An ecological momentary assessment of mood, coping and alcohol use among emerging adults in psychiatric treatment

Stevenson, Brittany L.; Blevins, Claire E.; Marsh, Eliza; Feltus, Sage; Stein, Michael D.; Abrantes, Ana M.

doi:10.1080/00952990.2020.1783672

Cited by 13 publications

(7 citation statements)

References 33 publications

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“…If young adults do indeed drink to regulate negative affect, we would have found the opposite-participants would report drinking on days high in negative affect. Finding that mood was worse on abstinent days indicates nonsupport for the affect regulation hypothesis of drinking, which had mixed support in prior work as well (De Leon et al, 2020;Emery & Simons, 2020;Fairlie et al, 2019;Howard et al, 2015;Hussong et al, 2001;Stevenson et al, 2020;Treloar et al, 2015). Further, inconsistent This document is copyrighted by the American Psychological Association or one of its allied publishers.…”

Section: Discussionmentioning

confidence: 96%

Daily associations between affect, drinking motives, and drinking intensity among U.S. young adults.

Stevenson¹,

Parks²,

Patrick³

2023

Psychology of Addictive Behaviors

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Objective: We investigated the relationships between daily affect, drinking motives, likelihood of drinking, and intensity of drinking, particularly high-intensity drinking (HID), in a sample of young adults. We also explored differences in our outcomes before versus during the early coronavirus disease (COVID-19) pandemic. Method: In the springs of 2019 and 2020, young adult drinkers (N = 633) completed 14 consecutive morning surveys (each year) characterizing the prior day's affect, motives, and alcohol use. We examined between-person and within-person associations of affect and motives with two outcomes: any drinking and drinking intensity on drinking days (1 = moderate drinking [1-3 drinks for women, 1-4 drinks for men], 2 = binge drinking [4-7 for women, 5-9 for men], and 3 = HID [8+ for women, 10+ for men]). Results: Young adults reported higher positive affect on drinking days and higher negative affect on nondrinking days. On days when young adults reported greater enhancement motives, positive affect was strongly related to HID. During the early COVID-19 pandemic, young adults were more likely to report drinking, but did not drink more heavily unless they also reported drinking for social motives. Conclusions: These results suggest that heightened social, coping, and enhancement motives are risk factors for drinking in young adults. They also suggest that young adults perceive their mood to be better on drinking days, particularly when they were drinking to enhance positive affect. Results are consistent with a positive affect regulation model (i.e., drinking to increase positive affect), but not a negative affect regulation model (i.e., drinking to cope with negative affect). Public Health Significance StatementYoung adults were more likely to drink on days when they also reported high positive affect and drank heavily when also drinking to enhance their positive affect. Young adults were less likely to drink on days with high negative affect, but if they did drink on those days, they drank more heavily. Drinking to have fun with friends was also associated with heavier drinking, particularly after the onset of the COVID-19 pandemic.

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Section: Discussionmentioning

confidence: 96%

Daily associations between affect, drinking motives, and drinking intensity among U.S. young adults.

Stevenson¹,

Parks²,

Patrick³

2023

Psychology of Addictive Behaviors

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“…Surveys assessed alcohol use since the last assessment and current mood and delivered personalized messages to prompt coping skills if the subject endorsed high negative mood and urges to drink. See Blevins et al ( 2021 ) for more details on the intervention and study procedure, and Stevenson et al ( 2020 ) for more details on the EMA protocol.…”

Section: Methodsmentioning

confidence: 99%

“…For negative moods, studies have found conflicting results. Some EMA studies have found that elevated negative mood precedes alcohol use (Armeli et al, 2008 ; Dvorak et al, 2014 ), however, many studies have found no association between negative mood and subsequent alcohol use (Emery & Simons, 2020 ; Fairlie et al, 2019 ; Hussong et al, 2001 ; O'Donnell et al, 2019 ; Stevenson et al, 2020 ), and some studies have found an inverse relationship (i.e., decreased alcohol use following negative mood; De Leon et al, 2020 ; Treloar et al, 2015 ). This pattern of results is not strongly supportive of a causal connection between negative mood to drinking.…”

Section: Introductionmentioning

confidence: 99%

Quantifying heterogeneity in mood–alcohol relationships with idiographic causal models

