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.

项目摘要 从酒精使用障碍中恢复（AUD）由两个因素组成：（1）停止 大量饮酒和（2）DSM-5 AUD诊断（NIAAA，2021）。认可 AUD的慢性和高复发率的恢复都是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年以上）。在这些不同的恢复时间中， 负面影响（NA）是复发或返回未恢复状态的常见降水剂 （Lowman等，1996； Marlatt＆Gordon，1985; Witkiewitz＆Villarroel，2009）。但是，大多数 研究负面影响和复发报告的研究仅平均水平 负面影响。情绪动态，包括负面影响变异性和情感 差异化已被证明提供了其他唯一信息，而不是在含义中捕获 水平估计值（Colgan等，2019； Erbas等，2021； Jenkins等，2020）。信息 情感动态提供的可以提供对负面方式的更细微的理解 影响影响恢复状态以及影响法规如何随恢复的函数而变化 期间。最终，了解情绪动态如何在NIAAA恢复中运作的知识可能 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 为了更好地了解负面影响变异性和酒精的关系 恢复，这项研究建议在前3个恢复持续时间中招募个体（例如， 最初，早期和持久）已经停止了大量饮酒并从 DSM-5 AUD诊断，因此符合NIAAA标准以进行AUD恢复。通过组合 基线评估与28天的EMA报告，可以研究 在aud恢复中饮酒的情绪动态和探索可能的协变量 帮助解释这种关系。