Behavioral activation, affect, and self-efficacy in the context of alcohol treatment for women with elevated depressive symptoms.
Behavioral activation, affect, and self-efficacy in the context of alcohol treatment for women with elevated depressive symptoms.
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DOI：
10.1037/pha0000495
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发表时间：
2022-10
影响因子：
2.3
通讯作者：
Abrantes AM
中科院分区：
文献类型：
--
作者：
Meshesha LZ;Emery NN;Blevins CE;Battle CL;Sillice MA;Marsh E;Feltus S;Stein MD;Abrantes AM
患有酒精使用障碍（AUD）的女性比男性更有可能同时患有抑郁症，饮酒以科普负面影响（NA），并将负面影响作为复发的原因。在AUD治疗寻求者中，低行为激活、NA和戒酒自我效能降低（例如，在诱人的情况下）是复发的风险因素。本研究探讨寻求治疗的女性行为激活，情感状态和自我效能之间的关联。参与者是70名女性（M = 40.50，SD = 11.59岁），患有抑郁症状，寻求AUD治疗。采用行为激活抑郁量表（BADS）评估环境参与。戒酒自我效能（AASE）量表被用来评估诱惑饮酒的积极和消极的影响，和一般的积极和消极的影响进行了评估与积极和消极的影响时间表。结果表明，行为激活与积极情感（PA; r = 0.62，p <0.001）直接相关，与抑郁（r =-0.35，p = 0.004）、消极情感（r =-0.39，p = 0.001）和在消极情感背景下的饮酒诱惑（r =-0.33，p = 0.006）负相关。在控制了抑郁症状后，行为激活仍然与更大的总体积极情感（β = 0.595，p <0.001）和更低的在消极情感背景下饮酒的诱惑（β =-0.348，p = 0.008）相关。我们的研究结果表明，行为激活，负面影响和饮酒诱惑之间存在细微的联系，而这种联系并不被抑郁症状所解释。在为女性设计AUD干预措施时，应考虑在负面影响背景下戒酒的自我效能。
Women with Alcohol use disorder (AUD) are more likely than men to have co-occurring depression, drink to cope with negative affect (NA), and cite negative affect as a contributor to relapse. Among AUD treatment seekers, low behavioral activation, NA, and reduced self-efficacy in abstaining from alcohol (e.g., in tempting situations) are relapse risk factors. This study investigated the association between behavioral activation, affective states, and self-efficacy among treatment-seeking women. Participants were 70 women (M = 40.50, SD = 11.59 years of age) with elevated depressive symptoms seeking AUD treatment. The Behavioral Activation for Depression Scale (BADS) was used to assess environmental engagement. The Alcohol Abstinence Self-Efficacy (AASE) scale was used to assess temptation to drink in contexts of positive and negative affect, and general positive and negative affect were assessed with the Positive and Negative Affect Schedule. Results indicated that behavioral activation was directly correlated with positive affect (PA; r = .62, p < .001) and inversely correlated with depression (r = −.35, p = .004), negative affect (r = −.39, p = .001), and temptation to drink in the context of negative affect (r = −.33, p = .006). After controlling for depressive symptoms, behavioral activation continued to be associated with greater general positive affect (β = .595, p < .001) and lower temptation to drink in the context of negative affect (β = −.348 p = .008). Our results suggest a nuanced association between behavioral activation, negative affect, and temptations to drink that is not accounted by depressive symptoms. Self-efficacy to abstain from drinking in a negative affect context should be considered when designing AUD interventions for women.
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DOI：
10.1111/add.14049
发表时间：
2018-03
期刊：
Addiction (Abingdon, England)
影响因子：
--
作者：
Daughters SB;Magidson JF;Anand D;Seitz-Brown CJ;Chen Y;Baker S
通讯作者：
Baker S
影响因子：
2.6
作者：
Simons JS;Emery NN;Simons RM;Wills TA;Webb MK
通讯作者：
Webb MK
影响因子：
3.7
作者：
Manos, Rachel C.;Kanter, Jonathan W.;Luo, Wen
通讯作者：
Luo, Wen
影响因子：
4.2
作者：
Hernandez-Avila, CA;Rounsaville, BJ;Kranzler, HR
通讯作者：
Kranzler, HR
影响因子：
8.2
作者：
Beery AK;Zucker I
通讯作者：
Zucker I