Evaluating Change in Drinking Identity as a Mechanism for Reducing Hazardous Drinking

评估饮酒身份的变化作为减少危险饮酒的机制

• 批准号: 9917664
• 负责人: KRISTEN P LINDGREN
• 金额: $ 38.89万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-05-05 至 2023-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9917664
• 关键词: Address; Alcohol consumption; Alcohol or Other Drugs use; Behavior; Behavior Therapy; Behavioral; Cognition; Cognitive; Development; Effectiveness; Effectiveness of Interventions; Exercise; Family; Foundations; Goals; Heavy Drinking; Individual; Instruction; Intervention; Knowledge; Lead; Link; Mediating; Mediator of activation protein; Methods; National Institute on Alcohol Abuse and Alcoholism; Occupational; Online Systems; Participant; Persons; Population; Process; Public Health; Randomized; Research; Risk Behaviors; Risk Factors; Sampling; Self Efficacy; Severities; Social Network; Strategic Planning; Structure; Students; Sum; Testing; Time; United States Substance Abuse and Mental Health Services Administration; Work; Writing; alcohol craving; alcohol related consequences; base; brief intervention; cognitive control; college; craving; design; drinking; drinking behavior; experience; experimental study; hazardous drinking; novel; novel strategies; public health relevance; recruit; university student; young adult

 DESCRIPTION (provided by applicant): The overarching objective of the proposed research is to evaluate whether changes in drinking identity (how much one associates one's self with drinking) can reduce hazardous drinking (HD; heavy alcohol use and negative alcohol-related consequences) among current and graduating college students. This work addresses two key priorities of NIAAA's strategic plan: (1) to identify factors that enable some young adults to transition out of HD without formal treatment, and (2) to test whether these factors can be manipulated to aid in the development of novel behavioral approaches to reduce HD. The public health burden of young adult HD is substantial: despite decades of research, HD is largely unabated and appears to be increasing in severity among college populations. While progress has been made towards identifying HD risk factors and developing interventions, HD levels remain persistently high. Moreover, recent findings question the effectiveness of interventions aimed at reducing college student HD, highlighting the need for improvement. We propose that drinking identity is a promising factor to investigate as a potential cognitive mechanism that contributes to the natural reductions in HD that occur for many college graduates. Recent findings have revealed drinking identity to be a robust predictor of college student HD cross-sectionally and over time, and changes in drinking identity lead to changes in alcohol consumption and vice-versa. Further, cognitions related to identity, drinking, and substance use can be manipulated, which can lead to increased self-efficacy to refuse a substance and reduced craving for that substance. Despite this promise, drinking identity has not been evaluated as a predictor of the transition out of HD; no studies have sought to change drinking identity directly; and no college HD interventions directly target drinking identity. The proposed studies, therefore, seek to bridge this gap by evaluating naturalistic (Study 1) and experimentally-induced (Study 2) change in drinking identity. The naturalistic study will follow a sample of 400 soon-to-graduate college HDs and evaluate their drinking identity and drinking behaviors at baseline and every 4 months for the 2-year period after graduation. This will allow for examination of within- and between-person change in drinking identity and HD at a key developmental period when reductions in HD occur. The experimental study will manipulate drinking identity (via narrative writing tasks) to increase self-efficacy and decrease alcohol craving and ultimately, reduce HD. A sample of 328 college student HDs will be recruited for a 3-session, lab-based study that includes 2-week, 1-month, and 3- month follow ups to test the potential for more durable, lasting change in drinking, self-efficacy, craving, and real-world drinking. The proposed research is particularly important because it evaluates a promising cognitive factor that is not currently targeted in existing behavioral treatments for HD, provides direct test of proposed mechanisms of change, and could ultimately lead to novel, brief interventions for reducing college student HD.

