Abstract：
BACKGROUND:Impulsivity is a robust risk factor for alcohol use, but significant gaps remain in our understanding of the way that impulsivity relates to alcohol harms. Most prior research has been limited to between-level differences; thus, within-person variability in impulsivity at the momentary level and its bidirectional association with alcohol use has not been examined. The present research used a 14-day ecological momentary assessment (EMA) design to determine the bidirectionality of impulsivity and alcohol use and alcohol problems. METHODS:Participants were 89 (47 women) heavy-drinking college students. The mean age was 19.80 (SD = 1.76) years. Participants completed a baseline questionnaire and 14 consecutive days of momentary reports sent in the morning, afternoon, and evening; participants also completed two user-initiated reports during a drinking occasion at the beginning and the end of their drinking. RESULTS:Multilevel modeling results indicated that greater levels of impulsivity experienced during the day was not associated with alcohol use or problems experienced that night. However, level of alcohol use and the number of alcohol problems experienced predicted greater variability in impulsivity the next day. CONCLUSIONS:Overall, this study was the first to examine the bidirectional relationship between impulsivity and alcohol use using EMA. Findings supported impulsivity's conceptualization as a state construct and fluctuations in alcohol use behaviors coinciding with states of impulsivity the next day after drinking. Findings from the present study contributed to conceptual daily process models of drinking by identifying how alcohol behaviors unfold in the real world.
journal_name
Drug Alcohol Dependjournal_title
Drug and alcohol dependenceauthors
Stamates AL,Lau-Barraco Cdoi
10.1016/j.drugalcdep.2020.108246subject
Has Abstractpub_date
2020-12-01 00:00:00pages
108246eissn
0376-8716issn
1879-0046pii
S0376-8716(20)30411-7journal_volume
217pub_type
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