Daily Associations Among Craving, Affect, and Social Interactions in the Lives of Patients During Residential Opioid Use Disorder Treatment

Objective: This study captured the interrelationships among craving, negative affect, and positive and negative social exchanges in the daily lives of patients in residential treatment for opioid use disorders (OUDs). Method: Participants were 73 patients (77% male), age 19 to 61 (Mage = 30.10, SDag...

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Veröffentlicht in:Psychology of addictive behaviors 2021-08, Vol.35 (5), p.609-620
Hauptverfasser: Knapp, Kyler S., Bunce, Scott C., Brick, Timothy R., Deneke, Erin, Cleveland, H. Harrington
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container_end_page 620
container_issue 5
container_start_page 609
container_title Psychology of addictive behaviors
container_volume 35
creator Knapp, Kyler S.
Bunce, Scott C.
Brick, Timothy R.
Deneke, Erin
Cleveland, H. Harrington
description Objective: This study captured the interrelationships among craving, negative affect, and positive and negative social exchanges in the daily lives of patients in residential treatment for opioid use disorders (OUDs). Method: Participants were 73 patients (77% male), age 19 to 61 (Mage = 30.10, SDage = 10.13) in residential treatment for OUD. Participants completed a smartphone-based survey 4 times per day for 12 consecutive days that measured positive and negative social exchanges (Test of Negative Social Exchange), negative affect (PA-NA scales), and craving (frequency and intensity). Within-person, day-level associations among daily positive and negative social exchanges, negative affect, and craving were examined using multilevel modeling. Results: Daily negative social exchanges (M = 1.44, SD = 2.27) were much less frequent than positive social exchanges (M = 6.59, SD = 4.00) during residential treatment. Whereas negative social exchanges had a direct association with same-day craving (β = 0.08; 95% CI = 0.01, 0.16, ΔR2 = 0.01), positive social exchanges related to craving indirectly via moderation of the within-person negative affect-craving link (β = −0.01; 95% CI = −0.01, −0.001, ΔR2 = 0.002). Positive social exchanges decoupled the same-day linkage between negative affect and craving on days when individuals had at least four more positive social exchanges than usual. Conclusions: These results indicate that both negative affect and negative social exchanges are uniquely related to craving on a daily basis, and that extra positive social interactions can reduce the intraindividual coupling of negative affect and craving during residential treatment for OUD. Public Health Significance Statement This study highlights the importance of daily social interactions for patients in residential treatment for opioid use disorder, indicating that negative interactions are linked with higher craving and that extra positive interactions can decouple the daily linkage between negative affect and craving.
doi_str_mv 10.1037/adb0000612
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Harrington</creator><contributor>Witkiewitz, Katie</contributor><creatorcontrib>Knapp, Kyler S. ; Bunce, Scott C. ; Brick, Timothy R. ; Deneke, Erin ; Cleveland, H. Harrington ; Witkiewitz, Katie</creatorcontrib><description>Objective: This study captured the interrelationships among craving, negative affect, and positive and negative social exchanges in the daily lives of patients in residential treatment for opioid use disorders (OUDs). Method: Participants were 73 patients (77% male), age 19 to 61 (Mage = 30.10, SDage = 10.13) in residential treatment for OUD. Participants completed a smartphone-based survey 4 times per day for 12 consecutive days that measured positive and negative social exchanges (Test of Negative Social Exchange), negative affect (PA-NA scales), and craving (frequency and intensity). Within-person, day-level associations among daily positive and negative social exchanges, negative affect, and craving were examined using multilevel modeling. Results: Daily negative social exchanges (M = 1.44, SD = 2.27) were much less frequent than positive social exchanges (M = 6.59, SD = 4.00) during residential treatment. Whereas negative social exchanges had a direct association with same-day craving (β = 0.08; 95% CI = 0.01, 0.16, ΔR2 = 0.01), positive social exchanges related to craving indirectly via moderation of the within-person negative affect-craving link (β = −0.01; 95% CI = −0.01, −0.001, ΔR2 = 0.002). Positive social exchanges decoupled the same-day linkage between negative affect and craving on days when individuals had at least four more positive social exchanges than usual. Conclusions: These results indicate that both negative affect and negative social exchanges are uniquely related to craving on a daily basis, and that extra positive social interactions can reduce the intraindividual coupling of negative affect and craving during residential treatment for OUD. Public Health Significance Statement This study highlights the importance of daily social interactions for patients in residential treatment for opioid use disorder, indicating that negative interactions are linked with higher craving and that extra positive interactions can decouple the daily linkage between negative affect and craving.