Jennifer C Elliott1, Efrat Aharonovich2, Ann O'Leary3, Milton Wainberg2, Deborah S Hasin4. 1. Department of Epidemiology, Mailman School of Public Health, Columbia University, 722 West 168th Street, New York, NY 10032, United States. 2. Department of Psychiatry, College of Physicians and Surgeons, Columbia University, 180 Ft. Washington Avenue, New York, NY 10032, United States; New York State Psychiatric Institute, 1051 Riverside Drive, New York, NY 10032, United States. 3. Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30333, United States. 4. Department of Epidemiology, Mailman School of Public Health, Columbia University, 722 West 168th Street, New York, NY 10032, United States; Department of Psychiatry, College of Physicians and Surgeons, Columbia University, 180 Ft. Washington Avenue, New York, NY 10032, United States; New York State Psychiatric Institute, 1051 Riverside Drive, New York, NY 10032, United States. Electronic address: dsh2@columbia.edu.
Abstract
BACKGROUND: Heavy alcohol consumption in HIV patients is an increasing health concern. Applying the drinking motivational model to HIV primary care patients, drinking motives (drinking to cope with negative affect, for social facilitation, and in response to social pressure) were associated with alcohol consumption at a baseline interview. However, whether these motives predict continued heavy drinking or alcohol dependence in this population is unknown. METHODS:Participants were 254 heavy-drinking urban HIV primary care patients (78.0% male; 94.5% African American or Hispanic) participating in a randomized trial ofbrief drinking-reduction interventions. Drinking motive scales, as well as measures of alcohol consumption and alcohol dependence, were administered at baseline. Consumption and dependence measures were re-administered at the end of treatment two months later. Regression analyses tested whether baseline drinking motive scale scores predicted continued heavy drinking and alcohol dependence status at the end of treatment, and whether motives interacted with treatment condition. RESULTS: Baseline drinking to cope with negative affect predicted continued heavy drinking (p<0.05) and alcohol dependence, the latter in both in the full sample (adjusted odds ratio [AOR]=2.14) and among those with baseline dependence (AOR=2.52). Motives did not interact with treatment condition in predicting alcohol outcomes. CONCLUSIONS: Drinking to cope with negative affect may identify HIV patients needing targeted intervention to reduce drinking, and may inform development of more effective interventions addressing ways other than heavy drinking to cope with negative affect.
RCT Entities:
BACKGROUND: Heavy alcohol consumption in HIVpatients is an increasing health concern. Applying the drinking motivational model to HIV primary care patients, drinking motives (drinking to cope with negative affect, for social facilitation, and in response to social pressure) were associated with alcohol consumption at a baseline interview. However, whether these motives predict continued heavy drinking or alcohol dependence in this population is unknown. METHODS:Participants were 254 heavy-drinking urban HIV primary care patients (78.0% male; 94.5% African American or Hispanic) participating in a randomized trial of brief drinking-reduction interventions. Drinking motive scales, as well as measures of alcohol consumption and alcohol dependence, were administered at baseline. Consumption and dependence measures were re-administered at the end of treatment two months later. Regression analyses tested whether baseline drinking motive scale scores predicted continued heavy drinking and alcohol dependence status at the end of treatment, and whether motives interacted with treatment condition. RESULTS: Baseline drinking to cope with negative affect predicted continued heavy drinking (p<0.05) and alcohol dependence, the latter in both in the full sample (adjusted odds ratio [AOR]=2.14) and among those with baseline dependence (AOR=2.52). Motives did not interact with treatment condition in predicting alcohol outcomes. CONCLUSIONS: Drinking to cope with negative affect may identify HIVpatients needing targeted intervention to reduce drinking, and may inform development of more effective interventions addressing ways other than heavy drinking to cope with negative affect.
Authors: E G Bing; M A Burnam; D Longshore; J A Fleishman; C D Sherbourne; A S London; B J Turner; F Eggan; R Beckman; B Vitiello; S C Morton; M Orlando; S A Bozzette; L Ortiz-Barron; M Shapiro Journal: Arch Gen Psychiatry Date: 2001-08
Authors: Bridget F Grant; Deborah A Dawson; Frederick S Stinson; Patricia S Chou; Ward Kay; Roger Pickering Journal: Drug Alcohol Depend Date: 2003-07-20 Impact factor: 4.492
Authors: Nicholas R Eaton; Ronald G Thompson; Mei-Chen Hu; Risë B Goldstein; Tulshi D Saha; Deborah S Hasin Journal: Am J Public Health Date: 2015-05-14 Impact factor: 9.308
Authors: Jennifer C Elliott; Efrat Aharonovich; Ann O'Leary; Barbara Johnston; Deborah S Hasin Journal: Alcohol Clin Exp Res Date: 2014-12 Impact factor: 3.455
Authors: Christopher W Kahler; Tyler B Wray; David W Pantalone; Nadine R Mastroleo; Ryan D Kruis; Kenneth H Mayer; Peter M Monti Journal: Psychol Addict Behav Date: 2014-08-18
Authors: Ethan Moitra; Bradley J Anderson; Debra S Herman; Jumi Hayaki; Megan M Pinkston; H Nina Kim; Michael D Stein Journal: AIDS Care Date: 2020-02-25
Authors: Robert Gross; Scarlett L Bellamy; Bakgaki Ratshaa; Xiaoyan Han; Andrew P Steenhoff; Mosepele Mosepele; Gregory P Bisson Journal: Addiction Date: 2016-09-07 Impact factor: 6.526
Authors: Rebecca B Hershow; Nisha C Gottfredson; Tran Viet Ha; Viet Anh Chu; Kathryn E Lancaster; Vu M Quan; Sara N Levintow; Teerada Sripaipan; Bradley N Gaynes; Brian W Pence; Vivian F Go Journal: Subst Use Misuse Date: 2020-04-08 Impact factor: 2.164