Changes in Emotional Reactivity and Distress Tolerance Among Heavy Drinking Adolescents During Sustained Abstinence
Background Negative affect and low distress tolerance have been associated with increased likelihood of alcohol consumption and relapse. This study utilized the Paced Auditory Serial Attention Test – Computerized Version (PASAT‐C) to examine affective reactivity, cognitive performance, and distress...
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Published in | Alcoholism, clinical and experimental research Vol. 38; no. 6; pp. 1761 - 1769 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
England
Blackwell Publishing Ltd
01.06.2014
Wiley Subscription Services, Inc |
Subjects | |
Online Access | Get full text |
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Abstract | Background
Negative affect and low distress tolerance have been associated with increased likelihood of alcohol consumption and relapse. This study utilized the Paced Auditory Serial Attention Test – Computerized Version (PASAT‐C) to examine affective reactivity, cognitive performance, and distress tolerance during early abstinence among heavy drinking adolescents.
Methods
Participants, ages 16 to 18 (50% female), were 23 heavy episodic drinking youth (HED) and 23 demographically matched, nondrinking teens (CON). Both groups were drawn from the same schools and assessed at 3 time points: HED was first studied within 10 days (M = 4.26, SD = 4.4) of heavy episodic drinking and then at two 2‐week intervals over 4 subsequent weeks of abstinence from alcohol and drugs. CON were studied at the same 2‐week intervals.
Results
From the findings, it was observed that HED responded with greater emotional response to the PASAT‐C (i.e., greater increases in frustration and irritability and greater decreases in happiness) at the initial assessment, but their affective responses diminished with sustained abstinence. CON and HED task performance did not differ at the initial assessment or across time. HED showed faster task discontinuation times to the PASAT‐C at the first assessment, and both groups reduced task persistence across testings. Among HED, greater lifetime and recent alcohol consumption, alcohol‐induced blackouts, and withdrawal symptoms were associated with increases in negative affect with PASAT‐C exposure. Earlier age of onset of alcohol use was linked to poorer performance.
Conclusions
Heavy episodic drinking adolescents demonstrated heightened emotional reactivity and poorer distress tolerance to a cognitively challenging task during early abstinence. The combination of elevated negative affect and low distress tolerance may place adolescents at a heightened risk of escalations in or return to alcohol involvement. |
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AbstractList | Background Negative affect and low distress tolerance have been associated with increased likelihood of alcohol consumption and relapse. This study utilized the Paced Auditory Serial Attention Test - Computerized Version (PASAT-C) to examine affective reactivity, cognitive performance, and distress tolerance during early abstinence among heavy drinking adolescents. Methods Participants, ages 16 to 18 (50% female), were 23 heavy episodic drinking youth (HED) and 23 demographically matched, nondrinking teens (CON). Both groups were drawn from the same schools and assessed at 3 time points: HED was first studied within 10 days (M = 4.26, SD = 4.4) of heavy episodic drinking and then at two 2-week intervals over 4 subsequent weeks of abstinence from alcohol and drugs. CON were studied at the same 2-week intervals. Results From the findings, it was observed that HED responded with greater emotional response to the PASAT-C (i.e., greater increases in frustration and irritability and greater decreases in happiness) at the initial assessment, but their affective responses diminished with sustained abstinence. CON and HED task performance did not differ at the initial assessment or across time. HED showed faster task discontinuation times to the PASAT-C at the first assessment, and both groups reduced task persistence across testings. Among HED, greater lifetime and recent alcohol consumption, alcohol-induced blackouts, and withdrawal symptoms were associated with increases in negative affect with PASAT-C exposure. Earlier age of onset of alcohol use was linked to poorer performance. Conclusions Heavy episodic drinking adolescents demonstrated heightened emotional reactivity and poorer distress tolerance to a cognitively challenging task during early abstinence. The combination of elevated negative affect and low distress tolerance may place adolescents at a heightened risk of escalations in or return to alcohol involvement. Negative affect and low distress tolerance have been associated with increased likelihood of alcohol consumption and relapse. This study utilized the Paced Auditory Serial Attention Test - Computerized Version (PASAT-C) to examine affective reactivity, cognitive performance, and distress tolerance during early abstinence among heavy drinking adolescents. Participants, ages 16 to 18 (50% female), were 23 heavy episodic drinking youth (HED) and 23 demographically matched, nondrinking teens (CON). Both groups were drawn from the same schools and assessed at 3 time points: HED was first studied within 10 days (M = 4.26, SD = 4.4) of heavy episodic drinking and then at two 2-week intervals over 4 subsequent weeks of abstinence