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：
10663807
负责人：
Emily A. Atkinson
金额：
$ 4.77万
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/10663807
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 Early identification Educational process of instructing 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 Learning Life Link Literature Longitudinal Studies Measures Mediating Mental Depression Mental disorders Mentors Meta-Analysis Modeling Outcome Parents Participant Personality Traits Play Postbaccalaureate Precipitating Factors Preparation Prevention Process Prospective Studies Public Health Publications Punishment Race Regulation Reporting Research Research Assistant Research Design Research Ethics Risk Risk Behaviors Risk Factors Risk Reduction Role Safety Sampling Schools Scientist Smoking Socialization Socioeconomic Status Students Temperament Testing Time Training Variant Work adolescent alcohol abuse alcohol use disorder design drinking economic disparity experience feature selection 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性情绪社会化，以此作为一种风险紧迫性发展的因素（在体验强烈的情绪时会轻率行动的趋势）和随后在青少年饮酒的问题。确定潜在的紧迫性前提是重要的是因为大量文献在青少年的风险过程中暗示了紧迫性有问题的饮酒（以及其他脉冲行为，例如粗暴行为，有风险的性行为和赌博）（Berg等，2016； Coskunpinar等，2013； Fischer等，2008； Stautz＆Cooper，2013）。青少年饮酒与许多公共卫生危害有关，包括物理安全风险，增加精神障碍的风险，适应不良的人格特征的增加以及过早死亡的风险增加（Birkley等，2015; De Bellis等，2000; Hingson＆Zha，2006; Kaminer，2016; Marshall，2014; Guller＆史密斯，2015年）。紧迫性与饮酒问题之间的关系，使每种关系增加另一个因子沉淀增加（Riley等，2016）。尽管紧迫性与饮酒问题已被广泛研究，对紧迫性的病因知之甚少。 Cyders和史密斯（Smith，2008）提出了一种紧迫性的发展模型，在这种模型中，儿童的气质和环境因素增加了紧迫性的风险，但在文献中仅检查了气质（Waddell等， 2021）。 Hersh和Hussong（2009）确定了负面父母情绪之间的重要关系社会化和青春期的物质使用增加，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交（Atkinson等人，正在审查中）。迄今为止，没有研究纵向研究了儿童适应性情绪社交，紧迫性和随后的问题饮酒。该提案的研究组成部分涉及两波纵向（a）测试适应不良的情绪社会化是否预测紧迫性的增加，（b）检查适应不良的情绪社交化预测问题，紧迫性介导的可能性，以及（c）在九年级的学生样本中，检查这些关系是否因种族和性别不变。确定紧迫性发展的环境风险因素将为早期提供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问题的风险饮酒和相关行为。该提案的培训部分包括（1）执行和在公立学校环境中进行纵向研究的管理，包括数据收集，与学校联系官员和后续行动；（2）发展复杂的统计分析技能；（3）进一步的高级培训研究伦理；（4）准备发表的研究报告；（5）在国际科学会议；（6）指导学期后和本科研究助理。