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Brand K, Mellick W, Tolliver B, Prisciandaro JJ. A sense of urgency: Trait impulsivity in co-occurring bipolar and alcohol use disorder. ALCOHOL, CLINICAL & EXPERIMENTAL RESEARCH 2024. [PMID: 39198886 DOI: 10.1111/acer.15430] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/27/2024] [Revised: 08/06/2024] [Accepted: 08/08/2024] [Indexed: 09/01/2024]
Abstract
BACKGROUND Bipolar disorder (BD) and alcohol use disorder (AUD) often co-occur, with BD + AUD characterized by higher levels of impulsivity relative to either disorder alone. Emotional facets of impulsivity (e.g., "urgency," measured by the UPPS-P), however, remain underexplored in this population and could have distinct associations with clinical correlates. METHODS This cross-sectional study used a two-by-two (BDxAD) factorial design, including groups with BD + AD (n = 28), BD (n = 29), AD (n = 28), and healthy controls (HC) (n = 27), to identify between-group differences among the five subscales of the UPPS-P. Associations of UPPS-P subscales with Barratt Impulsiveness Scale (BIS) total scores and clinical variables of interest were also examined. RESULTS BD + AD had the highest scores for every UPPS-P subscale but Sensation Seeking, with the Positive and Negative Urgency subscales having the largest main effects for both BD and AD. BIS-11 total scores were most correlated with the urgency subscales of the UPPS-P. Negative Urgency was found to be uniquely relevant to clinical measures in the BD + AD group. Rapid cycling was associated with both urgency subscales and BIS-11 scores, and the Alcohol Dependence Scale was most correlated with the Premeditation subscale. LIMITATIONS Cross sectional design and predominantly white sample. CONCLUSIONS Unlike the BIS-11, UPPS-P is able to distinguish emotional from nonemotional facets of impulsivity, something especially relevant to people with co-occurring BD + AD, where fluid emotionality is a key part of symptom presentation. For this reason, the UPPS-P should be utilized in future studies and clinical settings measuring trait impulsivity in this population.
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Affiliation(s)
- Kaiya Brand
- Department of Psychiatry and Behavioral Sciences, Addiction Sciences Division, Medical University of South Carolina, Charleston, South Carolina, USA
| | - William Mellick
- Department of Psychiatry and Behavioral Sciences, Addiction Sciences Division, Medical University of South Carolina, Charleston, South Carolina, USA
| | - Bryan Tolliver
- Department of Psychiatry and Behavioral Sciences, Addiction Sciences Division, Medical University of South Carolina, Charleston, South Carolina, USA
| | - James J Prisciandaro
- Department of Psychiatry and Behavioral Sciences, Addiction Sciences Division, Medical University of South Carolina, Charleston, South Carolina, USA
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Woods-Gonzalez R, Waddell JT, King SE, Corbin WR. Differentiating action from inaction: Longitudinal relations among impulsive personality traits, internalizing symptoms, and drinking behavior. Addict Behav 2024; 154:108019. [PMID: 38502991 PMCID: PMC11015960 DOI: 10.1016/j.addbeh.2024.108019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2023] [Revised: 02/27/2024] [Accepted: 03/15/2024] [Indexed: 03/21/2024]
Abstract
BACKGROUND Impulsive personality traits are strong, consistent risk factors for heavy drinking, and modern theories suggest that impulsive traits may also confer risk for internalizing symptoms. However, it remains unclear which specific impulsive traits are linked with heavy drinking versus internalizing symptoms, and whether heavy drinking and internalizing symptoms are mechanisms of risk for negative alcohol consequences in impulsive individuals. METHOD Data are from a longitudinal study of young adults (N = 448, Mage = 22.27, 43.5 % female) assessed at baseline (T1), 6 months (T2), and one year later (T3). Longitudinal path models tested whether T1 impulsive traits (i.e., lack of premeditation, lack of perseverance, sensation seeking, positive urgency, negative urgency) were indirectly associated with T3 negative alcohol consequences through heavy T2 drinking and T2 internalizing symptoms (i.e., depression, anxiety, stress). Separate models were tested for positive and negative urgency given strong correlations between these measures. RESULTS Across models, T1 lack of premeditation indirectly predicted more T3 negative alcohol consequences through heavy T2 drinking. When tested separately, T1 negative urgency indirectly predicted more T3 negative consequences through higher T2 stress and depressive (but not anxiety) symptoms, and T1 positive urgency predicted higher T2 anxiety symptoms, but T2 anxiety was unrelated to T3 negative consequences. Across models, T1 sensation seeking indirectly predicted less T3 negative consequences through decreased T2 depression. CONCLUSIONS Distinct impulsive traits prospectively predicted heavy drinking and internalizing symptoms, both of which conferred risk for negative alcohol consequences. Findings underscore the importance of targeted interventions based on personality and suggest that decreases in drinking may be more effective prevention for those who lack premeditation, whereas decreases in internalizing, particularly depression/stress, may be critical for those high in negative urgency.
