Minority Stress and Hazardous Drinking: The Role of Daily State-Like Experiential Avoidance on Latinx with Anxiety Disorder

少数人的压力和危险饮酒：日常状态式体验性回避对患有焦虑症的拉丁裔的作用

• 批准号: 10617703
• 负责人: Nubia Angelina Mayorga
• 金额: $ 1.68万
• 依托单位: UNIVERSITY OF HOUSTON
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-04-01 至 2023-07-14
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10617703
• 关键词: Addictive Behavior; Address; Adult; Affect; African American population; Alcohol consumption; Alcohols; American; Anxiety; Anxiety Disorders; Caring; Chronic; Cirrhosis; Clinical; Development; Discrimination; Distress; Ecological momentary assessment; Esthesia; Ethnic Population; Etiology; Feeling; Female; Frequencies; Future; Goals; Health; Health Care Costs; Impairment; Individual Differences; Intention; Intervention; Knowledge; Latinx; Latinx population; Lead; Link; Maintenance; Mediating; Mediation; Memory; Methodology; Minority; Modeling; Motivation; National Institute on Alcohol Abuse and Alcoholism; Outcome; Participant; Pathway interactions; Pattern; Persons; Population; Prejudice; Prevalence; Public Health; Race; Research; Risk; Role; Sampling; Severities; Stress; Symptoms; Testing; Thinking; Time; Work; alcohol craving; alcohol misuse; anxiety symptoms; anxious; caucasian American; clinical anxiety; comorbidity; coping; disability; drinking; ethnic discrimination; experience; functional disability; hazardous drinking; health disparity; health disparity populations; individualized medicine; male; minority stress; minority stressor; mortality; novel; perceived discrimination; racial discrimination; social stigma; stem; stressor; therapy development; time use; trait

PROJECT SUMMARY/ABSTRACT The societal impact of the co-occurrence of hazardous drinking and elevated anxiety symptoms and disorders among Latinx persons is substantial and a major public priority. 1,2 Indeed, Latinx who drink are more likely to drink frequently and to drink larger quantities of alcohol than non-Latinx Whites or African Americans 3,4 Given that anxiety and hazardous drinking frequently co-occur, 5 and that alcohol is often used to cope with anxiety,6,7 research aimed at explicating the mechanisms involved in the alcohol-anxiety connection among Latinx persons can directly inform and strategically guide the development of novel treatments for this health disparity population.5 Scholars often attribute health outcomes, including addictive behaviors such as hazardous drinking, to minority-related stress (i.e., unique, and chronic stressors that stem from minority-based prejudice and stigma).8,9 Perceived racial discrimination, which is pervasive in the U. S.,10 is among the most common, robust, and consistent predictors of anxiety11,12 and hazardous drinking13–16 among the Latinx population.17,18 Although perceived racial discrimination is a key contributor to anxiety and hazardous drinking among Latinx adults, there remains a need to understand the mechanisms linking minority stress to these health disparities. Indeed, such mechanistic work is central to developing promising interventions for this underserved but highly prevalent comorbidity.19 Work on non-Latinx Whites has suggested individual differences in experiential avoidance (EA) is theoretically relevant to both hazardous drinking and anxiety disorders .20 EA is a relatively stable (i.e., it has trait-like qualities), but recent work indicates that it also maintains state-like qualities.21,22 Further, research has established EA is malleable through intervention.23,24 Yet, the mechanistic role of state- like EA (i.e., daily changes in EA) has not been investigated over time. To address this gap and facilitate mechanistic knowledge that can inform future treatment development, the proposed work will examine if lower state-like EA will mediate the association between baseline discrimination symptoms and alcohol outcomes.

项目摘要/摘要 危险饮酒和焦虑症状症状升高的社会影响 在拉丁人中，有很大的公共学学是实质性的。 经常喝酒并喝更多的酒精，比非Latinx白人或非洲裔美国人3,4给予 焦虑和危险饮酒经常同时发生，5通常用于应对焦虑，6,7 研究旨在阐明拉丁裔酒精 - 厌恶连接所涉及的机制 人们可以直接信息并从战略上指导这种健康差异的新颖治疗方法 人口。5学者通常归因于健康成果，包括危险的上瘾行为 饮酒，与少数族裔相关的压力（即独特的和慢性压力，源于少数族裔的偏见 和污名）.8,9感知的种族歧视，在美国普遍存在，10是最常见的种族歧视 焦虑症的强大和施工预测因子11、12和危险饮酒13-16。 虽然认为种族痛苦的痛苦痛苦时期痛苦痛苦导致拉丁裔焦虑和危险饮酒 成人，仍然需要了解将少数压力与健康联系起来的机制。 实际上，这种机械工作对于发展有前途的国际有希望的国际至关重要 199在非Latinx白人上的工作表明了体验中的个体差异 避免（ea）在理论上与危险饮酒和焦虑症既相关。 稳定（即具有类似特质的品质），但最近的工作表明它也保持了状态般的品质。21，22 此外，研究已经建立了EA是可师的干预。23,24然而，国家的机械作用 - 像EA（即EA的每日变化）一样，随着时间的流逝，尚未调查这一差距。 机械知识可以为未来的治疗开发提供信息，拟议的蠕虫将eft 类似州的EA将调解基线歧视症状与酒精结果之间的关联。