Minority Stress and Hazardous Drinking: The Role of Daily State-Like Experiential Avoidance on Latinx with Anxiety Disorder

项目摘要/摘要 危险饮酒与焦虑症状和精神障碍并存的社会影响 在拉丁裔人中，这是一项重要的公共优先事项。1，2的确，喝酒的拉丁裔更有可能 经常饮酒，饮酒量比非拉丁裔白人或非裔美国人多3，4 焦虑和危险饮酒经常同时发生，5酒精经常被用来应对焦虑，6，7 旨在解释拉丁裔中酒精焦虑联系的机制的研究 人们可以直接告知并从战略上指导针对这种健康差距的新治疗方法的开发 5学者们经常将健康结果归因于，包括诸如危险的上瘾行为 饮酒，与少数群体相关的压力(即，源于基于少数群体的偏见的独特和慢性压力来源 和耻辱)。8，9在美国普遍存在的种族歧视，10是最常见的， 在拉丁裔人群中，焦虑11，12和危险饮酒13-16的可靠和一致的预测因素。 尽管感受到的种族歧视是拉丁裔焦虑和危险饮酒的关键因素 对于成年人来说，仍然需要了解将少数群体压力与这些健康差距联系起来的机制。 事实上，这种机械化的工作对于开发有希望的干预措施至关重要，这种干预措施得到的服务很少，但却很高 普遍的共生现象。19关于非拉丁裔白人的研究表明，在经验上存在个体差异 回避(EA)在理论上与危险饮酒和焦虑症都有关。20 EA是一种相对 稳定(即，它具有类似性状的品质)，但最近的研究表明，它也保持着类似状态的品质 此外，研究已经证实，通过干预，EA是可塑性的。23，24然而，国家- 像EA一样(即EA的每日变化)还没有随着时间的推移而被调查。为了弥补这一差距并促进 可以为未来的治疗发展提供信息的机械知识，拟议的工作将检查是否降低 类似国家的电针将调解基线歧视症状和酒精结果之间的联系。

PROJECT SUMMARY/ABSTRACT The societal impact of the co-occurrence of hazardous drinking and elevated anxiety symptoms and disorders among Latinx persons is substantial and a major public priority. 1,2 Indeed, Latinx who drink are more likely to drink frequently and to drink larger quantities of alcohol than non-Latinx Whites or African Americans 3,4 Given that anxiety and hazardous drinking frequently co-occur, 5 and that alcohol is often used to cope with anxiety,6,7 research aimed at explicating the mechanisms involved in the alcohol-anxiety connection among Latinx persons can directly inform and strategically guide the development of novel treatments for this health disparity population.5 Scholars often attribute health outcomes, including addictive behaviors such as hazardous drinking, to minority-related stress (i.e., unique, and chronic stressors that stem from minority-based prejudice and stigma).8,9 Perceived racial discrimination, which is pervasive in the U. S.,10 is among the most common, robust, and consistent predictors of anxiety11,12 and hazardous drinking13–16 among the Latinx population.17,18 Although perceived racial discrimination is a key contributor to anxiety and hazardous drinking among Latinx adults, there remains a need to understand the mechanisms linking minority stress to these health disparities. Indeed, such mechanistic work is central to developing promising interventions for this underserved but highly prevalent comorbidity.19 Work on non-Latinx Whites has suggested individual differences in experiential avoidance (EA) is theoretically relevant to both hazardous drinking and anxiety disorders .20 EA is a relatively stable (i.e., it has trait-like qualities), but recent work indicates that it also maintains state-like qualities.21,22 Further, research has established EA is malleable through intervention.23,24 Yet, the mechanistic role of state- like EA (i.e., daily changes in EA) has not been investigated over time. To address this gap and facilitate mechanistic knowledge that can inform future treatment development, the proposed work will examine if lower state-like EA will mediate the association between baseline discrimination symptoms and alcohol outcomes.