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Affiliation(s)
- Ricardo Woods-Gonzalez
- Arizona State University, Department of Psychology, 900 S McAllister, Tempe, AZ 85287-1104, USA
| | - Jack T Waddell
- Arizona State University, Department of Psychology, 900 S McAllister, Tempe, AZ 85287-1104, USA.
| | - Scott E King
- Arizona State University, Department of Psychology, 900 S McAllister, Tempe, AZ 85287-1104, USA
| | - William R Corbin
- Arizona State University, Department of Psychology, 900 S McAllister, Tempe, AZ 85287-1104, USA
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King SE, Waddell JT, Corbin WR. Pregaming potentiates risk between UPPS-P impulsivity and day-level drinking behavior: A test of person-environment transactions theory. Exp Clin Psychopharmacol 2024; 32:340-349. [PMID: 38032611 PMCID: PMC11238706 DOI: 10.1037/pha0000695] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/01/2023]
Abstract
Pregaming represents a uniquely high-risk drinking event for young adults, and subfacets of impulsivity are robust predictors of alcohol use and related negative outcomes. Further, it is likely that pregame events contain social and physical stimuli that are particularly appealing for impulsive individuals, thus exacerbating risk for negative outcomes. However, no prior studies have investigated the extent to which impulsive personality traits interact with pregame events to confer alcohol-related risk. Thus, the present study examined the extent to which UPPS-P (urgency-perseverance-premeditation-sensation seeking-positive urgency) subfacets of impulsivity interact with the occurrence of pregaming to predict relations between pregaming, drinking quantity, and negative alcohol-related outcomes. College students (N = 737) completed a modified, online version of the 30-day Timeline Followback in which they reported drinking quantity, negative consequences, and whether they engaged in pregaming on a given day. Results indicated that sensation seeking and a lack of premeditation moderated relations between pregaming and drinking quantity such that those who are higher in sensation seeking and lower in their ability to plan ahead drank more on pregaming days. Sensation seeking and positive urgency moderated relations between pregaming and negative consequences such that those who are higher in positive urgency experience more consequences on pregaming days whereas those who are higher in sensation seeking experience less consequences. Future studies may benefit from more granular assessments of pregame-related risk as subfacets of impulsivity may confer momentary risk. Prevention efforts targeting the reduction of pregaming frequency, particularly among impulsive individuals, may lower overall risk for heavy drinking. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
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Affiliation(s)
- Scott E King
- Department of Psychology, Arizona State University
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McNamara IA, Nance M, Lane SP, Trela CJ, Wood PK, Piasecki TM, Trull TJ, Carpenter RW. Trait impulsivity moderates rate of alcohol consumption in daily life. Addict Behav 2024; 152:107976. [PMID: 38320391 PMCID: PMC11082914 DOI: 10.1016/j.addbeh.2024.107976] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2023] [Revised: 12/22/2023] [Accepted: 01/26/2024] [Indexed: 02/08/2024]
Abstract
INTRODUCTION Rate of alcohol consumption, the speed with which people drink, has been linked to a range of outcomes, including alcohol use disorder symptoms and increased positive affect. However, minimal work has identified who is most likely to drink at elevated rates. Impulsivity is associated with increased attention to positive reinforcers specifically (e.g., positive affect). We therefore examined whether people higher in trait impulsivity engage in faster consumption during drinking episodes. METHODS Participants were current drinkers (N = 113; 54 people with borderline personality disorder [BPD], a disorder that involves elevated impulsivity, and 59 community people) who completed a 21-day ecological momentary assessment (EMA) protocol. Multilevel models of drinking episodes (Nobservations = 3,444) examined whether self-reported trait impulsivity, measured at baseline, was associated with faster rise in estimated blood alcohol concentration (eBAC) at each follow-up period. RESULTS