Bidirectional prospective associations between behavioral economic indicators and drinking patterns during alcohol use disorder natural recovery attempts.
Bidirectional prospective associations between behavioral economic indicators and drinking patterns during alcohol use disorder natural recovery attempts.
复制标题
酒精使用障碍自然恢复尝试期间行为经济指标与饮酒模式之间的双向前瞻性关联。
DOI：
10.1037/adb0000859
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发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Tucker,JalieA
中科院分区：
文献类型：
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作者：
Cheong,JeeWon;Rung,JillianM;Tucker,JalieA
目标行为经济学 (BE) 理论认为，有害饮酒是酒精需求增加和对立即奖励而非延迟奖励的偏好共同产生的结果。尽管有横断面研究的支持，但 BE 指标与恢复尝试期间饮酒之间是否存在预期的双向关系尚不清楚。因此，这项前瞻性研究调查了 BE 模拟任务与自然恢复尝试后饮酒之间的逐季度交叉滞后关联。特定季度更高的需求和折扣应该可以预测随后的饮酒情况。相反，在特定季度饮酒应预测随后更高的需求和折扣。方法社区居住的问题饮酒者在未经治疗的情况下停止大量饮酒后不久就被纳入研究（N = 191）。在基线和 3、6、9 和 12 个月的随访中评估饮酒习惯、问题、延迟折扣和酒精需求（强度、O max、P max、弹性）。纵向交叉滞后模型将上一季度的每个 BE 指标与下一季度的饮酒状况相关联，反之亦然。结果第一季度较高的需求强度（免费饮料时的消费）将第二季度大量饮酒的参与者与戒酒的参与者区分开来。反过来，第 2 季度的重度饮酒参与者在第 3 季度的强度高于第 2 季度的戒酒者和中度饮酒者，并且第 3 季度的更高强度将第 4 季度的重度饮酒者与中度饮酒者区分开来 (ps<.05)。与其他 BE 指数的假设关联不一致或部分得到支持。结论酒精购买任务指标显示了一些假设的与自然恢复尝试期间饮酒的前瞻性关联，这支持了它们作为复发风险指标的生态有效性。
ObjectivesBehavioral economic (BE) theory posits that harmful alcohol use is a joint product of elevated alcohol demand and preference for immediate over delayed rewards. Despite cross-sectional research support, whether expected bidirectional relations exist between BE indicators and drinking during recovery attempts is unknown. Therefore, this prospective research investigated quarter-by-quarter cross-lagged associations between BE simulation tasks and drinking following a natural recovery attempt. Higher demand and discounting in a given quarter should predict subsequent drinking. Conversely, drinking in a given quarter should predict subsequent higher demand and discounting.MethodCommunity-dwelling problem drinkers were enrolled shortly after stopping heavy drinking without treatment (N= 191). Drinking practices, problems, delay discounting, and alcohol demand (intensity, O max, P max, elasticity) were assessed at baseline and 3-, 6-, 9-, and 12-month follow-ups. Longitudinal cross-lagged models related each BE indicator in the previous quarter to drinking status in the next quarter, and vice versa.ResultsHigher demand intensity (consumption when drinks are free) at Quarter 1 distinguished participants who drank heavily in Quarter 2 from those who abstained. In turn, heavy drinking participants in Quarter 2 had higher intensity at Quarter 3 than abstainers and moderate drinkers in Quarter 2, and higher intensity at Quarter 3 distinguished heavy drinkers in Quarter 4 from moderate drinkers (ps<. 05). Hypothesized associations for other BE indices were inconsistent or partially supported.ConclusionsAlcohol purchase task metrics showed some hypothesized prospective associations with drinking during a natural recovery attempt, which supports their ecological validity as relapse risk indicators.