Computer-Delivered Personalized Feedback Intervention for Hazardous Drinkers with Elevated Anxiety Sensitivity

针对焦虑敏感度较高的危险饮酒者的计算机提供的个性化反馈干预

• 批准号: 9359984
• 负责人: Daniel J Paulus
• 金额: $ 3.47万
• 依托单位: UNIVERSITY OF HOUSTON
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-09-14 至 2019-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9359984
• 关键词: Address; Affective; Affective Symptoms; Alcohol abuse; Alcohol consumption; Alcohol dependence; Alcohols; Anxiety; Appointments and Schedules; Attention; Behavior; Caring; Cessation of life; Comorbidity; Computers; Control Groups; Coping Behavior; Depressed mood; Depressive disorder; Development; Disease; Dropout; Emotional; Esthesia; Etiology; Feedback; Foundations; Frequencies; Fright; Funding; Future; General Population; Grant; Habits; Health; Heterogeneity; Individual; Intention; Intervention; Lead; Life; Logistics; Maintenance; Mediating; Mediator of activation protein; Mental Depression; Mental Health; Methods; Motivation; Participant; Perception; Persons; Planning Theory; Population; Prevalence; Preventive Intervention; Process; Protocols documentation; Psychopathology; Public Health; Randomized; Randomized Controlled Trials; Relapse; Reporting; Research; Rewards; Risk; Risk Behaviors; Risk Factors; Sampling; Self Efficacy; Testing; Time; Travel; United States; Validation; Work; alcohol behavior; anxiety sensitivity; anxiety symptoms; anxious; base; behavior change; brief intervention; coping; cost; cost effective; depressive symptoms; disability; drinking; drinking behavior; effective intervention; follow up assessment; follow-up; hazardous drinking; high risk; high risk drinking; high risk population; innovation; intervention program; medical specialties; mood symptom; motivational processes; negative mood; normative feedback; novel; physical conditioning; post intervention; preference; premature; primary outcome; prospective; psychologic; psychosocial; response; secondary outcome; social; social stigma; tool; willingness

Project Summary/Abstract Hazardous alcohol consumption is one of the leading causes of preventable deaths in the United States.1,2 Further, it is highly comorbid with anxiety and depressive symptoms and disorders3; hazardous alcohol use is associated with increased anxiety/depression.4 Indeed, 'affectively-vulnerable hazardous drinkers' (i.e., drinkers with elevated negative mood states or psychopathology) are 'at risk' for higher drinking rates, more problematic drinking, worsened mental health, and greater disability.5–7 Specialty care options are needed to address the unique 'affective needs' of hazardous drinkers.8,9 One promising intervention approach is to employ personalized feedback interventions (PFI). These interventions are brief, efficient, and have been shown to be effective in a number of settings and across an array of populations.10–16 However, PFIs have not been evaluated among affectively vulnerable hazardous drinkers. In order to address the heterogeneity of negative mood states and disorders among hazardous drinkers4,17, there is a need to theoretically orient the intervention approach on underlying transdiagnostic processes that underpin affective psychopathology.18 Anxiety sensitivity (AS), the tendency to fear anxiety- related sensations,19,20 is a core transdiagnostic vulnerability factor underlying the etiology and maintenance of anxiety disorders21, other emotional disorders22, and hazardous drinking23. AS is malleable in response to psychosocial interventions24, making it a prime risk factor to target in prevention/intervention programs, including PFI approaches. Integrated treatments that address hazardous drinking via AS are nonexistant. As most hazardous drinkers typically do not access treatment because of such barriers as cost, time commitments, stigma, and logistics (e.g., travel, scheduling appointments),25,26 there is a need to develop an accessible, brief, integrated tool to explicitly address the drinking-affective vulnerability comorbidity via AS. To address this public health gap, the current proposal seeks to employ a computer-delivered integrated PFI that directly addresses hazardous drinking-AS in a personalized manner. Hazardous drinkers with elevated AS (N = 130) will be randomly assigned to receive one session of PFI or attention information control with follow-up assessments at one week and one month post-intervention. The PFI will focus on targeted feedback about drinking behaviors, AS, and adaptive coping strategies.

项目摘要/摘要 有害酒精消费是美国可预防死亡的主要原因之一 状态1、2此外，它与焦虑、抑郁症状和精神障碍高度并存 饮酒与焦虑/抑郁的增加有关。4的确，“易受情感伤害的危险” 饮酒者“(即有较高负面情绪或精神病态的饮酒者)有较高饮酒量的风险。 5-7个特殊护理选项包括 需要解决危险饮酒者独特的“情感需求”。8，9一种有希望的干预方法 是采用个性化反馈干预(PFI)。这些干预措施是简短、有效的，而且 在许多情况下和在一系列人口中被证明是有效的。10-16然而，私人融资机构没有 在易受伤害的危险饮酒者中进行了评估。 为了解决危险人群中消极情绪状态和障碍的异质性 饮酒者4，17，有必要在理论上将干预方法定位于潜在的跨诊断 情感心理病理学的基础过程。18焦虑敏感性(AS)，恐惧焦虑的倾向- 相关感觉，19，20是一个核心的跨诊断易感性因素，潜在的病因和维护 焦虑症21、其他情绪障碍22和危险饮酒23。AS是可塑性的，以响应 心理社会干预24，使其成为预防/干预方案的主要风险因素， 包括PFI方法。通过AS解决危险饮酒的综合治疗是不存在的。AS 由于成本、时间等障碍，大多数危险饮酒者通常无法获得治疗 承诺、污名和后勤(例如旅行、日程安排预约)，25、26有必要制定一项 方便、简洁、集成的工具，通过AS明确解决饮酒-情感脆弱性共病问题。至 为了解决这一公共卫生差距，目前的提案寻求采用计算机提供的综合PFI， 直接解决危险饮酒问题--如以个性化的方式。AS(N)升高的危险饮酒者 =130)将被随机分配以接受一次PFI或注意力信息控制并进行后续治疗 在干预后1周和1个月进行评估。PFI将重点关注以下方面的有针对性的反馈 饮酒行为、AS与适应性应对策略。