Negative affect variability as a potential mechanism of behavior change in alcohol use disorder treatment.

IF 4.5 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of consulting and clinical psychology Pub Date : 2024-08-01 DOI:10.1037/ccp0000914

Braden K Linn, Junru Zhao, Paul R Stasiewicz, Gregory E Wilding, Charles LaBarre, Kyler S Knapp, Clara M Bradizza

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引用次数: 0

Abstract

Objective: Negative affect and affect variability figure prominently in models of addictive behaviors but are not without controversy. Negative affect variability may better capture a mechanism of behavior change in alcohol use disorder (AUD) treatment because it contains information about affect regulation, a common clinical target. The aims of this study are to examine the change in: (a) trajectory of negative affect variability, (b) association of negative affect variability and abstinence, and (c) association of negative affect variability and heavy drinking during AUD treatment.

Method: This article is a secondary analysis of data drawn from a randomized clinical trial. N = 181 participants diagnosed with Diagnostic and Statistical Manual of Mental Disorders, fifth edition AUD (M_age = 50.8, SD_age = 10.6; 51.4% female) received 12 sessions of Cognitive Behavioral Coping Skills Therapy for AUD. Participants completed one daily diary prompt per day for 84 consecutive days. Each day, participants reported on negative affect and number of alcoholic drinks consumed the previous day. Time-varying effect models examined changes in negative affect variability and its associations with abstinence and heavy drinking.

Results: Negative affect variability decreased throughout treatment. The positive association between negative affect variability and heavy drinking became nonsignificant (decoupled) midway through treatment. The inverse association between negative affect variability and daily abstinence became nonsignificant (decoupled) at approximately day 75 of 84. When mean levels of NA were added as a covariate, the effects were in the same direction but no longer statistically significant.

Conclusion: Reductions in negative affect variability may capture an important change mechanism of behavioral treatments for AUD because it contains information about affect regulation as compared with mean levels of negative affect. Negative affect variability warrants further consideration as a mechanism of behavior change. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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消极情绪变异是酒精使用障碍治疗中行为改变的潜在机制。

目的：消极情绪和情绪变异性在成瘾行为模型中占有重要地位，但并非没有争议。消极情绪变异性可以更好地捕捉到酒精使用障碍（AUD）治疗中行为改变的机制，因为它包含了情绪调节的信息，而情绪调节是临床上的一个常见目标。本研究旨在探讨：(a) 在酒精使用障碍治疗期间，负性情感变异性的变化轨迹；(b) 负性情感变异性与戒酒的关联；(c) 负性情感变异性与大量饮酒的关联：本文是对一项随机临床试验数据的二次分析。N = 181 名被诊断为《精神障碍诊断与统计手册》第五版 AUD 的参与者（Mage = 50.8，SDage = 10.6；51.4% 为女性）接受了 12 次认知行为应对技能疗法治疗 AUD。在连续 84 天的时间里，受试者每天填写一份日记提示。每天，参与者报告前一天的负面情绪和饮酒次数。时变效应模型研究了负性情绪变异性的变化及其与戒酒和大量饮酒的关系：结果：在整个治疗过程中，负性情绪变异性都在下降。负性情绪变异性与大量饮酒之间的正相关在治疗中途变得不显著（脱钩）。负性情绪变异性与每日戒酒之间的反向关系在治疗的第 75 天左右变得不显著（脱钩）。如果将 NA 的平均水平作为协变量加入，两者的影响方向相同，但不再具有统计学意义：消极情绪变异性的降低可能捕捉到了 AUD 行为疗法的一个重要变化机制，因为与消极情绪的平均水平相比，它包含了有关情绪调节的信息。消极情绪变异性作为一种行为改变机制值得进一步考虑。(PsycInfo Database Record (c) 2024 APA，保留所有权利）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of consulting and clinical psychology PSYCHOLOGY, CLINICAL-

CiteScore

9.00

自引率

3.40%

发文量

期刊介绍： The Journal of Consulting and Clinical Psychology® (JCCP) publishes original contributions on the following topics: the development, validity, and use of techniques of diagnosis and treatment of disordered behaviorstudies of a variety of populations that have clinical interest, including but not limited to medical patients, ethnic minorities, persons with serious mental illness, and community samplesstudies that have a cross-cultural or demographic focus and are of interest for treating behavior disordersstudies of personality and of its assessment and development where these have a clear bearing on problems of clinical dysfunction and treatmentstudies of gender, ethnicity, or sexual orientation that have a clear bearing on diagnosis, assessment, and treatmentstudies of psychosocial aspects of health behaviors. Studies that focus on populations that fall anywhere within the lifespan are considered. JCCP welcomes submissions on treatment and prevention in all areas of clinical and clinical–health psychology and especially on topics that appeal to a broad clinical–scientist and practitioner audience. JCCP encourages the submission of theory–based interventions, studies that investigate mechanisms of change, and studies of the effectiveness of treatments in real-world settings. JCCP recommends that authors of clinical trials pre-register their studies with an appropriate clinical trial registry (e.g., ClinicalTrials.gov, ClinicalTrialsRegister.eu) though both registered and unregistered trials will continue to be considered at this time.