College-based social and situational predictors of real-time prescription drug misuse in daily life

Kouros, Chrystyna D.; Papp, Lauren M.; Kelly, Brian C.; Blumenstock, Shari M.

doi:10.1016/j.drugalcdep.2021.108969

Cited by 1 publication

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“…Potential effects of reporting across time were accounted for by including a moment indicator (e.g., 1–4, reflecting the report number on that day) for each level 1 report. A moment‐level covariate reflecting a weekend indicator (Friday afternoon through Sunday morning = 1, Sunday afternoon through Friday morning = 0; see Kouros et al., 2021) was also included at level 1.…”

Section: Methodsmentioning

confidence: 99%

College students' momentary stress and prescription drug misuse in daily life: Testing direct links and the moderating roles of global stress and coping

et al. 2022

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Prior survey-based research has documented associations between greater levels of stress and increased prescription drug misuse behaviour. These studies uniformly rely on assessments of both the stress experiences and the substance behaviour after they occurred (commonly spanning 6-12 month retrospective timeframes). Less is known about the extent to which variations in momentary stress predict the actual occurrence of prescription misuse in daily life among college students with elevated risk for engaging in the behaviour. In this study, 297 participants (69% females; M age = 19.5 years, SD age = 0.71) completed a 28day ecological momentary assessment procedure that collected self-reported stress and other contextual experiences in moments preceding prescription drug misuse. Analyses tested the within-person association between momentary stress and prescription drug misuse and examined the extent to which the relation between stress and misuse was moderated by participants' assigned sex or global stress and coping levels. Results from hierarchical generalised linear modelling indicated a significant within-person association between momentary stress (i.e., higher than usual relative to one's own mean) and greater likelihood of prescription misuse in daily life, accounting for the number of stressors and timing covariates. No significant moderation by participant sex was found, and moderation effects by global stress and coping levels were not in the expected directions.Direct results highlight the role of momentary stress experiences on healthrelevant substance behaviours and provide future directions for research and applied efforts.

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Section: Methodsmentioning

confidence: 99%

College students' momentary stress and prescription drug misuse in daily life: Testing direct links and the moderating roles of global stress and coping

et al. 2022

Self Cite

View full text Add to dashboard Cite

show abstract

College-based social and situational predictors of real-time prescription drug misuse in daily life

Abstract: Highlights• Contexts of college students' prescription drug misuse were assessed via EMA • Prescription misuse was more likely to occur earlier during the day and on weekdays• Misuse was more likely to occur when at home and when alone (vs. with others)

Cited by 1 publication

References 40 publications

College students' momentary stress and prescription drug misuse in daily life: Testing direct links and the moderating roles of global stress and coping

College students' momentary stress and prescription drug misuse in daily life: Testing direct links and the moderating roles of global stress and coping

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