A meta-analysis of the effect of substance use interventions on emotion outcomes.

Kang, Dahyeon; Fairbairn, Catharine E.; Ariss, Talia

doi:10.1037/ccp0000450

Cited by 13 publications

(11 citation statements)

References 148 publications

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“…College students at risk for PSM or engaged in PSM could benefit from increased exposure to nondrug reinforcers, including greater one-on-one attention from peer counselors or more on-campus programming, that increase PA and reduce PSM likelihood (Carroll, 1996). Greater availability of on-campus treatments fostering positive coping and nondrug PA should be considered (e.g., cognitive–behavioral and mindfulness-based therapies), although research on the PA-specific effects of substance use treatment is limited (Boden, Heinz, & Kashdan, 2017; Kang, Fairbairn, & Ariss, 2019).…”

Section: Discussionmentioning

confidence: 99%

Predicting college student prescription stimulant misuse: An analysis from ecological momentary assessment.

Schepis¹,

Buckner²,

Klare³

et al. 2021

Experimental and Clinical Psychopharmacology

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Prescription stimulant misuse (PSM) is common in young adult college students, at over 10% in the past year, and it is associated with other substance use and risk behaviors. Research focused on the real-time drivers of PSM is absent, impeding prevention and intervention. This research aimed to fill that gap by examining the relationships between affect, global stress, or academic stress and PSM via ecological momentary assessment (EMA); we also investigated baseline predictors of PSM frequency during the 21-day EMA period. Forty-one full-time college students (mean age: 20.5, 66% female) who endorsed current PSM (Ն 6 past-year episodes) participated. Participants were asked to complete EMA questions in response to 3 daily investigator-initiated prompts and after every PSM episode. Assessments were selected based on affect regulation (e.g., positive affect [PA], negative affect [NA]) and drug instrumentalization (e.g., academic stress and/or demands) theories of substance use. Mixed-effects linear models examined EMA data, and negative binomial regression analyses examined baseline predictors of PSM episode frequency. PA was higher on PSM days and increased post-PSM, whereas NA was unrelated to PSM. Although global and academic stress were largely unrelated to PSM, when the motive endorsed for PSM was "to study," pre-PSM ratings of academic demand and stress were significantly higher. Finally, a history of recreational motives (e.g., to get high) or higher levels of attention-deficit/ hyperactivity disorder symptoms predicted a greater number of PSM episodes over the EMA period. The results offered mixed support for both affect regulation and instrumentalization as applied to PSM.

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Section: Discussionmentioning

confidence: 99%

Predicting college student prescription stimulant misuse: An analysis from ecological momentary assessment.

Schepis¹,

Buckner²,

Klare³

et al. 2021

Experimental and Clinical Psychopharmacology

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“…Completion of the Lifestyle component was significantly associated with better mental health, biopsychosocial functioning and quality of life scores. These findings indicate that interventions for methamphetamine use should incorporate self-efficacy and coping skills development components (Moos 2007 ), in addition to clinical approaches to support emotional regulation (Kang et al 2019 ) and positive lifestyle changes (Juel et al 2017 ). The dose response identified in previous studies of this specific digital CBT program (Elison, Jones, et al 2017 ; Elison-Davies, Wardell, et al 2021 ), and other digital CBT for SUD studies (Mattila et al 2016 ), was replicated in this study.…”

Section: Discussionmentioning

confidence: 99%

Associations between psychosocial risk factors, and changes in substance dependence and psychosocial functioning, during engagement with digital cognitive behavioral therapy for methamphetamine use: use of 'Breaking Free from Substance Abuse' by incarcerated people during the COVID-19 pandemic

