Influential psychological theories hypothesize that people consume alcohol in response to the experience of both negative and positive emotions. Despite two decades of daily diary and ecological momentary assessment research, it remains unclear whether people consume more alcohol on days they experience higher negative and positive affect in everyday life. In this preregistered meta-analysis, we synthesized the evidence for these daily associations between affect and alcohol use. We included individual participant data from 69 studies (N = 12,394), which used daily and momentary surveys to assess affect and the number of alcoholic drinks consumed. Results indicate that people do not drink more often on days they experience high negative affect, but are more likely to drink and drink heavily on days high in positive affect. People self-reporting a motivational tendency to drink-to-cope and drink-to-enhance were estimated to consume more alcohol, but not to consume more alcohol on days they experience higher negative and positive affect. Results were robust across different operationalizations of affect, study designs, study populations, and individual characteristics. Based on our findings, we collectively propose an agenda for future research to explore open questions surrounding affect and alcohol use.

Influential psychological theories hypothesize that people consume alcohol in response to the experience of both negative and positive emotions. Despite two decades of daily diary and ecological momentary assessment research, it remains unclear whether people consume more alcohol on days they experience higher negative and positive affects in everyday life. In this preregistered meta-analysis, we synthesized the evidence for these daily associations between affect and alcohol use. We included individual participant data from 69 studies (N = 12,394), which used daily and momentary surveys to assess the affect and the number of alcoholic drinks consumed. Results indicate that people are not more likely to drink on days they experience high negative affect but are more likely to drink and drink heavily on days high in positive affect. People self-reporting a motivational tendency to drink-to-cope and drink-to-enhance consumed more alcohol but not on days they experienced higher negative and positive affects. Results were robust across different operationalizations of affect, study designs, study populations, and individual characteristics. These findings challenge the long-held belief that people drink more alcohol following increase in negative affect. Integrating these findings under different theoretical models and limitations of this field of research, we collectively propose an agenda for future research to explore open questions surrounding affect and alcohol use.

The vulnerability-stress-adaptation model guided this examination of the impact of daily fluctuations in the symptoms and co-occurring behavior problems of children with autism spectrum disorder (ASD) on parents’ couple problem-solving interactions in natural settings and as these interactions spontaneously occur. A 14-day daily diary was completed by mothers and fathers in 176 families who had a child with ASD. On each day of the diary, parents separately reported on the child with ASD's daily level of symptoms and co-occurring behavior problems and the topic and level of negative affect in their most meaningful or important daily couple problem-solving interaction. Multilevel modeling was used to account for the within-person, within-couple nested structure of the data. Results indicated that many parents are resilient to experiencing a day with a high level of child ASD symptoms and co-occurring behavior problems and do not report more negative couple problem-solving interactions. However, household income, level of parental broader autism phenotype, and presence of multiple children with special care needs served as vulnerability factors in that they were related to a higher overall rating of negative affect in couple interactions and moderated the impact of reporting a day with a high level of child ASD symptoms and co-occurring behavior problems on next-day ratings of negative couple problem-solving interactions. The magnitude of these effects was small. Understanding mechanisms that support adaptive couple interactions in parents of children with ASD is critical for promoting best outcomes.

Background Prescription drug misuse and abuse is an established public health challenge, and young adults are particularly affected. There is a striking lack of real-time, naturalistic data collection assessing intentions to misuse and other precipitating factors at the time of actual misuse, leaving the conditions under which individuals are most likely to misuse prescription medications unknown. Ecological momentary assessment (EMA) apps and protocols designed to capture this information would accelerate and expand the knowledge base and could directly contribute to prevention and treatment efforts. Objective The objectives of this study are to describe the development and administration of a mobile app and the EMA protocol designed to collect real-time factors associated with college students’ prescription drug misuse intentions and behaviors in daily life; present completion rates, compliance, acceptability, and reactivity associated with the EMA protocol for participants who endorsed recent prescription drug misuse at screening (ie, risk group; n=300) and those who did not (ie, nonrisk group; n=55); and establish initial construct validity by linking the reports of misuse behaviors in daily life collected via the EMA app to prescription drug misuse reported on a standard survey. Methods An EMA data collection app and protocol were designed specifically to capture hypothesized contextual factors along with prescription drug misuse intentions and behaviors in daily life. Using this protocol, young adult college students (N=352) completed signal- and event-contingent reports over a 28-day period. When the intention to misuse a prescription drug was endorsed, a brief follow-up prompt was sent 15 min later to collect participants’ indications of whether or not misuse had occurred. Results Risk-group participants were significantly more likely than nonrisk counterparts to endorse any prescription drug misuse intentions in daily life (P<.001), to complete one or more follow-up reports (P<.001), and to endorse any prescription drug misuse behavior in daily life on the follow-ups (P<.001). Overall, participants demonstrated consistent engagement with the EMA procedures and returned an average of 74.5 (SD 23.82; range 10-122) reports. Participants in the risk and nonrisk groups did not differ in the number of reports they completed (P=.12), the number of their reporting days (P=.32), or their average completion rates (P=.14). The results indicated some evidence of reactivity to the momentary reporting procedure. Participants reported uniformly positive experiences and remained highly engaged throughout the reporting protocol and broader study. Conclusions The novel EMA app and protocol provide an effective way to assess real-time factors associated with prescription drug misuse intentions and behaviors in daily life. The resulting investigations offer the potential to provide highly translatable information for research and prevention efforts.