All UPPS sub-scales were associated with faster rise in eBAC across a drinking episode. In a multivariate model including all sub-scales as simultaneous predictors, sensation seeking and (lack of) perseverance were independently positively associated with rate of consumption. Additional analyses indicated that greater negative urgency and sensation seeking were associated with faster rises in eBAC in participants with BPD, relative to community comparisons. CONCLUSION In a sample that captured a wide spectrum of impulsivity, greater impulsivity was associated with drinking alcohol at a faster rate. People higher in sensation seeking and (lack of) perseverance may be prone to drink at faster rates out of a desire to maximize the hedonic effects of alcohol. PUBLIC SIGNIFICANCE STATEMENT This study finds that people who are more impulsive tend to drink alcohol faster, putting them at greater risk for negative consequences. This may explain, in part, why impulsivity is linked to experiencing alcohol-related problems.
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Affiliation(s)
- Ian A McNamara
- Department of Psychological Sciences, University of Missouri - St. Louis, USA.
| | - Melissa Nance
- Department of Psychological Sciences, University of Missouri - St. Louis, USA
| | - Sean P Lane
- Department of Psychological Sciences, University of Missouri, USA
| | - Constantine J Trela
- Alert Counseling & Therapy PLLC, 700 N Green St., STE 103, Chicago, IL 60642, USA
| | - Phillip K Wood
- Department of Psychological Sciences, University of Missouri, USA
| | - Thomas M Piasecki
- Department of Medicine and Center for Tobacco Research and Intervention, University of Wisconsin School of Medicine and Public Health, USA
| | - Timothy J Trull
- Department of Psychological Sciences, University of Missouri, USA
| | - Ryan W Carpenter
- Department of Psychological Sciences, University of Missouri - St. Louis, USA
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Waddell JT, Sternberg A, Eisenberg N, Chassin L. Longitudinal Relations Among Parental Substance Use Disorder and Adolescent Drinking Behavior: The Role of Temperament, Negative Urgency, and Maternal Parenting. J Youth Adolesc 2024; 53:833-848. [PMID: 37864729 PMCID: PMC11232500 DOI: 10.1007/s10964-023-01886-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2023] [Accepted: 10/10/2023] [Indexed: 10/23/2023]
Abstract
Research suggests that parental substance use disorder is associated with adolescent drinking indirectly through negative urgency, a form of impulsivity that is particularly associated with high-risk drinking. Moreover, childhood mechanisms of risk may play a role in this developmental chain such that childhood temperament and parenting may be mechanisms through which parental substance use disorder is associated with adolescent negative urgency and drinking behavior. Therefore, the current study tested whether parental substance use disorder was indirectly associated with adolescent drinking frequency through childhood temperament (i.e., "dysregulated irritability") and adolescent negative urgency, and whether relations differed by levels of maternal support and consistency of discipline. Data come from a multigenerational, longitudinal study of familial substance use disorder (N = 276, Mage in childhood = 6.28 (SD = 1.16), Mage in adolescence = 15.86 (SD = 1.56), 45.3% female). Findings indicated that parental substance use disorder indirectly predicted adolescent drinking through both childhood dysregulated irritability and adolescent negative urgency (mediated pathways). This indirect relation was stronger at higher vs. lower levels of maternal support but did not vary by maternal consistency of discipline. Parental substance use disorder also indirectly predicted adolescent drinking separately through childhood dysregulated irritability and negative urgency. Findings thus suggest that childhood dysregulated irritability may be an early marker of risk toward high-risk personality traits and behavior in adolescence that are associated with having a parental history of substance use disorder. Findings also suggest that increased maternal support may only be helpful in buffering risk for those with low levels of dysregulated irritability. Prevention efforts focused on childhood emotion regulation and emotion-based action may be useful in preventing adolescent risk behavior.
