 42.75 ± 20.59 | < 0.001 |
Emotional awareness | 20.32 ± 7.71 | 17.68 ± 7.00 | 0.097 |
Emotional management | 22.25 ± 8.82 | 17.54 ± 7.13 | < 0.001 |
Social Emotional awareness | 23.81 ± 8.80 | 19.59 ± 7.64 | 0.005 |
Relationship management | 23.69 ± 9.15 | 19.35 ± 7.87 | < 0.001 |
Emotional work fatigue | 15.29 ± 9.73 | 20.32 ± 11.12 | < 0.001 |
Physical work fatigue | 17.52 ± 8.19 | 18.57 ± 8.36 | < 0.001 |
Mental work fatigue | 14.05 ± 7.97 | 17.63 ± 9.51 | < 0.001 |
Suicidal ideation score | 0.17 ± 0.73 | 1.00 ± 1.50 | 0.001 |
Factor analysis
Factor 1 | Factor 2 | Factor 3 | Factor 4 | |
---|---|---|---|---|
High social emotional awareness | 0.881 | |||
High relationship management | 0.868 | |||
High emotional management | 0.831 | |||
High emotional awareness | 0.813 | |||
Low emotional work fatigue | 0.706 | |||
High physical work fatigue | 0.826 | |||
High perceived stress | 0.814 | |||
High alexithymia Scale (TAS-20) | 0.744 | |||
High mental work fatigue | 0.594 | |||
High suicidal ideation | 0.867 | |||
High depression score (HAM-D) | 0.833 | |||
High anxiety score (HAM-A) | 0.658 | |||
Low Rosenberg self-esteem | 0.863 | |||
High Liebowitz total score | 0.452 |
Profiles of participants
Cluster 1 N = 269 (45.4%) | Cluster 2 N = 204 (34.4%) | Cluster 3 N = 120 (20.2%) | |
---|---|---|---|
Factor 1: High emotional intelligence & low emotional work fatigue | −0.34 | 0.92 | −0.79 |
Factor 2: High physical and mental work fatigue, high stress & high alexithymia | 0.53 | −0.57 | −0.23 |
Factor 3: High suicidal ideation & high depression and anxiety | 0.31 | −0.86 | 0.76 |
Factor 4: low self-esteem & high social phobia. | 0.71 | −0.42 | −0.87 |
Multivariable analyses
Model 1: Logistic regression taking the dichotomous alcohol use disorder scale score (low vs. high risk) as the dependent variable and the sociodemographic characteristics as independent variables. | |||||
OR | p-value | Confidence interval | |||
Lower Bound | Lower Bound | ||||
Gender (females vs malesa) | 0.431 | < 0.001 | 0.308 | 0.605 | |
Divorced vs singlea | 6.723 | 0.018 | 1.379 | 32.784 | |
Number of kids | 0.656 | < 0.001 | 0.526 | 0.819 | |
Secondary education level vs illiteratea | 0.272 | 0.083 | 0.062 | 1.185 | |
University education level vs illiteratea | 0.204 | 0.030 | 0.048 | 0.860 | |
Variables entered: Gender, Marital status, number of kids, education level | |||||
Model 2: Logistic regression taking the dichotomous alcohol use disorder scale score (low vs. high risk) as the dependent variable. | |||||
Gender (females vs malesa) | 0.460 | < 0.001 | 0.305 | 0.694 | |
Alexithymia Scale (TAS-20) | 1.030 | 0.004 | 1.009 | 1.051 | |
Depression score (HAM-D) | 1.076 | < 0.001 | 1.050 | 1.103 | |
Emotional management | 0.962 | 0.005 | 0.937 | 0.988 | |
Suicidal ideation score | 1.253 | 0.027 | 1.026 | 1.531 | |
Number of kids | 0.863 | 0.037 | 0.752 | 0.991 | |
Variables entered: Gender, Marital status, number of kids, education level, TAS_20, HAMD score, HAMA score, PSC score, Liebowitz score, Emotional awareness score, Emotional management score, Social emotional awareness score, Relationship management score, MBI - Emotional exhaustion, MBI - Personal accomplishment, MBI - Depersonalization, Suicidal ideation score. | |||||
Model 3: Linear regression taking the continuous AUDIT score as the dependent variable and all the scales as independent variables. | |||||
Unstandardized Beta | Standardized Beta | p-value | Confidence interval | ||
Lower Bound | Upper Bound | ||||
