Attention-deficit/hyperactivity disorder is associated with more alcohol problems and less substance-free reinforcement: A behavioral economics daily diary study of college student drinkers.

IF 3.2 2区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY
Psychology of Addictive Behaviors Pub Date : 2024-06-01 Epub Date: 2024-01-25 DOI:10.1037/adb0000982
Lauren E Oddo, Keanan J Joyner, James G Murphy, Samuel F Acuff, Nicholas P Marsh, Amanda Steinberg, Andrea Chronis-Tuscano
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引用次数: 0

Abstract

Objective: Behavioral economic theory suggests that alcohol risk is related to elevated alcohol reinforcing efficacy (demand) combined with diminished availability of reinforcing substance-free activities, but little research has examined these reward-related processes at the daily level in association with comorbid conditions that might influence behavioral patterns and reward. Young people with attention-deficit/hyperactivity disorder (ADHD) report high levels of risky drinking, and this risk may be due in part to elevated demand for alcohol and diminished engagement in enjoyable and valued substance-free activities.

Method: College student drinkers (N = 101; 48.5% female; 68.3% White; 18-22 years old) with (n = 51) and without (n = 50) ADHD completed 14 consecutive daily diaries (diary entry n = 1,414). We conducted a series of multilevel path models to examine (a) the associations among ADHD and average daily alcohol demand, substance-free enjoyment, and response contingent positive reinforcement (RCPR) for goal-directed behaviors; (b) the associations among concurrent daily alcohol demand, substance-free reinforcement, and RCPR for goal-directed behaviors and daily alcohol use and alcohol-related negative consequences; and (c) the moderating effect of ADHD on these within-day associations.

Results: ADHD was significantly associated with more daily alcohol-related negative consequences and less daily substance-free enjoyment and RCPR. Regardless of ADHD status, there were significant associations among behavioral economic risk factors and alcohol use and negative consequences, though effects differed within and between persons. There were no moderating effects of ADHD on within-person associations.

Conclusions: Results expose areas of impairment specific to drinkers with ADHD and advance theory on ADHD and hazardous drinking. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

注意力缺陷/多动症与更多的酒精问题和更少的无药物强化有关:针对大学生饮酒者的行为经济学每日日记研究。
目的:行为经济学理论认为,酗酒风险与酒精强化效能(需求)的升高以及可获得的无强化物质活动的减少有关,但很少有研究对这些与日常奖励相关的过程以及可能影响行为模式和奖励的合并症进行研究。患有注意力缺陷/多动障碍(ADHD)的年轻人报告了高水平的危险饮酒,而这种风险可能部分是由于对酒精的需求增加以及参与令人愉快和有价值的无药物活动的减少:有(n = 51)和没有(n = 50)ADHD 的大学生饮酒者(N = 101;48.5% 女性;68.3% 白人;18-22 岁)连续填写了 14 篇每日日记(日记条目 n = 1,414)。我们建立了一系列多层次路径模型,以研究:(a)多动症与平均每日酒精需求量、无物质享受和目标导向行为的反应或然正强化(RCPR)之间的关联;(b)同时每日酒精需求量、无物质强化和目标导向行为的反应或然正强化与每日饮酒量和酒精相关负面后果之间的关联;以及(c)多动症对这些日内关联的调节作用:结果:ADHD 与更多的每日酒精相关负面后果、较少的每日无物质享受和 RCPR 有明显关联。无论是否患有多动症,行为经济风险因素与酒精使用和不良后果之间都存在明显的关联,但在人与人之间的影响有所不同。多动症对人与人之间的关联没有调节作用:结论:研究结果揭示了多动症饮酒者特有的损伤领域,并推进了多动症与危险饮酒的理论研究。(PsycInfo Database Record (c) 2024 APA, 版权所有)。
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来源期刊
CiteScore
4.90
自引率
11.80%
发文量
165
期刊介绍: Psychology of Addictive Behaviors publishes peer-reviewed original articles related to the psychological aspects of addictive behaviors. The journal includes articles on the following topics: - alcohol and alcoholism - drug use and abuse - eating disorders - smoking and nicotine addiction, and other excessive behaviors (e.g., gambling) Full-length research reports, literature reviews, brief reports, and comments are published.
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