Computer-delivered personalized feedback intervention for hazardous drinkers with elevated anxiety sensitivity: A pilot randomized controlled trial.

Published on Mar 18, 2021in Behaviour Research and Therapy
· DOI :10.1016/J.BRAT.2021.103847
Daniel J. Paulus (University of Pittsburgh), Daniel J. Paulus16
Estimated H-index: 16
(University of Pittsburgh)
+ 1 AuthorsMichael J. Zvolensky94
Estimated H-index: 94
(UH: University of Houston)
Source
Abstract
Abstract Hazardous drinkers with emotional vulnerabilities (e.g., elevated anxiety sensitivity) remain an underserved group. This study aimed to evaluate the feasibility, acceptability, and initial efficacy of a single session remotely-delivered personalized feedback intervention (PFI) targeting alcohol (mis)use and anxiety sensitivity among college students. Hazardous drinkers with elevated anxiety sensitivity (N=125; 76.8% female; Mage = 22.14; 66.4% racial/ethnic minorities) were randomized to receive the integrated PFI (n=63) or attention control (n=62). Follow-up assessments were conducted one-week, one-month and three-months post-intervention. Latent growth curve modeling was used to test pilot outcomes. It was feasible to recruit and retain hazardous drinking students with elevated anxiety sensitivity through follow-up with no group differences in retention. The integrated PFI was rated as more acceptable than the control with medium/large differences (p’s
📖 Papers frequently viewed together
6 Citations
6 Citations
1 Citations
References106
Newest
#1Mary Beth Miller (MU: University of Missouri)H-Index: 14
#2Nicole A Hall (MU: University of Missouri)H-Index: 1
Last. Thad R. Leffingwell (OSU: Oklahoma State University–Stillwater)H-Index: 17
view all 8 authors...
Abstract Background Personalized normative alcohol feedback (PNF) is associated with decreased alcohol use among young adults. However, limited research has examined the influence of depressive symptoms on PNF efficacy. This study examined symptoms of depression as a moderator of college student response to a computerized PNF intervention for alcohol use. Methods College students (N = 212, 59% female) who reported drinking in a typical week completed baseline and one-month assessments as part of...
1 CitationsSource
#1Daniel J. Paulus (MUSC: Medical University of South Carolina)H-Index: 1
#1Daniel J. Paulus (UH: University of Houston)H-Index: 16
Last. Michael J. Zvolensky (University of Texas MD Anderson Cancer Center)H-Index: 94
view all 2 authors...
Abstract Hazardous drinking is prevalent among college students, yet few seek treatment. Anxiety sensitivity AS is one factor with relevance to drinking. Yet, there are no known estimates of the prevalence of elevated AS among hazardous drinkers. The current study sought to estimate the prevalence of elevated AS among hazardous drinking college students and to examine relations between AS and hazardous drinking. Data from 1257 students Mage = 22.08; 80.4 % female; 76.8 % racial/ethnic minorities...
6 CitationsSource
#1Daniel J. Paulus (UH: University of Houston)H-Index: 16
#2Matthew W. Gallagher (UH: University of Houston)H-Index: 30
Last. Michael J. Zvolensky (UH: University of Houston)H-Index: 94
view all 4 authors...
Integrated treatments for hazardous drinking and anxiety/depression are virtually nonexistent. Anxiety sensitivity is a common mechanism for both anxiety/depression and hazardous drinking. This art...
6 CitationsSource
#1Maria R. Khan (NYU: New York University)H-Index: 19
#2Kailyn E. Young (NYU: New York University)H-Index: 3
Last. Scott Braithwaite (NYU: New York University)H-Index: 6
view all 15 authors...
Importance: Alcohol screening may be associated with health outcomes that cluster with alcohol use (ie, alcohol-clustering conditions), including depression, anxiety, and use of tobacco, marijuana, and illicit drugs. Objective: To quantify the extent to which alcohol screening provides additional information regarding alcohol-clustering conditions and to compare 2 alcohol use screening tools commonly used for this purpose. Design, Setting, and Participants: This longitudinal cohort study used da...
