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Prouty H, Rose LE, Hussaini H, Sy JRT, Sanders SM. Psychological distress and alcohol use disorder in college students of color: Social support's moderating properties. J Ethn Subst Abuse 2024:1-17. [PMID: 38884615 DOI: 10.1080/15332640.2024.2367243] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/18/2024]
Abstract
Alcohol use is prevalent among college students. Research has found that psychological distress in the form of depression, anxiety, or loneliness has been consistently associated with greater alcohol use. Because Students of Color (SoC) disproportionately experience greater psychological distress than White students, it is critical to determine buffers against psychological distress and subsequent alcohol use consequences. Previous literature found that social support can protect against the effects of psychological distress and weaken its link with alcohol use. This study aimed to determine the moderating effect of social support in the relation between psychological distress and alcohol use among SoC. College Students of Color from across the U.S. (n = 211, Mage = 27.51, SD = 9.63) were recruited via Prolific to answer an online survey through Qualtrics. Linear regression analyses showed that psychological distress variables (i.e., depression, anxiety, and loneliness) were positively associated with alcohol use. However, moderation analysis did not find any form of social support to moderate the relation between psychological distress variables and alcohol use. Future research needs to identify other protective factors against alcohol use to support SoC in their academic journey.
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Wang C, Havewala M, Zhu Q. COVID-19 stressful life events and mental health: Personality and coping styles as moderators. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2024; 72:1068-1077. [PMID: 35471940 DOI: 10.1080/07448481.2022.2066977] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/03/2021] [Revised: 02/23/2022] [Accepted: 04/10/2022] [Indexed: 06/14/2023]
Abstract
OBJECTIVE To examine the role of COVID-19-specific stressful life events (SLE) in predicting depression, anxiety, and life satisfaction, and if personality traits (extraversion and neuroticism), and coping styles (problem-focused coping and avoidance coping) moderated these relations. PARTICIPANTS Data were collected from 371 college students (Mage = 20.59; SDage = 2.58) from one large university of the Mid-Atlantic region in the U.S. METHODS Participants completed an online survey measuring COVID-19 related stressful life events (adapted from a tool developed to measure stressful life events during the SARS pandemic; Costa et al., 2001; Main et al., 2011), personality (the Mini-Markers; Saucier, 1994), coping styles (by using a measure developed by Aldrige-Gerry et al., 2011), depression (PHQ-9; Kroenke et al., 2011), anxiety (GAD-7; Spitzer et al., 2006), and life satisfaction (Student's Life Satisfaction Scale, Huebner, 1996) between March 27th and April 27th, 2020. RESULTS Path analysis results showed that extraversion and avoidance coping style moderated the effects of SLE on depression and anxiety symptoms; neuroticism and avoidance coping style moderated the relation between SLE and life satisfaction. The moderation results also differed by gender. CONCLUSIONS These findings indicated that the COVID-19 pandemic had deleterious effects on college students' mental health, where extraversion emerged as a protective factor, while neuroticism and avoidance coping style were risk factors. These findings underscore the importance of paying special attention to college students' mental health needs and promoting appropriate coping strategies in the light of the current pandemic.
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Affiliation(s)
- Cixin Wang
- Department of Counseling, Higher Education, & Special Education, University of Maryland, College Park, Maryland, USA
| | - Mazneen Havewala
- Department of Counseling, Higher Education, & Special Education, University of Maryland, College Park, Maryland, USA
| | - Qianyu Zhu
- Department of Counseling, Higher Education, & Special Education, University of Maryland, College Park, Maryland, USA
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Cho D, Roth M, Peterson SK, Jennings K, Kim S, Weathers SP, Ahmed S, Livingston JA, Barcenas C, You YN, Milbury K. Associations Between Stress, Health Behaviors, and Quality of Life in Young Couples During the Transition to Survivorship: Protocol for a Measurement Burst Study. JMIR Res Protoc 2024; 13:e53307. [PMID: 38652520 PMCID: PMC11077407 DOI: 10.2196/53307] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2023] [Revised: 12/20/2023] [Accepted: 12/21/2023] [Indexed: 04/25/2024] Open
Abstract
BACKGROUND Cancer is a life-threatening, stressful event, particularly for young adults due to delays and disruptions in their developmental transitions. Cancer treatment can also cause adverse long-term effects, chronic conditions, psychological issues, and decreased quality of life (QoL) among young adults. Despite numerous health benefits of health behaviors (eg, physical activity, healthy eating, no smoking, no alcohol use, and quality sleep), young adult cancer survivors report poor health behavior profiles. Determining the associations of stress (either cancer-specific or day-to-day stress), health behaviors, and QoL as young adult survivors transition to survivorship is key to understanding and enhancing these survivors' health. It is also crucial to note that the effects of stress on health behaviors and QoL may manifest on a shorter time scale (eg, daily within-person level). Moreover, given that stress spills over into romantic relationships, it is important to identify the role of spouses or partners (hereafter partners) in these survivors' health behaviors and QoL. OBJECTIVE This study aims to investigate associations between stress, health behaviors, and QoL at both within- and between-person levels during the transition to survivorship in young adult cancer survivors and their partners, to identify the extent to which young adult survivors' and their partners' stress facilitates or hinders their own and each other's health behaviors and QoL. METHODS We aim to enroll 150 young adults (aged 25-39 years at the time of cancer diagnosis) who have recently completed cancer treatment, along with their partners. We will conduct a prospective longitudinal study using a measurement burst design. Participants (ie, survivors and their partners) will complete a daily web-based survey for 7 consecutive days (a "burst") 9 times over 2 years, with the bursts spaced 3 months apart. Participants will self-report their stress, health behaviors, and QoL. Additionally, participants will be asked to wear an accelerometer to assess their physical activity and sleep during the burst period. Finally, dietary intake (24-hour diet recalls) will be assessed during each burst via telephone by research staff. RESULTS Participant enrollment began in January 2022. Recruitment and data collection are expected to conclude by December 2024 and December 2026, respectively. CONCLUSIONS To the best of our knowledge, this will be the first study that determines the interdependence of health behaviors and QoL of young adult cancer survivors and their partners at both within- and between-person levels. This study is unique in its focus on the transition to cancer survivorship and its use of a measurement burst design. Results will guide the creation of a developmentally appropriate dyadic psychosocial or behavioral intervention that improves both young adult survivors' and their partners' health behaviors and QoL and potentially their physical health. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) DERR1-10.2196/53307.
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Affiliation(s)
- Dalnim Cho
- Department of Health Disparities Research, The University of Texas MD Anderson Cancer Center, Houston, TX, United States
| | - Michael Roth
- Department of Pediatrics, The University of Texas MD Anderson Cancer Center, Houston, TX, United States
| | - Susan K Peterson
- Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, TX, United States
| | - Kristofer Jennings
- Department of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, TX, United States
| | - Seokhun Kim
- The Center for Clinical Research and Evidence-Based Medicine, The University of Texas McGovern Medical School, Houston, TX, United States
| | - Shiao-Pei Weathers
- Department of Neuro-Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States
| | - Sairah Ahmed
- Department of Lymphoma-Myeloma, The University of Texas MD Anderson Cancer Center, Houston, TX, United States
| | - J Andrew Livingston
- Department of Sarcoma Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States
| | - Carlos Barcenas
- Department of Breast Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States
| | - Y Nancy You
- Department of Colon & Rectal Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX, United States
| | - Kathrin Milbury
- Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, TX, United States
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Dora J, Piccirillo M, Foster KT, Arbeau K, Armeli S, Auriacombe M, Bartholow B, Beltz AM, Blumenstock SM, Bold K, Bonar EE, Braitman A, Carpenter RW, Creswell KG, De Hart T, Dvorak RD, Emery N, Enkema M, Fairbairn C, Fairlie AM, Ferguson SG, Freire T, Goodman F, Gottfredson N, Halvorson M, Haroon M, Howard AL, Hussong A, Jackson KM, Jenzer T, Kelly DP, Kuczynski AM, Kuerbis A, Lee CM, Lewis M, Linden-Carmichael AN, Littlefield A, Lydon-Staley DM, Merrill JE, Miranda R, Mohr C, Read JP, Richardson C, O’Connor R, O’Malley SS, Papp L, Piasecki TM, Sacco P, Scaglione N, Serre F, Shadur J, Sher KJ, Shoda Y, Simpson TL, Smith MR, Stevens A, Stevenson B, Tennen H, Todd M, Treloar Padovano H, Trull T, Waddell J, Walukevich-Dienst K, Witkiewitz K, Wray T, Wright AG, Wycoff AM, King KM. The daily association between affect and alcohol use: A meta-analysis of individual participant data. Psychol Bull 2023; 149:1-24. [PMID: 37560174 PMCID: PMC10409490 DOI: 10.1037/bul0000387] [Citation(s) in RCA: 14] [Impact Index Per Article: 14.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/11/2023]
Abstract
Influential psychological theories hypothesize that people consume alcohol in response to the experience of both negative and positive emotions. Despite two decades of daily diary and ecological momentary assessment research, it remains unclear whether people consume more alcohol on days they experience higher negative and positive affect in everyday life. In this preregistered meta-analysis, we synthesized the evidence for these daily associations between affect and alcohol use. We included individual participant data from 69 studies (N = 12,394), which used daily and momentary surveys to assess affect and the number of alcoholic drinks consumed. Results indicate that people are not more likely to drink on days they experience high negative affect, but are more likely to drink and drink heavily on days high in positive affect. People self-reporting a motivational tendency to drink-to-cope and drink-to-enhance consumed more alcohol, but not on days they experienced higher negative and positive affect. Results were robust across different operationalizations of affect, study designs, study populations, and individual characteristics. These findings challenge the long-held belief that people drink more alcohol following increases in negative affect. Integrating these findings under different theoretical models and limitations of this field of research, we collectively propose an agenda for future research to explore open questions surrounding affect and alcohol use.
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Affiliation(s)
- Jonas Dora
- University of Washington; Seattle, United States
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Noah Emery
- Colorado State University; Fort Collins, United States
| | | | | | | | | | | | | | | | | | | | | | - Andrea Hussong
- University of North Carolina; Chapel Hill, United States
| | | | | | | | | | - Alexis Kuerbis
- Hunter College of the City University of New York; New York, United States
| | | | - Melissa Lewis
- University of North Texas; Fort Worth, United States
| | | | | | | | | | | | - Cynthia Mohr
- Portland State University; Portland, United States
| | | | | | | | | | - Lauren Papp
- University of Wisconsin; Madison, United States
| | | | - Paul Sacco
- University of Maryland; Baltimore, United States
| | | | | | | | | | - Yuichi Shoda
- University of Washington; Seattle, United States
| | - Tracy L. Simpson
- University of Washington; Seattle, United States
- VA Puget Sound Healthcare System; Seattle, United States
| | | | | | | | - Howard Tennen
- University of Connecticut; Farmington, United States
| | | | | | - Timothy Trull
- University of Missouri-Columbia; Columbia, United States
| | | | | | | | - Tyler Wray
- Brown University; Providence, United States
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Stone JA, Ryerson NC. Tweeting about alcohol: Exploring differences in Twitter sentiment during the onset of the COVID-19 pandemic. PLoS One 2022; 17:e0276863. [PMID: 36327323 PMCID: PMC9632796 DOI: 10.1371/journal.pone.0276863] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2022] [Accepted: 10/16/2022] [Indexed: 11/06/2022] Open
Abstract
This study explores pandemic-related changes in Twitter communication by examining differences in emotional, psychological and social sentiment between alcohol-related tweets and a random sample of non-alcohol tweets during the onset of the COVID-19 pandemic. Two equivalent size sets of English-language, COVID-specific tweets posted between February 1st and April 20th, 2020 are examined. The first set includes 1.5 million tweets containing alcohol-related keywords, while the second set does not contain such references. LIWC software analyzed the tweets for sentiment factors. ANCOVAs were used to determine whether language use significantly differed between the sets, considering differences in the pandemic period (before or after the pandemic declaration) while controlling for the number of tweets. The study found that tweets in the 40 days after March 11, 2020 contained more authentic language, more affiliation-oriented language, and exhibited more positive emotion than tweets in the 40 days pre-declaration. Alcohol-related status was a significant factor only when tweets contained personal concerns, regardless of pandemic period. Authenticity levels increased significantly in alcohol-related tweets post-declaration. The findings suggest alcohol may play a lesser role in the expression of psychological, social, and emotional sentiment than the pandemic period, but interaction between authentic language and alcohol references may reflect an increased use of alcohol for coping.