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Affiliation(s)
- Jack T Waddell
- Department of Psychology, Arizona State University, Tempe, AZ, 85287-1104, USA.
| | | | - Nancy Eisenberg
- Department of Psychology, Arizona State University, Tempe, AZ, 85287-1104, USA
| | - Laurie Chassin
- Department of Psychology, Arizona State University, Tempe, AZ, 85287-1104, USA
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Waddell JT, Okey SA, McDonald A, Quiroz SI, Woods-Gonzalez R, Corbin WR. Cannabis use in context: Relations among impulsive personality traits, context, and cannabis problems. Addict Behav 2023; 147:107841. [PMID: 37651903 PMCID: PMC10563507 DOI: 10.1016/j.addbeh.2023.107841] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2023] [Revised: 07/05/2023] [Accepted: 08/24/2023] [Indexed: 09/02/2023]
Abstract
INTRODUCTION Impulsive personality traits are associated with cannabis problems. Person-Environment Transactions Theory suggests that highly impulsive individuals behave differently in certain contexts, however little research has focused on the context in which cannabis is used. Therefore, the current study tested whether impulsive traits moderated relations between cannabis use contexts (social vs. solitary) and cannabis problems. METHOD In this cross-sectional study, college student who use cannabis (N = 435; 60.7% female) reported on their impulsive traits (i.e., negative urgency, positive urgency, premeditation, perseverance, and sensation seeking), typical cannabis use context (i.e., alone, with friends), typical cannabis use frequency, and past 30-day cannabis problems. RESULTS Both solitary cannabis use and negative urgency were associated with more cannabis problems. There were significant interactions between negative urgency and solitary cannabis use and lack of perseverance and solitary cannabis use, such that high and mean (but not low) levels of both negative urgency and lack of perseverance were associated with more cannabis problems the more frequently an individual used cannabis alone. There was also a significant interaction between sensation seeking and social cannabis use, such that high and mean (but not low) levels of sensation seeking were associated with cannabis problems for individuals who used cannabis more socially. CONCLUSIONS Findings suggest that impulsivity may potentiate risk for cannabis problems depending on the context in which cannabis is used. Prevention efforts may benefit from targeting protective strategy use in certain cannabis use contexts based upon an individual's personality traits.
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Affiliation(s)
- Jack T Waddell
- Department of Psychology, Arizona State University, USA.
| | - Sarah A Okey
- Department of Psychology, Arizona State University, USA
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Yan K, Feng Y, Liu Z, Shi W, Jiang Y, Liu J. Impulsivity Drives Adolescents to Smoke and Drink: Gender Differences in the Mediating Effects of Resilience and Depression. Psychol Rep 2023:332941231216894. [PMID: 37982432 DOI: 10.1177/00332941231216894] [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: 11/21/2023]
Abstract
High and rising rates of smoking and drinking among Chinese adolescents are contributing to increasingly serious physical and mental health issues. While impulsivity has been demonstrated to be significantly related to adolescent cigarette and alcohol use, little is known about the mechanisms behind this association. The current study focused on resilience and depressive symptoms as potential mediators of this link, exploring the indirect pathways connecting impulsivity to teenage tobacco and alcohol use. Possible gender differences in this indirect pathway were also explored. Participants were secondary school students from southern China (N = 3466; 49.2% were female; Mage = 14.18; SDage = 1.57). Results revealed that adolescents who were more impulsive used cigarettes and alcohol more frequently, and that this effect was partially mediated by lower resilience and more depressive symptoms. It is noteworthy that there were gender differences in this mediating effect, with the effect of impulsivity on cigarette use for girls being mediated by resilience and depressive symptoms, whereas this statistically significant association was not identified for boys. These findings show how adolescents' impulsivity drives them to smoke and drink, and also emphasize gender as a crucial consideration for intervening with adolescents' drinking and smoking behaviors.
