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

项目总结/摘要 危险饮酒与焦虑症状和障碍升高同时发生的社会影响 在拉丁裔人中，这是一个重要的公共优先事项。1，2事实上，喝酒的拉丁人更有可能 经常喝酒，比非拉丁裔白人或非洲裔美国人喝更多的酒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 一项旨在阐明拉丁美洲人酒精焦虑联系机制的研究。 人们可以直接告知和战略性地指导针对这种健康差距的新疗法的开发 5学者们经常将健康结果归因于成瘾行为，如危险的 饮酒，与少数民族有关的压力（即，来自少数民族偏见的独特和长期的压力源 8，9在美国普遍存在的种族歧视。美国，10是最常见的， 拉丁裔人群中焦虑11，12和危险性饮酒13 - 16的稳健且一致的预测因子。17，18 尽管种族歧视是拉丁裔人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，这种机械性的工作对于为这一服务不足但高度贫困的群体制定有希望的干预措施至关重要。 19对非拉丁裔白人的研究表明， 回避（EA）理论上与危险饮酒和焦虑症都相关。 稳定（即，它具有类特质的性质），但最近的研究表明，它也保持了类状态的性质。 此外，研究表明，通过干预，EA是可塑性的。23，24然而，国家的机械作用， 与EA（即，EA的每日变化）尚未随时间进行研究。为了弥补这一差距， 机械知识，可以告知未来的治疗发展，拟议的工作将检查，如果较低 状态样EA将介导基线辨别症状和酒精结果之间的关联。

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.