Guilt and expressive writing for reducing alcohol use in college students

减少大学生饮酒的内疚感和表达性写作

基本信息

批准号：
9750010
负责人：
CLAYTON NEIGHBORS
金额：
$ 23.7万
依托单位：
UNIVERSITY OF HOUSTON
依托单位国家：
美国
项目类别：
财政年份：
2015
资助国家：
美国
起止时间：
2015-08-10 至 2023-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9750010
关键词：
Adult Age Alcohol consumption Alcohols Attention Behavior Code Complex Computer software Conscious Control Groups Data Development Distress Emotions Event Experimental Designs Feedback Future Guilt Health Heavy Drinking Immune response Individual Individual Differences Internet Intervention Intervention Studies Linguistics Link Mediating Mediator of activation protein National Institute on Alcohol Abuse and Alcoholism Outcome Participant Patient Self-Report Personal Satisfaction Pilot Projects Preventive Intervention Public Health Questionnaires Randomized Readiness Reporting Research Research Personnel Self Administration Students Sum Surveys Testing Thinking Time Treatment Efficacy Well in self Work Writing alcohol content alcohol intervention alcohol misuse alcohol related consequences alcohol risk analog base brief intervention college college drinking college student alcohol abuse cost design drinking effective intervention experience expressive writing follow up assessment hazardous drinking heavy drinking college student heavy drinking students improved innovation intervention effect meetings novel peer personalized normative feedback post intervention public health relevance recruit reduced alcohol use response screening social university student

项目摘要

DESCRIPTION (provided by applicant): The current application proposes to evaluate expressive writing as a novel intervention for problem drinking among college students. College students are at increased risk for alcohol misuse compared to other adults, and development of efficacious intervention approaches is an urgent priority for NIAAA. The vast majority of individually focused brief interventions targeting college drinking have focused on personalized feedback approaches and recent innovations have largely been limited to finer distinctions of these, which require assessment and programming for implementation. The present research proposes expressive writing as a novel alternative, which has been used extensively in other domains but not as an alcohol intervention strategy. We propose a theoretically-based approach, which incorporates expression of the self-conscious emotion of guilt and the written analogue of change talk as proposed mechanisms of intervention efficacy. We will also examine individual differences in propensity for guilt as a moderator of intervention efficacy. Heavy drinking college students (N=600) will be randomly assigned to one of six expressive writing conditions based on the 2 (alcohol vs. distress) x 2 (guilt vs. no guilt) + 1 (neutral control) + 1 (personalized feedback) design. Participation in the study involves completion of a screening assessment, a baseline assessment, the intervention, post-intervention assessment, and follow-up assessments at one-month, three-months, six- months, and twelve-months. There will be three intervention (expressive writing) prompts to take place every week for three weeks, the first of which will occur immediately following the baseline assessment. All baseline assessments, narrative intervention assignments, and immediate post-tests for all conditions will be conducted in-lab. All other assessments including screening and follow-up assessments will be completed remotely by web. Pilot data has provided some support for a single session of expressive writing in reducing drinking intentions, as well as event-related guilt as a mediator of intervention efficacy. The present research builds on these studies by incorporating multiple sessions and multiple follow-up assessments to evaluate actual changes in drinking and psychological well-being, in a complex experimental design and will evaluate theoretically-based mediators and moderator. If effective, this intervention approach will offer a novel intervention which will not require any pre-assessment or programming of personalized feedback, and would serve as an alternative to existing approaches, which is capable of being more easily disseminated.

描述（由申请人提供）：当前的申请提议评估表达性写作，作为对大学生饮酒问题的新干预。与其他成年人相比，大学生滥用酗酒的风险增加，而有效的干预方法的发展是NIAAA的重中之重。针对大学饮酒的绝大多数专注的简短干预措施都集中在个性化的反馈方法上，并且最近的创新在很大程度上仅限于对这些方法的更大区别，这需要进行评估和编程进行实施。本研究提出表达性写作是一种新颖的替代方案，该替代方案已在其他领域广泛使用，但并非用作酒精干预策略。我们提出了一种基于理论上的方法，该方法结合了内gui感的自觉情绪的表达，而变革谈话的书面类似物则是拟议的干预效果机制。我们还将研究内gui感的个体差异，作为干预功效的主持人。大量饮酒的大学生（n = 600）将根据2个（酒精与遇险）x 2（罪恶感与无罪） + 1（中性控制） + 1，将随机分配到六个表达写作条件之一之一（个性化反馈）设计。参与研究涉及完成筛查评估，基线评估，干预，干预后评估以及在一个月，三个月，六个月和十二个月的时间内完成。每周将在三周内进行三个干预（表达写作）提示，其中第一次将在基线评估后立即进行。所有基线评估，叙述性干预任务以及所有条件的立即测试都将在LAB中进行。包括筛查和随访评估在内的所有其他评估都将通过Web远程完成。飞行员数据为减少饮酒意图的单一表达写作提供了一些支持，以及与事件有关的罪恶感作为调解人干预功效。本研究以这些研究为基础，通过在复杂的实验设计中纳入了多次会议和多次随访评估，以评估饮酒和心理健康的实际变化，并将评估理论上基于理论上的调解人和主持人。如果有效，这种干预方法将提供一种新颖的干预措施，该干预措施将不需要任何个性化反馈的预评估或编程，并且可以作为现有方法的替代方法，该方法能够更容易传播。

项目成果

期刊论文数量（10）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Cognitive factors and addiction.

认知因素和成瘾。

DOI：
10.1016/j.copsyc.2019.05.004
发表时间：
2019
期刊：
Current opinion in psychology
影响因子：
5.9
作者：
Neighbors,Clayton;Tomkins,MaryM;LemboRiggs,Jordanna;Angosta,Joanne;Weinstein,AndrewP
通讯作者：
Weinstein,AndrewP

Correction to: Incorporating Social Networks and Event-Specific Information in a Personalized Feedback Intervention to Reduce Drinking Among Young Adults.

更正：将社交网络和特定事件信息纳入个性化反馈干预中，以减少年轻人饮酒。

DOI：
10.1093/alcalc/agac019
发表时间：
2022
期刊：
Alcohol and alcoholism (Oxford, Oxfordshire)
影响因子：
0
作者：
Angosta,Joanne;Tomkins,MaryM;Neighbors,Clayton
通讯作者：
Neighbors,Clayton

Shame and Guilt-Proneness as Mediators of Associations Between General Causality Orientations and Depressive Symptoms.

DOI：
10.1521/jscp.2016.35.5.357
发表时间：
2016-05
期刊：
Journal of social and clinical psychology
影响因子：
1.7
作者：
Young CM;Neighbors C;Dibello AM;Traylor ZK;Tomkins M
通讯作者：
Tomkins M

Shyness and susceptibility to social influence: Stronger concordance between norms and drinking among shy individuals.

DOI：
10.1016/j.addbeh.2021.106922
发表时间：
2021-08
期刊：
Addictive behaviors
影响因子：
4.4
作者：
Young CM;Steers MN;Shank F;Aris A;Ryan P
通讯作者：
Ryan P

Social identity and drinking: Dissecting social networks and implications for novel interventions.

社会身份和饮酒：剖析社交网络及其对新颖干预措施的影响。

DOI：
10.1080/10852352.2019.1603676
发表时间：
2019
期刊：
Journal of prevention & intervention in the community
影响因子：
1.1
作者：
Neighbors,Clayton;Krieger,Heather;Rodriguez,LindseyM;Rinker,DipaliV;Lembo,JordannaM
通讯作者：
Lembo,JordannaM