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BACKGROUND Prescription drug misuse and abuse is an established public health challenge, and young adults are particularly affected. There is a striking lack of real-time, naturalistic data collection assessing intentions to misuse and other precipitating factors at the time of actual misuse, leaving unknown under what conditions individuals are most likely to misuse prescription medications. Ecological momentary assessment (EMA) applications and protocols designed to capture this information would accelerate and expand the knowledge base and could directly contribute to prevention and treatment efforts. OBJECTIVE The objectives in the current study were to (1) describe the development and administration of a mobile application and protocol designed to collect EMA real-time factors associated with college students’ prescription drug misuse intentions and behaviors in daily life; (2) characterize the study population who received the protocol training, including demographic information of participants who endorsed recent prescription drug misuse at screening (risk group; n = 300) and those who did not (non-risk group; n = 55); (3) present completion rates, compliance, acceptability, and reactivity associated with the EMA protocol for both risk and non-risk groups; and (4) establish initial construct validity by linking the reports of misuse behavior in daily life collected via the EMA app to prescription drug misuse reported on a standard survey. METHODS An EMA data collection app and protocol were designed specifically to capture hypothesized contextual factors along with prescription drug misuse intentions and behaviors in daily life. Using the protocol, young-adult college students (N = 352) completed signal- and event-contingent reports over a 28-day period. When intention to misuse a prescription drug was endorsed, a brief follow-up prompt was sent 15 minutes later to collect participants’ indications of whether or not misuse had occurred. RESULTS Risk-group participants were significantly more likely than non-risk counterparts to endorse any prescription drug misuse intentions in daily life, to complete one or more follow-up report, and to endorse any prescription drug misuse behavior in daily life on the follow-ups. Overall, participants demonstrated consistent engagement with the EMA procedures and returned an average of 74.5 reports (SD = 23.82, range 10-122). Participants in risk and non-risk groups did not differ in the number of reports they completed, the number of their reporting days, or their average completion rates. Results indicated minimal reactivity to the method. Initial construct validity was found. Participants reported uniformly positive experiences in the study and remained highly engaged throughout the reporting protocol and broader study. CONCLUSIONS The novel EMA app and protocol provide an effective way to assess real-time factors associated with prescription drug misuse intentions and behavior in daily life. The resulting investigations offer the potential to provide highly translatable information for research and prevention efforts.

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Objective Drawing from the vulnerability–stress–adaptation model, we explored sexual distress as a lack of adaptive processes within marriage by assessing whether sociodemographic variables associated with stress moderated the association between sexual distress and marital quality. Background Sexual intimacy and marital quality are strongly linked, but it remains unclear what role sexual distress (distinct from low sexual satisfaction) plays in marital quality and whether this role differs across sociodemographic characteristics (race, socioeconomic status, premarital childbearing). Method Data are from in‐person and telephone interviews of 199 African American and 174 European American couples across their first 4 years of marriage. Dyadic multilevel modeling was used to analyze longitudinal associations between sexual distress and marital quality and to test whether these associations were moderated by race, socioeconomic status, and premarital childbearing, while controlling for joyful sex and pregnancy. Results Sexual distress and marital quality were bidirectionally linked. Sexual distress was a stronger predictor of marital quality for African American husbands compared with European American husbands. Socioeconomic status and premarital childbearing were not statistically significant moderators. Conclusion High sexual distress is distinct from low sexual satisfaction and may indicate insufficient adaptive processes for partners experiencing chronic stress. Social context and factors beyond marital processes may influence the role sexual intimacy plays in marital quality. Implications Findings contribute to practitioners' understanding of how sexual distress relates to marital quality in diverse newlywed couples.