Elison-Davies¹,

Newsome²,

Jones

et al. 2022

Health Justice

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Background Methamphetamine use can be associated with involvement with correctional services and incarceration. Traditionally, treatments for methamphetamine use have been delivered in-person – however, lockdowns initiated during the COVID-19 pandemic significantly reduced access to such in-person support in prisons. Therefore, in May 2020 a digital cognitive-behavioral therapy (CBT) program for substance use disorders - 'Breaking Free from Substance Abuse' - was made available across prisons in Ohio in order to meet this treatment gap. This represents the first time this digital CBT intervention has been made widely available to incarcerated people residing in prisons or jails in the United States (US). This was a within-subjects study using data from 2187 Ohio prison residents who engaged with this digital CBT program to address their methamphetamine use. Results Participants reported multiple psychosocial risk factors, including moderate to severe substance dependence, depression and anxiety; interpersonal conflict; aggressive behavior; paranoia; and difficulties with work, education and accommodation. Significant reductions in substance dependence, depression/anxiety and biopsychosocial impairment, and improvements in quality of life, were identified in the sample. Risk factors were associated with less positive outcomes, specifically interpersonal conflict and poor mental health. Completion of specific components of the program were associated with more positive outcomes – a dose response was also identified. Conclusions Digital CBT can be delivered in secure US correctional settings and may help to fill unmet needs for in-person treatment. Specifically, this digital CBT program may support incarcerated individuals to address methamphetamine use, with outcomes being associated with psychosocial risk factors and program engagement.

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“…Such differences would be expected if FIT had improved resilience to negative affect. It is possible that assays of mood (as opposed to psychiatric symptom severity) would have greater sensitivity to this proposed effect of FIT [ 62 , 63 ] and mediate the effect of FIT on the drinking-related outcomes. Future FIT studies should include assays of mood and affective resilience to test this possibility.…”

Section: Discussionmentioning

confidence: 99%

Brief Online Negative Affect Focused Functional Imagery Training Improves 2-Week Drinking Outcomes in Hazardous Student Drinkers: a Pilot Randomised Controlled Trial

et al. 2021

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Background Negative affect plays an important role in motivating problematic alcohol use. Consequently, training imagery-based adaptive responses to negative affect could reduce problematic alcohol use. The current study tested whether personalised online functional imagery training (FIT) to utilise positive mental imagery in response to negative affect would improve drinking outcomes in hazardous negative affect drinking students. Method Participants were 52 hazardous student drinkers who drink to cope with negative affect. Participants in the active group (n = 24) were trained online over 2 weeks to respond to personalised negative drinking triggers by retrieving a personalised adaptive strategy they might use to mitigate negative affect, whereas participants in the control group (n = 28) received standard risk information about binge drinking at university. Measures of daily drinking quantity, drinking motives, self-efficacy and use of protective behavioural strategies were obtained at baseline and 2 weeks follow-up. Results There were three significant interactions between group and time in a per-protocol analysis: the active intervention group showed increased self-efficacy of control over negative affect drinking and control over alcohol consumption and decreased social drinking motives from baseline to 2-week follow-up, relative to the control intervention group. There were no effects on drinking frequency. Conclusion These findings provide initial evidence that online training to respond to negative affect drinking triggers by retrieving mental imagery of adaptive strategies can improve drinking-related outcomes in hazardous, student, negative affect drinkers. The findings support the utility of FIT interventions for substance use.

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A meta-analysis of the effect of substance use interventions on emotion outcomes.

Cited by 13 publications

References 148 publications

Predicting college student prescription stimulant misuse: An analysis from ecological momentary assessment.

Predicting college student prescription stimulant misuse: An analysis from ecological momentary assessment.

Associations between psychosocial risk factors, and changes in substance dependence and psychosocial functioning, during engagement with digital cognitive behavioral therapy for methamphetamine use: use of 'Breaking Free from Substance Abuse' by incarcerated people during the COVID-19 pandemic

Brief Online Negative Affect Focused Functional Imagery Training Improves 2-Week Drinking Outcomes in Hazardous Student Drinkers: a Pilot Randomised Controlled Trial

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