Stevenson

Kummerfeld

Merrill

et al. 2022

Alcoholism Clin & Exp Res

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Background: Ecological momentary assessment (EMA) studies have provided conflicting evidence for the mood regulation tenet that people drink in response to positive and negative moods. The current study examined mood-to-alcohol relationships idiographically to quantify the prevalence and intensity of relationships between positive and negative moods and drinking across individuals. Method:We used two EMA samples: 96 heavy drinking college students (sample 1) and 19 young adults completing an ecological momentary intervention (EMI) for drinking to cope (sample 2). Mood and alcohol use were measured multiple times per day for 4-6 weeks. Mood-alcohol relationships were examined using three different analytic approaches: standard multilevel modeling, group causal modeling, and idiographic causal modeling.Results: Both multilevel modeling and group causal modeling showed that participants in both samples drank in response to positive moods only. However, idiographic causal analyses revealed that only 63% and 21% of subjects (in samples 1 and 2, respectively) drank following any positive mood. Many subjects (24% and 58%) did not drink in response to either positive or negative mood in their daily lives, and very few (5% and 16%) drank in response to negative moods throughout the EMA protocol, despite sample 2 being selected specifically because they endorse drinking to cope with negative mood. Conclusion:Traditional group-level analyses and corresponding population-wide theories assume relative homogeneity within populations in mood-alcohol relationships, but this nomothetic approach failed to characterize accurately the relationship between mood and alcohol use in approximately half of the subjects in two samples that were demographically and clinically homogeneous. Given inconsistent findings in the mood-alcohol relationships to date, we conclude that idiographic causal analyses can provide a foundation for more accurate theories of mood and alcohol use. In addition, idiographic causal models may also help improve psychosocial treatments through direct use in clinical settings.

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“…We aim to recruit 30 participants who meet the eligibility criteria. Similar sample sizes have been used in other EMA studies of individuals who engage in substance use [ 103 - 105 ] and new mothers [ 106 ].…”

Section: Methodsmentioning

confidence: 99%

Adaptive Text Messaging for Postpartum Risky Drinking: Conceptual Model and Protocol for an Ecological Momentary Assessment Study

Dauber¹,

Beacham²,

Hammond³

et al. 2022

JMIR Res Protoc

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Background Risky drinking is prevalent among women of childbearing age. Although many women reduce their drinking during pregnancy, more than half return to prepregnancy levels during the early postpartum period. Risky drinking in new mothers may be associated with negative child and maternal health outcomes; however, new mothers are unlikely to seek treatment for risky drinking because of stigma and fear of child protective service involvement. SMS text messaging is a promising approach for reaching non–treatment-seeking new mothers at risk because of risky drinking. SMS text messaging interventions (TMIs) are empirically supported for alcohol use, but a tailored intervention for new mothers does not exist. This study aims to fill this gap by developing a just-in-time adaptive TMI for postpartum risky drinking. Objective The objectives of this paper are to present a preliminary conceptual model of postpartum risky drinking and describe the protocol for conducting an ecological momentary assessment (EMA) study with new mothers to inform the refinement of the conceptual model and development of the TMI. Methods This paper presents a preliminary conceptual model of postpartum risky drinking based on the motivational model of alcohol use, social cognitive theory, and temporal self-regulation theory. The model proposes three primary intervention targets: motivation, self-efficacy, and self-regulation. Theoretical and empirical literature in support of the conceptual model is described. The paper also describes procedures for a study that will collect EMA data from 30 participants recruited via social media and the perinatal Central Intake system of New Jersey. Following the baseline assessment, EMA surveys will be sent 5 times per day for 14 days. The assessment instruments and data analysis procedures are described. Results Recruitment is scheduled to begin in January 2022 and is anticipated to conclude in March 2022. Study results are estimated to be published in July 2022. Conclusions The study findings will enhance our understanding of daily and momentary fluctuations in risk and protective factors for risky drinking during the early postpartum period. The findings will be used to refine the conceptual model and inform the development of the TMI. The next steps for this work include the development of intervention components via an iterative participatory design process and testing of the resulting intervention in a pilot microrandomized trial. International Registered Report Identifier (IRRID) PRR1-10.2196/36849

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An ecological momentary assessment of mood, coping and alcohol use among emerging adults in psychiatric treatment

Cited by 13 publications

References 33 publications

Daily associations between affect, drinking motives, and drinking intensity among U.S. young adults.

Daily associations between affect, drinking motives, and drinking intensity among U.S. young adults.

Quantifying heterogeneity in mood–alcohol relationships with idiographic causal models

Adaptive Text Messaging for Postpartum Risky Drinking: Conceptual Model and Protocol for an Ecological Momentary Assessment Study

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