Maturing out of problem drinking: An intensive longitudinal burst study of drinking to cope motivation

摆脱饮酒问题的成熟：一项针对饮酒应对动机的强化纵向突发研究

基本信息

批准号：
10626834
负责人：
HOWARD TENNEN
金额：
$ 31.12万
依托单位：
UNIVERSITY OF CONNECTICUT SCH OF MED/DNT
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-06-06 至 2025-05-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10626834
关键词：
Adult Affect Alcohol abuse Alcohol consumption Alcohol dependence Alcoholic beverage heavy drinker Attention Coping Skills Data Development Distress Effectiveness Emotions Etiology Exanthema Fatigue Funding Genetic Genotype Impulsivity Individual Individual Differences Internet Intervention Interview Investments Life Life Stress Measurement Modeling Motivation National Institute on Alcohol Abuse and Alcoholism Neurotic Disorders Outcome Participant Personality Prevention Process Research Risk Role Self-control as a personality trait Stress Surveys Symptoms Telephone Testing Variant alcohol abuse therapy alcohol measurement cohort college college drinker contextual factors coping cost effective critical developmental period critical period daily functioning diaries drinking emerging adult emotion regulation experience longitudinal design negative affect protective factors stress reactivity young adult

项目摘要

Abstract During young adulthood drinking to cope (DTC) motivation becomes more highly associated with drinking- related problems, and decreases in DTC motivation predict maturing out of problem drinking. The deleterious effect of DTC has been attributed to its ineffectiveness as a coping strategy, i.e., it often fails to reduce distress and hinders more adaptive emotion-regulation, thus continuing the distress-DTC cycle. Indeed, evidence indicates that high levels of daily negative affect predict DTC motivation, which in turn predicts fatigue, negative affect and stress-reactivity. However, no study to date has examined whether these daily processes change during young adulthood. We propose conducting a third wave in our ongoing NIAAA-funded ARC multi-year intensive longitudinal (daily diary) measurement burst study that has examined college drinkers in wave 1 and the heavier drinkers within the cohort 5 years later (post-college). The proposed third wave, 6 years after wave 2, will capture participants (N after attrition ≈ 760) in their late 20s/early 30s. Participants will complete a phone-based research interview assessing AUD symptoms. They will then complete (a) an Internet- based survey of personality and contextual factors and (b) a 30-day Internet-based daily survey of their stress, affect, drinking level, drinking motives and drinking-related problems. Our first aim is to examine changes across the 3 assessment waves in day-level associations among DTC motivation and its antecedents and outcomes, and whether changes in these daily processes are related to individual differences in neuroticism, impulsivity, recent life stress, adult social role attainment, 5-HTTLPR, FKBP5, and PER1, and PER2 genotypes, and AUD symptoms. Our second aim is to assess the perceived coping effectiveness of episode-specific instances DTC and to test whether these appraisals moderate the effect of DTC on next-day affect, self-control depletion, stress-reactivity and drinking-related problems. In the proposed wave we will assess negative urgency, i.e., the tendency to act rashly when experiencing negative emotions, and test whether it moderates the day-level associations between DTC motivation and its proximal antecedents and outcomes. Results from this study hold the promise of identifying individuals at risk for the development of AUDs in early adulthood.

抽象的在成年早期，饮酒应对（DTC）动机与饮酒的关系变得更加密切—— 相关问题以及 DTC 动机的下降预示着成熟后会摆脱酗酒问题。 DTC 的影响归因于其作为应对策略的无效性，即它常常无法减少痛苦并阻碍更具适应性的情绪调节，从而继续困扰 DTC 循环。确实有证据表明。表明每日的高水平负面情绪可以预测 DTC 动机，进而预测疲劳，然而，迄今为止还没有研究检验这些日常过程是否存在。我们在 NIAAA 资助的 ARC 项目中进行了第三次变革。多年强化纵向（每日日记）测量突发研究，对大学饮酒者进行了调查第一波和 5 年后（大学毕业后）队列中的重度饮酒者建议的第三波，6 年。第 2 波之后，将吸引 20 岁末/30 岁出头的参与者（流失后 N 约 760）。完成基于电话的研究访谈，评估 AUD 症状，然后他们将完成 (a) 互联网- 基于性格和背景因素的调查以及 (b) 为期 30 天的基于互联网的每日压力调查，我们的首要目标是检查变化。在 DTC 动机及其前因之间的日级关联中跨越 3 个评估波结果，以及这些日常过程的变化是否与神经质的个体差异有关，冲动、近期生活压力、成人社会角色成就、5-HTTLPR、FKBP5、PER1 和 PER2 基因型，我们的第二个目标是评估特定事件的应对效果。实例 DTC 并测试这些评估是否调节 DTC 对第二天情绪、自我控制的影响在拟议的浪潮中，我们将评估负面问题。紧迫感，即在经历负面情绪时鲁莽行事的倾向，并测试它是否会缓和 DTC 动机与其最近的前因和结果之间的日间关联。这项研究有望识别出在成年早期有患 AUD 风险的个体。