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The daily association between affect and alcohol use: A meta-analysis of individual participant data

Authors: Dora JPiccirillo MFoster KTArbeau KArmeli SAuriacombe MBartholow BBeltz AMBlumenstock SMBold KBonar EEBraitman ACarpenter RWCreswell KGDe Hart TDvorak RDEmery NEnkema MFairbairn CFairlie AMFerguson SGFreire TGoodman FGottfredson NHalvorson MHaroon MHoward ALHussong AJackson KMJenzer TKelly DPKuczynski AMKuerbis ALee CMLewis MLinden-Carmichael ANLittlefield ALydon-Staley DMMerrill JEMiranda RMohr CRead JPRichardson CO'


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Description

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 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 affect. 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 increases 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.


Keywords: affectalcohol usedrinking motivesemotionmeta-analysis


Links

PubMed: https://pubmed.ncbi.nlm.nih.gov/37560174/

DOI: 10.1037/bul0000387