Protective behavioral strategies and mental health: Reducing alcohol-related risk

保护性行为策略和心理健康：减少酒精相关风险

• 批准号: 8032907
• 负责人: Joseph W. Labrie
• 金额: $ 20.4万
• 依托单位: LOYOLA MARYMOUNT UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-30 至 2012-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8032907
• 关键词: Protective; behavioral; strategies; mental; health; Protective; behavioral; strategies; mental; health

DESCRIPTION (provided by applicant): Escalating rates of psychological distress among college students create a new and, as yet, understudied area of concern for college personnel interested in reducing alcohol-related problems. Not only do students with poorer mental health (anxiety, depression, greater levels of psychological distress in comparison to peers) drink at levels equivalent to other students, but when controlling for drinking, they experience significantly more alcohol-related negative consequences. However, few alcohol interventions have targeted this population despite that fact that efforts to uncover effective strategies to reduce risk among students with co-morbid mental health issues and high-risk drinking hold wide implications. Further, our preliminary cross-sectional work has found that among students spontaneously employing cognitive behavioral protective behavioral strategies (PBS; e.g., spacing out drinks, avoiding risky activities while drinking such as playing drinking games or driving) aimed at reducing drinking (compared to students not employing PBS), students with poorer mental health experienced significantly greater reductions in consequences than those with better mental health, even after control for drinking. While PBS skills training has been part of several multi-component brief interventions, there is no published data about its efficacy as a stand-alone intervention. Thus, the proposed study will evaluate the efficacy of a stand-alone PBS cognitive-behavioral skills training with personalized feedback (PBS-STPF) intervention at increasing PBS use and reducing risky drinking and negative consequences among students seeking services from a college counseling center. Participants will be 350 student-clients from a college counseling center (60% female) who have had at least one heavy episodic drinking event in the past month. They will be randomized to either the PBS-STPF intervention or health information control condition. Both conditions involve completing a baseline survey on a computer followed by a one-one-one 20- 25 minute discussion. The PBS-STF intervention utilizes a personal PBS feedback sheet to reinforce existing PBS use while suggesting other protective strategies that the participant may use in the future. Participants will also explore ways to implement these strategies in frequently encountered and high-risk situations and explore ways to overcome barriers to implementation. Following either the PBS intervention or control discussion, the participants will be assessed via online surveys twice (1-month and 6-months post-intervention). We will also evaluate whether PBS use mediates intervention efficacy and whether level of severity of psychological distress and coping motives for drinking moderate intervention efficacy. This project will provide valuable information on both the efficacy of a cognitive behavioral based PBS stand-alone intervention among students with poorer mental health and preliminary data on relationships between various levels of general and specific mental health, alcohol use, and negative alcohol-related consequences. PUBLIC HEALTH RELEVANCE: This study evaluates the efficacy of a protective behavioral strategies (PBS) cognitive-behavioral skills training with personalized feedback (PBS-STPF) intervention aimed at increasing PBS use and reducing risky drinking and negative consequences among students seeking services from a college counseling center.

描述（由申请人提供）：大学生的心理困扰率不断升级，创造了一个新的，迄今为止对有兴趣减少酒精相关问题的大学人员的关注。精神健康（焦虑症，抑郁，与同龄人相比的心理困扰水平更高的学生）不仅在相当于其他学生的水平上饮酒，而且在控制饮酒时，他们会遭受更多与酒精相关的负面后果。然而，尽管这一事实是，揭示有效的策略降低患有心理健康问题和高风险饮酒的学生的有效策略的努力具有广泛的影响，但很少有酒精干预措施针对这一人群。此外，我们的初步横截面工作发现，在自发使用认知行为保护行为策略（PBS；尽管PBS技能培训已成为多个多组分简短干预措施的一部分，但尚无关于其作为独立干预措施的功效的发布数据。因此，拟议的研究将评估独立的PBS认知行为技能培训和个性化反馈（PBS-STPF）干预措施的疗效，以增加PBS使用，并降低从大学辅导中心寻求服务的学生的风险饮酒和负面影响。参与者将是一个大学咨询中心（60％女性）的350名学生客户，他们在过去一个月中至少举行过一次大型情节饮酒活动。它们将被随机分配为PBS-STPF干预或健康信息控制条件。两种情况都涉及在计算机上完成基线调查，然后进行一对一的20-25分钟讨论。 PBS-STF干预使用个人PBS反馈表来增强现有的PBS使用，同时提出参与者将来可能使用的其他保护策略。参与者还将探索在经常遇到的高风险情况下实施这些策略的方法，并探索克服实施障碍的方法。在PBS干预或控制讨论之后，将通过在线调查两次（1个月和6个月干预后）对参与者进行评估。我们还将评估PBS是否使用介导的干预功效，以及心理困扰的严重程度以及应对中等干预功效的动机。该项目将提供有关精神健康较差的学生的基于认知行为的独立干预措施的疗效以及有关各种一般性心理健康，酒精使用以及与酒精相关的负面后果之间关系的有价值的信息。 公共卫生相关性：本研究评估了保护行为策略（PBS）的疗效（PBS）通过个性化反馈（PBS-STPF）干预措施的认知行为技巧培训，旨在增加PBS的使用并减少危险的饮酒和从大学辅导中心寻求服务的学生的负面影响。