Use of the social competence interview and the anger transcendence challenge in individuals with alcohol use disorder

Physiological Responses to Narrative Anger Recall and Correlates to Anger, Forgiveness, and Rumination

Abstract. Narrative recall, or describing an event from one’s past, is a common method to study anger in the laboratory. However, most research using this method has not included a neutral speaking control, and therefore the physiological response attributable to emotion versus the act of speech is unknown. We evaluated heart rate, blood pressure, skin conductance level, heart rate variability, and salivary alpha-amylase during silent baseline, neutral speaking, anger recall, and recovery periods, and correlated these measures with trait anger, forgiveness, and rumination ( n = 104). Only systolic blood pressure and skin conductance levels were elevated in the anger recall period above the values in the neutral speaking period, showing the need for this important control. Alpha-amylase was inversely correlated to forgiveness, particularly in females. A neutral speaking control is critical for anger recall protocols because the physiological responses are mostly due to speaking, not anger. Salivary alpha-amylase may be a promising autonomic marker in studies of forgiveness and anger.

The physiological responses to acute stress in alcohol-dependent patients: A systematic review

Dysregulation of physiological stress reactivity plays a key role in the development and relapse risk of alcohol dependence. This article reviews studies investigating physiological responses to experimentally induced acute stress in patients with alcohol dependence. A systematic search from electronic databases resulted in 3641 articles found and after screening 62 articles were included in our review. Studies are analyzed based on stress types (i.e., social stress tasks and nonsocial stress tasks) and physiological markers (i.e., the nervous system, the endocrine system, somatic responses and the immune system). In studies applying nonsocial stress tasks, alcohol-dependent patients were reported to show a blunted stress response compared with healthy controls in the majority of studies applying markers of adrenocorticotropic hormone and cortisol. In studies applying social stress tasks, findings are inconsistent, with less than half of the studies reporting altered physiological stress responses in patients. We discuss the impact of duration of abstinence, comorbidities, baseline physiological arousal and intervention on the discrepancy of study findings. Furthermore, we review evidence for an association between blunted physiological stress responses and the relapse risk among patients with alcohol dependence.

The Need for a Neutral Speaking Period in Psychosocial Stress Testing

Abstract. Tasks such as the Trier Social Stress Test, narrative recall, and some cognitive challenges require participants to speak in order to measure acute physiological responses to induced stress. Typically, the physiological measures during the stressed state are compared to a silent baseline period. This does not differentiate between stress that is induced by emotion and stress due to the physical act of vocalization. We modified a psychosocial stress task for 41 participants to add a period of neutral speaking. We hypothesized that there would be significant differences in physiological measures between the silent baseline and neutral speaking periods, and that these differences would explain a substantial proportion of the stress response traditionally attributed to emotion. Blood pressure, skin conductance level, respiration rate, salivary alpha-amylase, and high frequency heart rate variability showed significant changes during the neutral speaking period compared to a silent baseline, demonstrating the need for this control. Of the magnitude of physiological response which would have typically been attributed to emotion, 36–77% was due to vocalization alone. In stress-inducing tasks that require speaking, care should be taken in study design to account for the physiological impact of speech.

Psychological distress, health protection, and sexual practices among young men who have sex with men: Using social action theory to guide HIV prevention efforts

The present study addresses gaps in the literature related to theory development for young men who have sex with men (YMSM) sexual practices through the application and modification of Social Action Theory. Data come from the Healthy Young Men study (N = 526), which longitudinally tracked a diverse cohort of YMSM ages 18–24 to characterize risk and protective factors associated with drug use and sexual practices. Structural equation modeling examined the applicability of, and any necessary modifications to a YMSM-focused version of Social Action Theory. The final model displayed excellent fit (CFI = 0.955, TLI = 0.947, RMSEA = 0.037) and suggested concordance between social support and personal capacity for sexual health promotion. For YMSM, practicing health promotion and avoiding practices that may put them at risk for HIV was associated with both social isolation and psychological distress (β = -0.372, t = -4.601, p<0.001); psychological distress is an internalized response to environmental and cognitive factors and sexual practices are an externalized response. Results point to the utility of Social Action Theory as a useful model for understanding sexual practices among YMSM, the application of which shows health protective sexual practices are a function of sociocognitive factors that are influenced by environmental contexts. Social Action Theory can help prevention scientists better address the needs of this vulnerable population.

