View in EDS HTML Full Text PDF Full Text

Before and after: craving, mood, and background stress in the hours surrounding drug use and stressful events in patients with opioid-use disorder.

Saved in:
Bibliographic Details
Title: Before and after: craving, mood, and background stress in the hours surrounding drug use and stressful events in patients with opioid-use disorder.
Authors: Preston, Kenzie L., Kowalczyk, William J., Phillips, Karran A., Jobes, Michelle L., Vahabzadeh, Massoud, Lin, Jia-Ling, Mezghanni, Mustapha, Epstein, David H.
Source: Psychopharmacology. Sep2018, Vol. 235 Issue 9, p2713-2723. 11p. 2 Charts, 2 Graphs.
Subjects: Ecological momentary assessments (Clinical psychology), Opioid abuse, Mood (Psychology), Cocaine, Psychological stress
Abstract: Rationale: Ecological momentary assessment (EMA) of specific events usually focuses more on antecedents and concomitants than on aftermaths.Objectives: To examine mental state both before and after discrete episodes of stress and drug use.Methods: For up to 16 weeks, outpatients on opioid-agonist treatment carried smartphones on which they initiated entries for stressful events (SEs) or lapses to drug use (DUs), and thrice daily when randomly prompted (RPs). Participants rated their stress, opioid craving, cocaine craving, and moods. RP entries within 5 h of an event were analyzed and compared to other RPs.Results: Stress, negative mood, and craving were generally higher before and after DUs and SEs compared to background levels in participants with at least one DU (n = 149) or SE (n = 158). Before DUs, there were increases in negative mood, opioid craving, and cocaine craving, but not background stress. Before SEs, there were increases in background stress, opioid craving, and cocaine craving, but not negative mood. These changes were more variable after events than before. Neither DUs nor SEs were significantly related to positive mood.Conclusions: Stress increased before stressful-event entries, but was less evident before drug use. Craving increased in the hours before drug use and stressful events—and remained elevated in the hours after either event. These results suggest a stronger link between drug use and craving than between drug use and stress. Lapses to drug use did not improve mood or reduce stress, at least not at our 1-h-bin time resolution, suggesting that if such benefits exist, they are brief. [ABSTRACT FROM AUTHOR]
Copyright of Psychopharmacology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 131517764
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Before and after: craving, mood, and background stress in the hours surrounding drug use and stressful events in patients with opioid-use disorder.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Preston%2C+Kenzie+L%2E%22">Preston, Kenzie L.</searchLink><br /><searchLink fieldCode="AR" term="%22Kowalczyk%2C+William+J%2E%22">Kowalczyk, William J.</searchLink><br /><searchLink fieldCode="AR" term="%22Phillips%2C+Karran+A%2E%22">Phillips, Karran A.</searchLink><br /><searchLink fieldCode="AR" term="%22Jobes%2C+Michelle+L%2E%22">Jobes, Michelle L.</searchLink><br /><searchLink fieldCode="AR" term="%22Vahabzadeh%2C+Massoud%22">Vahabzadeh, Massoud</searchLink><br /><searchLink fieldCode="AR" term="%22Lin%2C+Jia-Ling%22">Lin, Jia-Ling</searchLink><br /><searchLink fieldCode="AR" term="%22Mezghanni%2C+Mustapha%22">Mezghanni, Mustapha</searchLink><br /><searchLink fieldCode="AR" term="%22Epstein%2C+David+H%2E%22">Epstein, David H.</searchLink>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Psychopharmacology%22">Psychopharmacology</searchLink>. Sep2018, Vol. 235 Issue 9, p2713-2723. 11p. 2 Charts, 2 Graphs.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Ecological+momentary+assessments+%28Clinical+psychology%29%22">Ecological momentary assessments (Clinical psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Opioid+abuse%22">Opioid abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Mood+%28Psychology%29%22">Mood (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Cocaine%22">Cocaine</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+stress%22">Psychological stress</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Rationale: Ecological momentary assessment (EMA) of specific events usually focuses more on antecedents and concomitants than on aftermaths.Objectives: To examine mental state both before and after discrete episodes of stress and drug use.Methods: For up to 16 weeks, outpatients on opioid-agonist treatment carried smartphones on which they initiated entries for stressful events (SEs) or lapses to drug use (DUs), and thrice daily when randomly prompted (RPs). Participants rated their stress, opioid craving, cocaine craving, and moods. RP entries within 5 h of an event were analyzed and compared to other RPs.Results: Stress, negative mood, and craving were generally higher before and after DUs and SEs compared to background levels in participants with at least one DU (n = 149) or SE (n = 158). Before DUs, there were increases in negative mood, opioid craving, and cocaine craving, but not background stress. Before SEs, there were increases in background stress, opioid craving, and cocaine craving, but not negative mood. These changes were more variable after events than before. Neither DUs nor SEs were significantly related to positive mood.Conclusions: Stress increased before stressful-event entries, but was less evident before drug use. Craving increased in the hours before drug use and stressful events—and remained elevated in the hours after either event. These results suggest a stronger link between drug use and craving than between drug use and stress. Lapses to drug use did not improve mood or reduce stress, at least not at our 1-h-bin time resolution, suggesting that if such benefits exist, they are brief. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Psychopharmacology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=131517764
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1007/s00213-018-4966-9
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 11
        StartPage: 2713
    Subjects:
      – SubjectFull: Ecological momentary assessments (Clinical psychology)
        Type: general
      – SubjectFull: Opioid abuse
        Type: general
      – SubjectFull: Mood (Psychology)
        Type: general
      – SubjectFull: Cocaine
        Type: general
      – SubjectFull: Psychological stress
        Type: general
    Titles:
      – TitleFull: Before and after: craving, mood, and background stress in the hours surrounding drug use and stressful events in patients with opioid-use disorder.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Preston, Kenzie L.
      – PersonEntity:
          Name:
            NameFull: Kowalczyk, William J.
      – PersonEntity:
          Name:
            NameFull: Phillips, Karran A.
      – PersonEntity:
          Name:
            NameFull: Jobes, Michelle L.
      – PersonEntity:
          Name:
            NameFull: Vahabzadeh, Massoud
      – PersonEntity:
          Name:
            NameFull: Lin, Jia-Ling
      – PersonEntity:
          Name:
            NameFull: Mezghanni, Mustapha
      – PersonEntity:
          Name:
            NameFull: Epstein, David H.
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 09
              Text: Sep2018
              Type: published
              Y: 2018
          Identifiers:
            – Type: issn-print
              Value: 00333158
          Numbering:
            – Type: volume
              Value: 235
            – Type: issue
              Value: 9
          Titles:
            – TitleFull: Psychopharmacology
              Type: main
ResultId 1