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Affiliation(s)
- Kai Yan
- School of Educational Science, Cognition and Human Behavior Key Laboratory of Hunan Province, Hunan Normal University, Changsha, China
| | - Yonghui Feng
- School of Educational Science, Cognition and Human Behavior Key Laboratory of Hunan Province, Hunan Normal University, Changsha, China
| | - Ziyao Liu
- School of Educational Science, Cognition and Human Behavior Key Laboratory of Hunan Province, Hunan Normal University, Changsha, China
| | - Wei Shi
- School of Educational Science, Cognition and Human Behavior Key Laboratory of Hunan Province, Hunan Normal University, Changsha, China
| | - Yubin Jiang
- School of Educational Science, Cognition and Human Behavior Key Laboratory of Hunan Province, Hunan Normal University, Changsha, China
| | - Juan Liu
- School of Educational Science, Cognition and Human Behavior Key Laboratory of Hunan Province, Hunan Normal University, Changsha, China
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Benzerouk F, Gierski F, Lannoy S, Barrière S, Schmid F, Papillon CA, Houchi H, DeWever E, Quaglino V, Naassila M, Kaladjian A. Brain-derived neurotrophic factor Val66Met polymorphism moderates the relationship between impulsivity, negative emotions, and binge drinking intensity in university students. Alcohol Alcohol 2023; 58:505-511. [PMID: 37334438 DOI: 10.1093/alcalc/agad043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2023] [Revised: 05/17/2023] [Accepted: 05/28/2023] [Indexed: 06/20/2023] Open
Abstract
Studies on the genetic factors involved in binge drinking (BD) and its associated traits are very rare. The aim of this cross-sectional study was to investigate differences in the association between impulsivity, emotion regulation and BD in a sample of young adults according to the rs6265/Val66Met variant in the brain-derived neurotrophic factor (BDNF) gene, a well-known candidate gene in alcohol use disorders. We recruited 226 university students (112 women), aged between 18 and 25 years old, from two centers in France. The participants completed measures related to alcohol consumption, depression severity, state anxiety levels, impulsivity (UPPS-P), and difficulties in emotion regulation [Difficulty in Emotion Regulation Scale (DERS)]. The relationship between the BD score and the clinical characteristics in the BDNF genotype groups was assessed by partial correlation analyses and moderation analyses. The partial correlation analyses showed that, in the Val/Val genotype group, the BD score was positively related to UPPS-P Lack of Premeditation and Sensation Seeking scores. In the Met carriers group, the BD score was positively related to UPPS-P Positive Urgency, lack of Premeditation, lack of Perseverance and Sensation Seeking scores and to Clarity score of the DERS. Moreover, the BD score was positively associated with depression severity and state anxiety scores. The moderation analyses revealed that BDNF Val/Met genotype moderated the relationship between several clinical variables and BD. The results of the present study support the hypothesis of common and specific vulnerability factors regarding impulsivity and emotion regulation difficulties associated with BD according to this BDNF rs6265 polymorphism.
