An Ecological Momentary Assessment of Affect, Mental Health Symptoms, and Decisions to Drink Among First-Year College Women: A Pilot Study.
An Ecological Momentary Assessment of Affect, Mental Health Symptoms, and Decisions to Drink Among First-Year College Women: A Pilot Study.
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对大学一年级女生的情感、心理健康症状和饮酒决定的生态瞬时评估：一项试点研究。
DOI：
10.1007/s11121-018-0966-6
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发表时间：
2019
期刊：
影响因子：
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通讯作者：
Turrisi,Robert
中科院分区：
文献类型：
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作者：
Slavish,DanicaC;Scaglione,NicholeM;Hultgren,BrittneyA;Turrisi,Robert
大学女生经历更多的后果（例如，在他们饮酒最多的日子里，他们会失去知觉，发生无保护/不想要的性行为。为了为预防工作提供信息，需要进行研究，以了解在事件一级影响妇女饮酒行为的决策过程。本研究使用生态瞬时评估（EMA）方法来检查：（1）积极情绪（PA）和消极情绪（NA）与大量饮酒事件发生前、发生期间和发生后的决策过程之间的关联;（2）心理健康症状作为这些关联的调节因子。女性本科饮酒者（N= 57）在智能手机上完成了为期14天的EMA协议，其中包括每天三次的PA，NA以及饮酒意愿和意图评估。在EMA方案之前测量特质焦虑和抑郁症状，并作为调节因子进行评估。时变效应模型被用来检查PA，NA之间的协变，并愿意和意图喝的日子导致参与者的最严重的饮酒事件，事件本身的一天，以及事件发生后的日子。结果显示，PA与饮酒意愿的前2天，当天，和后一天的最重的饮酒事件呈正相关。PA和饮酒意图也有类似的影响。特质焦虑调节PA和饮酒意图之间的关联。研究结果强调，积极的影响可能会影响周围大量饮酒事件的饮酒相关的决策过程，特别是在那些大学女生低焦虑。结果确定了潜在的切入点，实时干预工作，针对大学女生在PA升高的时候。
College women experience more consequences (e.g., blacking out, unprotected/unwanted sex) on days when they engage in their heaviest drinking. To inform prevention efforts, research is needed to understand decision-making processes that influence women’s drinking behaviors at the event level. The present study used ecological momentary assessment (EMA) methods to examine: (1) associations between positive affect (PA) and negative affect (NA) and decision-making processes on days leading up to, during, and following heavy drinking events; and (2) mental health symptoms as moderators of these associations. Female undergraduate drinkers (N= 57) completed a 14-day EMA protocol on their smartphones, which included three daily assessments of PA, NA, and willingness and intentions to drink. Trait anxiety and depressive symptoms were measured before the EMA protocol and assessed as moderators. Time-varying effect models were used to examine covariation among PA, NA, and willingness and intentions to drink on the days leading up to participants’ heaviest drinking events, the day of the event itself, and the days following the event. Results revealed PA was positively associated with willingness to drink the 2 days before, the day of, and the day after the heaviest drinking event. Similar effects were observed for PA and intentions to drink. Trait anxiety moderated the association between PA and intentions to drink. Findings underscore that positive affect may influence drinking-related decision-making processes surrounding heavy drinking events, particularly in those college women low in anxiety. Results identify potential entry points for real-time intervention efforts targeting college women during times of elevated PA.