Subjective stress and any drinking during alcohol treatment: Disentangling within and between person autoregressive effects

IF 4.3 2区 医学 Q1 NEUROSCIENCES Neurobiology of Stress Pub Date : 2023-12-16 DOI:10.1016/j.ynstr.2023.100602
Katie Witkiewitz , Christian C. Garcia , Bengt O. Muthén
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Abstract

Alcohol use has been shown to increase stress, and there is some evidence that stress predicts subsequent alcohol use during treatment for alcohol use disorder (AUD), particularly among females who are more likely to report coping-motivated drinking. Gaining a better understanding of the processes by which stress and alcohol use are linked during treatment could potentially inform AUD treatment planning. The current study aimed to characterize the association between stress and drinking during the course of AUD treatment and whether there were sex differences in these associations. Secondary data analyses of the COMBINE study (N = 1375; 69% male, 76.3% non-Hispanic and white, average age of 44.4 years) were conducted to examine self-reported perceived stress and alcohol consumption across 16 weeks of treatment for AUD using a Bayesian random-intercept cross-lagged panel model. There was stronger evidence for any alcohol use predicting greater than typical stress in subsequent weeks and less strong evidence for stress increasing the subsequent probability of alcohol use, particularly among males. For females, greater stress predicted subsequent drinking earlier in the treatment period, and a lower probability of subsequent drinking in the last week of treatment. Interventions might specifically focus on targeting reductions in stress following drinking occasions.

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主观压力与酒精治疗期间的任何饮酒行为:消除人内和人与人之间的自回归效应
酒精使用已被证明会增加压力,而且有证据表明,在酒精使用障碍(AUD)的治疗过程中,压力会预示随后的酒精使用,尤其是在女性中,她们更有可能报告出于应对动机的饮酒。更好地了解治疗过程中压力与饮酒之间的关联过程,有可能为酒精使用障碍的治疗规划提供参考。本研究旨在描述 AUD 治疗过程中压力与饮酒之间的关系,以及这种关系是否存在性别差异。本研究对 COMBINE 研究(N = 1375;69% 为男性,76.3% 为非西班牙裔和白人,平均年龄为 44.4 岁)进行了二次数据分析,采用贝叶斯随机截距交叉滞后面板模型研究了 AUD 治疗的 16 周期间自我报告的感知压力和饮酒量。有更有力的证据表明,任何饮酒行为都预示着随后几周的压力会大于典型压力,而压力增加随后饮酒概率的证据则不那么有力,尤其是在男性中。对于女性来说,更大的压力预示着在治疗期间更早地饮酒,而在治疗的最后一周饮酒的概率更低。干预措施可特别侧重于减少饮酒后的压力。
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来源期刊
Neurobiology of Stress
Neurobiology of Stress Biochemistry, Genetics and Molecular Biology-Biochemistry
CiteScore
9.40
自引率
4.00%
发文量
74
审稿时长
48 days
期刊介绍: Neurobiology of Stress is a multidisciplinary journal for the publication of original research and review articles on basic, translational and clinical research into stress and related disorders. It will focus on the impact of stress on the brain from cellular to behavioral functions and stress-related neuropsychiatric disorders (such as depression, trauma and anxiety). The translation of basic research findings into real-world applications will be a key aim of the journal. Basic, translational and clinical research on the following topics as they relate to stress will be covered: Molecular substrates and cell signaling, Genetics and epigenetics, Stress circuitry, Structural and physiological plasticity, Developmental Aspects, Laboratory models of stress, Neuroinflammation and pathology, Memory and Cognition, Motivational Processes, Fear and Anxiety, Stress-related neuropsychiatric disorders (including depression, PTSD, substance abuse), Neuropsychopharmacology.
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