Emotion dynamics and alcohol use in NIAAA-defined recovery from alcohol use disorder

NIAAA 定义的酒精使用障碍恢复中的情绪动态和酒精使用

• 批准号: 10667029
• 负责人: Braden K Linn
• 金额: $ 3.52万
• 依托单位: STATE UNIVERSITY OF NEW YORK AT BUFFALO
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-05-01 至 2023-08-14
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10667029
• 关键词: Adolescent; Affect; Affective; Alcohol consumption; Alcohols; Borderline Personality Disorder; Categories; Consumption; DSM-V; Data Collection; Development; Diagnosis; Disease remission; Emotional; Emotions; Enrollment; Frequencies; Future; Health; Heavy Drinking; Impulsivity; Individual; Intervention; Knowledge; Label; Literature; Longitudinal Studies; Maintenance; Mental disorders; Methods; Moods; National Institute on Alcohol Abuse and Alcoholism; Nature; Patients; Personal Satisfaction; Phase; Process; Recovery; Recovery of Function; Regulation; Relapse; Reporting; Role; Sampling; Smoking; Stress; Substance abuse problem; Testing; Time; Work; alcohol use disorder; chronic alcohol ingestion; cohort; drinking; emotion regulation; emotional functioning; negative affect; psychologic; recruit; response; substance use; text searching; theories; uptake

Project Summary Recovery from Alcohol Use Disorder (AUD) is comprised of two factors: (1) cessation of heavy drinking and (2) remission from a DSM-5 AUD diagnosis (NIAAA, 2021). Recognizing both the chronicity of AUD and high relapse rates, recovery is a process that unfolds over time and is categorized based on duration: initial (up to 3 months), early (3 months to one year), sustained (1-5 years), and stable (5 or more years). Across these different recovery durations, negative affect (NA) is a common precipitant of relapse or return to a non-recovery status (Lowman et al., 1996; Marlatt & Gordon, 1985; Witkiewitz & Villarroel, 2009). However, most studies examining the relationship of negative affect and relapse report only mean levels of negative affect. Emotion dynamics, including negative affect variability and emotion differentiation, have been shown to provide additional, unique information not captured in mean- level estimates (Colgan et al., 2019; Erbas et al., 2021; Jenkins et al., 2020). Information provided by emotion dynamics can provide a more nuanced understanding of how negative affect impacts recovery status and how affect regulation may vary as a function of recovery duration. Ultimately, knowledge of how emotion dynamics operate in NIAAA recovery may assist with identifying optimal timing of intervention and re-intervention during different recovery durations In order to better to understand the relationship of negative affect variability and alcohol recovery, this study proposes to recruit individuals in each of the first 3 recovery durations (e.g., initial, early, and sustained) who have achieved cessation of heavy drinking and remission from a DSM-5 AUD diagnosis and thus meet NIAAA criteria for AUD recovery. By combining a baseline assessment with 28 days of EMA reporting, it is possible to study the relationship of emotion dynamics to alcohol consumption in AUD recovery and explore covariates that may help to explain this relationship.

项目概要 酒精使用障碍 (AUD) 的恢复由两个因素组成：(1) 停止饮酒 酗酒和 (2) DSM-5 AUD 诊断缓解（NIAAA，2021）。认识 由于 AUD 的长期性和高复发率，康复是一个随着时间的推移而展开的过程 并根据持续时间进行分类：初始（最多 3 个月）、早期（3 个月至一年）、 持续（1-5年）和稳定（5年或更长时间）。在这些不同的恢复时间内， 负面情绪 (NA) 是复发或返回未康复状态的常见诱因 （Lowman 等人，1996 年；Marlatt 和 Gordon，1985 年；Witkiewitz 和 Villarroel，2009 年）。然而，大多数 研究负面情绪与旧病复发之间关系的研究仅报告了负面情绪的平均水平 负面影响。情绪动态，包括负面影响变异性和情绪 差异化，已被证明可以提供额外的、独特的信息，这些信息未在平均值中捕获 水平估计（Colgan 等人，2019；Erbas 等人，2021；Jenkins 等人，2020）。信息 情绪动态提供的信息可以更细致地了解负面情绪的程度 影响恢复状态以及影响监管如何随恢复而变化 期间。最终，了解情绪动态如何在 NIAAA 恢复中发挥作用可能会 协助确定不同恢复期间干预和重新干预的最佳时机 持续时间 为了更好地理解负面情绪变异性与酒精的关系 恢复期间，本研究建议在前 3 个恢复期间的每一个期间招募个体（例如， 初始、早期和持续）已实现戒酒和缓解症状的人 DSM-5 AUD 诊断，从而满足 NIAAA AUD 恢复标准。通过组合一个 通过 28 天的 EMA 报告进行基线评估，可以研究以下关系： 情绪动态对澳元复苏中饮酒的影响，并探索可能的协变量 有助于解释这种关系。