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Negative affect, affect-related impulsivity, and receptive syringe sharing among people who inject drugs.

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Receptive syringe sharing (RSS) among people who inject drugs (PWID) is a risk factor for hepatitis C virus and HIV infections. PWID with borderline personality disorder (BPD) have increased risk of RSS, but it remains unclear what drives this association. This study used ecological momentary assessment (EMA) to study characteristics associated with BPD, and RSS among PWID. We recruited PWID, ages 18–35, through two Community Outreach Intervention Projects syringe service program sites in Chicago, Illinois. After a baseline interview, participants used a mobile phone app to respond to momentary surveys on mood, substance use, and injection risk behavior for two weeks. For each momentary assessment, ratings on negative mood descriptors were combined to create measures of total negative affect (NA), and NA components of dejection, shame, anger, irritability, and worry. RSS was defined by participant responses indicating that they had used a syringe that someone else had used. We estimated mixed effects logistic models, regressing RSS on baseline affect-related impulsivity, lagged momentary NA, and the interaction term. Out of 163 participants who completed at least two EMA assessments, 152 (93%) reported at least one injection event and had valid pre-injection mood assessments required to be included in the analysis. We found that affect-related impulsivity, combined with worried mood in the hours preceding the injection episode, predicted increased risk of RSS. PWID having difficulties with emotion regulation may be at increased risk of RSS during periods of anxiety or tension. (PsycInfo Database Record (c) 2020 APA, all rights reserved)

Funding

Emotion Dysregulation and Risky Behavior Among People Who Inject Drugs | Funder: National Institutes of Health (National Institute on Drug Abuse) | Grant ID: R21DA039010

Contextual Risk Factors for Hepatitis C Among Young Persons Who inject Drugs | Funder: National Institutes of Health (National Institute on Drug Abuse) | Grant ID: R01DA043484

History

Citation

Mackesy-Amiti, M. E., Boodram, B.Donenberg, G. (2020). Negative affect, affect-related impulsivity, and receptive syringe sharing among people who inject drugs. Psychology of Addictive Behaviors, 34(7), 734-744. https://doi.org/10.1037/adb0000590

Publisher

American Psychological Association (APA)

Language

en

issn

0893-164X