Emotion differentiation in early recovery from alcohol use disorder: Associations with in-the-moment affect and 3-month drinking outcomes.
Emotion differentiation in early recovery from alcohol use disorder: Associations with in-the-moment affect and 3-month drinking outcomes.
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酒精使用障碍早期恢复中的情绪分化：与即时情绪和3个月饮酒结果的关系
DOI：
10.1111/acer.14854
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发表时间：
2022-07
期刊：
影响因子：
--
通讯作者：
Eddie, David
中科院分区：
文献类型：
--
作者：
Emery, Noah N.;Walters, Kyle J.;Njeim, Lili;Barr, Maya;Gelman, Daniella;Eddie, David
酒精使用障碍（AUD）的早期恢复通常与高水平的负面影响、压力和情绪脆弱性相关，这带来了显著的复发风险。情绪区分——区分离散情绪的能力——已被证明可以预测药物使用障碍治疗后的复发，但这种关系尚未在AUD康复的个体中进行探讨。目前的研究使用每天三次随机和每天最多三次自我发起的生态瞬间评估调查（N = 42，观察值= 915）来检验1)在当前AUD恢复尝试的第一年，高情感唤醒时刻是否以个体情绪分化的瞬间差异为特征；2)个体的平均情绪分化可以预测随后的酒精使用，这是通过3个月的随访时间线来测量的。多水平模型显示，负向情绪（p < 0.001）和压力（p = 0.033）高于平均水平的时刻（水平1）负向情绪分化程度较低，而正向情绪高于平均水平的时刻（p < 0.001）正向情绪分化程度较高。在人之间水平（水平2），总体而言，压力较高的参与者具有较低的负性情绪分化（p = 0.009）。线性回归显示，在随后的3个月随访期间，平均消极情绪分化与饮酒天数百分比呈负相关，而非积极情绪分化（p = 0.042）。两种形式的平均情绪分化都与饮酒量无关。我们发现，对于早期AUD恢复的个体，情感状态与情绪分化能力的急剧变化有关。此外，我们发现平均负面情绪分化可以预测随后的酒精使用。
Early recovery from alcohol use disorder (AUD) is commonly associated with high levels of negative affect, stress, and emotional vulnerability, which confer significant relapse risk. Emotion differentiation—the ability to distinguish between discrete emotions—has been shown to predict relapse after treatment for a drug use disorder, but this relationship has not been explored in individuals recovering from AUD. The current study used thrice daily random and up to thrice daily self‐initiated ecological momentary assessment surveys (N = 42, observations = 915) to examine whether 1) moments of high affective arousal are characterized by momentary differences in emotion differentiation among individuals in the first year of a current AUD recovery attempt, and 2) individuals’ average emotion differentiation would predict subsequent alcohol use measured by the timeline follow‐back over a 3‐month follow‐up period. Multilevel models showed that moments (Level 1) of higher‐than‐average negative affect (p < 0.001) and/or stress (p = 0.033) were characterized by less negative emotion differentiation, while moments of higher‐than‐average positive affect were characterized by greater positive emotion differentiation (p < 0.001). At the between‐person level (Level 2), participants with higher stress overall had lower negative emotion differentiation (p = 0.009). Linear regression showed that average negative, but not positive, emotion differentiation was inversely associated with percent drinking days over the subsequent 3‐month follow‐up period (p = 0.042). Neither form of average emotion differentiation was associated with drinking quantity. We found that for individuals in early AUD recovery, affective states are associated with acute shifts in the capacity for emotion differentiation. Further, we found that average negative emotion differentiation prospectively predicts subsequent alcohol use.
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影响因子：
3.4
作者：
Eddie D;Bates ME;Buckman JF
通讯作者：
Buckman JF
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：
5.5
作者：
Eddie, David;Greene, M. Claire;Kelly, John F.
通讯作者：
Kelly, John F.
影响因子：
3.9
作者：
Eddie, David;Vilsaint, Corrie L.;Hoeppner, Bettina B.
通讯作者：
Hoeppner, Bettina B.
影响因子：
13.5
作者：
Breese, George R.;Sinha, Rajita;Heilig, Markus
通讯作者：
Heilig, Markus