Depression score (HAM-D) | 0.282 | 0.354 | < 0.001 | 0.220 | 0.344 |
Alexithymia Scale (TAS-20) | 0.146 | 0.189 | < 0.001 | 0.093 | 0.200 |
Suicidal ideation score | 0.855 | 0.134 | < 0.001 | 0.385 | 1.325 |
Emotional management | −0.079 | −0.078 | 0.030 | −0.150 | −0.008 |
Gender (females vs malesa) | −2.647 | −0.160 | < 0.001 | −3.771 | −1.523 |
Secondary education vs illiteratea | −2.476 | −0.103 | 0.012 | −4.415 | −0.538 |
University education vs illiteratea | − 2.579 | −0.148 | < 0.001 | −4.024 | − 1.134 |
Intermediate vs lowa SES | 1.167 | 0.067 | 0.050 | 0.001 | 2.333 |
Variables entered: Age, Gender, SES, education level, TAS_20, HAMD score, HAMA score, PSC score, Liebowitz score, Emotional awareness score, Emotional management score, Social emotional awareness score, Relationship management score, MBI - Emotional exhaustion, MBI - Personal accomplishment, MBI - Depersonalization, Suicidal ideation score. aSES = socioeconomic status (Reference = low socioeconomic status). | |||||
Model 4: Linear regression taking the continuous AUDIT score as the dependent variable and four factors obtained in the factor analysis as independent variables. | |||||
Mental Wellbeing (Factor 1) | −0.817 | −0.099 | 0.008 | −1.417 | −0.217 |
Psychological distress (Factor 2) | 1.107 | 0.136 | < 0.001 | 0.496 | 1.719 |
Mood/affective dysfunction (Factor 3) | 3.330 | 0.398 | < 0.001 | 2.672 | 3.989 |
Gender (females vs malesa) | −2.613 | −0.158 | < 0.001 | −3.764 | −1.462 |
Secondary education vs illiteratea | −2.505 | −0.105 | 0.014 | −4.507 | −0.503 |
University education vs illiteratea | −2.678 | −0.153 | < 0.001 | −4.165 | −1.190 |
Factor 1 = mental wellbeing (i.e. high emotional intelligence and low emotional work fatigue; Factor 2 = psychological distress (i.e. high physical and mental work fatigue, high stress and high alexithymia; Factor 3 = mood/affective dysfunction (i.e. high suicidal ideation, high depression and high anxiety; Factor 4 = social dysfunction (i.e. low self-esteem and high social phobia). Variables entered in the model: Factor 1, Factor 2, Factor 3, factor 4, Age, Gender, SES, education level. | |||||
Model 5: Linear regression taking the continuous AUDIT score as the dependent variable and the three clusters as independent variables. | |||||
People with psychological difficulties (Cluster 1) | 5.547 | 0.325 | < 0.001 | 4.430 | 6.663 |
People in distress (Cluster 3) | 7.455 | 0.323 | < 0.001 | 5.945 | 8.965 |
Gender (Malea vs. Female) | −3.011 | −0.184 | < 0.001 | −4.036 | −1.985 |
Secondary education vs illiteratea | −2.461 | −0.104 | 0.008 | − 4.265 | −.657 |
University education vs illiteratea | −3.045 | −0.175 | < 0.001 | −4.392 | −1.698 |
Divorced vs. singlea | 5.047 | 0.118 | < 0.001 | 2.397 | 7.698 |
Widowed vs. singlea | 4.962 | 0.091 | 0.004 | 1.545 | 8.379 |
Variables entered in the model: cluster 1, cluster 2, cluster 3, Age, Gender, SES, education level Cluster 1 = People with psychological difficulties (low self-esteem, high social phobia, high alexithymia, high physical and mental work fatigue and high stress, low emotional intelligence and high emotional work fatigue); cluster 2 = People with high wellbeing (high emotional intelligence and low emotional work fatigue, with low suicidal ideation, low depression and anxiety, high self-esteem and low social phobia); cluster 3 = People in distress (High suicidal ideation, high depression and anxiety, with low self-esteem & high social phobia). | |||||
aReference group |