Brief Negative Affect Focused Functional Imagery Training Abolishes Stress-Induced Alcohol Choice in Hazardous Student Drinkers.

Journal of Addiction Pub Date : 2021-09-17 eCollection Date: 2021-01-01 DOI:10.1155/2021/5801781
Alexandra Elissavet Bakou, Ruichong Shuai, Lee Hogarth
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Abstract

Introduction: Imagery-based stress management therapies are effective at reducing alcohol use. To explore the therapeutic mechanism, the current study tested whether brief functional imagery training linked to personal negative affect drinking triggers would attenuate sensitivity to noise stress-induced alcohol seeking behaviour in a laboratory model.

Methods: Participants were UK-based hazardous student drinkers (N = 61, 80.3% women, aged 18-25) who reported drinking to cope with negative affect. Participants in the active intervention group (n = 31) were briefly trained to respond to personal negative drinking triggers by retrieving an adaptive strategy to mitigate negative affect, whereas participants in the control group (n = 30) received risk information about binge drinking at university. The relative value of alcohol was then measured by preference to view alcohol versus food pictures in two-alternative choice trials, before (baseline) and during noise stress induction.

Results: There was a significant two-way interaction (p < .04) where the control group increased their alcohol picture choice from baseline to the noise stress test (p < .001), whereas the active intervention group did not (p=.33), and the control group chose alcohol more frequently than the active group in the stress test (p=.03), but not at baseline (p=.16).

Conclusions: These findings indicate that imagery-based mood management can protect against the increase in the relative value of alcohol motivated by acute stress in hazardous negative affect drinkers, suggesting this mechanism could underpin the therapeutic effect of mood management on drinking outcomes.

Abstract Image

简短的负面影响集中功能意象训练消除危险学生饮酒者的压力诱导酒精选择。
基于图像的压力管理疗法在减少酒精使用方面是有效的。为了探索治疗机制,目前的研究在实验室模型中测试了与个人负面影响饮酒触发因素相关的简短功能图像训练是否会减弱对噪音压力诱导的酒精寻求行为的敏感性。方法:参与者是来自英国的危险学生饮酒者(N = 61, 80.3%的女性,年龄在18-25岁),他们报告饮酒是为了应对负面影响。积极干预组(n = 31)的参与者接受了简短的训练,通过检索适应性策略来减轻负面影响,以应对个人消极饮酒的触发因素,而对照组(n = 30)的参与者接受了有关大学酗酒的风险信息。在噪声应激诱导前(基线)和噪声应激诱导期间,通过对酒精和食物图片的偏好来测量酒精的相对价值。结果:有显著的双向交互作用(p < .04),对照组从基线到噪声压力测试增加了酒精图片的选择(p < .001),而积极干预组没有(p=.33),对照组在压力测试中比积极干预组更频繁地选择酒精(p=.03),但在基线时没有(p=.16)。结论:这些发现表明,基于图像的情绪管理可以防止有害负面影响饮酒者因急性压力而引起的酒精相对价值的增加,这表明这一机制可以支持情绪管理对饮酒结果的治疗效果。
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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