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Affiliation(s)
- Farid Benzerouk
- University of Reims Champagne-Ardenne, 51100 Reims, France; Cognition Health Society Laboratory (C2S-EA 6e291), 51100 Reims, France
- Department of Psychiatry, Marne Public Mental Health Institution & Reims University Hospital, 51100 Reims, France
- Institute of Psychiatry and Addictions, Paris, France
- Research Group on Alcohol and Pharmacodependences, INSERM UMRS 1247, University of Picardy Jules Verne, 80054 Amiens, France
| | - Fabien Gierski
- University of Reims Champagne-Ardenne, 51100 Reims, France; Cognition Health Society Laboratory (C2S-EA 6e291), 51100 Reims, France
- Department of Psychiatry, Marne Public Mental Health Institution & Reims University Hospital, 51100 Reims, France
- Institute of Psychiatry and Addictions, Paris, France
- Research Group on Alcohol and Pharmacodependences, INSERM UMRS 1247, University of Picardy Jules Verne, 80054 Amiens, France
| | - Séverine Lannoy
- Department of Psychiatry, Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University School of Medicine, Richmond, VA 23298-0126, United States
| | - Sarah Barrière
- Department of Psychiatry, Marne Public Mental Health Institution & Reims University Hospital, 51100 Reims, France
| | - Franca Schmid
- University of Reims Champagne-Ardenne, 51100 Reims, France; Cognition Health Society Laboratory (C2S-EA 6e291), 51100 Reims, France
| | - Charles-Antoine Papillon
- Research Group on Alcohol and Pharmacodependences, INSERM UMRS 1247, University of Picardy Jules Verne, 80054 Amiens, France
| | - Hakim Houchi
- Research Group on Alcohol and Pharmacodependences, INSERM UMRS 1247, University of Picardy Jules Verne, 80054 Amiens, France
| | - Elodie DeWever
- CRP-CPO Laboratory (EA7273), Jules Verne Picardie University, 80025 Amiens, France
| | - Véronique Quaglino
- CRP-CPO Laboratory (EA7273), Jules Verne Picardie University, 80025 Amiens, France
| | - Mickael Naassila
- Institute of Psychiatry and Addictions, Paris, France
- Research Group on Alcohol and Pharmacodependences, INSERM UMRS 1247, University of Picardy Jules Verne, 80054 Amiens, France
| | - Arthur Kaladjian
- University of Reims Champagne-Ardenne, 51100 Reims, France; Cognition Health Society Laboratory (C2S-EA 6e291), 51100 Reims, France
- Department of Psychiatry, Marne Public Mental Health Institution & Reims University Hospital, 51100 Reims, France
- Institute of Psychiatry and Addictions, Paris, France
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Waddell JT, Fairlie AM, Calhoun BH, Patrick ME, Lee CM. Planned versus unplanned drinking and cannabis use: Do facets of trait impulsivity influence daily risk? PSYCHOLOGY OF ADDICTIVE BEHAVIORS 2023; 37:341-352. [PMID: 36395009 PMCID: PMC9991956 DOI: 10.1037/adb0000896] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
OBJECTIVE Planned and unplanned substance use have been examined as predictors of heavier alcohol and cannabis use and problems at the between-person level. However, it remains unclear whether planned versus unplanned use is riskiest at the day-level, and for whom. The present study tested whether day-level planned versus unplanned alcohol and cannabis use were associated with higher alcohol and cannabis consumption and negative consequences that day and whether two impulsive traits, lack of premeditation and positive urgency, moderated associations. METHOD Young adults (N = 409; 50.9% female) completed five bursts of daily surveys, each consisting of a morning and afternoon report across 14 consecutive days. During a baseline session, participants reported their impulsivity (UPPS-P). During afternoon surveys, participants reported their plans to use alcohol/cannabis that night. During morning surveys, participants reported number of drinks consumed/hours spent high yesterday and negative consequences experienced. RESULTS Planned drinking days were associated with a greater number of drinks and negative consequences, whereas planned cannabis use days were associated with more hours spent high but not negative consequences. In the drinking quantity model, there was a significant interaction for planned versus unplanned drinking by positive urgency. Planned drinking was associated with heavier alcohol consumption across levels of positive urgency; however, unplanned drinking was associated with heavier consumption for individuals with higher (vs. lower) levels of positive urgency. CONCLUSIONS Day-level planned drinking and cannabis use are important factors to target in just-in-time interventions. However, interventions focused on planned and unplanned drinking may be particularly effective for individuals with higher levels of positive urgency. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
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Affiliation(s)
| | - Anne M. Fairlie
- Department of Psychiatry and Behavioral Sciences, University of Washington
| | - Brian H. Calhoun
- Department of Psychiatry and Behavioral Sciences, University of Washington
| | | | - Christine M. Lee
- Department of Psychiatry and Behavioral Sciences, University of Washington
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