The role of negative affect and social experiences predicting changes in daily craving for individuals in residential treatment for opioid use disorders
Open Access
Author:
Knapp, Kyler
Graduate Program:
Human Development and Family Studies
Degree:
Master of Science
Document Type:
Master Thesis
Date of Defense:
September 25, 2019
Committee Members:
Hobart H Cleveland, III, Thesis Advisor/Co-Advisor Timothy Raymond Brick, Committee Member Lesley Anne Ross, Program Head/Chair
Keywords:
Opioids Craving Affect Social Experiences Ecological Momentary Assessment
Abstract:
Drug craving is one of the strongest predictors of relapse among individuals addicted to various substances, including opioids. There is a lack of research exploring within-person transactions between individual and environmental factors associated with craving among individuals in treatment for opioid use disorders. The current ecological momentary assessment (EMA) study aimed to partially address this gap by examining associations of daily craving with negative affect (NA), positive social experiences (PSE), and negative social experiences (NSE). Participants at a residential drug and alcohol treatment facility completed smartphone-based surveys 4 times per day for 12 consecutive days. Results revealed that craving was higher on days when negative affect was higher than usual, as well as on days when individuals experienced more negative social interactions than usual. Further, there was a stronger within-day association between negative affect and craving on days with fewer positive social interactions compared to days with more positive interactions than usual. These findings advance understanding of socioemotional experiences within treatment environments and highlight the moderating role of ecological characteristics on within-person links between negative affect and craving.