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Affiliation(s)
- Jeffrey A. Stone
- Department of Information Sciences and Technology, Penn State University, Center Valley, PA, United States of America
- * E-mail:
| | - Nicole C. Ryerson
- Department of Psychology, Penn State University, Center Valley, PA, United States of America
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Blair A, Siddiqi A. The social determinants of substance use associated with deaths of despair: Individual risks and population impacts. Prev Med 2022; 164:107327. [PMID: 36334684 DOI: 10.1016/j.ypmed.2022.107327] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/14/2021] [Revised: 10/03/2022] [Accepted: 10/30/2022] [Indexed: 11/09/2022]
Abstract
As the incidence of deaths from external causes including poisonings, suicide, and alcohol-related liver disease, increases in countries such as the United States and Canada, a better understanding of the fundamental social determinants of the substance use underlying these so-called "deaths of despair", at the population level, is needed. Using data from the nationally representative data from the Canadian Community Health Survey (2003, 2015-2016, 2018 cycles) (N = 30,729), the independent associations between age, sex, marital status, immigrant status, race/ethnicity, education, income, rurality, affective health and the use of illicit substances, opioids (without distinction for prescription status), problematic levels of alcohol, and combined past-year use (≥2) of substances, were explored using multivariate logistic regression, marginal risk, and population attributable fraction estimation, with propensity score-adjusted sensitivity analyses. Males, those who were under 29 years, without a partner, born in Canada, White, or had an affective disorder reported both higher use of individual substances and multiple substances in the past year. Social determinants appear to explain a substantial proportion of substance use patterns overall. Between 10% and 45% of illicit substance, problematic alcohol, and polysubstance use prevalence was attributable to non-partnered marital status, non-immigrant status, and White race/ethnicity. Of opioid use prevalence, 25% was attributable to White race/ethnicity, 13% to affective disorder status and 4% to lower-income. Though not all substance use will result in substance-related morbidity or mortality, these findings highlight the role of social determinants in shaping the intermediary behavioural outcomes that shape population-level risk of "deaths of despair".
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Affiliation(s)
- Alexandra Blair
- University of Toronto Dalla Lana School of Public Health, 155 College Street, Toronto, Ontario M5T 3M7, Canada.
| | - Arjumand Siddiqi
- University of Toronto Dalla Lana School of Public Health, 155 College Street, Toronto, Ontario M5T 3M7, Canada; Gillings School of Global Public Health, University of North Carolina-Chapel Hill, Chapel Hill, USA
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7
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Blair A, Siddiqi A. Social determinants of ethno-racial inequalities in substance use: a decomposition of national survey data. Soc Psychiatry Psychiatr Epidemiol 2022; 57:2013-2022. [PMID: 35482051 DOI: 10.1007/s00127-022-02281-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/27/2021] [Accepted: 03/31/2022] [Indexed: 11/21/2022]
Abstract
BACKGROUND Similar to the US, mortality due to suicide and the use of opioids, alcohol, and other substances (so-called "Deaths of Despair"), is rising in Canada and has been disproportionately observed among Whites compared to other racial and ethnic groups. This study aimed to assess the determinants of the ethno-racial differences in the use of substances that underlie these deaths. METHODS Using nationally representative data from the Canadian Community Health Survey (2003, 2015-2016, 2018 cycles), a decomposition analysis was performed to estimate the contribution of psychosocial determinants, including age, sex, marital status, immigration, education, income, rurality, and affective health on inequalities between White and non-White populations in illicit substance, opioid, and problematic alcohol use and combined use (≥ 2) of substances. RESULTS Overall, White respondents reported higher levels (by 5% to 10%) of substance use than non-White peers. Over 30% of the ethno-racial inequalities in illicit substance, problematic alcohol, and polysubstance use are explained by the protective role of immigration among those who are not White, whose low levels of substance use lower the prevalence in the non-White population overall. Among those born in Canada, no ethno-racial differences in substance use were observed. CONCLUSION Social determinants, particularly immigrant status, explain a substantial proportion of ethno-racial inequalities in substance use in Canada. The jump in substance use between racialized populations who immigrated to Canada and those Canadian-born highlights the importance of exploring within-group variability in deaths of despair risk and considering how intersecting forces including systemic racism shape substance use patterns across generations.
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Affiliation(s)
- Alexandra Blair
- Dalla Lana School of Public Health, University of Toronto, 155 College Street, Toronto, ON, M5T 3M7, Canada.
| | - Arjumand Siddiqi
- Dalla Lana School of Public Health, University of Toronto, 155 College Street, Toronto, ON, M5T 3M7, Canada.,Gillings School of Global Public Health, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA
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8
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Peisch V, Burt KB. The structure and function of coping in emerging adults. CURRENT PSYCHOLOGY 2022. [DOI: 10.1007/s12144-020-00990-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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9
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Wolkowicz NR, Peltier MR, Wemm S, MacLean RR. Subjective stress and alcohol use among young adult and adult drinkers: Systematic review of studies using Intensive Longitudinal Designs. DRUG AND ALCOHOL DEPENDENCE REPORTS 2022; 3:100039. [PMID: 36845979 PMCID: PMC9949329 DOI: 10.1016/j.dadr.2022.100039] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/04/2021] [Revised: 02/18/2022] [Accepted: 03/07/2022] [Indexed: 12/28/2022]
Abstract
Background: Understanding how stress dynamically associates with alcohol use could provide a finer-grain resolution of drinking behavior, facilitating development of more effective and personalized interventions. The primary aim of this systematic review was to examine research using Intensive Longitudinal Designs (ILDs) to determine if greater naturalistic reports of subjective stress (e.g., those assessed moment-to-moment, day-to-day) in alcohol-drinkers associated with a) greater frequency of subsequent drinking, b) greater quantity of subsequent drinking, and c) whether between-/within-person variables moderate or mediate any relationships between stress and alcohol use. Methods: Using PRISMA guidelines, we searched EMBASE, PubMed, PsycINFO, and Web of Science databases in December 2020, ultimately identifying 18 eligible articles, representing 14 distinct studies, from a potential pool of 2,065 studies. Results: Results suggested subjective stress equivocally predicted subsequent alcohol use; in contrast, alcohol use consistently demonstrated an inverse relationship with subsequent subjective stress. These findings remained across ILD sampling strategy and most study characteristics, except for sample type (treatment-seeking vs. community/collegiate). Conclusions: Results appear to emphasize the stress-dampening effects of alcohol on subsequent stress levels and reactivity. Classic tension-reduction models may instead be most applicable to heavier-drinking samples and appear nuanced in lighter-drinking populations, and may depend on specific moderators/mediators (e.g., race/ethnicity, sex, relative coping-strategy use). Notably, a preponderance of studies utilized once-daily, concurrent assessments of subjective stress and alcohol use. Future studies may find greater consistency by implementing ILDs that integrate multiple within-day signal-based assessments, theoretically-relevant event-contingent prompts (e.g., stressor-occurrence, consumption initiation/cessation), and ecological context (e.g., weekday, alcohol availability).
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Affiliation(s)
| | | | | | - R. Ross MacLean
- VA Connecticut Healthcare System
- Yale University School of Medicine
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10
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Cole VT, Hussong AM, McNeish DM, Ennett ST, Rothenberg WA, Gottfredson NC, Faris RW. The Role of Social Position Within Peer Groups in Distress-Motivated Smoking Among Adolescents. J Stud Alcohol Drugs 2022; 83:420-429. [PMID: 35590183 PMCID: PMC9134997] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2020] [Accepted: 11/10/2021] [Indexed: 05/03/2023] Open
Abstract
OBJECTIVE The relationship between smoking and adolescents' peer relationships is complex, with studies showing increased risk of smoking for adolescents of both very high and very low social position. A key question is whether the impact of social position on smoking depends on an adolescent's level of coping motives (i.e., their desire to use smoking to mitigate negative affect). METHOD We assessed how social position predicts nicotine dependence in a longitudinal sample (N = 3,717; 44.8% male; mean age = 13.41 years) of adolescent lifetime smokers measured between 6th and 12th grades. Using both social network analysis and multilevel modeling, we assessed this question at the between-person and within-person level, hypothesizing that within-person decreases in social position would lead to increased risk of nicotine dependence among those with high levels of coping motives. RESULTS In contrast to our hypotheses, only interactions with the between-person measures of social position were found, with a slight negative relationship at low levels of coping motives. In addition, the main effect of coping motives was considerably stronger than that of social position at the between-person level, and social position had no significant within-person main effect on nicotine dependence risk. CONCLUSIONS These results suggest that adolescents with higher overall levels of social position among their peers may have slightly decreased risk for nicotine dependence, but only when coping motives are low. Counter to expectations, higher levels of nicotine dependence risk were not linked to fluctuations in social position.
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Affiliation(s)
- Veronica T. Cole
- Department of Psychology, Wake Forest University, Winston-Salem, North Carolina
| | - Andrea M. Hussong
- Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
| | | | - Susan T. Ennett
- Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
| | | | - Nisha C. Gottfredson
- Gillings School of Global Public Health, Psychology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
| | - Robert W. Faris
- Department of Sociology, University of California at Davis, Davis, California
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11
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Tovmasyan A, Monk RL, Heim D. Towards an affect intensity regulation hypothesis: Systematic review and meta-analyses of the relationship between affective states and alcohol consumption. PLoS One 2022; 17:e0262670. [PMID: 35100278 PMCID: PMC8803173 DOI: 10.1371/journal.pone.0262670] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2021] [Accepted: 01/03/2022] [Indexed: 01/17/2023] Open
Abstract
While self-medication and positive and negative reinforcement models of alcohol use suggest that there is an association between daily affect and alcohol consumption, findings within the academic literature have been inconsistent. This pre-registered systematic review meta-analytically interrogated the results from studies amongst non-clinical populations that examine the relationship between daily affective states and alcohol consumption volume. PRISMA guided searches of PsychINFO, PsycARTICLES, Science Direct, PubMed, SCOPUS, and JSTOR databases were conducted. When both laboratory and field studies were included, meta-analyses with robust variance estimation yielded 53 eligible studies on negative affect (8355 participants, 127 effect sizes) and 35 studies for positive affect (6384 participants, 50 effect sizes). The significant pooled associations between intra-day affect and alcohol consumption were r = .09, [.03, .14] for negative affect, and r = .17, [.04, .30] for positive affect. A small-to-medium sized effect (d = .275, [.11, .44]) of negative affect on daily alcohol consumption volume was found in laboratory studies (14 studies, 1100 participants). While publication bias was suspected, P-curve analyses suggested that the results were unlikely to be the product of publication bias and p-hacking alone, and selection model analysis revealed no significant differences in results when publication bias was accounted for. For negative affect, using number of drinks as the measure of alcohol consumption was associated with lower effect sizes. For positive affect, the results demonstrated a decline of this observed effect over time. Overall, findings point towards the possibility of developing an affect intensity regulation theory of alcohol use. Conceptualizing the mood-alcohol nexus in terms of affect intensity regulation may afford a more parsimonious explanation of alcohol consumption rather than viewing the behavior as being shaped by either positive or negative affective states.
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Affiliation(s)
- Anna Tovmasyan
- Department of Psychology, Edge Hill University, Ormskirk, Lancashire, United Kingdom
- Liverpool Centre for Alcohol Research, Liverpool, United Kingdom
| | - Rebecca L. Monk
- Department of Psychology, Edge Hill University, Ormskirk, Lancashire, United Kingdom
- Liverpool Centre for Alcohol Research, Liverpool, United Kingdom
| | - Derek Heim
- Department of Psychology, Edge Hill University, Ormskirk, Lancashire, United Kingdom
- Liverpool Centre for Alcohol Research, Liverpool, United Kingdom
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12
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Dauber S, Beacham A, Hammond C, West A, Thrul J. Adaptive Text Messaging for Postpartum Risky Drinking: Conceptual Model and Protocol for an Ecological Momentary Assessment Study (Preprint). JMIR Res Protoc 2022; 11:e36849. [PMID: 35373778 PMCID: PMC9016512 DOI: 10.2196/36849] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2022] [Revised: 03/01/2022] [Accepted: 03/01/2022] [Indexed: 11/13/2022] Open
Abstract
Background Risky drinking is prevalent among women of childbearing age. Although many women reduce their drinking during pregnancy, more than half return to prepregnancy levels during the early postpartum period. Risky drinking in new mothers may be associated with negative child and maternal health outcomes; however, new mothers are unlikely to seek treatment for risky drinking because of stigma and fear of child protective service involvement. SMS text messaging is a promising approach for reaching non–treatment-seeking new mothers at risk because of risky drinking. SMS text messaging interventions (TMIs) are empirically supported for alcohol use, but a tailored intervention for new mothers does not exist. This study aims to fill this gap by developing a just-in-time adaptive TMI for postpartum risky drinking. Objective The objectives of this paper are to present a preliminary conceptual model of postpartum risky drinking and describe the protocol for conducting an ecological momentary assessment (EMA) study with new mothers to inform the refinement of the conceptual model and development of the TMI. Methods This paper presents a preliminary conceptual model of postpartum risky drinking based on the motivational model of alcohol use, social cognitive theory, and temporal self-regulation theory. The model proposes three primary intervention targets: motivation, self-efficacy, and self-regulation. Theoretical and empirical literature in support of the conceptual model is described. The paper also describes procedures for a study that will collect EMA data from 30 participants recruited via social media and the perinatal Central Intake system of New Jersey. Following the baseline assessment, EMA surveys will be sent 5 times per day for 14 days. The assessment instruments and data analysis procedures are described. Results Recruitment is scheduled to begin in January 2022 and is anticipated to conclude in March 2022. Study results are estimated to be published in July 2022. Conclusions The study findings will enhance our understanding of daily and momentary fluctuations in risk and protective factors for risky drinking during the early postpartum period. The findings will be used to refine the conceptual model and inform the development of the TMI. The next steps for this work include the development of intervention components via an iterative participatory design process and testing of the resulting intervention in a pilot microrandomized trial. International Registered Report Identifier (IRRID) PRR1-10.2196/36849
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Affiliation(s)
- Sarah Dauber
- Partnership to End Addiction, New York, NY, United States
| | - Alexa Beacham
- Partnership to End Addiction, New York, NY, United States
| | - Cori Hammond
- Partnership to End Addiction, New York, NY, United States
| | - Allison West
- Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States
| | - Johannes Thrul
- Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States
- Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, MD, United States
- Centre for Alcohol Policy Research, La Trobe University, Melbourne, Australia
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13
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Agrawal S, Krishna SM. Communication Apprehension and Psychological Well-Being of Students in Online Learning. Behav Sci (Basel) 2021; 11:145. [PMID: 34821606 PMCID: PMC8614880 DOI: 10.3390/bs11110145] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2021] [Revised: 10/16/2021] [Accepted: 10/19/2021] [Indexed: 12/03/2022] Open
Abstract
The current pandemic has modified how education, learning, and technology interact with one another inside universities. The usage of technology for instructional purposes raises the question of whether learning that happens in an online environment is as effective as traditional classroom models. Within this context, this study explores the psychological well-being of students during the COVID-19 pandemic, using an online cross-sectional survey. Data were collected from 246 university students currently studying at a private university in India. Hierarchical regression analysis and structural equation modelling were used to study the mediating effects between communication apprehension, perceived learning, and psychological well-being under the moderating effects of intention to use social media and psychological stress. Results show that higher intentions to use social media alleviated the negative effects of communication apprehension on perceived learning. Interestingly, it was also found that perceived learning had a significant positive relationship with psychological well-being when students experienced higher levels of psychological stress (eustress). Based on the technology acceptance model (TAM) and the transactional theory of stress and coping, we attempt to integrate the findings related to these theories, which can be considered distinct to previous studies. Implications, limitations, and future directions for research and practice have also been discussed.
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Affiliation(s)
- Somya Agrawal
- Department of Information Management, Chaoyang University of Technology, Taichung 413310, Taiwan;
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14
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Fruehwirth JC, Gorman BL, Perreira KM. The Effect of Social and Stress-Related Factors on Alcohol Use Among College Students During the Covid-19 Pandemic. J Adolesc Health 2021; 69:557-565. [PMID: 34353720 PMCID: PMC8415772 DOI: 10.1016/j.jadohealth.2021.06.016] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/29/2021] [Revised: 06/14/2021] [Accepted: 06/16/2021] [Indexed: 12/01/2022]
Abstract
PURPOSE The aim of this article is to study how Covid-19 stress-related factors and changes in social engagement during the pandemic contributed to changes in alcohol use among first-year college students. METHODS We used data on 439 first-year students (ages 18-20) at a large public university in North Carolina both before (October 2019 to February 2020) and after (June/July 2020) the start of the Covid-19 pandemic. We evaluated changes in prevalence and days of alcohol use and binge drinking. We estimated the associations between Covid-19 stressors/stress (work reductions, health, distanced learning difficulties, perceived stress) and social engagement (perceived social support from friends, social isolation, and social distancing) after controlling for students' pre-pandemic alcohol use, social engagement, and demographic characteristics. RESULTS We found that the prevalence of alcohol use and binge drinking in the past 30 days decreased from 54.2% to 46.0% and 35.5% to 24.6%, respectively; days of use did not change significantly. The decreases were primarily associated with reductions in social engagement. Among Covid-19 stressors/stress, only challenges with distance learning were associated with higher alcohol use among those who were already drinking prior to the pandemic. Drinking increased more among those who endorsed using substances to cope, while drinking was not associated with resilient coping. CONCLUSIONS Unless new drinking habits are formed during the pandemic, decreases in alcohol use among college students are unlikely to be sustained as social distancing measures are removed. Colleges may want to target interventions to students who have responded to stress with increased alcohol use, partly by addressing difficulties with distance learning.
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Affiliation(s)
- Jane Cooley Fruehwirth
- Department of Economics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
| | - Benjamin L Gorman
- Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
| | - Krista M Perreira
- Department of Social Medicine, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
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15
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Caricati L, Ferrari D. Association between coping strategies and drug use in a large cohort of students from a northern Italian University. ACTA BIO-MEDICA : ATENEI PARMENSIS 2021; 92:e2021267. [PMID: 34487061 PMCID: PMC8477103 DOI: 10.23750/abm.v92i4.11872] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/03/2021] [Accepted: 06/07/2021] [Indexed: 12/04/2022]
Abstract
BACKGROUND AND AIM OF THE WORK Illicit drug (ID) use/abuse represent a social and economic burden for most countries worldwide which, in spite of the efforts to prevent this phenomena, is often a growing habit especially in the young adults. Preventive measurements, are needed to reduce the adverse health and social consequences of ID use/abuse. METHODS This study investigated the relationship between coping strategies and ID use in students (N=12316) from the University of Parma, Italy. Information about the ID use in the past 12 months and coping strategies were collected with a cross-sectional research design using an online questionnaire. RESULTS More than 25% of the participants used ID in the past year; men were more likely to use drugs than female; the likelihood of using drugs was inversely related to age. The relationship between coping strategies and ID use was analyzed with a multilevel logistic model taking into account the within-department nested structure of data. Analysis revealed that transcendence-orientation and problem-orientation were associated with a reduction of the likelihood to have used drugs. Conversely, avoidance and positive attitude were associated with an increase of the likelihood to have used drugs. Finally, seeking social support revealed a positive but modest association with increasing in drug use. CONCLUSIONS The ID use association factors identified in this study could be utilized by the appropriate institutions/authorities as a critical review in order to develop relevant public health policies and preventive measures aimed at minimizing the use of ID in this critical age group.
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Affiliation(s)
- Luca Caricati
- Department of Humanities, Social Sciences and Cultural Industries, University of Parma, Parma, Italy.
| | - Davide Ferrari
- Department of Che-mistry, Life Sciences and Environmental Sustainability, University of Parma, Parma, Italy.
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16
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Cho D, Milbury K, Liao Y, Pettaway CA, Gregg JR, Li Y, McNeill LH. Study protocol: One plus one can be greater than two-Ecological momentary assessment for Black prostate cancer survivors and partners. PLoS One 2021; 16:e0255614. [PMID: 34370761 PMCID: PMC8351991 DOI: 10.1371/journal.pone.0255614] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2021] [Accepted: 07/20/2021] [Indexed: 11/18/2022] Open
Abstract
Given that romantic partners play a pivotal role in patients' survivorship period, integrating partners into survivorship care and broadening the focus of behavioral interventions from the individual (survivor) to the survivor-partner dyad may make healthy lifestyle behaviors more easily adopted and potentially maintained. Understanding the role of dyadic processes in Black survivors is particularly important because their lifestyle behaviors are poor and they have higher cancer-specific and all-cause mortality. To develop an effective dyadic lifestyle behavior intervention for Black survivors, micro-level investigations of interactions between Black survivors and their partners are necessary to pinpoint how survivors and partners facilitate or hinder each other's lifestyle behaviors in their natural, everyday lives. Accordingly, the objective of the present study is to fill these gaps using ecological momentary assessment to eventually develop more effective lifestyle interventions for Black prostate cancer (PCa) survivors and partners. A total of 120 dyads (i.e., 240 individuals) who are Black adult survivors diagnosed with non-metastatic PCa and their romantic partners will be asked to complete four assessments per day for 14 consecutive days on a smartphone after an initial retrospective survey. Over the 14 days, participants will be asked to complete a brief survey regarding their lifestyle behaviors (physical activity, sedentariness and eating behaviors), contexts of lifestyle behaviors, stress, and coping. Physical activity and sedentary behavior will be assessed via accelerometer; eating behaviors will be assessed with the Automated Self-Administered 24-hour Dietary Assessment Tool. After completing the 14-day assessment, participants will be asked to complete a final retrospective survey. Results of the proposed study will inform the rigorous development of a theory-based dyadic lifestyle intervention in this vulnerable survivorship population with the ultimate goal to improve overall survival and reduce morbidities (for survivors) and reduce cancer incidence (for partners).
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Affiliation(s)
- Dalnim Cho
- Department of Health Disparities Research, The University of Texas MD Anderson Cancer Center, Houston, Texas, United States of America
| | - Kathrin Milbury
- Department of Behavioral Sciences, The University of Texas MD Anderson Cancer Center, Houston, Texas, United States of America
| | - Yue Liao
- Department of Kinesiology, The University of Texas at Arlington, Dallas, Texas, United States of America
| | - Curtis A. Pettaway
- Department of Urology, The University of Texas MD Anderson Cancer Center, Houston, Texas, United States of America
| | - Justin R. Gregg
- Department of Urology, The University of Texas MD Anderson Cancer Center, Houston, Texas, United States of America
| | - Yisheng Li
- Department of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, Texas, United States of America
| | - Lorna H. McNeill
- Department of Health Disparities Research, The University of Texas MD Anderson Cancer Center, Houston, Texas, United States of America
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17
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Salazar-Fernández C, Palet D, Haeger PA, Román Mella F. COVID-19 Perceived Impact and Psychological Variables as Predictors of Unhealthy Food and Alcohol Consumption Trajectories: The Role of Gender and Living with Children as Moderators. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:4542. [PMID: 33922944 PMCID: PMC8123324 DOI: 10.3390/ijerph18094542] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/11/2021] [Revised: 04/09/2021] [Accepted: 04/12/2021] [Indexed: 12/17/2022]
Abstract
The present study examines the trajectories of unhealthy food and alcohol consumption over time and considers whether perceived impact of COVID-19 and psychological variables are predictors of these trajectories. We ascertained whether these predictors are different in women vs. men and between women living with vs. without children. Data were collected through online surveys administered to 1038 participants from two universities (staff and students) in Chile, across five waves (July to October 2020). Participants provided information about their past-week unhealthy food and alcohol consumption and mental health. Using latent growth curve modeling analysis, we found that higher perceived health and interpersonal COVID-19 impact, younger age and lower depression symptoms were associated with more rapid increases over time in unhealthy food consumption. On the other hand, higher perceived COVID-19 economic impact and older age were associated with more rapid diachronic decreases in alcohol consumption. Gender and living with or without children, for women only, were moderators of these trajectories. This longitudinal study provides strong evidence identifying the multiple repercussions of COVID-19 and mental health factors on unhealthy food and alcohol consumption. These findings highlight the need for interventions aimed at minimizing the impact of the pandemic on unhealthy food and alcohol consumption over time.
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Affiliation(s)
- Camila Salazar-Fernández
- Departamento de Psicología, Universidad de La Frontera, Temuco 4811230, Chile; (C.S.-F.); (D.P.)
| | - Daniela Palet
- Departamento de Psicología, Universidad de La Frontera, Temuco 4811230, Chile; (C.S.-F.); (D.P.)
| | - Paola A. Haeger
- Departamento de Ciencias Biomédicas, Facultad de Medicina, Universidad Católica del Norte, Coquimbo 1781421, Chile;
| | - Francisca Román Mella
- Departamento de Psicología, Universidad de La Frontera, Temuco 4811230, Chile; (C.S.-F.); (D.P.)
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18
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Clancy F, Prestwich A, Ferguson E, O’Connor DB. Cross-sectional and prospective associations between stress, perseverative cognition and health behaviours. Psychol Health 2021; 37:87-104. [DOI: 10.1080/08870446.2020.1867727] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Affiliation(s)
- Faye Clancy
- School of Psychology, Faculty of Medicine and Health, The University of Leeds, Leeds, UK
| | - Andrew Prestwich
- School of Psychology, Faculty of Medicine and Health, The University of Leeds, Leeds, UK
| | - Eamonn Ferguson
- Psychology, Faculty of Science, The University of Nottingham, Nottingham, UK
| | - Daryl B. O’Connor
- School of Psychology, Faculty of Medicine and Health, The University of Leeds, Leeds, UK
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19
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Seehuus M, Moeller RW, Peisch V. Gender effects on mental health symptoms and treatment in college students. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2021; 69:95-102. [PMID: 31513464 PMCID: PMC7065949 DOI: 10.1080/07448481.2019.1656217] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/04/2019] [Revised: 06/05/2019] [Accepted: 08/12/2019] [Indexed: 06/10/2023]
Abstract
Mental health problems are a growing concern on college campuses. Although postsecondary institutions often provide mental health services to students free of charge, it is unclear which students access such treatment and why. Methods: This study examined predictors of mental health treatment among college students. 2,280 students completed an online survey to assess demographic variables, mental health symptoms (depression, anxiety), stress and prior/current mental health treatment. Results: After accounting for symptom severity, men were less likely to receive treatment for mental health problems and LGBQ students were more likely to receive treatment. That difference was not evident at higher levels of depression and anxiety. Finally, self-reported anxiety but not depressive symptoms predicted being in mental health treatment. Conclusions: These findings can help inform efforts to target college students who could benefit from treatment but are not seeking it.
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Affiliation(s)
- Martin Seehuus
- Psychology Department, Middlebury College, Middlebury, Vermont, USA
- Department of Psychological Science, University of Vermont, Burlington, Vermont, USA
| | | | - Virginia Peisch
- Department of Psychological Science, University of Vermont, Burlington, Vermont, USA
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20
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Doorley JD, Kashdan TB. Positive and Negative Emotion Regulation in College Athletes: A Preliminary Exploration of Daily Savoring, Acceptance, and Cognitive Reappraisal. COGNITIVE THERAPY AND RESEARCH 2021; 45:598-613. [PMID: 33518842 PMCID: PMC7821841 DOI: 10.1007/s10608-020-10202-4] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/31/2020] [Indexed: 01/31/2023]
Abstract
BACKGROUND Despite increasing interest in positive psychological states, we know little about how regulatory responses to positive (savoring) compared to negative events (e.g. acceptance, cognitive reappraisal) influence emotional functioning. Savoring may be particularly helpful for athletes who are often trained to attend more to negative (e.g. rectifying weaknesses) compared to positive stimuli (e.g. enjoying progress). METHODS Sixty-seven college athletes completed a two-week daily diary study. Using multi-level modeling, we first explored whether various regulatory responses to daily negative events predicted unique variance in daily emotions (i.e. happy, content, grateful, sad, angry, annoyed). Next, we tested whether savoring positive events strengthened the association between event intensity and positive daily emotions. Finally, we tested whether regulatory responses to positive compared to negative events had stronger moderating (buffering) effects on the association between daily negative event intensity and daily emotions. RESULTS Based on 836 daily observations, reappraising and accepting negative events were the only strategies that predicted unique variance in daily emotions. Savoring enhanced positive emotions related to positive events. Reappraising negative events buffered associations between negative event intensity and decreased daily gratitude, while savoring positive events buffered associations between negative event intensity and increased anger, annoyance, and average negative emotions. Accepting negative events had similar effects. CONCLUSIONS Savoring positive events may be an underappreciated strategy for helping athletes regulate emotions related to negative events. Since our sample predominantly identified as white and female, further research is needed to understand savoring use and effectiveness among the full, diverse spectrum of college athletes.
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Affiliation(s)
- James D. Doorley
- Department of Psychology, George Mason University, MS 3F5, 4400 University Dr, Fairfax, VA 22030 USA
| | - Todd B. Kashdan
- Department of Psychology, George Mason University, MS 3F5, 4400 University Dr, Fairfax, VA 22030 USA
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21
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Mollaahmetoglu OM, Palmer E, Maschauer E, Nolan MC, Stevens T, Carlyle M, Hardy L, Watkins ER, Morgan CJA. The acute effects of alcohol on state rumination in the laboratory. Psychopharmacology (Berl) 2021; 238:1671-1686. [PMID: 33635385 PMCID: PMC8139935 DOI: 10.1007/s00213-021-05802-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/22/2020] [Accepted: 02/11/2021] [Indexed: 11/29/2022]
Abstract
RATIONALE Rumination is a repetitive, negative, self-focused thinking style associated with various forms of psychopathology. Recent studies suggest that rumination increases craving for alcohol and predicts harmful drinking and alcohol-related problems. However, the acute effects of alcohol on rumination have not been previously studied. It is proposed that alcohol may reduce ruminative thinking through decreasing negative mood. OBJECTIVES In the present study, we aimed to test the previously unexplored effects of acute alcohol consumption on rumination in a hazardous drinking population. METHODS We conducted a randomised placebo-controlled laboratory study to examine the effect of low (0.4 g kg-1) and high doses (0.8 g kg-1) of alcohol on state rumination compared to placebo. Participants completed a rumination induction task prior to receiving drinks. We then measured state rumination and mood at repeated time points; 30 min, 60 min and 90 min post-drinks consumption. RESULTS We found a significant decrease in state rumination in the low-dose alcohol group compared to placebo at 30 min post-alcohol consumption, but no difference was observed between the high-dose alcohol and placebo groups. Mediation analysis provided evidence for an indirect effect of alcohol on state rumination through concurrent changes in negative mood. CONCLUSIONS These findings suggest that acute alcohol consumption can regulate negative mood and concurrently rumination, providing preliminary evidence for the role of rumination in alcohol use disorders. Rumination may be a treatment target in alcohol use disorders.
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Affiliation(s)
- O. Merve Mollaahmetoglu
- Psychopharmacology and Addiction Research Centre (PARC), University of Exeter, Washington Singer Building, Perry Road, Exeter, EX4 4QG UK
| | - Edward Palmer
- Psychopharmacology and Addiction Research Centre (PARC), University of Exeter, Washington Singer Building, Perry Road, Exeter, EX4 4QG UK
| | - Emily Maschauer
- Psychopharmacology and Addiction Research Centre (PARC), University of Exeter, Washington Singer Building, Perry Road, Exeter, EX4 4QG UK
| | - Melissa C. Nolan
- Psychopharmacology and Addiction Research Centre (PARC), University of Exeter, Washington Singer Building, Perry Road, Exeter, EX4 4QG UK
| | - Tobias Stevens
- Psychopharmacology and Addiction Research Centre (PARC), University of Exeter, Washington Singer Building, Perry Road, Exeter, EX4 4QG UK
| | - Molly Carlyle
- School of Psychology, University of Queensland, St. Lucia, QLD Australia
| | - Lorna Hardy
- Psychopharmacology and Addiction Research Centre (PARC), University of Exeter, Washington Singer Building, Perry Road, Exeter, EX4 4QG UK
| | - Edward R. Watkins
- SMART Lab, University of Exeter, Washington Singer Building, Perry Road, Exeter, EX4 4QG UK
| | - Celia J. A. Morgan
- Psychopharmacology and Addiction Research Centre (PARC), University of Exeter, Washington Singer Building, Perry Road, Exeter, EX4 4QG UK
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22
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Pollack SR, Kiselica AM, Borders A. The Role of Trait Impulsivity in the Associations between Rumination and Alcohol-Related Outcomes. Subst Use Misuse 2021; 56:743-750. [PMID: 33754939 DOI: 10.1080/10826084.2021.1879143] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Background/Purpose: Emerging adults engage in high rates of alcohol consumption, which contribute to negative alcohol-related consequences and alcohol-related aggression. Rumination, or repetitive thinking about negative experiences, predicts greater negative alcohol-related consequences and alcohol-related aggression. Mechanisms of these associations are not well understood. We examined whether impulsivity mediates the effect of rumination on alcohol-related outcomes. We also tested an alternative model in which impulsivity moderates the effect of rumination on these outcomes. Methods: In a cross-sectional study with 202 undergraduates, we assessed trait rumination, four facets of impulsivity (urgency, premeditation, perseverance, and sensation seeking), recent alcohol use, negative alcohol-related consequences, and alcohol-related aggression. Results: Mediational analyses revealed that rumination indirectly predicted greater negative alcohol-related consequences and alcohol-related aggression via more urgency. Moderational analyses yielded nonsignificant interactions. Conclusion: Although cross-sectional data cannot suggest causality, the pattern of correlations suggests that rumination may lead to more clinically relevant alcohol-related outcomes because it triggers rash responding to negative affect.
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Affiliation(s)
| | - Andrew M Kiselica
- University of South Florida College of Arts and Sciences, Tampa, Florida, USA
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23
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Lechner WV, Laurene KR, Patel S, Anderson M, Grega C, Kenne DR. Changes in alcohol use as a function of psychological distress and social support following COVID-19 related University closings. Addict Behav 2020; 110:106527. [PMID: 32679435 PMCID: PMC7319610 DOI: 10.1016/j.addbeh.2020.106527] [Citation(s) in RCA: 200] [Impact Index Per Article: 50.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2020] [Revised: 06/23/2020] [Accepted: 06/23/2020] [Indexed: 11/24/2022]
Abstract
Amidst the coronavirus pandemic, universities across the country abruptly closed campuses and transitioned to remote learning. The effects of these unprecedented closures are unknown. The current study examined reported alcohol consumption during the week prior to and after campus closure at a public university in Northeast Ohio. Analysis of data from 1,958 students, who endorsed using alcohol in the past 30 days, demonstrates that alcohol consumption (amount and frequency) increased as time progressed. Those with more symptoms of depression and anxiety reported greater increases in alcohol consumption (assessed via retrospective timeline follow-back) compared to students with fewer symptoms. Furthermore, students with greater perceived social support reported less alcohol consumption. Together, these findings highlight the need for universities to offer services and programs to students that will minimize risk factors and maximize protective factors in order to reduce or prevent alcohol abuse during the coronavirus pandemic.
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Affiliation(s)
- William V Lechner
- Kent State University, Department of Psychological Sciences, 232 Kent Hall, Kent, OH 44242, USA.
| | - Kimberly R Laurene
- Kent State University, College of Public Health, Center for Public Policy & Health Division of Mental Health & Substance Use, USA
| | - Sweta Patel
- Kent State University, College of Public Health, Center for Public Policy & Health Division of Mental Health & Substance Use, USA
| | - Megan Anderson
- Kent State University, College of Public Health, Center for Public Policy & Health Division of Mental Health & Substance Use, USA
| | - Chelsea Grega
- Kent State University, College of Public Health, Center for Public Policy & Health Division of Mental Health & Substance Use, USA
| | - Deric R Kenne
- Kent State University, College of Public Health, Center for Public Policy & Health Division of Mental Health & Substance Use, USA
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24
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Roos CR, Kober H, Trull TJ, MacLean RR, Mun CJ. Intensive longitudinal methods for studying the role of self-regulation strategies in substance use behavior change. CURRENT ADDICTION REPORTS 2020; 7:301-316. [PMID: 33510995 DOI: 10.1007/s40429-020-00329-5] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
Purpose of review Many psychosocial interventions for substance use disorders (SUDs) focus on teaching self-regulation strategies. Research using intensive longitudinal methods (ILM), such as ecological momentary assessment and daily diaries, is critical for elucidating if and how these strategies function as mechanisms of change among individuals with SUDs. We review this emerging area of research. Recent findings We found a small number of studies using ILM to study self-regulation strategies in SUD (n=18 studies), with most conducted among college student drinkers (n=9) and cigarette smokers (n=7), and few among treatment-engaged individuals, and those with other drug use disorders. There is preliminary evidence that the use of specific self-regulation strategies commonly taught in psychosocial interventions for SUDs (i.e., cognitive reappraisal, problem solving, stimulus control, harm reduction) is associated with decreased momentary or daily substance use, at the within-person level. Summary There is a need for further ILM research on self-regulation strategies as mechanisms of substance use behavior change. Such research can inform the development, refinement, and personalization of interventions that teach self-regulation strategies, including mobile interventions that facilitate strategy use in the moment. One key next step is developing psychometrically validated ILM assessments of self-regulation strategy use.
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Affiliation(s)
- Corey R Roos
- Yale University School of Medicine, New Haven CT 06510
| | - Hedy Kober
- Yale University School of Medicine, New Haven CT 06510
| | - Timothy J Trull
- Department of Psychological Sciences, University of Missouri, 65211
| | - R Ross MacLean
- Yale University School of Medicine, New Haven CT 06510.,VA Connecticut Healthcare System, West Haven, CT 06515
| | - Chung Jung Mun
- Johns Hopkins University School of Medicine, Baltimore, MD 21205
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25
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Clancy F, O'Connor DB, Prestwich A. Do Worry and Brooding Predict Health Behaviors? A Daily Diary Investigation. Int J Behav Med 2020; 27:591-601. [PMID: 32424781 PMCID: PMC7497422 DOI: 10.1007/s12529-020-09898-1] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Abstract
BACKGROUND Meta-analyses have reported associations between perseverative cognition (both worry and brooding) and increased engagement in health-risk behaviors, poorer sleep, and poorer physiological health outcomes. METHOD Using a daily diary design, this study investigated the within- and between-person relationships between state and trait perseverative cognition and health behaviors (eating behavior, physical activity, alcohol consumption, and sleep) both cross-sectionally and prospectively. Participants (n = 273, 93% students, Mage = 20.2, SD = 4.11, 93% female) completed morning and evening diaries across 7 consecutive days. RESULTS Multilevel modeling analyses revealed that, cross-sectionally, higher levels of state worry were associated with more time spent sitting and higher levels of state brooding predicted less daily walking. CONCLUSION Worry and brooding may represent useful intervention targets for improving inactivity and walking levels, respectively.
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Affiliation(s)
- F Clancy
- Faculty of Medicine and Health, School of Psychology, The University of Leeds, Leeds, UK.
| | - D B O'Connor
- Faculty of Medicine and Health, School of Psychology, The University of Leeds, Leeds, UK
| | - A Prestwich
- Faculty of Medicine and Health, School of Psychology, The University of Leeds, Leeds, UK
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26
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Effects of social support and depression on problematic drinking among trauma-exposed Chinese adults: A population-based study. Heliyon 2020; 6:e03405. [PMID: 32099926 PMCID: PMC7031303 DOI: 10.1016/j.heliyon.2020.e03405] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2018] [Revised: 03/26/2019] [Accepted: 02/07/2020] [Indexed: 11/23/2022] Open
Abstract
Background Alcohol consumption is prevalent and alcohol-related problems are a considerable social issue in China. Over 17% of Chinese consume alcohol regularly. Exposure to potentially traumatic events (PTE) is associated with increased alcohol-related problems. Social support often buffers this association. This study examined the relationship between exposure to PTE and alcohol misuse and explored the moderating effect of social support on this relationship in a Chinese context. Methods Data were collected through face-to-face computer assisted interviews in a stratified cluster sample of 753 Chinese adults living in Guangzhou, China. The Life Events Checklist-5 (LEC-5), World Health Organization Alcohol Use Disorders Identification Test (WHO-AUDIT), and Social Support Rating Scale (SSRS) were used to measure trauma exposure, problematic alcohol use, and social support. Results Univariable logistic regression analyses indicated that trauma exposure (OR = 3.18; compared to non-exposure), increased depression (OR = 1.06), and perceived friend support (OR = 1.21), were associated with higher odds of problematic drinking. Multivariable models adjusting for potential confounders demonstrated that PTE and depression were associated with problematic drinking, but this was not the case for perceived friend support. Perceived friend support modified the effect of trauma exposure and was associated with increased odds of problematic drinking among those who reported high levels of depressive symptoms. Conclusion Social support may not always be a beneficial resource among those who experienced PTEs in a Chinese context. Further research is needed to better understand the role and function of different types of support, and for whom these associations are beneficial.
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Horváth Z, Orford J, Velleman R, Urbán R. Measuring Coping Among Family Members with Substance-Misusing Relatives: Testing Competing Factor Structures of the Coping Questionnaire (CQ) in England and Italy. Subst Use Misuse 2020; 55:469-480. [PMID: 31729276 DOI: 10.1080/10826084.2019.1685547] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Background: The Coping Questionnaire measures affected family members' responses to their relatives' substance misuse related problems. The Coping Questionnaire examines three main coping strategies: engaged, tolerant-inactive, and withdrawal coping. Objectives: The aim of the current study was to compare competing conceptual measurement models across two countries, including one-factor, three-factor, and higher order factor models. Methods: Secondary analysis of data from five previous studies was conducted. Samples of affected family members from England (N = 323) and Italy (N = 165) were aggregated into two country specific groups. Series of confirmatory factor analyses were performed to test the degree of model fit and the effects of socio-demographic variables on the coping factors. Results: A bifactor model fitted the data most closely relative to the one- and three-factor models. High rates of common variance (60-65%) were attributable to the general coping factor, while a high proportion of the variance related to the withdrawal coping subscale score was independent (66-89%) of the general coping factor. Family members' country, age, gender, the type of relationship and the main problematic substance had significant effects on the coping factors. Conclusions: A bifactor model related to coping behaviors is consistent with the theoretical assumptions of the general coping literature. The concept of a general coping factor also fits the theoretical assumptions of the stress-strain-coping-support model, with family members showing a general tendency to cope with the harmful circumstances which arise due to substance misuse.
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Affiliation(s)
- Zsolt Horváth
- Doctoral School of Psychology, Eötvös Loránd University, Budapest, Hungary.,Department of Personality and Health Psychology, Institute of Psychology, Eötvös Loránd University, Budapest, Hungary
| | - Jim Orford
- School of Psychology, The University of Birmingham, Birmingham, UK
| | - Richard Velleman
- Department of Psychology, University of Bath, Bath, UK.,Addictions Research Group, Sangath Community Health NGO, Goa, India
| | - Róbert Urbán
- Department of Personality and Health Psychology, Institute of Psychology, Eötvös Loránd University, Budapest, Hungary
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Duvenage M, Uink BN, Zimmer-Gembeck MJ, Barber BL, Donovan CL, Modecki KL. Ambulatory Assessment of Adolescent Coping: It's a Complicated Process. JOURNAL OF RESEARCH ON ADOLESCENCE : THE OFFICIAL JOURNAL OF THE SOCIETY FOR RESEARCH ON ADOLESCENCE 2019; 29:578-594. [PMID: 31573763 DOI: 10.1111/jora.12468] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Scholars have long-called for researchers to treat coping as a process that is measured over an arc of time. Ambulatory assessment (AA) offers an appealing tool for capturing the dynamic process of adolescent coping. However, challenges in capturing the coping process are not altogether circumvented with AA designs. We conducted a scoping review of the AA literature on adolescent coping and draw from 60 studies to provide an overview of the field. We provide critiques of different AA approaches and highlight benefits and costs associated with various types of measurement within AA. We also speak to considerations of participant burden and compliance. We conclude with recommendations for developmental scholars seeking to deploy AA to capture this quintessential process among adolescents.
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29
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Stowell D, Lewis RK, Brooks K. Perceived stress, substance use, and mental health issues among college students in the Midwest. J Prev Interv Community 2019; 49:221-234. [PMID: 31429379 DOI: 10.1080/10852352.2019.1654263] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Perceived stress and mental health on college campuses is a major concern. College students are under a tremendous strain. This study was designed to measure the perceived stress among Whites and Nonwhites using the Perceived Stress Scale, the Center for Epidemiologic Studies Depression Scale Revised, Positive and Negative Affect Scale (PANAS) and other behavioral indicators (diet and nutrition) to determine the overall well-being of college students. College students attending a mid-sized University in the Midwest completed an 80 item online survey. The results showed that thirty-six percent of the sample displayed depressive symptoms, 10% of the respondents endorsed high perceived stress and 56% reported experiencing moderate stress levels. Females had higher levels of perceived stress than males and Whites displayed statistically significant lower depression scores than Nonwhites although Whites displayed significantly higher mean scores on the CES-D-R depression scores than Nonwhites. Overall, fruit intake of college students was as an indication of poor diet and nutrition among college students because they were not eating fruit in their diets prior to taking the survey. Limitations and future directions will be explored.
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Affiliation(s)
| | - Rhonda K Lewis
- Psychology Department, Wichita State University, Wichita, Kansas, USA
| | - Keyondra Brooks
- Psychology Department, Wichita State University, Wichita, Kansas, USA
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Devynck F, Rousseau A, Romo L. Does Repetitive Negative Thinking Influence Alcohol Use? A Systematic Review of the Literature. Front Psychol 2019; 10:1482. [PMID: 31333536 PMCID: PMC6616275 DOI: 10.3389/fpsyg.2019.01482] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2019] [Accepted: 06/11/2019] [Indexed: 11/16/2022] Open
Abstract
Over the past 20 years, researchers have used various methodologies to assess different forms of repetitive negative thinking (RNT) and their influence on alcohol consumption. Contrasting results between clinical and general populations were observed. To summarize the current literature on RNT and alcohol use, a systematic review was conducted according to the Preferred Reporting for Systematic Review and Meta-Analysis (PRISMA) guidelines (Moher et al., 2009). Among the 27 included studies, the seven conducted among patients with alcohol use disorder (AUD) and the three focusing on other adult samples demonstrated a strong positive association between RNT and alcohol use or alcohol-related problems, regardless of the form of RNT. The results were more heterogeneous in the 17 studies conducted among adolescents and students, leading the authors to conclude that the results varied as a function of the severity of alcohol use. The results of this study suggest to focus on RNT from a transdiagnostic perspective in AUD. This processual approach may improve AUD treatment and relapse prevention. Finally, some gaps in the literature must be addressed: (1) the gender differences in the link between RNT and alcohol use and (2) the specific influence of RNT on alcohol use among young adults.
