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In the most recent National Survey on Drug Use and Health (NSDUH), college aged respondents between 18 and 25 years old reported the highest alcohol use rates (over 58%) as well as the highest rates of binge drinking of any age group. High alcohol use/abuse in college students is associated with myriad negative consequences, including fatal and nonfatal injuries and overdoses, impaired academic and vocational performance, violence and other crime, legal problems, unintended pregnancies and sexually transmitted diseases, and social problems. The National Comorbidity Survey underscores that use initiated in this period is not just experimental and recreational but may have lasting effects on consumption trajectories: For the majority of adults diagnosed alcohol use disorders, onset occurred during emerging adulthood. During this stage of development, vast changes in emotion regulation (ER) take place, particularly age-related shifts in the strategies used to manage distress that may lead to alcohol use/abuse (i.e., emotion suppression, inhibitory control, and cognitive reappraisal. Substantial evidence suggests that deficits in ER are strongly related to patterns of alcohol use in young adults. In particular, deficits in the self regulation of discomfort and distress, called distress tolerance, predict alcohol use - specifically, motivation and urgency for use, escalations in consumption, and the development of dependence that may be indicative of alcohol use disorders. Emerging adults who turn to alcohol as a way of coping with distressing emotions are most at risk for heavy alcohol use into adulthood and more severe negative alcohol consequences. Given the variable effectiveness of existing approaches for reducing college students' alcohol use, The investigators contend that interventions may be differentially effective depending on individual characteristics. In particular, students with difficulties in managing distress and discomfort may benefit from more intensive interventions that promote effective ER compared to treatment as usual; further, other background characteristics may predict the efficacy and acceptability of each type of ER intervention. In this R34, investigators will test the acceptability/ feasibility and preliminary efficacy of two complementary interventions (Yoga and Distress Tolerance) on preventing alcohol use in a randomized controlled trial of 180 high-risk college students relative to treatment as usual. Investigators will assess participants' alcohol use (self-report and biomarker measures) and emotion regulation (ER) at baseline along with physiological discomfort sensitivity and psychosocial predictors of treatment efficacy over time, including a post-treatment follow-up. Study aims include:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Yoga | Active Comparator | 60 minute sessions of guided yoga in small group format |
|
| Distress Tolerance | Active Comparator | 60 minutes sessions of guided didactic distress tolerance skill building in small group format |
|
| Treatment as Usual | No Intervention | Those recruited through Student Health and Wellness will complete the university standard BASICS intervention. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Yoga | Behavioral | 1 hour of group format, guided yoga practice |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Daily Drinking Questionnaire | Measures frequency and quantity of alcohol consumption (scores range from 0 to unlimited) where lower scores indicate better outcomes | Measured over a 3 month frame, can be used to calculate weekly or daily consumption |
| Measure | Description | Time Frame |
|---|---|---|
| Distress tolerance scale | Measures individual's ability to maintain goal-directed behavior while distressed (scores range from 16 to 80) where higher scores indicate better outcomes | Measure authors Simons and Gaher do not specify; PACER will use 90 days |
| PACER Feasibility - participation |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Beth Russell, PhD | University of Connecticut | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Connecticut | Storrs | Connecticut | 06269-0001 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32472486 | Background | Park CL, Russell BS, Fendrich M, Finkelstein-Fox L, Hutchison M, Becker J. Americans' COVID-19 Stress, Coping, and Adherence to CDC Guidelines. J Gen Intern Med. 2020 Aug;35(8):2296-2303. doi: 10.1007/s11606-020-05898-9. Epub 2020 May 29. |
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| ID | Term |
|---|---|
| D000437 | Alcoholism |
| D000080103 | Emotional Regulation |
| D000428 | Alcohol Drinking |
| ID | Term |
|---|---|
| D019973 | Alcohol-Related Disorders |
| D019966 | Substance-Related Disorders |
| D064419 | Chemically-Induced Disorders |
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D015013 | Yoga |
| D000073278 | Self-Management |
| ID | Term |
|---|---|
| D026441 | Mind-Body Therapies |
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
| D026443 | Spiritual Therapies |
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| Distress Tolerance |
| Behavioral |
1 hour didactic group format, to develop distress tolerance skills |
|
|
Participant participation rates (scores range from 0% to 100%) where higher scores indicate better outcomes |
| Participation is dichotomously recorded at each engagement opportunity through study completion (up to 8 months) |
| Rates of excessive drinking | Recent reports of heavy (5+ drinks ) in one sitting (scores range from 0 to unlimited) where lower scores indicate better outcomes | 30 days |
| CORE survey of substance use | Core frequency measures of substance use from the list of substances, including alcohol, where lower scores indicate better outcomes | 30 days |
| D000068356 | Self-Control |
| D012919 | Social Behavior |
| D001519 | Behavior |
| D004327 | Drinking Behavior |
| D026241 |
| Exercise Movement Techniques |
| D026741 | Physical Therapy Modalities |
| D012046 | Rehabilitation |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |