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CHOICE 项目:在应对情绪时选择健康的选择,一种针对酒精使用的 EMA/EMI 加面对面干预措施。

Project CHOICE: Choosing healthy options in coping with emotions, an EMA/EMI plus in-person intervention for alcohol use.

机构信息

Warren Alpert Medical School of Brown University, Providence, RI, USA.

Butler Hospital, Providence, RI, USA.

出版信息

Subst Abus. 2021;42(4):569-576. doi: 10.1080/08897077.2020.1806182. Epub 2020 Sep 1.

Abstract

Emerging adulthood (18-25 years) represents a risky time for mental health and substance use. Emerging adults are particularly susceptible to problematic patterns of substance use, especially if they experience anxiety and/or depression and use substances as a way to cope with such issues. However, many mental health treatments do not address substance use. We developed an ecological momentary assessment and intervention (EMA/EMI) to specifically target the motive of drinking to cope with anxiety/depression. : Project CHOICE was a 6-week intervention that paired in-person normative feedback with daily EMA and, if an individual reported negative affect and intent to drink, an EMI was immediately sent to their phone (a personally-chosen coping skill). We recruited  = 20 (55% female, mean age 21.74, 85% Caucasian and 75% non-Hispanic/Latino) individuals from a psychiatric partial hospitalization program for a 6-week open trial of the CHOICE intervention and re-assessed at the 6-week follow-up point. : Results indicated that drinking variables and coping motives were highly correlated at baseline. Days of drinking, alcohol-related problems, and coping motives significantly decreased over time following the intervention. Results indicated high levels of feasibility and acceptability. : This open pilot represents a feasible, acceptable, and promising direction in delivering interventions in the moment when risk is highest, utilizing smartphone capabilities.

摘要

成年初显期(18-25 岁)是心理健康和物质使用出现问题的高风险时期。成年初显期人群特别容易出现物质使用问题模式,如果他们经历焦虑和/或抑郁,并且使用物质来应对这些问题,情况更是如此。然而,许多心理健康治疗方法并未解决物质使用问题。我们开发了一种基于生态瞬时评估和干预(EMA/EMI)的方法,专门针对用饮酒来应对焦虑/抑郁的动机。:CHOICE 项目是一项为期 6 周的干预措施,将面对面的规范反馈与日常 EMA 相结合,如果个人报告负面情绪和饮酒意向,就会立即向他们的手机发送 EMI(个人选择的应对技能)。我们从精神病住院部分治疗计划中招募了 20 名(55%为女性,平均年龄 21.74 岁,85%为白种人,75%为非西班牙裔/拉丁裔)个体,进行了为期 6 周的 CHOICE 干预开放性试验,并在 6 周随访时进行了重新评估。:结果表明,在基线时,饮酒变量和应对动机高度相关。在干预后,饮酒天数、与酒精相关的问题和应对动机显著减少。结果表明该方法具有很高的可行性和可接受性。:该开放性试验代表了一种可行、可接受且有前途的方向,可以在风险最高的时候利用智能手机功能提供即时干预。

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