Negative affect and emotion dysregulation among people who inject drugs: An ecological momentary assessment study

2019 ◽  
Author(s):  
Mary Ellen Mackesy-Amiti ◽  
Geri Donenberg
Keyword(s):  
Emotion Regulation ◽  
Negative Affect ◽  
Positive Affect ◽  
Ecological Momentary Assessment ◽  
Emotion Dysregulation ◽  
People Who Inject Drugs ◽  
Exchange Program ◽  
Opioid Intoxication ◽  
Ecological Momentary ◽  
Momentary Assessment

This study used ecological momentary assessment (EMA) to measure positive and negative affect among people who inject drugs (PWID), and examined associations with borderline personality disorder (BPD) symptoms and difficulties with emotion regulation, in the context of injection drug use. We recruited PWID, age 18-35, through syringe exchange program sites in Chicago, Illinois, USA. After completing a baseline interview including a screener for BPD and the Difficulties with Emotion Regulation Scale (DERS), participants used a mobile phone app to report mood, substance use, and injection behavior for two weeks. Participants who completed at least two EMA assessments were included in the analysis (N = 161). The mean age was 30, about one-third were women, 63% were non-Hispanic white, and 23% were Hispanic. In multivariable mixed effects regression models, positive BPD screen was associated with greater momentary negative affect (NA) intensity, and greater instability of both NA and positive affect (PA). Independent of BPD screening status, DERS score was associated positively with momentary NA intensity and instability, and negatively with positive affect (PA) intensity. This finding suggests that emotion dysregulation is an appropriate target for assessment and intervention. While concurrent withdrawal was associated with both greater NA and less PA, opioid intoxication was associated only with greater PA. We did not find support for our hypothesis that emotion dysregulation would moderate the effect of withdrawal on NA. Findings support the validity of the EMA mood measure and the utility of studying mood and behavior among PWID using EMA on mobile phones.

scholarly journals A Coordinated Analysis of Variance in Affect in Daily Life

Assessment ◽  
2018 ◽  
Vol 27 (8) ◽  
pp. 1683-1698 ◽  
Author(s):  
Stacey B. Scott ◽  
Martin J. Sliwinski ◽  
Matthew Zawadzki ◽  
Robert S. Stawski ◽  
Jinhyuk Kim ◽  
...  
Keyword(s):  
Negative Affect ◽  
Positive Affect ◽  
Ecological Momentary Assessment ◽  
Daily Life ◽  
Daily Diary ◽  
Levels Of Analysis ◽  
Total N ◽  
Ecological Momentary ◽  
Momentary Assessment ◽  
Widespread Interest

Despite widespread interest in variance in affect, basic questions remain pertaining to the relative proportions of between-person and within-person variance, the contribution of days and moments, and the reliability of these estimates. We addressed these questions by decomposing negative affect and positive affect variance across three levels (person, day, moment), and calculating reliability using a coordinated analysis of seven daily diary, ecological momentary assessment (EMA), and diary-EMA hybrid studies (across studies age = 18-84 years, total Npersons = 2,103, total Nobservations = 45,065). Across studies, within-person variance was sizeable (negative affect: 45% to 66%, positive affect: 25% to 74%); in EMA more within-person variance was attributable to momentary rather than daily level. Reliability was adequate to high at all levels of analysis (within-person: .73-.91; between-person: .96-1.00) despite different items and designs. We discuss the implications of these results for the design of future intensive studies of affect variance.

Momentary associations between affect and alcohol use in the daily lives of college students

2021 ◽  
Author(s):  
Farah Sayed ◽  
Amanda Lee McGowan ◽  
Mia Jovanova ◽  
Danielle Cosme ◽  
Yoona Kang ◽  
...  
Keyword(s):  
College Students ◽  
Alcohol Use ◽  
Negative Affect ◽  
Positive Affect ◽  
Ecological Momentary Assessment ◽  
Social Contexts ◽  
Drinking Motives ◽  
Daily Lives ◽  
Ecological Momentary ◽  
Momentary Assessment

Objective: Alcohol is theorized to be motivated by desires to regulate negative affect and/or to enhance positive affect. We tested the association between momentary affect and alcohol use in the daily lives of college students, hypothesizing that alcohol use would be more likely to follow increases in positive affect and that alcohol use would not be strongly associated with negative affect. Method: Using two ecological momentary assessment (EMA) studies consisting of two prompts per day for 28 days, we used multilevel hurdle models to test for lagged associations between positive and negative affect and alcohol use. There were 108 participants (60.19%; mean age = 20.20, SD=1.69) in EMA study 1 and 268 participants (60.03%women, mean age = 20.22, SD=1.96) in EMA study 2. To provide context for the affect-alcohol associations, we collected data on whether participants drank alone or with others at each drinking occasion and the drinking motives of participants using the Drinking Motives Questionnaire. Results: Alcohol use was more likely to occur following increases in positive affect. No significant associations emerged between fluctuations in negative affect and alcohol use. This pattern of findings was observed across both ecological momentary assessment studies. The majority of alcohol use occurred in social contexts. Conclusions: College students who report primarily social and enhancement motives for drinking and who seldom drink alone are more likely to drink following increases in positive affect.

