Within-Person Affect Dynamics Among Individuals in Residential Treatment for Opioid Use Disorder: An Ecological Momentary Assessment Study

被引:0
作者
Knapp, Kyler S. [1 ]
Petrie, Daniel J. [2 ]
Brick, Timothy R. [3 ,4 ]
Deneke, Erin [5 ]
Bunce, Scott C. [6 ]
Cleveland, H. Harrington [3 ]
机构
[1] SUNY Buffalo, Sch Publ Hlth & Hlth Profess, Dept Community Hlth & Hlth Behav, 424 Kimball Tower, Buffalo, NY 14214 USA
[2] Univ Pittsburgh, Dept Psychiat, Pittsburgh, PA USA
[3] Penn State Univ, Dept Human Dev & Family Studies, University Pk, PA USA
[4] Penn State Univ, Inst Computat & Data Sci, University Pk, PA USA
[5] Caron Treatment Ctr, Wernersville, PA USA
[6] Penn State Univ, Coll Med, Dept Psychiat, University Pk, PA USA
来源
JOURNAL OF PSYCHOPATHOLOGY AND CLINICAL SCIENCE | 2025年 / 134卷 / 02期
基金
美国国家卫生研究院;
关键词
affect dynamics; opioid use disorder; ecological momentary assessment; positive affect; negative affect; ORIENTED RECOVERY ENHANCEMENT; SUBSTANCE USE; AFFECTIVE INSTABILITY; CHRONIC PAIN; ALCOHOL-USE; AFFECT VARIABILITY; NEGATIVE AFFECT; EMOTION-REGULATION; MOOD REACTIVITY; HEAVY DRINKING;
D O I
10.1037/abn0000975
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Ecological momentary assessment is increasingly leveraged to better understand affective processes underlying substance use disorder treatment and recovery. Research in this area has yielded novel insights into the roles of mean levels of positive affect (PA) and negative affect (NA) in precipitating drug craving and substance use in daily life. Little of the extant substance use disorder treatment research, however, considers dynamic patterns of PA and NA, separately or in relation to one another, or how such patterns may differ from those observed among nonclinical samples. The current ecological momentary assessment study examined between-person differences in within-person affect dynamics-including intensity, variability, instability, inertia, polarity, and spillover-among patients in residential treatment (n = 73) for opioid use disorder (OUD), both collectively and separately according to posttreatment relapse status, relative to a demographically similar nonclinical comparison group (n = 37). The results revealed no group differences in PA dynamics. The OUD group did, however, report higher average NA intensity and within-day variability relative to the comparison group. Furthermore, relative to the comparison group, OUD patients who relapsed within 120 days posttreatment exhibited greater linear declines in NA intensity across days, whereas OUD patients who did not relapse demonstrated weaker affect polarity (i.e., the within-person correlation between PA and NA). Although PA dynamics alone did not differ between groups, weaker affect polarity differentiated OUD patients who avoided relapse from the comparison group. The capacity to experience PA separately from fluctuations in NA may reflect an adaptive tendency that could reduce vulnerability to relapse among individuals in OUD treatment.
引用
收藏
页码:184 / 200
页数:17
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