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Affiliation(s)
- Faustine Devynck
- EA 4072 - PSITEC - Psychologie: Interaction, Temps, Emotions, Cognition, Université de Lille, Lille, France
| | - Amélie Rousseau
- EA 4072 - PSITEC - Psychologie: Interaction, Temps, Emotions, Cognition, Université de Lille, Lille, France
| | - Lucia Romo
- EA 4430-CLIPSYD, Université Paris Nanterre, Nanterre, France.,INSERM U1266, Institut de Psychiatrie et Neurosciences de Paris, Paris, France
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Oh SS, Ju YJ, Lee S, Park EC. Primary Reason for Drinking Among Current, Former, and Never Flushing College Students. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16020211. [PMID: 30642132 PMCID: PMC6352046 DOI: 10.3390/ijerph16020211] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/08/2018] [Revised: 01/05/2019] [Accepted: 01/08/2019] [Indexed: 02/07/2023]
Abstract
Alcohol consumption among individuals who experience a flushing response (reddening of the face, nausea, dizziness, headache, anxiety, and increased heartbeat) can result in serious health problems. However, studies on reasons for drinking among flushers, especially in the college context, are limited. Thus, this study investigated the association between primary reason for drinking and alcohol use among a nationally representative sample of current, former, and never flushing college students. The aim was to measure whether college students with current or former experience of facial flushing have different primary reasons for drinking compared to students with no experience of facial flushing. We surveyed and analyzed the data of 4590 students in a nationally representative sample of 82 colleges in South Korea. Multiple regression analysis was used to identify the association between primary reason for drinking and alcohol intake. Alcohol intake was measured using the Alcohol Use Disorders Identification Test (AUDIT). Among 1537 current (33.5%), 152 former (3.3%), and 2901 (63.2%) never flushers, mean AUDIT scores were 7.715 ± 5.434, 11.039 ± 6.405, and 10.465 ± 5.779, respectively. Current flushers had significantly higher AUDIT scores when drinking for pleasure (β = 2.696, p < 0.0001) or stress/depression (β = 2.578, p < 0.0001). Primary reasons for drinking were not associated with alcohol intake for former flushers. Never flushers had significantly higher AUDIT scores when drinking for pleasure (β = 2.696, p < 0.0001), stress/depression (β = 2.578, p < 0.0001), or boredom (β = 0.740, p = 0.029) than peer pressure. Our results suggest that former and never flushers consume higher amounts of alcohol on average than never flushers. For current flushers, drinking for pleasure or stress/depression may increase alcohol intake, while for never flushers, drinking for pleasure, stress/depression, as well as boredom may have the same effect.
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Affiliation(s)
- Sarah Soyeon Oh
- Institute of Health Services Research, Yonsei University, Seoul 03722, Korea.
- Department of Public Health, Graduate School, Yonsei University, Seoul 03722, Korea.
| | - Yeong Jun Ju
- Institute of Health Services Research, Yonsei University, Seoul 03722, Korea.
- Department of Public Health, Graduate School, Yonsei University, Seoul 03722, Korea.
| | - San Lee
- Institute of Health Services Research, Yonsei University, Seoul 03722, Korea.
- Department of Psychiatry, Yonsei University College of Medicine, Seoul 03722, Korea.
| | - Eun-Cheol Park
- Institute of Health Services Research, Yonsei University, Seoul 03722, Korea.
- Department of Preventive Medicine, Yonsei University College of Medicine, Seoul 03722, Korea.
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Arbel R, Perrone L, Margolin G. Adolescents' Daily Worries and Risky Behaviors: The Buffering Role of Support Seeking. JOURNAL OF CLINICAL CHILD AND ADOLESCENT PSYCHOLOGY : THE OFFICIAL JOURNAL FOR THE SOCIETY OF CLINICAL CHILD AND ADOLESCENT PSYCHOLOGY, AMERICAN PSYCHOLOGICAL ASSOCIATION, DIVISION 53 2018; 47:900-911. [PMID: 27379707 PMCID: PMC6193855 DOI: 10.1080/15374416.2016.1169536] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
With worries and risky behaviors becoming more prominent in adolescence, this study investigated bidirectional temporal connections between these two important adolescent concerns, that is, whether change in one concern is linked to change in the other either within the same day or during the next day. We also tested whether the coping strategy of seeking support from family and friends moderated the link between worries and risky behaviors. For 10 days, an ethnically and racially diverse sample of adolescents (N = 103; M age = 18.0) reported on 26 common worries, 18 risky behaviors, and the impact of seeking support from others. Multilevel models showed that worries and risky behaviors covaried on the same day and that worries predicted next-day risky behavior for male but not female participants. In contrast, risky behaviors did not predict next-day worries. For adolescents reporting negative experiences of support seeking, worries led to next-day risky behaviors and risky behaviors led to next-day worries. Female adolescents' positive support-seeking experiences buffered the association between risky behaviors and next-day worries. These results were significant beyond any influence of daily negative mood or depressive and anxiety symptoms. The data demonstrate that worries and risky behaviors may be situational triggers for each other and highlight the importance, from intervention perspectives, of adolescents' communication of concerns to others.
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Affiliation(s)
- Reout Arbel
- a Department of Psychology , University of Southern California
| | - Laura Perrone
- a Department of Psychology , University of Southern California
| | - Gayla Margolin
- a Department of Psychology , University of Southern California
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33
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Luk JW, Fairlie AM, Lee CM. Daily-level Associations between Negative Mood, Perceived Stress, and College Drinking: Do Associations Differ by Sex and Fraternity/Sorority Affiliation? Subst Use Misuse 2018; 53:989-997. [PMID: 29190180 PMCID: PMC6125787 DOI: 10.1080/10826084.2017.1392980] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
BACKGROUND Individuals experiencing elevated negative mood and stress may drink to self-medicate, yet daily-level evidence for these associations is mixed. OBJECTIVE To clarify daily associations between negative mood and perceived stress with alcohol use among high-risk college students and test whether these associations may vary by same-day versus next-day drinking, sex, and fraternity/sorority affiliation. METHODS Frequently drinking college students (n = 347) participated in a daily diary study, which included daily morning and evening assessments that occurred for two weeks in four consecutive academic quarters. Multilevel zero-inflated Poisson regressions were conducted to examine the effects of daily negative mood and perceived stress on same-day and next-day drinking. RESULTS Students with higher average negative mood and perceived stress across the sampled days reported a lower likelihood of drinking. Examination of daily-level associations showed that on days students experienced elevated negative mood and perceived stress, they were less likely to drink any alcohol the same day. However, days with elevated negative mood were associated with greater alcohol use the next day. Tests of cross-level interactions indicated that four daily-level associations between higher negative mood or perceived stress and reductions in drinking were found to be significant among females and students unaffiliated with fraternity/sorority only. Conclusions/Importance: Among high-risk college drinkers, negative mood and perceived stress were associated with decreased risk of drinking, particularly among females and students unaffiliated with fraternity/sorority. Daily elevations in negative mood may lead to drinking on a subsequent day and the reason for this lagged effect warrants future research.
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Affiliation(s)
- Jeremy W Luk
- a Health Behavior Branch, Division of Intramural Population Health Research , Eunice Kennedy Shriver National Institute of Child Health and Human Development , Bethesda , Maryland , USA
| | - Anne M Fairlie
- b Department of Psychiatry and Behavioral Sciences , University of Washington , Seattle , Washington , USA
| | - Christine M Lee
- b Department of Psychiatry and Behavioral Sciences , University of Washington , Seattle , Washington , USA
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Gerrard M, Gibbons FX, Fleischli ME, Cutrona CE, Stock ML. Moderation of the effects of discrimination-induced affective responses on health outcomes. Psychol Health 2018; 33:193-212. [PMID: 28436272 PMCID: PMC6145071 DOI: 10.1080/08870446.2017.1314479] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
OBJECTIVE The goal of the study was to examine differential mediation of long-term effects of discrimination on health behaviour and health status by internalising (anxiety and depression) and externalising (hostility and anger), and to explore moderation of these effects, specifically, by the presence of support networks and coping tendencies. DESIGN The current analyses employed structural equation modelling of five waves of data from Black female participants of the Family and Community Health Study over 11 years (M age 37-48). MAIN OUTCOMES MEASURES The main outcome variables were health status and alcohol use (frequency and problematic consumption). RESULTS Perceived racial discrimination was associated with increases in internalising and externalising. In addition, internalising reactions to discrimination were associated with deterioration in health status and increases in problematic drinking; externalising reactions were associated with increases in frequency of drinking. These relations were attenuated by availability of support networks, and exacerbated by use of avoidance coping. CONCLUSION The current study (a) replicated previous research suggesting that two different types of affective reactions mediate the relations between perceived racial discrimination and physical health status vs. health-impairing behaviours: internalising and externalising, and (b) revealed moderation of these effects by coping mechanisms.
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Affiliation(s)
- Meg Gerrard
- a Department of Psychological Sciences and Institute for Collaboration on Health, Intervention and Policy (InChip) , University of Connecticut , Storrs , CT , USA
| | - Frederick X Gibbons
- a Department of Psychological Sciences and Institute for Collaboration on Health, Intervention and Policy (InChip) , University of Connecticut , Storrs , CT , USA
| | - Mary E Fleischli
- b Institute for Collaboration on Health, Intervention and Policy (InChip) , University of Connecticut , Storrs , CT , USA
| | - Carolyn E Cutrona
- c Department of Psychology , Iowa State University , Ames , IA , USA
| | - Michelle L Stock
- d Department of Psychology , The George Washington University , Washington , DC , USA
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35
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Livingston NA, Flentje A, Heck NC, Szalda-Petree A, Cochran BN. Ecological momentary assessment of daily discrimination experiences and nicotine, alcohol, and drug use among sexual and gender minority individuals. J Consult Clin Psychol 2017; 85:1131-1143. [PMID: 29189029 PMCID: PMC5726448 DOI: 10.1037/ccp0000252] [Citation(s) in RCA: 70] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
OBJECTIVE Sexual and gender minority (SGM) individuals experience elevated rates of minority stress, which has been linked to higher rates of nicotine and substance use. Research on this disparity to date is largely predicated on methodology that is insensitive to within day SGM-based discrimination experiences, or their relation to momentary nicotine and substance use risk. We address this knowledge gap in the current study using ecological momentary assessment (EMA). METHOD Fifty SGM individuals, between 18 and 45 years of age, were recruited from an inland northwestern university, regardless of their nicotine or substance use history, and invited to participate in an EMA study. Each were prompted to provide data, six times daily (between 10:00 a.m. and 10:00 p.m.) for 14 days, regarding SGM-based discrimination, other forms of mistreatment, and nicotine, drug, and alcohol use since their last prompt. RESULTS Discrimination experiences that occurred since individuals' last measurement prompt were associated with greater odds of nicotine and substance use during the same measurement window. Substance use was also more likely to occur in relation to discrimination reported two measurements prior in lagged models. Relative to other forms of mistreatment, discrimination effects were consistently larger in magnitude and became stronger throughout the day/evening. CONCLUSION This study adds to existing minority stress research by highlighting the both immediate and delayed correlates of daily SGM-based discrimination experiences. These results also contribute to our understanding of daily stress processes and provide insight into ways we might mitigate these effects using real-time monitoring and intervention technology. (PsycINFO Database Record
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Affiliation(s)
- Nicholas A. Livingston
- VA Boston Healthcare System, Boston, MA, USA
- Department of Psychology, University of Montana, Missoula, MT, USA
| | - Annesa Flentje
- Department of Community Health Systems, University of California, San Francisco, San Francisco, CA, USA
| | - Nicholas C. Heck
- Department of Psychology, Marquette University, Milwaukee, WI, USA
| | | | - Bryan N. Cochran
- Department of Psychology, University of Montana, Missoula, MT, USA
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Conn BM, Ejesi K, Foster DW. Acculturative stress as a moderator of the effect of drinking motives on alcohol use and problems among young adults. Addict Behav 2017; 75:85-94. [PMID: 28715698 DOI: 10.1016/j.addbeh.2017.06.017] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2016] [Revised: 06/26/2017] [Accepted: 06/29/2017] [Indexed: 12/19/2022]
Abstract
BACKGROUND Research has demonstrated a strong relationship between drinking motives and alcohol use among young adult populations. Further, there is substantial evidence of the association between psychosocial stressors and greater alcohol consumption. In the present study, we examined whether acculturative stress would moderate the relationship between major drinking motives and alcohol use behaviors and alcohol-related problems, and whether this relationship differs by racial/ethnic group. METHOD Six hundred diverse undergraduate students (mean age=21.50, SD=2.46; 82.8% female; 40.2% White/Caucasian) completed a series of measures, including demographic information, alcohol use/alcohol problems, and acculturative stress. RESULTS Findings showed varying patterns in the moderating effect of acculturative stress on the relationship between drinking motives and alcohol consumption and alcohol-related problems, particularly for self-identified Hispanic, Black, and Asian students. Stronger drinking motives were associated with greater alcohol consumption and alcohol-related problems, and this relationship was stronger among Asian and Hispanic students who reported higher levels of acculturative stress. For Black students, greater acculturative stress was observed to weaken the relationship between coping, enhancement, and conformity motives and alcohol drinking frequency. CONCLUSIONS Results are discussed in terms of incorporating acculturative stress in the development of tailored alcohol use interventions for vulnerable young adults, such as certain ethnic minority and immigrant groups. Clinical implications include screening for acculturative stress in primary care and counseling centers and early intervention programs to identify young adults who may be at-risk for or currently experiencing alcohol problems.
