Baseline protective behavioral strategy use predicts more moderate transdermal alcohol concentration dynamics and fewer negative consequences of drinking in young adults' natural settings.

IF 3.2 2区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY
Psychology of Addictive Behaviors Pub Date : 2024-05-01 Epub Date: 2023-06-29 DOI:10.1037/adb0000941
Michael A Russell, Joshua M Smyth, Rob Turrisi, Gabriel C Rodriguez
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引用次数: 0

Abstract

Objective: Test whether frequent protective behavioral strategies (PBS) users report (a) fewer alcohol-related consequences and (b) less risky alcohol intoxication dynamics (measured via transdermal alcohol concentration [TAC] sensor "features") in daily life.

Method: Two hundred twenty-two frequently heavy-drinking young adults (Mage = 22.3 years) wore TAC sensors for 6 consecutive days. TAC features peak (maximum TAC), rise rate (speed of TAC increase), and area under the curve (AUC) were derived for each day. Negative alcohol-related consequences were measured in the morning after each self-reported drinking day. Past-year PBS use was measured at baseline.

Results: Young adults reporting more frequent baseline PBS use showed (a) fewer alcohol-related consequences and (b) lower intoxication dynamics on average (less AUC, lower peaks, and slower rise rates). Limiting/stopping and manner of drinking PBS showed the same pattern of findings as the total score. Serious harm reduction PBS predicted fewer negative alcohol-related consequences, but not TAC features. Multilevel path models showed that TAC features peak and rise rate partially explained associations between PBS (total, limiting/stopping, and manner of drinking) and consequences. Independent contributions of PBS subscales were small and nonsignificant, suggesting that total PBS use was a more important predictor of risk/protection than the specific types of PBS used.

Conclusions: Young adults using more total PBS may experience fewer alcohol-related consequences during real-world drinking episodes in part through less risky intoxication dynamics (TAC features). Future research measuring PBS at the daily level is needed to formally test TAC features as day-level mechanisms of protection from acute alcohol-related consequences. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

基线保护性行为策略的使用预测了在年轻人的自然环境中,更温和的透皮酒精浓度动态和更少的饮酒负面后果。
目的:测试频繁保护行为策略(PBS)用户在日常生活中是否报告(a)较少的酒精相关后果和(b)较低风险的酒精中毒动力学(通过透皮酒精浓度[TAC]传感器“特征”测量)。方法:222名经常酗酒的年轻人(Mage=22.3岁)连续6天佩戴TAC传感器。导出每天的TAC特征峰值(最大TAC)、上升率(TAC增加速度)和曲线下面积(AUC)。在每个自我报告饮酒日后的第二天早上测量与酒精相关的负面后果。过去一年PBS的使用是在基线时测量的。结果:报告基线PBS使用频率更高的年轻人显示(a)酒精相关后果更少,(b)平均中毒动力学更低(AUC更低,峰值更低,上升率更低)。限制/停止和饮用PBS的方式显示出与总分相同的发现模式。减少严重伤害PBS预测与酒精相关的负面后果较少,但没有TAC特征。多级路径模型显示,TAC特征的峰值和上升率部分解释了PBS(总量、限制/停止和饮酒方式)与后果之间的关联。PBS分量表的独立贡献较小且不显著,这表明总的PBS使用量比使用的特定类型的PBS更重要地预测风险/保护。结论:使用更多总PBS的年轻人在现实世界的饮酒过程中可能会经历更少的酒精相关后果,部分原因是风险较小的中毒动力学(TAC特征)。未来需要在日常水平上测量PBS的研究,以正式测试TAC特征,作为预防急性酒精相关后果的日常机制。(PsycInfo数据库记录(c)2023 APA,保留所有权利)。
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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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