Exposure to Stigma Elicits Negative Affect and Alcohol Craving Among Young Adult Sexual Minority Heavy Drinkers.

Szczegóły
Abstrakt

Tytuł:: Exposure to Stigma Elicits Negative Affect and Alcohol Craving Among Young Adult Sexual Minority Heavy Drinkers.
Autorzy:: Mereish EH; Department of Health Studies, (EHM), American University, Washington, District of Columbia.; Center for Alcohol and Addiction Studies (CAAS), (EHM, RM), Brown University, Providence, Rhode Island.
Miranda R Jr; Center for Alcohol and Addiction Studies (CAAS), (EHM, RM), Brown University, Providence, Rhode Island.
Źródło:: Alcoholism, clinical and experimental research [Alcohol Clin Exp Res] 2019 Jun; Vol. 43 (6), pp. 1263-1272. Date of Electronic Publication: 2019 May 17.
Typ publikacji:: Comparative Study; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't
Język:: English
Imprint Name(s):: Publication: Oxford, UK : Wiley-Blackwell
Original Publication: New York, N.Y. : Grune & Stratton, c1977-
MeSH Terms:: Affect*
Social Stigma*
Alcohol Drinking/*psychology
Alcoholism/*psychology
Sexual and Gender Minorities/*psychology
Adolescent ; Adult ; Female ; Humans ; Male ; Young Adult
References:: J Consult Clin Psychol. 1999 Dec;67(6):945-51. (PMID: 10596515)
Addiction. 2000 Aug;95 Suppl 2:S129-44. (PMID: 11002908)
Addiction. 2000 Aug;95 Suppl 2:S229-36. (PMID: 11002917)
Am J Public Health. 2001 Nov;91(11):1869-76. (PMID: 11684618)
Psychol Bull. 2003 Sep;129(5):674-697. (PMID: 12956539)
Psychol Rev. 2004 Jan;111(1):33-51. (PMID: 14756584)
Alcohol Clin Exp Res. 2006 Aug;30(8):1315-21. (PMID: 16899034)
Alcohol Clin Exp Res. 2007 Mar;31(3):395-403. (PMID: 17295723)
Addiction. 2008 Apr;103(4):546-56. (PMID: 18339100)
Psychopharmacology (Berl). 2008 Sep;200(1):141-50. (PMID: 18604601)
Clin Psychol Rev. 2009 Aug;29(6):519-34. (PMID: 19577831)
Psychol Bull. 2009 Sep;135(5):707-730. (PMID: 19702379)
Psychopharmacology (Berl). 2011 Nov;218(1):121-9. (PMID: 21607563)
J Consult Clin Psychol. 2011 Dec;79(6):728-39. (PMID: 22004303)
Psychol Addict Behav. 2012 Jun;26(2):265-78. (PMID: 22061339)
Alcohol Clin Exp Res. 2012 Jun;36(6):972-83. (PMID: 22309888)
Prev Sci. 2014 Jun;15(3):350-63. (PMID: 23605479)
Psychopharmacology (Berl). 2014 Apr;231(8):1841-51. (PMID: 24363093)
Addict Behav. 2014 Dec;39(12):1884-9. (PMID: 25133978)
J Couns Psychol. 2015 Jul;62(3):425-437. (PMID: 26010289)
Annu Rev Clin Psychol. 2016;12:407-33. (PMID: 26565121)
Alcohol Res. 2016;38(1):121-32. (PMID: 27159819)
J Stud Alcohol Drugs. 2017 Jan;78(1):113-123. (PMID: 27936371)
Am Psychol. 2016 Nov;71(8):742-751. (PMID: 27977256)
Curr Addict Rep. 2018 Jun;5(2):158-173. (PMID: 30393591)
J Pers Soc Psychol. 1988 Jun;54(6):1063-70. (PMID: 3397865)
Alcohol Clin Exp Res. 1995 Jun;19(3):600-6. (PMID: 7573780)
J Stud Alcohol. 1994 Jul;55(4):487-94. (PMID: 7934057)
J Trauma Stress. 1998 Jul;11(3):521-42. (PMID: 9690191)
Grant Information:: K08 AA025011 United States AA NIAAA NIH HHS; K24 AA026326 United States AA NIAAA NIH HHS
Contributed Indexing:: Keywords: Alcohol Craving; Alcohol Cues; Sexual Minorities; Stigma
Entry Date(s):: Date Created: 20190518 Date Completed: 20200903 Latest Revision: 20201224
Update Code:: 20240104
PubMed Central ID:: PMC6527331
DOI:: 10.1111/acer.14055
PMID:: 31099903
: Czasopismo naukowe

Full Text Finder

Background: Sexual orientation disparities in alcohol use disorder (AUD) are thought to be explained by stigma specific to sexual minorities. Despite the importance of negative affect and craving in addiction, research has yet to test the effects of stigma on affect and alcohol craving among sexual minorities. This laboratory study examined the effects of 3 novel mood inductions (stigma, general unpleasant, and neutral) on affect and alcohol craving among heavy-drinking sexual minority young adults. We also paired these mood inductions with an established alcohol cue reactivity paradigm to explore the effects of stigma on cue-elicited craving.
Methods: Sexual minority participants (N = 20; 55% female), aged 18 to 27 years (M = 21.80, standard deviation = 2.65), were recruited from the community. Participants completed 3 mood induction and cue reactivity trials counterbalanced over 3 visits on different days: stigma, general unpleasant, and neutral mood inductions. A structured interview assessed criteria for DSM-5 AUD, and self-report measures assessed lifetime adverse experiences.
Results: Most participants met criteria for past-year AUD (75%). Exposure to stigma produced more negative affect and greater alcohol craving than the neutral and general unpleasant mood induction conditions. The general unpleasant mood induction did not predict greater alcohol craving than the neutral mood induction. Stigma enhanced alcohol cue reactivity effects, as measured with a single-item craving measure, compared to the general unpleasant mood condition, and this effect remained significant while controlling for covariates.
Conclusions: Findings are the first to demonstrate how stigma uniquely predicts negative affect and alcohol craving among sexual minorities. This study suggests that being exposed to stigma, specifically heterosexism, elicits negative mood and alcohol craving among sexual minority young adults who are heavy drinkers.
(© 2019 by the Research Society on Alcoholism.)

Informacja