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Affiliation(s)
- Bridgid Mariko Conn
- Children's Hospital Los Angeles, Division of Adolescent and Young Adult Medicine, United States
| | - Kida Ejesi
- Suffolk University, Department of Psychology, United States
| | - Dawn W Foster
- Yale School of Medicine, Department of Psychiatry, United States.
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Cerea S, Bottesi G, Grisham JR, Vieno A, Ghisi M. Dispositional and situational coping among individuals with alcohol use disorder. J Subst Abuse Treat 2017; 80:79-87. [PMID: 28755777 DOI: 10.1016/j.jsat.2017.07.004] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2016] [Revised: 07/03/2017] [Accepted: 07/05/2017] [Indexed: 11/17/2022]
Abstract
Previous research has documented that patients referred for problems related to alcohol use rely primary on maladaptive coping and are deficient in adaptive coping skills. However, the relation between dispositional and situational coping in these patients is not yet fully understood. Therefore, the first aim of the present study was to assess dispositional and situational coping among individuals with alcohol use disorder compared to matched healthy controls. Furthermore, we aimed at assessing gender differences in dispositional and situational coping among individuals with alcohol use disorder. Fifty-five patients with alcohol use disorder were compared to 55 age, years of education, and gender-matched healthy volunteers. Participants filled out the Coping Orientation to Problem Experiences-New Italian version assessing dispositional coping and the Coping Responses Inventory - Adult Form assessing situational coping. Regarding dispositional coping, patients with alcohol use disorder employed more avoidant coping styles compared to matched healthy controls. No differences between groups emerged on situational coping. With respect to gender differences in dispositional coping, women, regardless of group membership, employed more coping styles aimed at construing a stressful transaction in positive terms and turned to religion more relative to men. With respect to situational coping, women, again regardless of group membership, employed more strategies aimed at construing a stressful transaction in positive terms and more problem-solving strategies compared to men. Results of the present study may assist with treatment planning for alcohol use disorder and lead to the development of treatment programs targeting patients' specific coping difficulties.
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Affiliation(s)
- Silvia Cerea
- Department of General Psychology, University of Padua, Padua, Italy.
| | - Gioia Bottesi
- Department of General Psychology, University of Padua, Padua, Italy
| | - Jessica R Grisham
- School of Psychology, University of New South Wales, Sydney, Australia
| | - Alessio Vieno
- Department of Developmental Psychology and Socialisation, University of Padua, Padua, Italy
| | - Marta Ghisi
- Department of General Psychology, University of Padua, Padua, Italy
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Pittman DM, Cho Kim S, Hunter CD, Obasi EM. The role of minority stress in second-generation Black emerging adult college students' high-risk drinking behaviors. CULTURAL DIVERSITY & ETHNIC MINORITY PSYCHOLOGY 2017; 23:445-455. [PMID: 28206779 PMCID: PMC5491347 DOI: 10.1037/cdp0000135] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
OBJECTIVE This study used a minority stress framework to investigate the relationships between multiple stressors (e.g., general life stress, race related stress, and acculturative stress) and high-risk drinking behaviors in a sample of second-generation Black emerging adult college students across the United States. METHOD Participants (n = 148) were recruited from U.S. colleges and universities as part of a large, multiwave cross-sectional study. RESULTS Findings from this study mirrored those in the extant literature: the positive relationship between race-related stress and high-risk drinking behaviors found in other marginalized groups. However, when all stressors were entered into the model, acculturative stress accounted for significant variance in high-risk drinking behaviors above and beyond general life and race-related stressors in second generation Black emerging adult college students. CONCLUSION Findings underscore the need to better understand the influence of acculturative stress on high-risk drinking behaviors among second-generation Black emerging adult college students: an understudied population in both the acculturation and alcohol use literatures. Implications for future research and clinical practice are discussed. (PsycINFO Database Record
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Affiliation(s)
| | - Sara Cho Kim
- Counseling and Human Development, The George Washington University
| | - Carla D Hunter
- Department of Psychology, University of Illinois at Urbana-Champaign
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Sullivan TP, Weiss NH, Price C, Pugh N, Hansen NB. Strategies for coping with individual PTSD symptoms: Experiences of African American victims of intimate partner violence. PSYCHOLOGICAL TRAUMA-THEORY RESEARCH PRACTICE AND POLICY 2017; 10:336-344. [PMID: 28481562 DOI: 10.1037/tra0000283] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
OBJECTIVE Understanding how populations at particular risk for posttraumatic stress disorder (PTSD) and its deleterious outcomes cope with individual PTSD symptoms is critical to developing interventions that promote resilience, support recovery, and ultimately empower traumatized populations. Therefore, the purpose of this study was to identify specific strategies women use to cope with individual PTSD symptoms among a population at particular risk for experiencing trauma and its negative sequelae-African American victims of intimate partner violence (IPV) who use substances. METHOD This 30-day study included 107 African American women who reported experiencing current IPV and using a substance. During their follow-up interviews, women participated in a structured interview to retrospectively report on the strategies they typically used to cope with various PTSD symptoms during the 30-day period. RESULTS Results of content analysis revealed that women used 19 different strategies to cope with symptoms (e.g., social support, substance use, electronic media, religious or spiritual coping), which varied as a function of the PTSD symptom experienced. Aggregating symptoms to the cluster level obscured the variability in strategies used to cope with individual symptoms. CONCLUSIONS Findings are discussed in the context of the larger literature on coping and PTSD, specifically regarding (a) coping strategies that may be adaptive or maladaptive and (b) directions for future research that attend to experiences of individual PTSD symptoms. (PsycINFO Database Record
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Affiliation(s)
- Tami P Sullivan
- Department of Psychiatry, Yale University School of Medicine
| | - Nicole H Weiss
- Department of Psychiatry, Yale University School of Medicine
| | - Carolina Price
- Department of Psychiatry, Yale University School of Medicine
| | - Nicole Pugh
- Department of Psychiatry, Yale University School of Medicine
| | - Nathan B Hansen
- Department of Health Promotion and Behavior, University of Georgia
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Abstract
High levels of stress are common among young adults, particularly those enrolled in college. These degrees of stress have shown numerous deleterious effects across both academic and health variables. Findings regarding the role of stress in the presentation of impulse control disorders, particular among college students, are limited. This study examined potential associations between perceived stress, academic achievement, physical/mental health, and impulse control disorders in young adults. A total of 1805 students completed an online survey and were included in the analysis. Responders were grouped by their overall score on the Perceived Stress Scale into mild, moderate, or severe. Severe perceived stress was associated with worse academic achievement and worse physical health, as well as higher rates of psychiatric and impulsive disorders. These findings may suggest associations between stress and numerous aspects of mental/physical health in young adults, which could be an important consideration for individuals working with college students.
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Clancy F, Prestwich A, Caperon L, O'Connor DB. Perseverative Cognition and Health Behaviors: A Systematic Review and Meta-Analysis. Front Hum Neurosci 2016; 10:534. [PMID: 27877119 PMCID: PMC5099163 DOI: 10.3389/fnhum.2016.00534] [Citation(s) in RCA: 58] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2016] [Accepted: 10/10/2016] [Indexed: 12/01/2022] Open
Abstract
Recent developments in stress theory have emphasized the significance of perseverative cognition (worry and rumination) in furthering our understanding of stress-disease relationships. Substantial evidence has shown that perseverative cognition (PC) is associated with somatic outcomes and numerous physiological concomitants have been identified (i.e., cardiovascular, autonomic, and endocrine nervous system activity parameters). However, there has been no synthesis of the evidence regarding the association between PC and health behaviors. This is important given such behaviors may also directly and/or indirectly influence health and disease outcomes (triggered by PC). Therefore, the aim of the current review was to synthesize available studies that have explored the relationship between worry and rumination and health behaviors (health risk: behaviors which, if performed, would be detrimental to health; health promoting: behaviors which, if performed, would be beneficial for health). A systematic review and meta-analyses of the literature were conducted. Studies were included in the review if they reported the association between PC and health behavior. Studies identified in MEDLINE or PsycINFO (k = 7504) were screened, of which 19 studies met the eligibility criteria. Random-effects meta-analyses suggested increased PC was generally associated with increased health risk behaviors but not health promoting behaviors. Further analyses indicated that increases in rumination (r = 0.122), but not reflection (r = −0.080), or worry (r = 0.048) were associated with health risk behaviors. In conclusion, these results showed that increases in PC are associated with increases in health risk behaviors (substance use, alcohol consumption, unhealthy eating, and smoking) that are driven primarily through rumination. These findings provide partial support for our hypothesis that in Brosschot et al.'s (2006) original perseverative cognition hypothesis, there may be scope for additional routes to pathogenic disease via poorer health behaviors.
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Affiliation(s)
- Faye Clancy
- School of Psychology, University of Leeds Leeds, UK
| | | | - Lizzie Caperon
- Leeds Institute of Health Sciences, University of Leeds Leeds, UK
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Lyness KP, Koehler AN. Effect of coping on substance use in adolescent girls: a dyadic analysis of parent and adolescent perceptions. INTERNATIONAL JOURNAL OF ADOLESCENCE AND YOUTH 2016. [DOI: 10.1080/02673843.2013.866146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
Affiliation(s)
- Kevin P. Lyness
- Department of Applied Psychology, Antioch University New England, 40 Avon Street, Keene, NH 03431, USA
| | - Aubry N. Koehler
- Department of Child Development & Family Relations, East Carolina University, Greenville, NC 27834, USA
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Weiss NH, Johnson CD, Contractor A, Peasant C, Swan SC, Sullivan TP. Racial/ethnic differences moderate associations of coping strategies and posttraumatic stress disorder symptom clusters among women experiencing partner violence: a multigroup path analysis. ANXIETY STRESS AND COPING 2016; 30:347-363. [PMID: 27575609 DOI: 10.1080/10615806.2016.1228900] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
BACKGROUND Past research underscores the key role of coping strategies in the development, maintenance, and exacerbation of posttraumatic stress disorder (PTSD) symptoms. The goal of the current study was to extend existing literature by examining whether race/ethnicity moderates the relations among coping strategies (social support, problem-solving, avoidance) and PTSD symptom clusters (intrusion, avoidance, numbing, arousal). METHODS Participants were 369 community women (134 African Americans, 131 Latinas, 104 Whites) who reported bidirectional aggression with a current male partner. Multigroup path analysis was utilized to test the moderating role of race/ethnicity in a model linking coping strategies to PTSD symptom clusters. RESULTS The strength and direction of relations among coping strategies and PTSD symptom clusters varied as a function of race/ethnicity. Greater social support coping was related to more arousal symptoms for Latinas and Whites. Greater problem-solving coping was related to fewer arousal symptoms for Latinas. Greater avoidance coping was related to more symptoms across many of the PTSD clusters for African Americans, Latinas, and Whites, however, these relations were strongest for African Americans. CONCLUSION Results provide support for the moderating role of race/ethnicity in the relations among coping strategies and PTSD symptom clusters, and highlight potential targets for culturally informed PTSD treatments.
