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

项目总结/摘要 在美国，危险的酒精消费是可预防死亡的主要原因之一。 声明1，2此外，它与焦虑和抑郁症状和障碍高度共病3;危险 酒精使用与焦虑/抑郁增加有关。4事实上，“情感脆弱的危险 饮酒者的（即，消极情绪状态或精神病理学升高的饮酒者）有更高的饮酒风险 更严重的酗酒问题、更糟糕的心理健康和更严重的残疾。5 -7专业护理选项包括 需要解决危险饮酒者独特的“情感需求”。8，9一种有前途的干预方法 个性化反馈干预（PFI）。这些干预措施简短、有效， 10 -16然而，私人融资机构并没有 在情感脆弱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，有必要在理论上指导干预方法对潜在的transdiagnosis 焦虑敏感性（AS），即害怕焦虑的倾向， 相关的感觉，19，20是一个核心transdiagnosis脆弱性因素的病因和维护， 焦虑症21、其他情绪障碍22和危险饮酒23。AS是可塑性的， 社会心理干预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。作为 大多数危险饮酒者通常由于费用、时间、 承诺、耻辱和后勤（例如，旅行，安排约会），25，26有必要制定一个 可访问的，简短的，集成的工具，以明确地解决饮酒情感的脆弱性comorbands通过AS。到 为了解决这一公共卫生差距，目前的提案寻求采用计算机交付的综合PFI， 以个性化的方式直接解决危险饮酒问题。AS升高的危险饮酒者（N = 130）将被随机分配接受一次PFI或注意力信息控制与随访 在干预后一周和一个月进行评估。PFI将重点关注以下方面的有针对性的反馈： 饮酒行为、AS和适应性应对策略。

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.