</description><identifier>ISSN: 0893-164X</identifier><identifier>EISSN: 1939-1501</identifier><identifier>DOI: 10.1037/adb0000612</identifier><identifier>PMID: 33090811</identifier><language>eng</language><publisher>United States: American Psychological Association</publisher><subject>Associations ; Craving ; Ecological Momentary Assessment ; Emotions ; Female ; Human ; Male ; Moderation ; Narcotics ; Negative Emotions ; Negative interactions ; Opiates ; Opioid Use Disorder ; Opioids ; Patients ; Positive emotions ; Residential Care Institutions ; Residential institutions ; Residential treatment ; Social Exchange ; Social exchange theory ; Social Interaction ; Substance use disorder ; Test Construction ; Treatment</subject><ispartof>Psychology of addictive behaviors, 2021-08, Vol.35 (5), p.609-620</ispartof><rights>2020 American Psychological Association</rights><rights>2020, American Psychological Association</rights><rights>Copyright American Psychological Association Aug 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a470t-96319b9cd4c0d1f9869efb97831b5c1b58e2fd3da083e2d668ced3235c447bb3</citedby><orcidid>0000-0003-4737-4133 ; 0000-0002-1233-8709 ; 0000-0002-3339-9279</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925,30999,33774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33090811$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Witkiewitz, Katie</contributor><creatorcontrib>Knapp, Kyler S.</creatorcontrib><creatorcontrib>Bunce, Scott C.</creatorcontrib><creatorcontrib>Brick, Timothy R.</creatorcontrib><creatorcontrib>Deneke, Erin</creatorcontrib><creatorcontrib>Cleveland, H. Harrington</creatorcontrib><title>Daily Associations Among Craving, Affect, and Social Interactions in the Lives of Patients During Residential Opioid Use Disorder Treatment</title><title>Psychology of addictive behaviors</title><addtitle>Psychol Addict Behav</addtitle><description>Objective: This study captured the interrelationships among craving, negative affect, and positive and negative social exchanges in the daily lives of patients in residential treatment for opioid use disorders (OUDs). Method: Participants were 73 patients (77% male), age 19 to 61 (Mage = 30.10, SDage = 10.13) in residential treatment for OUD. Participants completed a smartphone-based survey 4 times per day for 12 consecutive days that measured positive and negative social exchanges (Test of Negative Social Exchange), negative affect (PA-NA scales), and craving (frequency and intensity). Within-person, day-level associations among daily positive and negative social exchanges, negative affect, and craving were examined using multilevel modeling. Results: Daily negative social exchanges (M = 1.44, SD = 2.27) were much less frequent than positive social exchanges (M = 6.59, SD = 4.00) during residential treatment. Whereas negative social exchanges had a direct association with same-day craving (β = 0.08; 95% CI = 0.01, 0.16, ΔR2 = 0.01), positive social exchanges related to craving indirectly via moderation of the within-person negative affect-craving link (β = −0.01; 95% CI = −0.01, −0.001, ΔR2 = 0.002). Positive social exchanges decoupled the same-day linkage between negative affect and craving on days when individuals had at least four more positive social exchanges than usual. Conclusions: These results indicate that both negative affect and negative social exchanges are uniquely related to craving on a daily basis, and that extra positive social interactions can reduce the intraindividual coupling of negative affect and craving during residential treatment for OUD. Public Health Significance Statement This study highlights the importance of daily social interactions for patients in residential treatment for opioid use disorder, indicating that negative interactions are linked with higher craving and that extra positive interactions can decouple the daily linkage between negative affect and craving.</description><subject>Associations</subject><subject>Craving</subject><subject>Ecological Momentary Assessment</subject><subject>Emotions</subject><subject>Female</subject><subject>Human</subject><subject>Male</subject><subject>Moderation</subject><subject>Narcotics</subject><subject>Negative Emotions</subject><subject>Negative interactions</subject><subject>Opiates</subject><subject>Opioid Use Disorder</subject><subject>Opioids</subject><subject>Patients</subject><subject>Positive emotions</subject><subject>Residential Care Institutions</subject><subject>Residential institutions</subject><subject>Residential treatment</subject><subject>Social Exchange</subject><subject>Social exchange theory</subject><subject>Social Interaction</subject><subject>Substance use disorder</subject><subject>Test Construction</subject><subject>Treatment</subject><issn>0893-164X</issn><issn>1939-1501</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>BHHNA</sourceid><recordid>eNp9kW-LFCEAhyWKbrt60wcIoXd1Uzr-GX0TLLtXHSxc1Aa9E0edPY_ZcVJnYT9DX_oc9rrqTYII-vj4kx8ALzF6hxFp3mvbojI4rh-BBZZEVpgh_BgskJCkwpz-OAPPUrotDEGCPwVnhCCJBMYL8GutfX-Ey5SC8Tr7MCS43IdhB1dRH_ywu4DLrnMmX0A9WPhtpnp4NWQXtTnhfoD5xsGNP7gEQwe_FI0bcoLrKRYB_OqSt2Vjvng9-uAt_J4cXPsUonURbqPTeV-A5-BJp_vkXtyv52D78XK7-lxtrj9drZabStMG5UpygmUrjaUGWdxJwaXrWtkIgltmyhSu7iyxGgniasu5MM6SmjBDadO25Bx8OGnHqd07a8rLUfdqjH6v41EF7dW_J4O_UbtwUAJxRBgqgtf3ghh-Ti5ldRumOJTIqmacsoYK3PyXoozUDEk6U29OlIkhpei6hxwYqbld9afdAr_6O_kD-rvOArw9AXrUakxHo2P2pnfJTDGW38wyRZhiiiNJ7gBlp7DZ</recordid><startdate>20210801</startdate><enddate>20210801</enddate><creator>Knapp, Kyler S.</creator><creator>Bunce, Scott C.</creator><creator>Brick, Timothy R.