University of Pittsburgh, Department of Psychiatry, Pittsburgh, PA, 15213, USA.
University of Houston, Department of Psychology, Houston, TX, 77204, USA; University of Houston, Texas Institute for Measurement, Evaluation, and Statistics, Houston, TX, 77204, USA.
Behav Res Ther. 2021 Jun;141:103847. doi: 10.1016/j.brat.2021.103847. Epub 2021 Mar 18.
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; M = 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 < 0.004; d's = 0.54-0.80). The integrated PFI group had statistically significantly greater change in primary outcomes: motivation, hazardous alcohol use, and anxiety sensitivity (p's < 0.05; d's = 0.08-0.37) with larger within-group effect sizes (d's = 0.48-0.61) than in control (d's = 0.26-0.54). Despite a small sample size, this one-session intervention offers promise among a high-risk group of drinkers with emotional vulnerabilities. The computer-based format may allow for mass distribution of a low-cost intervention in the future; however, follow-up testing in larger samples is needed.
有情绪脆弱性（如焦虑敏感升高）的危险饮酒者仍然是一个未得到充分服务的群体。本研究旨在评估针对大学生酒精（滥用）和焦虑敏感性的单次远程个性化反馈干预（PFI）的可行性、可接受性和初步疗效。有焦虑敏感性升高的危险饮酒者（N=125；76.8%为女性；M=22.14；66.4%为少数民族/族裔）被随机分为接受综合 PFI（n=63）或注意力对照组（n=62）。在干预后一周、一个月和三个月进行随访评估。采用潜在增长曲线模型检验试点结果。通过随访招募和保留有焦虑敏感性的危险饮酒学生是可行的，且两组在保留率上没有差异。综合 PFI 的可接受性评分明显高于对照组，差异具有中等/大（p's<0.004；d's=0.54-0.80）。综合 PFI 组在主要结果（动机、危险饮酒和焦虑敏感性）方面的变化具有统计学意义（p<0.05；d=0.08-0.37），且组内效应量较大（d=0.48-0.61），而对照组的变化不显著（d=0.26-0.54）。尽管样本量较小，但这种单次干预对有情绪脆弱性的高危饮酒者具有一定的前景。基于计算机的格式将来可能允许低成本干预措施的大规模分发；然而，需要在更大的样本中进行随访测试。
