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Browsing by Author "Fisher-Fox, Lindsey"

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    A systematic review of the reasons for quitting and/or reducing alcohol among those who have received alcohol use disorder treatment
    (Elsevier, 2024-11-19) Prestigiacomo, Christiana; Fisher-Fox, Lindsey; Cyders, Melissa A.; Psychology, School of Science
    Research has primarily studied reasons for quitting and/or reducing alcohol use in non-treatment samples. This systematic review aimed to characterize the reasons for quitting and/or reducing alcohol use among those who have received treatment for AUD and examine how reasons endorsed differ across measurement methods used. Articles were identified through PsycINFO, Web of Science, PubMed, and CINAHL. Twenty-one articles met inclusion criteria. Thematic coding revealed 21 unique themes in reasons for quitting and/or reducing. Common reasons included physical health issues, misalignment with personal goals, family influence, and social factors-also noted in non-treatment populations. Unique themes like hitting rock bottom and avoiding disapproval were identified, potentially linked to treatment initiation or development. The measurement approach influenced the reasons reported, highlighting the need for standardized methods. Common reasons are fundamental and are not a result of treatment, while others are unique to individuals who have received AUD treatment, which may suggest that they are critical in leading one to seek treatment or may be developed during treatment. Assessing and tailoring treatment based on these reasons may enhance outcomes. Standardizing how we measure reasons for quitting or reducing alcohol is crucial for comparing studies and improving treatment. Future research should evaluate reasons over time, assess their importance at different treatment stages, and use varied assessment strategies for comprehensive insights.
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    Urgency as a Predictor of Change in Emotion Dysregulation in Adolescents
    (2024-05) Fisher-Fox, Lindsey; Cyders, Melissa; Zapolski, Tamika; Salyers, Michelle
    Adolescence is a key developmental period characterized by increased maladaptive risky behaviors. Two related, but distinct constructs, urgency (the tendency to act rashly in response to strong negative or positive emotions) and emotion dysregulation are important risk factors for engaging in maladaptive risky behaviors. Thus far, research has largely agreed that these two risk factors are highly correlated; however, the causal direction between these constructs is less understood. The goal of the current study is to determine whether urgency predicts emotion dysregulation among adolescents. This project is a secondary data analysis of a larger study designed to test the effectiveness of a school-based intervention for youth at risk of maladaptive risk taking, as compared to a control group of youth enrolled in a health class. The current study utilized data from the control youth (n=544, 49.8% female, Mage=14.22, SD=0.52) to test whether urgency at baseline predicts change in emotion dysregulation over a nine-week period, and whether that relationship differs across boys and girls. Results found that negative, but not positive, urgency significantly predicted emotion dysregulation change (negative urgency: b=0.11, p=0.03; positive urgency: b=0.03, p=0.54). Gender did not moderate either relationship (p’s>0.30). This work provides initial evidence of a temporal relationship between negative urgency and changes in emotion dysregulation. The next step is to determine whether negative urgency imparts risk for malapative behaviors through its effect on emotion dysregulation. This program of research may lead to better identification of effective interventions to decrease negative urgency-based risk-taking and better identify those at risk of developing maladaptive risk-taking.
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    Urgency as a predictor of change in emotion dysregulation in adolescents
    (Frontiers Media, 2024-10-03) Fisher-Fox, Lindsey; Whitener, MacKenzie; Wu, Wei; Cyders, Melissa A.; Zapolski, Tamika C. B.; Psychology, School of Science
    Introduction: Adolescence is a key developmental period characterized by increased maladaptive risky behaviors. Two related but distinct constructs, urgency (the tendency to act rashly in response to strong negative or positive emotions) and emotion dysregulation, are important risk factors for engaging in maladaptive risky behaviors. Thus far, research has largely agreed that these two risk factors are highly correlated. However, the causal direction between these constructs is less understood. The goal of the current study is to determine whether urgency predicts emotion dysregulation change among adolescents. Method: This project is an analysis of 544 youth (49.8% female, Mage=14.22, SD=0.52). We tested whether urgency at baseline predicts change in emotion dysregulation over a nine-week period, and whether that relationship differs across boys and girls. Results: Two multigroup latent change score path analyses found that negative, but not positive, urgency significantly predicted emotion dysregulation change (negative urgency: b= -0.57, p=0.001; positive urgency: b=0.22, p=0.06). There was no evidence of moderation by gender. Discussion: This work provides initial evidence of a temporal relationship between higher negative urgency and increased emotion dysregulation. The next step is to determine whether negative urgency imparts risk for maladaptive behaviors through its effect on emotion dysregulation. The long-term goal of this program of research is to design and test interventions to reduce the impact of negative urgency for adolescent risk-taking.
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