Environmental risk, social cognition, and drug use among young men who have sex with men: longitudinal effects of minority status on health processes and outcomes

BACKGROUND

Young men who have sex with men (YMSM) continue to be at elevated risk for substance use; however, models explaining this phenomenon have often focused on a limited array of explanatory constructs. This study examined the longitudinal relationship of contextual risk factors, social cognitive processes, mental health, and health protective behavior to identify key mechanisms of illicit drug use of YMSM as they aged through emerging adulthood.

METHODS

Our sample included an ethnically diverse cohort of 487 YMSM recruited through venue based probability sampling in Los Angeles. We used latent growth curve modeling to understand relationships between environmental risk factors, changing individual and social process variables, health protective behavior, psychological distress, and illicit drug use outcomes among YMSM.

RESULTS

Age, ethnicity, violence and discrimination, depression, and previous histories of illicit drug use were key elements of risk for future illicit drug use among YMSM. During this theoretically distinct time period, health as a value, self-efficacy, and social support are vital social cognitive processes for promoting self-change among YMSM, and YMSM have independent growth within each process. Health as a value, self-efficacy, and social support were dynamic social cognitive processes, which served as key mechanisms by which risk factors were converted into health promotion strategies or psychological distress, and ultimately illicit drug use.

CONCLUSIONS

The efficacy of prevention interventions aimed at reducing illicit drug use among YMSM can be enhanced by addressing social cognitive processes for this underserved portion of the male population.

Do angry women choose alcohol?

Women's alcohol treatment usually includes anger management, predicated on the hypothesis that anger increases their drinking. Studies show strong association between anger and drinking but to date there is no laboratory support for this hypothesis. We examined effects of a "female-specific" anger provocation on young adult women's drinking behavior by randomly assigning 30 women (age 21-30) to one of two conditions: Provocation (n=15) or Non-Provocation (n=15). In the Provocation condition, a female confederate was both annoying and condescending to the participant for 8min. A manipulation check showed heightened anger and hostility (but not anxiety or depression) in the Provocation participants. In a subsequent taste-task, all participants could drink placebo "beer" and ginger ale. When the data analysis controlled for participants' baseline negative emotions, Provocation participants consumed more "beer" (M=172.33ml, SD=78.90) than did Non-Provocation participants (M=118.60ml, SD=75.74) (p<.04), with no differences in ginger ale consumption. Results support a causal relationship between young women's anger and their specific choice to drink alcohol.

Utilizing Social Action Theory as a framework to determine correlates of illicit drug use among young men who have sex with men

Young men who have sex with men (YMSM) continue to be at elevated risk for substance use; however, models explaining this phenomenon have often focused on a limited array of explanatory constructs. This study utilizes Social Action Theory (SAT) as a framework to address gaps in research by documenting the social, behavioral, and demographic risk factors associated with illicit drug use among YMSM. Structural equation modeling was used to apply SAT to a cross-sectional sample of 526 men from the Healthy Young Men Study, a longitudinal study of substance use and sexual risk behavior among YMSM in Los Angeles. The final model possessed very good fit statistics (Comparative Fit Index (CFI) = 0.936, Tucker-Lewis Index (TLI) = 0.925, Root Mean Square Error of Approximation (RMSEA) = 0.040) indicating that SAT is appropriate for use with YMSM. Substance use interventions for YMSM could be enhanced by employing SAT as conceptualized in this study and using a multitargeted strategy for impacting illicit drug use.