3 CitationsSource
#1Daniel J. Paulus (UH: University of Houston)H-Index: 16
#2Charles P. BrandtH-Index: 8
Last. Michael J. Zvolensky (UH: University of Houston)H-Index: 94
view all 4 authors...
ABSTRACTPersons living with HIV/AIDS (PLHIV) disproportionately suffer from anxiety and depressive symptoms and disorders. Although past work has examined the efficacy of cognitive-behavioral thera...
2 CitationsSource
#1Aaron M. White (NIH: National Institutes of Health)H-Index: 36
#2I-Jen P. Castle (NIH: National Institutes of Health)H-Index: 9
Last. Patricia A. Powell (NIH: National Institutes of Health)H-Index: 2
view all 4 authors...
BACKGROUND: Alcohol consumption, alcohol-related emergency department visits, and hospitalizations have all increased in the last 2 decades, particularly among women and people middle-aged and older. The purpose of this study was to explore data from death certificates to assess whether parallel changes in alcohol-related mortality occurred in the United States in recent years. METHODS: U.S. mortality data from the National Center for Health Statistics were analyzed to estimate the annual number...
53 CitationsSource
#1Matthew W. Gallagher (UH: University of Houston)H-Index: 30
#2Laura J. Long (UH: University of Houston)H-Index: 8
Last. David H. Barlow (BU: Boston University)H-Index: 159
view all 7 authors...
Abstract Hope is a trait that represents the capacity to identify strategies or pathways to achieve goals and the motivation or agency to effectively pursue those pathways. Hope has been demonstrated to be a robust source of resilience to anxiety and stress and there is limited evidence that, as has been suggested for decades, hope may function as a core process or transdiagnostic mechanism of change in psychotherapy. The current study examined the role of hope in predicting recovery in a clinic...
4 CitationsSource
#1Daniel J. Paulus (UH: University of Houston)H-Index: 16
#2Matthew W. Gallagher (UH: University of Houston)H-Index: 30
Last. Michael J. Zvolensky (UH: University of Houston)H-Index: 94
view all 5 authors...
Abstract Although past work has documented reduction in alcohol use severity among smokers following smoking cessation treatment, little is known regarding factors associated with this reduction. The current study sought to examine relations between trajectories of change in anxiety sensitivity and non-targeted alcohol use severity from baseline to one year following smoking cessation treatment. Individuals (n = 386) were adult daily smokers engaged in a smoking cessation treatment study. Measur...
6 CitationsSource
#1Chelsie M. Young (Rowan University)H-Index: 15
#2Clayton Neighbors (UH: University of Houston)H-Index: 83
BACKGROUND: Personalized normative feedback (PNF) interventions have repeatedly been found to reduce drinking among undergraduates. However, effects tend to be small, potentially due to inattention to and inadequate processing of the information. Adding a writing component to PNF interventions may allow for greater cognitive processing of the feedback, thereby boosting intervention efficacy. Additionally, expressive writing (EW) has been shown to reduce drinking intentions; however, studies have...
4 CitationsSource
#1Clayton Neighbors (UH: University of Houston)H-Index: 83
#2Angelo M. DiBello (CUNY: City University of New York)H-Index: 1
Last. Melissa A. Lewis (University of North Texas Health Science Center)H-Index: 54
view all 9 authors...
Abstract Deviance Regulation Theory (DRT) proposes that individuals regulate their behavior to be in line with the behaviors of others. Specifically, individuals desire to stand out in positive way and not stand out in a negative way. DRT has been successfully applied to encourage other health behaviors and offers a unique method to utilize both injunctive norms in combination with descriptive norms in brief alcohol interventions. This randomized controlled trial evaluated a computer-delivered, ...
7 CitationsSource
Cited By1
Newest
Abstract The conditions and populations for which anxiety sensitivity (AS; i.e., the tendency to interpret unpleasant physiological sensations as dangerous) relates to adolescent alcohol use is unclear. This study tested latent-variable cross-lagged panel modeling of AS-alcohol relations in a racially/ethnically heterogenous longitudinal youth cohort (N=3,396; 53.4% female, 45.8% Latinx) assessed annually across high school. Anxiety and race/ethnicity were tested as mediators and moderators, res...
Source