Maturing out of problem drinking: An intensive longitudinal burst study of drinking to cope motivation

摆脱饮酒问题的成熟：一项针对饮酒应对动机的强化纵向突发研究

• 批准号: 10626834
• 负责人: HOWARD TENNEN
• 金额: $ 31.12万
• 依托单位: UNIVERSITY OF CONNECTICUT SCH OF MED/DNT
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-06-06 至 2025-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10626834
• 关键词: Adult; Affect; Alcohol abuse; Alcohol consumption; Alcohol dependence; Alcoholic beverage heavy drinker; Attention; Coping Skills; Data; Development; Distress; Effectiveness; Emotions; Etiology; Exanthema; Fatigue; Funding; Genetic; Genotype; Impulsivity; Individual; Individual Differences; Internet; Intervention; Interview; Investments; Life; Life Stress; Measurement; Modeling; Motivation; National Institute on Alcohol Abuse and Alcoholism; Neurotic Disorders; Outcome; Participant; Personality; Prevention; Process; Research; Risk; Role; Self-control as a personality trait; Stress; Surveys; Symptoms; Telephone; Testing; Variant; alcohol abuse therapy; alcohol measurement; cohort; college; college drinker; contextual factors; coping; cost effective; critical developmental period; critical period; daily functioning; diaries; drinking; emerging adult; emotion regulation; experience; longitudinal design; negative affect; protective factors; stress reactivity; young adult

Abstract During young adulthood drinking to cope (DTC) motivation becomes more highly associated with drinking- related problems, and decreases in DTC motivation predict maturing out of problem drinking. The deleterious effect of DTC has been attributed to its ineffectiveness as a coping strategy, i.e., it often fails to reduce distress and hinders more adaptive emotion-regulation, thus continuing the distress-DTC cycle. Indeed, evidence indicates that high levels of daily negative affect predict DTC motivation, which in turn predicts fatigue, negative affect and stress-reactivity. However, no study to date has examined whether these daily processes change during young adulthood. We propose conducting a third wave in our ongoing NIAAA-funded ARC multi-year intensive longitudinal (daily diary) measurement burst study that has examined college drinkers in wave 1 and the heavier drinkers within the cohort 5 years later (post-college). The proposed third wave, 6 years after wave 2, will capture participants (N after attrition ≈ 760) in their late 20s/early 30s. Participants will complete a phone-based research interview assessing AUD symptoms. They will then complete (a) an Internet- based survey of personality and contextual factors and (b) a 30-day Internet-based daily survey of their stress, affect, drinking level, drinking motives and drinking-related problems. Our first aim is to examine changes across the 3 assessment waves in day-level associations among DTC motivation and its antecedents and outcomes, and whether changes in these daily processes are related to individual differences in neuroticism, impulsivity, recent life stress, adult social role attainment, 5-HTTLPR, FKBP5, and PER1, and PER2 genotypes, and AUD symptoms. Our second aim is to assess the perceived coping effectiveness of episode-specific instances DTC and to test whether these appraisals moderate the effect of DTC on next-day affect, self-control depletion, stress-reactivity and drinking-related problems. In the proposed wave we will assess negative urgency, i.e., the tendency to act rashly when experiencing negative emotions, and test whether it moderates the day-level associations between DTC motivation and its proximal antecedents and outcomes. Results from this study hold the promise of identifying individuals at risk for the development of AUDs in early adulthood.

抽象的 在年轻的成人饮酒期间，以应对（DTC）的动机与饮酒高度相关 - 相关问题以及DTC动机的减少预测饮酒问题。删除 DTC的效果归因于其无效作为应对策略，即通常无法减少困扰 并阻碍了更多的自适应情绪调节，从而延续了遇险-DTC周期。确实，证据 表明高水平的每日负面影响预测DTC动机，这反过来预测疲劳， 负面影响和压力反应性。但是，迄今尚无研究检查这些日常过程是否 年轻人的变化。我们建议在我们正在进行的NIAAA资助的弧线中进行第三波浪潮 多年密集的纵向（每日日记）测量爆发研究已经检查了大学饮酒者 5年后（大学后），波浪1和较重的饮酒者。提议的第三波，6年 在第2波之后，将在20年代末/30年代初捕获参与者（n后繁殖760）。参与者会 完成基于电话的研究访谈评估AUD症状。然后，他们将完成（a）互联网 - 基于人格和上下文因素的调查以及（b）30天的基于互联网的日常调查，对他们的压力调查， 影响，饮酒水平，饮酒动机和与饮酒有关的问题。我们的第一个目的是检查变化 在DTC动机及其先决条件和其前因和其前提的三个评估浪潮中 结果，以及这些日常过程中的变化是否与神经质的个体差异有关， 冲动性，最近的生活压力，成人社会角色属性，5-HTTLPR，FKBP5和PER1以及PER2基因型， 和aud符号。我们的第二个目的是评估特定于情节的感知应对效果 实例DTC并测试这些评估是否适应DTC对第二天影响，自我控制的影响 耗尽，压力反应性和与饮酒有关的问题。在拟议的浪潮中，我们将评估负面 紧迫性，即在经历负面情绪时轻率采取行动的趋势，并测试它是否适中 DTC动机及其近端前因和结果之间的日间关联。结果 这项研究有望确定成年初期有澳元的风险的人。