Negative affect, affect-related impulsivity, and receptive syringe sharing among people who inject drugs

Autor: Geri R Donenberg, Basmattee Boodram, Mary Ellen Mackesy-Amiti
Rok vydání: 2019
Předmět:
Adult
Male
Substance-Related Disorders
Ecological Momentary Assessment
media_common.quotation_subject
030508 substance abuse
Medicine (miscellaneous)
HIV Infections
Anxiety
Anger
Irritability
Impulsivity
Affect (psychology)
Article
03 medical and health sciences
Risk-Taking
Borderline Personality Disorder
Risk Factors
Surveys and Questionnaires
medicine
Humans
Needle Sharing
Substance Abuse
Intravenous
Borderline personality disorder
media_common
Uncategorized
bepress|Social and Behavioral Sciences|Psychology
medicine.disease
Hepatitis C
Mobile Applications
Emotional Regulation
Affect
Psychiatry and Mental health
Clinical Psychology
PsyArXiv|Social and Behavioral Sciences
Logistic Models
Mood
PsyArXiv|Social and Behavioral Sciences|Psychology
other
Impulsive Behavior
bepress|Social and Behavioral Sciences
Female
medicine.symptom
Worry
0305 other medical science
Psychology
PsyArXiv|Social and Behavioral Sciences|Emotion
Cell Phone
Clinical psychology
Zdroj: Psychol Addict Behav
Popis: Receptive syringe sharing (RSS) among people who inject drugs (PWID) is a risk factor for hepatitis C virus and HIV infections. PWID with borderline personality disorder (BPD) have increased risk of RSS, but it remains unclear what drives this association. This study used ecological momentary assessment (EMA) to study characteristics associated with BPD, and RSS among PWID. We recruited PWID, ages 18���35, through two Community Outreach Intervention Projects syringe service program sites in Chicago, Illinois. After a baseline interview, participants used a mobile phone app to respond to momentary surveys on mood, substance use, and injection risk behavior for two weeks. For each momentary assessment, ratings on negative mood descriptors were combined to create measures of total negative affect (NA), and NA components of dejection, shame, anger, irritability, and worry. RSS was defined by participant responses indicating that they had used a syringe that someone else had used. We estimated mixed effects logistic models, regressing RSS on baseline affect-related impulsivity, lagged momentary NA, and the interaction term. Out of 163 participants who completed at least two EMA assessments, 152 (93%) reported at least one injection event and had valid pre-injection mood assessments required to be included in the analysis. We found that affect-related impulsivity, combined with worried mood in the hours preceding the injection episode, predicted increased risk of RSS. PWID having difficulties with emotion regulation may be at increased risk of RSS during periods of anxiety or tension. (PsycInfo Database Record (c) 2020 APA, all rights reserved)
Databáze: OpenAIRE
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