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Affiliation(s)
- Nicole H Weiss
- a Department of Psychiatry , Yale University School of Medicine , New Haven , CT , USA
| | - Clinesha D Johnson
- a Department of Psychiatry , Yale University School of Medicine , New Haven , CT , USA
| | | | - Courtney Peasant
- c Center for Interdisciplinary Research on AIDS , Yale University School of Public Health , New Haven , CT , USA
| | - Suzanne C Swan
- d Department of Psychology , University of South Carolina , Columbia , SC , USA
| | - Tami P Sullivan
- a Department of Psychiatry , Yale University School of Medicine , New Haven , CT , USA
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Dévieux JG, Jean-Gilles M, Frankel A, Attonito J, Saxena A, Rosenberg R. Predictors of Sexual Activity in Haitian-American Adolescents. J Immigr Minor Health 2016; 18:161-72. [PMID: 25491443 PMCID: PMC4824621 DOI: 10.1007/s10903-014-0148-y] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
This study examined the impact of individual, peer, family, school, and neighborhood level variables on sexual activity among 276 Haitian-American adolescents. Differences between those who were sexually active and those who were not were analyzed using Chi square and t tests. Significant factors at p ≤ 0.1 were entered into logistic regression for the full group and for girls-only. Half of males and 36.6 % of females were sexually active. The multivariable model revealed that adolescents were more likely to be sexually active if they reported delinquent behaviors; had sexually active friends; and were living with only one parent, friends or relatives. For girls, living with both parents was protective against sexual activity, while substance use and emotional distress were risk factors. No language or acculturation measures were associated with sexual activity. Haitian-American adolescents may benefit from interventions that focus on gender-specific, contextual and cultural factors to prevent early sexual activity.
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Affiliation(s)
- Jessy G Dévieux
- Robert Stempel College of Public Health and Social Work, Department of Health Promotion and Disease Prevention, Florida International University, Biscayne Bay Campus, 3000 NE 151 Street-ACI #260, Miami, FL, 33181, USA.
| | - Michèle Jean-Gilles
- Robert Stempel College of Public Health and Social Work, Department of Health Promotion and Disease Prevention, Florida International University, Biscayne Bay Campus, 3000 NE 151 Street-ACI #260, Miami, FL, 33181, USA.
| | - Anne Frankel
- Temple University, 1301 Cecil B. Moore Avenue Ritter Annex, 9th Floor, Philadelphia, PA, 19122, USA.
| | - Jennifer Attonito
- Robert Stempel College of Public Health and Social Work, Department of Health Promotion and Disease Prevention, Florida International University, Biscayne Bay Campus, 3000 NE 151 Street-ACI #260, Miami, FL, 33181, USA.
| | - Anshul Saxena
- Robert Stempel College of Public Health and Social Work, Department of Health Promotion and Disease Prevention, Florida International University, Biscayne Bay Campus, 3000 NE 151 Street-ACI #260, Miami, FL, 33181, USA.
| | - Rhonda Rosenberg
- Robert Stempel College of Public Health and Social Work, Department of Health Promotion and Disease Prevention, Florida International University, Biscayne Bay Campus, 3000 NE 151 Street-ACI #260, Miami, FL, 33181, USA.
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Young people in drug treatment in Ireland: their views on substance use aetiology, trajectory, parents' role in substance use and coping skills. Ir J Psychol Med 2015; 32:247-258. [PMID: 30185264 DOI: 10.1017/ipm.2014.77] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
OBJECTIVES The aim of the current study was to gain insight into the process of initiation and progression to problematic use among young people who reach clinically significant levels of substance use requiring treatment. METHOD Twenty young people, aged between 15 and 19 years from two different drug treatment centres in Ireland were interviewed regarding their views on their pathway into substance use, their progress to more problematic use, their perception of their parents' role, if any, in their trajectory and their typical coping style before treatment. Content analysis was conducted on the resulting narratives. RESULTS The use of substances to cope with life stressors emerged as a prominent theme at initial and problematic stages of use. Multiple maladaptive coping approaches were reported. Both direct and indirect influences from parents in their substance use problem were cited. However, some participants reported that parents had no causal role in their substance use trajectory, in particular regarding mothers. CONCLUSIONS The current findings suggest that substance misuse is a multi-determined problem and a number of intervention strategies are suggested to delay onset and related harms associated with adolescent substance use.
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Stogner JM. DAT1 and Alcohol Use: Differential Responses to Life Stress during Adolescence. CRIMINAL JUSTICE STUDIES (ABINGDON, ENGLAND) 2015; 28:18-38. [PMID: 27011759 PMCID: PMC4801224] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
Stressful life events can impact both substance use initiation and the quantity of substances consumed by adolescents; however, the effect of stress on substance use may be contingent on other factors including social support, peers, and genotype. DAT1, a polymorphic dopamine transporter gene, is one such factor that may be responsible for differential susceptibility to cumulative life pressures. Data from the National Longitudinal Study of Adolescent Health was utilized to determine whether adolescents with the 10-repeat allele are more likely to respond to life stresses by engaging in alcohol use than those without the allele. Respondents' self-reports of key stressors were used to create a composite life stress scale. The interaction of this measure with the number of 10-repeat DAT1 alleles was evaluated in series of logistic regression models. A significant interaction emerged between stressful life experiences and DAT1 for alcohol use among females, but this pattern was not seen in males. Females with the 10-repeat allele appear to be more sensitive to life stress as compared to those without the allele. It appears that variation in the DAT1 gene may help explain why some women are more likely to consume alcohol when confronted with stress. It however does not appear to condition the reaction of men, in terms of alcohol use, to stress.
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Affiliation(s)
- John M. Stogner
- Department of Criminal Justice and Criminology, University of North Carolina at Charlotte, 9201 University City Blvd., Charlotte, NC 28223, (T) 704-687-7556, (F) 704-687-5285
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Chen Y, Feeley TH. Predicting Binge Drinking in College Students: Rational Beliefs, Stress, or Loneliness? JOURNAL OF DRUG EDUCATION 2015; 45:133-155. [PMID: 27075608 DOI: 10.1177/0047237916639812] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
We proposed a conceptual model to predict binge-drinking behavior among college students, based on the theory of planned behavior and the stress-coping hypothesis. A two-wave online survey was conducted with predictors and drinking behavior measured separately over 2 weeks' time. In the Wave 1 survey, 279 students at a public university in the United States answered questions assessing key predictors and individual characteristics. In the Wave 2 survey, 179 participants returned and reported their drinking behavior over 2 weeks' time. After conducting a negative binomial regression, we found that more favorable attitude toward drinking and less perceived control of drinking at Wave 1 were associated with more binge drinking at Wave 2; subjective norm at Wave 1 was not a significant predictor of binge drinking at Wave 2; students with higher stress at Wave 1 engaged in more binge drinking at Wave 2, but those with higher loneliness did not. Implications of findings are discussed.
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Affiliation(s)
- Yixin Chen
- Department of Communication Studies, Sam Houston State University, Huntsville, TX, USA
| | - Thomas Hugh Feeley
- Department of Communication, University at Buffalo, The State University of New York, Buffalo, NY, USA
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Axinn WG, Jennings EA, Couper MP. Response of sensitive behaviors to frequent measurement. SOCIAL SCIENCE RESEARCH 2015; 49:1-15. [PMID: 25432599 PMCID: PMC4247852 DOI: 10.1016/j.ssresearch.2014.07.002] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/26/2013] [Revised: 06/30/2014] [Accepted: 07/10/2014] [Indexed: 06/04/2023]
Abstract
We study the influence of frequent survey measurement on behavior. Widespread access to the Internet has made important breakthroughs in frequent measurement possible-potentially revolutionizing social science measurement of processes that change quickly over time. One key concern about using such frequent measurement is that it may influence the behavior being studied. We investigate this possibility using both a population-based experiment with random assignment to participation in a weekly journal for twelve months (versus no journal) and a large-scale, population-based, journal-keeping study with weekly measurement for 30 months. Results reveal few of the measured behaviors are correlated with assignment to frequent measurement. Theoretical reasoning regarding the likely behavioral response to frequent measurement correctly predicts domains most vulnerable to this possibility. Overall, however, we found little evidence of behavioral response to frequent measurement.
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Affiliation(s)
- William G Axinn
- University of Michigan, Survey Research Center, 426 Thompson Street, Ann Arbor, MI 48104-2321, United States.
| | - Elyse A Jennings
- University of North Carolina, Carolina Population Center, 123 West Franklin Street, Chapel Hill, NC 27516-2524, United States.
| | - Mick P Couper
- University of Michigan, Survey Research Center, 426 Thompson Street, Ann Arbor, MI 48104-2321, United States.
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Kane JC, Rapaport C, Zalta AK, Canetti D, Hobfoll SE, Hall BJ. Regular drinking may strengthen the beneficial influence of social support on depression: findings from a representative Israeli sample during a period of war and terrorism. Drug Alcohol Depend 2014; 140:175-82. [PMID: 24838033 PMCID: PMC5014386 DOI: 10.1016/j.drugalcdep.2014.04.014] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/10/2013] [Revised: 04/15/2014] [Accepted: 04/17/2014] [Indexed: 01/16/2023]
Abstract
BACKGROUND Social support is consistently associated with reduced risk of depression. Few studies have investigated how this relationship may be modified by alcohol use, the effects of which may be particularly relevant in traumatized populations in which rates of alcohol use are known to be high. METHODS In 2008 a representative sample of 1622 Jewish and Palestinian citizens in Israel were interviewed by phone at two time points during a period of ongoing terrorism and war threat. Two multivariable mixed effects regression models were estimated to measure the longitudinal association of social support from family and friends on depression symptoms. Three-way interaction terms between social support, alcohol use and time were entered into the models to test for effect modification. RESULTS Findings indicated that increased family social support was associated with less depression symptomatology (p=<.01); this relationship was modified by alcohol use and time (p=<.01). Social support from friends was also associated with fewer depression symptoms (p=<.01) and this relationship was modified by alcohol use and time as well (p=<.01). Stratified analyses in both models revealed that the effect of social support was stronger for those who drank alcohol regularly than those who did not drink or drank rarely. CONCLUSIONS These findings suggest that social support is a more important protective factor for depression among regular drinkers than among those who do not drink or drink rarely in the context of political violence. Additional research is warranted to determine whether these findings are stable in other populations and settings.
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Affiliation(s)
- Jeremy C Kane
- Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, 624 North Broadway, Baltimore, MD 21205, United States.
| | - Carmit Rapaport
- School of Political Science, University of Haifa, Mount Carmel, Haifa 31905, Israel
| | - Alyson K Zalta
- Department of Psychiatry, Rush University Medical Center, 1645 West Jackson Blvd, Suite 600, Chicago, IL 60612, United States; Department of Behavioral Sciences, Rush University Medical Center, 1645 West Jackson Blvd, Suite 400, Chicago, IL 60612, United States
| | - Daphna Canetti
- School of Political Science, University of Haifa, Mount Carmel, Haifa 31905, Israel
| | - Stevan E Hobfoll
- Department of Behavioral Sciences, Rush University Medical Center, 1645 West Jackson Blvd, Suite 400, Chicago, IL 60612, United States
| | - Brian J Hall
- Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, 624 North Broadway, Baltimore, MD 21205, United States; Department of Psychology, University of Macau, Av. Padre Tomas Pereira, Taipa, Macau.
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McNulty Eitle T, Eitle D. Race, coping strategies, and substance use behaviors: a preliminary analysis examining white and American Indian adolescents. Subst Use Misuse 2014; 49:315-25. [PMID: 24041130 PMCID: PMC3971635 DOI: 10.3109/10826084.2013.832329] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
The association between stress exposure and substance use has been the subject of numerous studies. However, no prior study has explored the role of coping strategies in moderating the stress-substance use association for American Indian adolescents. Our preliminary study of coping strategies and substance use among a sample (n = 568) of rural American Indian and white adolescents revealed a number of similarities across both groups, but also some important differences. Results of logistic regression analyses revealed that the relationship between an avoidant coping strategy and marijuana use differed for whites and American Indians. Study limitations and future research directions are discussed.
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Affiliation(s)
- Tamela McNulty Eitle
- Department of Sociology & Anthropology, Montana State University , Bozeman, Montana , USA
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