from alcohol and drugs. CON were studied at the same 2-week intervals. From the findings, it was observed that HED responded with greater emotional response to the PASAT-C (i.e., greater increases in frustration and irritability and greater decreases in happiness) at the initial assessment, but their affective responses diminished with sustained abstinence. CON and HED task performance did not differ at the initial assessment or across time. HED showed faster task discontinuation times to the PASAT-C at the first assessment, and both groups reduced task persistence across testings. Among HED, greater lifetime and recent alcohol consumption, alcohol-induced blackouts, and withdrawal symptoms were associated with increases in negative affect with PASAT-C exposure. Earlier age of onset of alcohol use was linked to poorer performance. Heavy episodic drinking adolescents demonstrated heightened emotional reactivity and poorer distress tolerance to a cognitively challenging task during early abstinence. The combination of elevated negative affect and low distress tolerance may place adolescents at a heightened risk of escalations in or return to alcohol involvement. Background Negative affect and low distress tolerance have been associated with increased likelihood of alcohol consumption and relapse. This study utilized the Paced Auditory Serial Attention Test – Computerized Version (PASAT‐C) to examine affective reactivity, cognitive performance, and distress tolerance during early abstinence among heavy drinking adolescents. Methods Participants, ages 16 to 18 (50% female), were 23 heavy episodic drinking youth (HED) and 23 demographically matched, nondrinking teens (CON). Both groups were drawn from the same schools and assessed at 3 time points: HED was first studied within 10 days (M = 4.26, SD = 4.4) of heavy episodic drinking and then at two 2‐week intervals over 4 subsequent weeks of abstinence from alcohol and drugs. CON were studied at the same 2‐week intervals. Results From the findings, it was observed that HED responded with greater emotional response to the PASAT‐C (i.e., greater increases in frustration and irritability and greater decreases in happiness) at the initial assessment, but their affective responses diminished with sustained abstinence. CON and HED task performance did not differ at the initial assessment or across time. HED showed faster task discontinuation times to the PASAT‐C at the first assessment, and both groups reduced task persistence across testings. Among HED, greater lifetime and recent alcohol consumption, alcohol‐induced blackouts, and withdrawal symptoms were associated with increases in negative affect with PASAT‐C exposure. Earlier age of onset of alcohol use was linked to poorer performance. Conclusions Heavy episodic drinking adolescents demonstrated heightened emotional reactivity and poorer distress tolerance to a cognitively challenging task during early abstinence. The combination of elevated negative affect and low distress tolerance may place adolescents at a heightened risk of escalations in or return to alcohol involvement. |
Author | Bekman, Nicole M. Lejuez, Carl W. Brown, Sandra A. Winward, Jennifer L. Hanson, Karen L. |
Author_xml | – sequence: 1 givenname: Jennifer L. surname: Winward fullname: Winward, Jennifer L. organization: Department of Psychology, University of California, San Diego, California, La Jolla – sequence: 2 givenname: Nicole M. surname: Bekman fullname: Bekman, Nicole M. organization: Department of Psychology, University of California, San Diego, California, La Jolla – sequence: 3 givenname: Karen L. surname: Hanson fullname: Hanson, Karen L. organization: Veteran's Affairs San Diego Healthcare System, California, San Diego – sequence: 4 givenname: Carl W. surname: Lejuez fullname: Lejuez, Carl W. organization: Center for Addictions, Personality and Emotion Research, University of Maryland, 20742, College Park, Maryland – sequence: 5 givenname: Sandra A. surname: Brown fullname: Brown, Sandra A. email: sandrabrown@ucsd.edu organization: Department of Psychology, University of California, San Diego, La Jolla, California |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/24818520$$D View this record in MEDLINE/PubMed |
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Keywords | Adolescence Negative Affect Heavy Episodic Drinking Abstinence Distress Tolerance |
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Negative affect and low distress tolerance have been associated with increased likelihood of alcohol consumption and relapse. This study utilized... Negative affect and low distress tolerance have been associated with increased likelihood of alcohol consumption and relapse. This study utilized the Paced... Background Negative affect and low distress tolerance have been associated with increased likelihood of alcohol consumption and relapse. This study utilized... |
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SubjectTerms | Abstinence Adolescence Adolescent Alcohol Abstinence - psychology Alcoholism - complications Alcoholism - psychology Case-Control Studies Distress Tolerance Emotions - drug effects Female Heavy Episodic Drinking Humans Male Negative Affect Neuropsychological Tests Psychological Tests Stress, Psychological - psychology |
Title | Changes in Emotional Reactivity and Distress Tolerance Among Heavy Drinking Adolescents During Sustained Abstinence |
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