Document Detail


Positive affect and stress reactivity in alcohol-dependent outpatients.
MedLine Citation:
PMID:  23200161     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Reactivity to stress is a common feature of alcohol dependence and is associated with poorer treatment outcome among alcohol-dependent patients. Despite the importance of stress reactivity in alcohol dependence, little is known about markers of resilience to stress in this population. The current study examined whether positive affect buffered the effect of stress on negative affect and alcohol craving in an alcohol-dependent sample.
METHOD: Outpatients (N = 1,375) enrolled in a large, randomized controlled trial for alcohol dependence (the Combined Pharmacotherapies and Behavioral Interventions for Alcohol Dependence [COMBINE] Study) completed measures of stress, positive affect, negative affect, and alcohol craving. In this secondary analysis, we hypothesized that positive affect would moderate the association between stress and negative affect and that positive affect would be negatively associated with craving.
RESULTS: Results supported these hypotheses, such that patients with higher levels of positive affect exhibited a weaker relationship between stress and negative affect relative to those with low positive affect. Positive affect was negatively associated with craving but did not moderate the association between stress and craving.
CONCLUSIONS: These results replicate studies suggesting a protective effect of positive affect on stress reactivity and extend this effect to an alcohol-dependent sample. If positive affect can aid in resilience to stress, the utilization of interventions that enhance positive affect may be of particular utility for alcohol-dependent patients. Future experimental studies testing the causality of this association as well as studies examining the effect of interventions to enhance positive affect are needed.
Authors:
R Kathryn McHugh; Julia S Kaufman; Katherine H Frost; Garrett M Fitzmaurice; Roger D Weiss
Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Journal of studies on alcohol and drugs     Volume:  74     ISSN:  1938-4114     ISO Abbreviation:  J Stud Alcohol Drugs     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2012-12-03     Completed Date:  2013-05-14     Revised Date:  2014-01-10    
Medline Journal Info:
Nlm Unique ID:  101295847     Medline TA:  J Stud Alcohol Drugs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  152-7     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Affect*
Alcoholism / psychology*,  rehabilitation
Female
Humans
Male
Middle Aged
Outpatients
Stress, Psychological / psychology*
Grant Support
ID/Acronym/Agency:
K24 DA022288/DA/NIDA NIH HHS; K24DA022288/DA/NIDA NIH HHS; U10 AA011756/AA/NIAAA NIH HHS; U10AA11756/AA/NIAAA NIH HHS
Comments/Corrections

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