Early environmental risk for the development of urgency and subsequent problem drinking

造成紧迫感和随后的饮酒问题的早期环境风险

基本信息

批准号：
10463101
负责人：
Emily A. Atkinson
金额：
$ 4.68万
依托单位：
UNIVERSITY OF KENTUCKY
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-04-24 至 2024-04-23
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10463101
关键词：
Addictive Behavior Address Adolescence Adolescent Adolescent and Young Adult Alcohol abuse Alcohol consumption Asian Award Behavior Binge Eating Bulimia Caregivers Cessation of life Child Childhood Clinical Complex Data Collection Development Dimensions Disadvantaged Distress Early Intervention Economically Deprived Population Emotional Emotions Environmental Risk Factor Ethnic Origin Etiology Exanthema Expressed Emotion Functional disorder Future Gambling Gender Goals Hispanic Informal Social Control International Interruption K-Series Research Career Programs Lead Learning Life Link Literature Longitudinal Studies Measures Mediating Mental Depression Mental disorders Mentors Meta-Analysis Modeling Outcome Parents Participant Personality Traits Play Precipitating Factors Preparation Prevention Process Prospective Studies Public Health Publications Race Regulation Reporting Research Research Assistant Research Design Research Ethics Risk Risk Behaviors Risk Factors Role Safety Sampling Schools Scientist Smoking Socialization Socioeconomic Status Students Temperament Testing Time Training Variant Work adolescent alcohol abuse alcohol use disorder base design drinking experience follow-up high risk sexual behavior high school longitudinal design meetings multi-racial ninth grade premature prevent programs sex skills substance use therapy development underage drinking undergraduate research

项目摘要

The proposed study aims to investigate, longitudinally, childhood maladaptive emotion socialization as a risk factor for the development of urgency (the tendency to act rashly when experiencing strong emotions) and subsequent problem drinking in adolescents. Identifying potentially modifiable antecedents of urgency is important because a large body of literature has implicated urgency in the risk process for adolescent problematic drinking (as well as other impulsigenic behaviors such as bulimic behavior, risky sex, and gambling) (Berg et al., 2016; Coskunpinar et al., 2013; Fischer et al., 2008; Stautz & Cooper, 2013). Adolescent drinking is associated with numerous public health harms including physical safety risks, increased risk for psychiatric disorder, increases in maladaptive personality traits, and increased risk for premature death (Birkley et al., 2015; De Bellis et al., 2000; Hingson & Zha, 2006; Kaminer, 2016; Marshall, 2014; Guller & Smith, 2015). The relationship between urgency and problem drinking reciprocal such that increases in each factor precipitate increases in the other (Riley et al, 2016). Though the relationship between urgency and problem drinking has been studied extensively, little is known about the etiology of urgency itself. Cyders and Smith (2008) proposed a developmental model of urgency in which childhood temperament and environmental factors increase risk for urgency, but only temperament has been examined in the literature (Waddell et al., 2021). Hersh and Hussong (2009) identified a significant relationship between negative parental emotion socialization and increased substance use in adolescence and, in our own work, we found cross-sectional associations consistent with the hypothesis that urgency mediates the predictive influence of maladaptive emotion socialization on adolescent drinking (Atkinson et al., under review). To date, no studies have examined, longitudinally, the relationship between childhood maladaptive emotion socialization, urgency, and subsequent problem drinking. The research component of this proposal involves a two-wave longitudinal design to (a) test whether maladaptive emotion socialization predicts increases in urgency, (b) examine the possibility that maladaptive emotion socialization predicts problem drinking, mediated by urgency, and (c) examine whether these relationships are invariant by race and gender, in a sample of 9th grade students. Identifying environmental risk factors for the development of urgency will provide clear targets for early intervention and prevention efforts: interrupting the development of urgency is likely to reduce risk for problem drinking and related behaviors. The training component of this proposal includes (1) the execution and management of a longitudinal study in a public school setting, including data collection, liaising with school officials, and follow-up; (2) development of complex statistical analytic skills; (3) further advanced training in research ethics; (4) preparation of research reports for publication; (5) presenting original research at international scientific meetings; and (6) mentoring post-baccalaureate and undergraduate research assistants.

拟议的研究旨在纵向调查儿童适应不良情绪社交的风险产生紧迫感的因素（在经历强烈情绪时鲁莽行事的倾向）以及青少年随后出现饮酒问题。识别潜在的可改变的紧急因素是重要的是，因为大量文献表明青少年风险过程的紧迫性有问题的饮酒（以及其他冲动行为，例如暴食行为、危险性行为和赌博）（Berg 等人，2016 年；Coskunpinar 等人，2013 年；Fischer 等人，2008 年；Stautz 和 Cooper，2013 年）。青少年饮酒与许多公共健康危害有关，包括人身安全风险、增加精神疾病的风险、适应不良的人格特质增加以及过早死亡的风险增加（Birkley 等人，2015 年；De Bellis 等人，2000 年；Hingson 和 Zha，2006 年；Kaminer，2016 年；Marshall，2014 年；Guller 和史密斯，2015）。紧迫感和酗酒问题之间的关系呈倒数关系，每次增加另一个因素沉淀物增加（Riley 等人，2016）。尽管紧迫性和问题饮酒已被广泛研究，但对于紧迫感本身的病因却知之甚少。赛德斯和 Smith（2008）提出了一种紧迫性发展模型，其中童年气质和环境因素会增加紧迫感的风险，但文献中仅对气质进行了研究（Waddell 等人， 2021）。 Hersh 和 Hussong (2009) 发现父母负面情绪之间存在显着关系青春期的社会化和物质使用的增加，在我们自己的工作中，我们发现了横截面关联与紧迫性介导适应不良的预测影响的假设一致青少年饮酒的情绪社会化（阿特金森等人，正在审查中）。迄今为止，还没有研究表明纵向研究了儿童适应不良情绪社会化、紧迫感和情绪之间的关系随后出现饮酒问题。该提案的研究部分涉及两波纵向设计目的是（a）测试适应不良的情绪社交化是否预示着紧迫性的增加，（b）检查适应不良的情绪社会化预示着饮酒问题的可能性，由紧迫感介导，以及（c）以九年级学生为样本，检查这些关系是否因种族和性别而不变。确定发展紧迫性的环境风险因素将为尽早制定明确的目标干预和预防工作：中断紧迫性的发展可能会降低出现问题的风险饮酒及相关行为。本提案的培训部分包括 (1) 执行和管理公立学校环境中的纵向研究，包括数据收集、与学校联络官员和后续行动； (2) 发展复杂的统计分析技能；（三）进一步进修研究伦理；（四）撰写研究报告供发表； (5) 发表原创性研究国际科学会议； (6) 指导学士后和本科生研究助理。