 描述（由适用提供）：拟议的研究的总体目标是评估饮酒身份的变化（一个人与饮酒的自我相关联）是否可以减少当前和毕业的大学生中的危险饮酒（HD；大量酒精使用和与酒精相关的后果）。这项工作涉及NIAAA战略计划的两个关键优先事项：（1）确定使一些年轻人在无需正式治疗的情况下从高清过渡的因素，并且（2）测试是否可以操纵这些因素以帮助开发新的行为方法以减少HD。年轻成人高清的公共卫生燃烧是很大的：所需的数十年研究，高清在很大程度上没有减弱，并且在大学人群中的严重程度似乎正在增加。尽管在识别高清风险因素和发展干预措施方面取得了进展，但HD水平仍然持续很高。此外，最近的发现质疑旨在减少大学生高清的干预措施的有效性，强调了改进的需求。我们建议，饮酒身份是调查作为一种潜在的认知机制的希望因素，这有助于许多大学毕业生发生的HD自然降低。最近的发现表明，饮酒身份是大学生高清横截面和随着时间的推移的强大预测指标，并且饮酒身份的变化导致酒精消耗的变化，反之亦然。此外，可以操纵与身份，饮酒和用途相关的认知，这可能导致自我效能增强以拒绝物质并减少对该物质的渴望。尽管有这一承诺，但尚未将饮酒身份评估为HD过渡的预测指标。没有任何研究试图直接改变饮酒身份。而且没有大学高清干预措施直接针对饮酒身份。因此，拟议的研究试图通过评估自然主义（研究1）和实验诱导的饮酒身份的变化来弥合这一差距。自然主义研究将遵循400个即将到来的大学HDS的样本，并在毕业后的两年期间每4个月评估其饮酒身份和饮酒行为。这将允许在减少HD的关键发育时期检查饮酒身份和HD内和人之间的变化。实验研究将操纵饮酒身份（通过叙事写作任务），以提高自我效能感并降低酒精的渴望，并最终减少HD。将招募328个大学生HDS的样本，以进行三项基于实验室的研究，其中包括为期2周，1个月和3个月的随访，以测试更耐用，持久饮酒，自我效能，渴望和现实世界中持久变化的潜力。拟议的研究尤其重要，因为它评估了当前在HD现有行为治疗中尚未针对的承诺认知因素，直接对所提出的变化机制进行了直接测试，并最终可能导致新颖的，简短的干预措施，以减少大学生HD。

项目成果

Reducing alcohol-related interpretive bias in negative affect situations: Using a scenario-based Cognitive Bias Modification training paradigm.

减少负面情绪情况下与酒精相关的解释偏差：使用基于场景的认知偏差修正训练范例。

• DOI: 10.1016/j.addbeh.2018.07.023
• 发表时间: 2019
• 期刊: Addictive behaviors
• 影响因子: 4.4
• 作者: Salemink,Elske;Woud,MarcellaL;Roos,Marit;Wiers,Reinout;Lindgren,KristenP
• 通讯作者: Lindgren,KristenP

Maturing Out: Between- and Within-Persons Changes in Social-Network Drinking, Drinking Identity, and Hazardous Drinking Following College Graduation.

• DOI: 10.1177/21677026221082957
• 发表时间: 2023-01
• 期刊: CLINICAL PSYCHOLOGICAL SCIENCE
• 影响因子: 4.8
• 作者: Lindgren, Kristen P.;Baldwin, Scott A.;Peterson, Kirsten P.;Ramirez, Jason J.;Teachman, Bethany A.;Kross, Ethan;Wiers, Reinout W.;Neighbors, Clayton
• 通讯作者: Neighbors, Clayton

The association between student loan debt and perceived socioeconomic status and problematic drinking and mental health symptoms: A preliminary investigation.

学生贷款债务与社会经济地位、饮酒问题和心理健康症状之间的关联：初步调查。

• DOI: 10.1016/j.addbeh.2022.107576
• 发表时间: 2023
• 期刊: Addictive behaviors
• 影响因子: 4.4
• 作者: Lindgren,KristenP;Tristao,Ty;Neighbors,Clayton
• 通讯作者: Neighbors,Clayton

On the role of (implicit) drinking self-identity in alcohol use and problematic drinking: A comparison of five measures.

• DOI: 10.1037/adb0000643
• 发表时间: 2021-06
• 期刊: Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors
• 作者: Cummins J;Lindgren KP;De Houwer J
• 通讯作者: De Houwer J

Growth Mindsets of Alcoholism Buffer Against Deleterious Effects of Drinking Identity on Problem Drinking Over Time.

随着时间的推移，酗酒者的成长心态可以缓冲饮酒身份对饮酒问题的有害影响。

• DOI: 10.1111/acer.14237
• 发表时间: 2020
• 期刊: Alcoholism, clinical and experimental research
• 作者: Lindgren,KristenP;Burnette,JeniL;Hoyt,CrystalL;Peterson,KirstenP;Neighbors,Clayton
• 通讯作者: Neighbors,Clayton