Brief online negative affect focused functional imagery training (FIT) improves four-week drinking outcomes in hazardous student drinkers: A pilot randomised controlled trial replication in South Africa
Background: Previous study has shown that functional imagery training (FIT) to utilise positive mental imagery in response to negative affect could improve alcohol-related outcomes. The current study aimed to replicate whether this negative affect focused FIT would improve alcohol-related outcomes i...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-06-01
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| Series: | Addictive Behaviors Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352853224000178 |
| _version_ | 1797234351549710336 |
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| author | Ruichong Shuai Fatima Ahmed-Leitao Jenny Bloom Soraya Seedat Lee Hogarth |
| author_facet | Ruichong Shuai Fatima Ahmed-Leitao Jenny Bloom Soraya Seedat Lee Hogarth |
| author_sort | Ruichong Shuai |
| collection | DOAJ |
| description | Background: Previous study has shown that functional imagery training (FIT) to utilise positive mental imagery in response to negative affect could improve alcohol-related outcomes. The current study aimed to replicate whether this negative affect focused FIT would improve alcohol-related outcomes in hazardous student drinkers in South Africa at four-week follow-up. Methods: 50 hazardous student drinkers who reported drinking to cope with negative affect were randomised into two groups. The active group (n = 25) was trained online over two weeks to respond to personalised negative drinking triggers by retrieving a personalised adaptive strategy they might use to mitigate negative affect, whereas the control group (n = 25) received standard risk information about binge drinking. Outcome measures including alcohol consumption, drinking motives, anxiety and depression, self-efficacy and use of protective behavioural strategies were obtained at baseline and four-week follow-up. Results: FIT effects were revealed by three significant group-by-timepoint interactions in a per-protocol analysis: there was a significant decrease in depressive symptoms, drinking to cope and drinking for social reasons from baseline to follow-up in the active group, but not the control group. No effects were observed on alcohol consumption, self-efficacy, protective behaviour strategies and anxiety. Conclusions: Preliminary evidence supports that online negative affect focused FIT can improve depression as well as coping and social drinking motives in South African hazardous student drinkers who drank to cope, at four-week follow-up, suggesting that the principles of this FIT approach might be adapted and incorporated into a clinical intervention to test for efficacy in mitigating substance use problems. |
| first_indexed | 2024-04-24T16:30:41Z |
| format | Article |
| id | doaj.art-9d12b90f09fe4423a17ac5b1e126b789 |
| institution | Directory Open Access Journal |
| issn | 2352-8532 |
| language | English |
| last_indexed | 2024-04-24T16:30:41Z |
| publishDate | 2024-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Addictive Behaviors Reports |
| spelling | doaj.art-9d12b90f09fe4423a17ac5b1e126b7892024-03-30T04:39:31ZengElsevierAddictive Behaviors Reports2352-85322024-06-0119100540Brief online negative affect focused functional imagery training (FIT) improves four-week drinking outcomes in hazardous student drinkers: A pilot randomised controlled trial replication in South AfricaRuichong Shuai0Fatima Ahmed-Leitao1Jenny Bloom2Soraya Seedat3Lee Hogarth4School of Psychology, University of Exeter, Exeter, United KingdomDepartment of Psychiatry, Stellenbosch University, Private Bag X1, Matieland, 7602, Stellenbosch, South AfricaDepartment of Psychiatry, Stellenbosch University, Private Bag X1, Matieland, 7602, Stellenbosch, South AfricaDepartment of Psychiatry, Stellenbosch University, Private Bag X1, Matieland, 7602, Stellenbosch, South AfricaSchool of Psychology, University of Exeter, Exeter, United Kingdom; Corresponding author at: School of Psychology, University of Exeter, Washington Singer Building, Perry Road, Exeter. EX4 4QG, UK.Background: Previous study has shown that functional imagery training (FIT) to utilise positive mental imagery in response to negative affect could improve alcohol-related outcomes. The current study aimed to replicate whether this negative affect focused FIT would improve alcohol-related outcomes in hazardous student drinkers in South Africa at four-week follow-up. Methods: 50 hazardous student drinkers who reported drinking to cope with negative affect were randomised into two groups. The active group (n = 25) was trained online over two weeks to respond to personalised negative drinking triggers by retrieving a personalised adaptive strategy they might use to mitigate negative affect, whereas the control group (n = 25) received standard risk information about binge drinking. Outcome measures including alcohol consumption, drinking motives, anxiety and depression, self-efficacy and use of protective behavioural strategies were obtained at baseline and four-week follow-up. Results: FIT effects were revealed by three significant group-by-timepoint interactions in a per-protocol analysis: there was a significant decrease in depressive symptoms, drinking to cope and drinking for social reasons from baseline to follow-up in the active group, but not the control group. No effects were observed on alcohol consumption, self-efficacy, protective behaviour strategies and anxiety. Conclusions: Preliminary evidence supports that online negative affect focused FIT can improve depression as well as coping and social drinking motives in South African hazardous student drinkers who drank to cope, at four-week follow-up, suggesting that the principles of this FIT approach might be adapted and incorporated into a clinical intervention to test for efficacy in mitigating substance use problems.http://www.sciencedirect.com/science/article/pii/S2352853224000178Pilot RCT replicationEmotion regulationGuided imageryNegative affect drinking |
| spellingShingle | Ruichong Shuai Fatima Ahmed-Leitao Jenny Bloom Soraya Seedat Lee Hogarth Brief online negative affect focused functional imagery training (FIT) improves four-week drinking outcomes in hazardous student drinkers: A pilot randomised controlled trial replication in South Africa Addictive Behaviors Reports Pilot RCT replication Emotion regulation Guided imagery Negative affect drinking |
| title | Brief online negative affect focused functional imagery training (FIT) improves four-week drinking outcomes in hazardous student drinkers: A pilot randomised controlled trial replication in South Africa |
| title_full | Brief online negative affect focused functional imagery training (FIT) improves four-week drinking outcomes in hazardous student drinkers: A pilot randomised controlled trial replication in South Africa |
| title_fullStr | Brief online negative affect focused functional imagery training (FIT) improves four-week drinking outcomes in hazardous student drinkers: A pilot randomised controlled trial replication in South Africa |
| title_full_unstemmed | Brief online negative affect focused functional imagery training (FIT) improves four-week drinking outcomes in hazardous student drinkers: A pilot randomised controlled trial replication in South Africa |
| title_short | Brief online negative affect focused functional imagery training (FIT) improves four-week drinking outcomes in hazardous student drinkers: A pilot randomised controlled trial replication in South Africa |
| title_sort | brief online negative affect focused functional imagery training fit improves four week drinking outcomes in hazardous student drinkers a pilot randomised controlled trial replication in south africa |
| topic | Pilot RCT replication Emotion regulation Guided imagery Negative affect drinking |
| url | http://www.sciencedirect.com/science/article/pii/S2352853224000178 |
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