Social Contact Frequency and Pain among Older Adults with HIV: An Ecological Momentary Assessment Study

2021 ◽  
Author(s):  
Matthew S Herbert ◽  
Jennalee S Wooldridge ◽  
Emily W Paolillo ◽  
Colin A Depp ◽  
Raeanne C Moore
Keyword(s):  
Older Adults ◽  
Negative Affect ◽  
Positive Affect ◽  
Ecological Momentary Assessment ◽  
Social Contact ◽  
Contact Frequency ◽  
Ecological Momentary ◽  
The Impact ◽  
The Relationship ◽  
Momentary Assessment

Abstract Background Social relationships are important for pain management among individuals with HIV, but the impact of daily social contact on pain responses in real-time, real-world settings has never been specifically examined. Purpose The purpose of the present study was to examine the relationship between social contact frequency and pain, and the role of negative and positive affect in this relationship among older adults with HIV using ecological momentary assessment (EMA). Methods A total of 66 (Mage = 59.3, SD = 6.3, range: 50–74) older adults with HIV completed EMA surveys that included social contact frequency, pain level, and negative and positive affect four times per day for 2 weeks. Mixed-effects regression models were used to examine concurrent and lagged associations between social contact frequency, pain, and negative and positive affect. Results Greater recent social contact frequency was associated with less severe current pain (unstandardized B = −0.04, 95% CI: −0.08, −0.01, p = .014), while greater current pain was associated with lower subsequent social contact frequency (unstandardized B = −0.07, 95% CI: −0.11, −0.03, p < .001). Further, higher current negative affect was related to greater current pain, and this relationship was dampened by increased recent social contact frequency (unstandardized B = −0.17, 95% CI: −0.26, −0.08, p < .001). Neither negative nor positive affect was significantly associated with the relationship between current pain and subsequent social contact frequency. Conclusions Social contact frequency and pain are bidirectionally and inversely associated among older adults with HIV. Further, recent social contact influences current pain by attenuating negative affect. Together, these results highlight the need to address social engagement in interventions for pain among older adults with HIV.

scholarly journals Food Insecurity and Affective Well-Being in Low-Income Adults: An Ecological Momentary Assessment Study Over Two Months

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 165-165
Author(s):  
Muzi Na ◽  
Nan Dou ◽  
Yujie Liao ◽  
Sara Jimenez Rincon ◽  
Lori Francis ◽  
...  
Keyword(s):  
Negative Affect ◽  
Food Insecurity ◽  
Positive Affect ◽  
Low Income ◽  
Ecological Momentary Assessment ◽  
Well Being ◽  
Funding Sources ◽  
Daily Food ◽  
Ecological Momentary ◽  
Momentary Assessment

Abstract Objectives Food insecurity is a dynamic phenomenon within a given month and across seasons. It remains unknown how food insecurity influences low-income adults’ day-to-day affective well-being, which is associated with long-term mental and physical health. In this pilot study, we explored the association between daily food insecurity and affect over a 2-month period (spanning 2 seasons) in a sample of low-income adults in Central Pennsylvania. Methods A total of 22 healthy low-income adults were recruited during the fall months (September, October, or November) in 2019, 18 of whom were also followed in the winter months (February or March) in 2020. Using an ecological momentary assessment framework administered on smart phones over a three-week-long wave (2nd – 4th week) in each survey month, daily food insecurity (once daily), and positive and negative affect (5 times daily) were collected. Time Varying Effect Models were used to estimate the association between levels of daily food insecurity and daily aggregated positive/negative affect as a function of study day, adjusting for gender, race/ethnicity, employment, and poverty status. Results A total of 713 person-days (84.9% of what was possible) of daily-level data was collected. Food insecurity was reported in 42.9% and 36.0% of participants in the fall and winter months, respectively. Greater daily food insecurity was associated with significantly lower positive affect scores in the 3rd week of the fall months (β ranged from −1.40 (95% CI −2.62, −0.18) to −3.17 (95% CI: −5.93, −0.42)) and in the 4th week of the winter months (β ranged from −2.24 (95% CI: −4.08, −0.39) to −2.84 (95% CI: −4.28, −1.40)). No consistent association was identified between daily food insecurity and negative affect. Conclusions Daily food insecurity was associated with lower positive affect in the second half of the months in both fall and winter seasons. Future large observational studies should verify our study findings in order to better identify, target, and intervene in food insecure adults who are at-risk of adverse mental health outcomes. Funding Sources The National Center for Advancing Translational Sciences, National Institutes of Health (UL1TR002014) and the Broadhurst Career Development Professorship for the Study of Health Promotion and Disease Prevention.

