Evidence map›Paper›PMID 34508960›Full record

ArticleDrug and alcohol dependence2021

A daily-life study of interpersonal stressors and alcohol use in individuals with borderline personality disorder and community controls.

Megan N Fleming, Andrea M Wycoff, Johanna Hepp, Sarah A Griffin, Ashley C Helle, Lindsey K Freeman, Tayler J Vebares, Timothy J Trull

Open access · greenAbstract read
In one paragraph

Article in Drug and alcohol dependence, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 2 countries.

Megan N FlemingDepartment of Psychological Sciences, University of Missouri, 200 South 7th Street, Columbia, MO, 65211, United States.
Andrea M WycoffDepartment of Psychological Sciences, University of Missouri, 200 South 7th Street, Columbia, MO, 65211, United States.
Johanna HeppDepartment of Psychosomatic Medicine, Central Institute of Mental Health, Medical Faculty Mannheim at Heidelberg University, J5, Mannheim, 68159, Germany.
Sarah A GriffinDepartment of Psychological Sciences, University of Missouri, 200 South 7th Street, Columbia, MO, 65211, United States.
Ashley C HelleDepartment of Psychological Sciences, University of Missouri, 200 South 7th Street, Columbia, MO, 65211, United States.
Lindsey K FreemanDepartment of Psychological Sciences, University of Missouri, 200 South 7th Street, Columbia, MO, 65211, United States.
Tayler J VebaresDepartment of Psychological Sciences, University of Missouri, 200 South 7th Street, Columbia, MO, 65211, United States.
Timothy J TrullDepartment of Psychological Sciences, University of Missouri, 200 South 7th Street, Columbia, MO, 65211, United States. Electronic address: TrullT@missouri.edu.
University of Missouri · USHeidelberg University · DE

Funding

PILOT--GENETIC EPIDEMIOLOGY OF ALCOHOL AND TOBACCO CONSUMPTION IN CHINESE SAMPLEP50AA011998 · NIAAA · WASHINGTON UNIVERSITY · PI SHER, KENNETH JAMES · 1999 to 2008
$12.6M
Psychology of Alcohol Use and Dependence TrainingT32AA013526 · NIAAA · UNIVERSITY OF MISSOURI-COLUMBIA · PI DENIS M MCCARTHY, KENNETH JAMES SHER · 2002 to 2026
$9.0M
Resource CoreP60AA011998 · NIAAA · WASHINGTON UNIVERSITY · PI MADDEN, PAMELA ANN · 2009 to 2013
$8.8M
Using laboratory alcohol administration and ecological momentary assessment to identify risk factors for simultaneous alcohol and marijuana useF31AA027958 · NIAAA · UNIVERSITY OF MISSOURI-COLUMBIA · PI WYCOFF, ANDREA M. · 2019 to 2020
$68k
NIAAA NIH HHS F31 AA027958NIAAA NIH HHS P50 AA011998NIAAA NIH HHS P60 AA011998NIAAA NIH HHS T32 AA013526
6 · The paper itself

Abstract

backgroundInterpersonal stressors (ISs) are major factors in relapse in alcohol use disorder (AUD) and are theorized to play a role in drinking behaviors. Past work has examined this association using ecological momentary assessment (EMA), but the unique effects of rejections and disagreements on alcohol use are unknown. Research suggests the two ISs functionally differ and may display distinct associations with drinking. Further, these associations may differ in people with borderline personality disorder (BPD), a population reporting frequent IS and co-occurring AUD.

methods113 drinkers (community: n = 59; BPD: n = 54) reported alcohol use and ISs using EMA for 21 days. Using generalized estimating equations, we expected that rejection and disagreement would predict increased likelihood of drinking each day. We examined both cumulative (throughout each day) and immediate momentary effects of ISs predicting subsequent drinking on that same day. Further, we predicted that these associations would be stronger in individuals with BPD.

resultsGreater rejections throughout the day were associated with a reduced likelihood of drinking that day (OR = 0.56, 95 % CI:[0.32, 0.97], p < .040). In contrast, disagreements immediately prior to drinking were associated with an increased likelihood of drinking that day (OR = 0.60, 95 % CI:[1.02, 2.50], p = .039). However, the effect of disagreement on drinking was moderated by BPD diagnosis (OR = 2.56, 95 % CI:[1.13, 5.80], p = .025), such that the effect was only present for individuals with BPD.

conclusionsAssessing ISs as an aggregate predictor may mask potentially opposite effects on alcohol use. Additionally, disagreements may be a risk factor for subsequent alcohol use in BPD.

Indexed as

AlcoholismBorderline Personality DisorderAlcohol DrinkingEcological Momentary AssessmentHumansAlcoholBorderline personality disorderDisagreementEcological momentary assessmentInterpersonal stressRejection

Identifiers

PMID34508960
PMCPMC8744473
OpenAlexW3198613259

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.