Real-time momentary mood as a predictor of college students' prescription drug misuse in daily life: Direct links and the moderating role of background mental health.
Real-time momentary mood as a predictor of college students' prescription drug misuse in daily life: Direct links and the moderating role of background mental health.
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DOI：
10.1037/pha0000500
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发表时间：
2022-12
影响因子：
2.3
通讯作者：
Barringer A
中科院分区：
文献类型：
--
作者：
Papp LM;Kouros CD;Witt HK;Curtin JJ;Blumenstock SM;Barringer A
目前的研究呼吁通过测试年轻人的消极情绪和积极情绪的瞬间报告来确定处方药滥用的实时预测因素，作为日常生活中事件级滥用的预测因素。我们实施了一项为期28天的生态瞬间评估（EMA）程序，收集了个体在滥用处方药之前的情绪和其他情境体验。与问题物质使用作为减少消极情绪的手段的模型一致，层次广义线性模型的结果表明，在日常生活中，比平时更高的消极情绪与更大的处方滥用可能性之间存在内在联系。与假设相反，当情绪高涨时，滥用的可能性也更大。我们发现了对假设的人际效应的一致支持，在整个报告期间，日常生活中的处方滥用与较高的平均消极情绪水平和较低的平均积极情绪水平相关。我们进一步预测，报告社交焦虑、抑郁和外化症状水平较高的个体，将证明他们的短暂负面情绪与处方滥用之间存在更强的联系。这一适度假设得到了部分支持，在社交焦虑和抑郁程度较高（相对较低）的个体中，消极情绪和处方滥用之间的正向联系明显更强。研究结果为年轻人的瞬间情绪、心理健康症状和处方药滥用之间的复杂联系提供了支持。
The present study addressed calls for research to identify real-time predictors of prescription drug misuse by testing young adults’ momentary reports of their negative mood and positive mood as predictors of event-level misuse in daily life. We implemented a 28-day ecological momentary assessment (EMA) procedure that collected individuals’ mood and other contextual experiences in moments preceding prescription drug misuse. Consistent with models of problematic substance use as a means to reduce negativity, results from hierarchical generalized linear modeling indicated within-person links between higher than usual negative mood and greater likelihood of prescription misuse in daily life. Contrary to the hypothesis, misuse was also more likely when preceded by elevated positive mood. We found consistent support for the hypothesized between-person effects, with prescription misuse in daily life associated with higher average levels of negative mood, and lower average levels of positive mood, across the reporting period. We further predicted that individuals reporting greater levels of social anxiety, depression, and externalizing symptoms would evidence stronger links between their momentary negative mood and prescription misuse. Partial support for this moderation hypothesis was found, with the positive within-person link between negative mood and prescription misuse significantly stronger among individuals higher (vs. lower) on social anxiety and depression. Results provide support for intricate connections between young adults’ momentary mood, mental health symptoms, and prescription drug misuse.
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影响因子：
3.4
作者：
Cooney, Ned L.;Litt, Mark D.;Oncken, Cheryl A.
通讯作者：
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影响因子：
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影响因子：
4.2
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