scholarly journals Changes in Momentary Experience Were Associated With the Onset of the COVID Pandemic

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 545-546
Author(s):  
Hio Mak ◽  
Arthur Stone
Keyword(s):  
Negative Affect ◽  
Positive Affect ◽  
Social Interactions ◽  
Ecological Momentary Assessment ◽  
Panel Study ◽  
Significant Other ◽  
Opposite Pattern ◽  
Daily Experience ◽  
Ecological Momentary ◽  
Momentary Assessment

Abstract We explored the COVID-19 pandemic’s effects on daily experience using momentary recordings of affect, activities, locations, and social interactions, documenting changes in the pandemic’s early stages. 123 individuals 50 years or older from an ongoing panel study completed 1-week bursts of Ecological Momentary Assessment (6/day) in March, May, and July. A pronounced spike in negative affect and decrease in positive affect was observed in late March compared with early March, which in May and June returned to early March levels. Levels of fatigue, however, did not follow this pattern. Being with one’s spouse/significant other and family also increased, then decreased. Working and interacting with others dropped from early to late March and then remained steady; doing chores had the opposite pattern. Regarding location, being at the workplace dropped from early to late March and remained steady, and being at home had the opposite pattern. Additional analyses explored these patterns.

scholarly journals AFFECT VARIABILITY AND SLEEP: EMOTIONAL UPS AND DOWNS ARE RELATED TO A POORER NIGHT’S REST

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S741-S741
Author(s):  
Kate A Leger ◽  
Susan Charles ◽  
Karen Fingerman
Keyword(s):  
Older Adults ◽  
Health Behavior ◽  
Negative Affect ◽  
Sleep Quality ◽  
Positive Affect ◽  
Ecological Momentary Assessment ◽  
Regression Models ◽  
Emotional Experience ◽  
Ecological Momentary ◽  
Momentary Assessment

Abstract Emotional experience is strongly related to physical health. Yet, fluctuations in daily emotional experience, known as affect variability, have been less examined. It is unknown how affect variability throughout the day is related to sleep, a critical health behavior. The current study examines this relationship in an ecological momentary assessment of 277 older adults. Regression models indicate that greater variability in daily positive affect is associated with fewer hours of sleep (b = -0.648, p = .04) and greater morning tiredness (b = 0.67, p = .006) even after adjusting for mean levels of affect. Although greater negative affect variability is associated with worse sleep quality (b = -0.77, p = .02) and greater morning tiredness (b = 0.91, p = .004), these relationships disappear once mean negative affect is added into the model. Findings support models describing the downside in the fragility of positive affect.

Does the Company of a Dog Influence Affective Response to Exercise? Using Ecological Momentary Assessment to Study Dog-Accompanied Physical Activity

2016 ◽  
Vol 31 (5) ◽  
pp. 388-390 ◽  
Author(s):  
Yue Liao ◽  
Olga Solomon ◽  
Genevieve F. Dunton
Keyword(s):  
Physical Activity ◽  
Negative Affect ◽  
Positive Affect ◽  
Ecological Momentary Assessment ◽  
Contextual Information ◽  
Affective Response ◽  
Self Report ◽  
Dog Owners ◽  
Ecological Momentary ◽  
Momentary Assessment

Purpose: This study used ecological momentary assessment (EMA), a real-time self-report strategy, to examine (1) whether dog owners were more likely to be physically active when they were with their dogs and (2) whether being with a dog amplifies positive and dampens negative affective response during physical activity. Design: Electronic EMA surveys for 12 days. Setting: Free-living. Participants: Seventy-one adult dog owners. Measures: The EMA survey included 1 question about current activity, 3 questions about positive affect (Cronbach α = .837), 4 questions about negative affect (Cronbach α = .865), and 1 question about the presence of dog. Analysis: Multilevel modeling. Results: The company of a dog did not increase the likelihood of being active versus sedentary at any given EMA prompt. However, greater positive affect during physical activity was reported in the company of a dog. Negative affect did not differ between active and sedentary activity, regardless of being with a dog or not. Conclusion: This study demonstrates the utility of electronic EMA as a promising methodology to study dog-accompanied physical activity. Future studies may use EMA to collect further contextual information about dog-accompanied activity to inform the development of innovative physical activity interventions.

scholarly journals Examining convergence of retrospective and ecological momentary assessment measures of negative affect and eating disorder behaviors

2014 ◽  
Vol 48 (3) ◽  
pp. 305-311 ◽  
Author(s):  
Joseph A. Wonderlich ◽  
Jason M. Lavender ◽  
Stephen A. Wonderlich ◽  
Carol B. Peterson ◽  
Scott J. Crow ◽  
...  
Keyword(s):  
Eating Disorder ◽  
Negative Affect ◽  
Ecological Momentary Assessment ◽  
Assessment Measures ◽  
Ecological Momentary ◽  
Momentary Assessment ◽  
Eating Disorder Behaviors
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