Within-episode relations among simultaneous alcohol and cannabis use and continued drinking: The role of momentary subjective responses, craving, and drinking context.

IF 3 Q2 SUBSTANCE ABUSE
Alcohol (Hanover, York County, Pa.) Pub Date : 2024-11-01 Epub Date: 2024-10-04 DOI:10.1111/acer.15451
Jack T Waddell, William R Corbin, Kevin J Grimm, Jane Metrik, Christine M Lee, Timothy J Trull
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引用次数: 0

Abstract

Background: Simultaneous alcohol and cannabis use is associated with riskier daily drinking. However, little research has tested momentary mechanisms through which simultaneous use predicts continued drinking during acute drinking episodes. The current study tested whether simultaneous use moments predicted within-episode increases in subjective responses, craving, and continued drinking, and whether these relations were potentiated in social versus solitary settings.

Methods: Emerging adults who co-use alcohol and cannabis (N = 85) completed 21 days of ecological momentary assessment with event-contingent reports during drinking episodes. Three-level multilevel models tested whether simultaneous (vs. alcohol-only) use moments indirectly predicted subsequent, continued drinking through subjective responses (i.e., high-arousal positive/stimulant, high-arousal negative/aggression, low-arousal positive/relaxation, low-arousal negative/impairment) and alcohol craving, and whether relations differed by social versus solitary contexts.

Results: Within drinking episodes, simultaneous (vs. alcohol-only) use moments were associated with increased stimulation, which was indirectly associated with continued drinking through increased alcohol craving. Additionally, the relation between simultaneous (vs. alcohol-only) use and stimulating effects was potentiated during solitary drinking moments, whereas the relation between stimulating effects and craving was potentiated during social drinking moments. However, stimulating effects were higher in social contexts across all moments. Finally, simultaneous (vs. alcohol-only) use moments were associated with increased relaxation, which was indirectly associated with a lower likelihood of continued drinking through lesser craving.

Conclusions: Simultaneous use predicted both continued within-episode drinking and cessation of drinking, with acute subjective effects and craving as mechanisms, dependent upon context. Just-in-time interventions should consider targeting affect, craving, and context in event-specific interventions.

同时使用酒精和大麻与持续饮酒之间的片段内关系:瞬间主观反应、渴求和饮酒环境的作用。
背景:同时使用酒精和大麻与日常饮酒风险较高有关。然而,很少有研究测试了同时使用可预测急性饮酒发作期间继续饮酒的瞬间机制。本研究测试了同时使用的瞬间是否会预测发作内主观反应、渴求和持续饮酒的增加,以及这些关系在社交环境与独处环境下是否会增强:共同使用酒精和大麻的新成人(85 人)在饮酒期间完成了 21 天的生态瞬间评估和事件相关报告。三级多层次模型检验了同时使用(与仅使用酒精)时刻是否通过主观反应(即高唤醒积极/兴奋剂、高唤醒消极/侵犯、低唤醒积极/放松、低唤醒消极/损害)和酒精渴求间接预测了随后的持续饮酒,以及社交与独处环境下的关系是否存在差异:结果:在饮酒事件中,同时饮酒(与只饮酒相比)与刺激增加有关,而刺激增加又通过酒精渴求的增加与继续饮酒间接相关。此外,在单独饮酒时,同时饮酒(与只饮酒)与刺激效应之间的关系增强,而在社交饮酒时,刺激效应与渴求之间的关系增强。然而,在所有饮酒时刻,社交情境中的刺激效应都更高。最后,同时饮酒(与只饮酒相比)与放松程度的增加有关,而放松程度的增加通过减少渴求间接地降低了继续饮酒的可能性:结论:同时饮酒可预测情节内的继续饮酒和戒酒,其机制是急性主观效应和渴求,这取决于情境。及时干预应考虑在特定事件中针对情感、渴求和情境进行干预。
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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CiteScore
5.40
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