</creator><creator>Deneke, Erin</creator><creator>Cleveland, H. 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Harrington</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a470t-96319b9cd4c0d1f9869efb97831b5c1b58e2fd3da083e2d668ced3235c447bb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Associations</topic><topic>Craving</topic><topic>Ecological Momentary Assessment</topic><topic>Emotions</topic><topic>Female</topic><topic>Human</topic><topic>Male</topic><topic>Moderation</topic><topic>Narcotics</topic><topic>Negative Emotions</topic><topic>Negative interactions</topic><topic>Opiates</topic><topic>Opioid Use Disorder</topic><topic>Opioids</topic><topic>Patients</topic><topic>Positive emotions</topic><topic>Residential Care Institutions</topic><topic>Residential institutions</topic><topic>Residential treatment</topic><topic>Social Exchange</topic><topic>Social exchange theory</topic><topic>Social Interaction</topic><topic>Substance use disorder</topic><topic>Test Construction</topic><topic>Treatment</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Knapp, Kyler S.</creatorcontrib><creatorcontrib>Bunce, Scott C.</creatorcontrib><creatorcontrib>Brick, Timothy R.</creatorcontrib><creatorcontrib>Deneke, Erin</creatorcontrib><creatorcontrib>Cleveland, H. Harrington</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>APA PsycArticles®</collection><collection>ProQuest One Psychology</collection><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>Sociological Abstracts</collection><collection>Sociological Abstracts</collection><collection>Sociological Abstracts (Ovid)</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Psychology of addictive behaviors</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Knapp, Kyler S.</au><au>Bunce, Scott C.</au><au>Brick, Timothy R.</au><au>Deneke, Erin</au><au>Cleveland, H. Harrington</au><au>Witkiewitz, Katie</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Daily Associations Among Craving, Affect, and Social Interactions in the Lives of Patients During Residential Opioid Use Disorder Treatment</atitle><jtitle>Psychology of addictive behaviors</jtitle><addtitle>Psychol Addict Behav</addtitle><date>2021-08-01</date><risdate>2021</risdate><volume>35</volume><issue>5</issue><spage>609</spage><epage>620</epage><pages>609-620</pages><issn>0893-164X</issn><eissn>1939-1501</eissn><abstract>Objective: This study captured the interrelationships among craving, negative affect, and positive and negative social exchanges in the daily lives of patients in residential treatment for opioid use disorders (OUDs). Method: Participants were 73 patients (77% male), age 19 to 61 (Mage = 30.10, SDage = 10.13) in residential treatment for OUD. Participants completed a smartphone-based survey 4 times per day for 12 consecutive days that measured positive and negative social exchanges (Test of Negative Social Exchange), negative affect (PA-NA scales), and craving (frequency and intensity). Within-person, day-level associations among daily positive and negative social exchanges, negative affect, and craving were examined using multilevel modeling. Results: Daily negative social exchanges (M = 1.44, SD = 2.27) were much less frequent than positive social exchanges (M = 6.59, SD = 4.00) during residential treatment. Whereas negative social exchanges had a direct association with same-day craving (β = 0.08; 95% CI = 0.01, 0.16, ΔR2 = 0.01), positive social exchanges related to craving indirectly via moderation of the within-person negative affect-craving link (β = −0.01; 95% CI = −0.01, −0.001, ΔR2 = 0.002). Positive social exchanges decoupled the same-day linkage between negative affect and craving on days when individuals had at least four more positive social exchanges than usual. Conclusions: These results indicate that both negative affect and negative social exchanges are uniquely related to craving on a daily basis, and that extra positive social interactions can reduce the intraindividual coupling of negative affect and craving during residential treatment for OUD. Public Health Significance Statement This study highlights the importance of daily social interactions for patients in residential treatment for opioid use disorder, indicating that negative interactions are linked with higher craving and that extra positive interactions can decouple the daily linkage between negative affect and craving.</abstract><cop>United States</cop><pub>American Psychological Association</pub><pmid>33090811</pmid><doi>10.1037/adb0000612</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0003-4737-4133</orcidid><orcidid>https://orcid.org/0000-0002-1233-8709</orcidid><orcidid>https://orcid.org/0000-0002-3339-9279</orcidid><oa>free_for_read</oa></addata></record>
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source Sociological Abstracts; EBSCOhost APA PsycARTICLES; Applied Social Sciences Index & Abstracts (ASSIA)
subjects Associations
Craving
Ecological Momentary Assessment
Emotions
Female
Human
Male
Moderation
Narcotics
Negative Emotions
Negative interactions
Opiates
Opioid Use Disorder
Opioids
Patients
Positive emotions
Residential Care Institutions
Residential institutions
Residential treatment
Social Exchange
Social exchange theory
Social Interaction
Substance use disorder
Test Construction
Treatment
title Daily Associations Among Craving, Affect, and Social Interactions in the Lives of Patients During Residential Opioid Use Disorder Treatment
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