Affective Dynamics Associated with Simultaneous Alcohol and Marijuana Use Outcomes among a High-risk Sample of Young Adults

高风险年轻人样本中与同时饮酒和吸食大麻结果相关的情感动态

• 批准号: 10311758
• 负责人: Katherine Walukevich-Dienst
• 金额: $ 6.92万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-07-16 至 2024-07-15
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10311758
• 关键词: Address; Adolescence; Adult; Affect; Affective; Alcohol abuse; Alcohol consumption; Alcohols; Anger; Attention; Coping Skills; Data; Development; Ecological momentary assessment; Emotions; Etiology; Feedback; Feeling; Fibrinogen; Fright; Grain; Grant; Impairment; Individual; Intervention; Literature; Longitudinal Studies; Maintenance; Manuscripts; Marijuana; Measures; Mental Health; Mental disorders; Outcome; Participant; Pattern; Persons; Prevention; Process; Public Health; Reporting; Research; Risk; Role; Sampling; Schedule; Substance Use Disorder; Surveys; Technology; Testing; Time; Training; Writing; age group; alcohol consequences; alcohol intervention; base; coping; cost efficient; drinking; emotion dysregulation; emotion regulation; emotional experience; experience; high risk; improved; individualized prevention; marijuana use; negative affect; novel; prospective; protective factors; psychosocial; recruit; secondary analysis; skills training; statistics; substance use; theories; trait; young adult

Project Summary/Abstract Simultaneous alcohol and marijuana use (SAM; using both substances at the same time so that effects overlap) is a significant public health concern among young adults in the US. Nearly one-third of young adult drinkers report past-year SAM use and rates of SAM use are continuing to rise1. These rising rates are especially concerning, as emerging data indicate that SAM use is associated with worse short- and long-term negative consequences than alcohol-only use2-6. Thus, there is a critical need to understand psychosocial vulnerability factors related to risky SAM use. Both mean levels of negative and positive affect and affective dynamics (i.e., how emotional experiences fluctuate across time and situations) are related to risky alcohol use patterns among young adults. However, specific affective vulnerability factors associated with SAM use, and whether these factors differ from alcohol-only use, remain unknown. The proposed F32 seeks to fill this gap in the literature by conducting a secondary analysis of time-intensive daily data (MPIs: Lee/Patrick; R01AA025037) to elucidate the roles of affect and affective dynamics on SAM use outcomes among a sample of high-risk adults (N = 409). We will test whether theoretically-relevant affective dynamic processes (affective instability, negative emotion differentiation): (1) are more useful for predicting SAM use and alcohol use than mean level of affect (within- and between-subjects); (2) prospectively predict changes in SAM use and use-related problems over time; and (3) can distinguish SAM use from single substance use patterns, which has direct implications for the personalization and precision of prevention and intervention efforts. In addition to addressing these specific aims, the applicant will receive training in (1) the etiology, maintenance, and intervention of alcohol use, SAM use, and co-occurring mental health problems among young adults; (2) advanced quantitative statistics; (3) ecological momentary assessment longitudinal study development and management; and (4) professional development (e.g., manuscript and grant writing). Findings from this cost-efficient study could have important implications for prevention and intervention efforts to reduce SAM use. Specifically, personalized, technology-based interventions could incorporate emotion regulation skills training and in-the-moment information to help those at risk for SAM use to practice more adaptive strategies to manage affect.

项目总结/摘要 同时使用酒精和大麻（SAM;同时使用这两种物质， 重叠）是美国年轻人的一个重大公共卫生问题。近三分之一的年轻人 饮酒者报告了去年SAM的使用情况，SAM的使用率正在继续上升1。这些增长率尤其是 令人担忧的是，新出现的数据表明，SAM的使用与更严重的短期和长期负面影响有关， 比只使用酒精的后果2 -6。因此，迫切需要了解心理社会脆弱性 与SAM使用风险有关的因素。消极和积极的影响和情感动力的平均水平（即， 情绪体验如何随时间和情况而波动）与危险的酒精使用模式有关， 年轻人然而，与SAM使用相关的特定情感脆弱性因素，以及这些因素是否 与仅使用酒精不同的因素仍然未知。拟议的F32试图填补这一空白的文献， 对时间密集型每日数据进行二次分析（MPI：Lee/帕特里克; R 01 AA 025037），以阐明 影响和情感动力学对SAM使用结果的作用在高风险成人样本中（N = 409）。我们 将测试是否理论上相关的情感动态过程（情感不稳定，消极情绪， 分化）：（1）更有助于预测SAM的使用和酒精的使用比平均水平的影响（内， 受试者之间）;（2）前瞻性预测SAM使用和使用相关问题随时间的变化;以及（3） 可以区分SAM使用与单一物质使用模式，这对个性化有直接影响 预防和干预工作的精确性。除了实现这些具体目标外，申请人还 将接受以下方面的培训：（1）酒精使用、SAM使用和并发症的病因学、维持和干预 青年人的心理健康问题;（2）先进的定量统计;（3）生态瞬时 评估纵向研究开发和管理;以及（4）专业发展（例如， 手稿和赠款写作）。这项具有成本效益的研究结果可能对以下方面产生重要影响： 预防和干预措施，以减少SAM的使用。具体来说，个性化、技术化 干预措施可以包括情绪调节技能培训和即时信息，以帮助那些 SAM使用的风险，以实践更具适应性的策略来管理影响。