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Intensive Longitudinal Methods for Studying the Role of Self-Regulation Strategies in Substance Use Behavior Change

  • Mobile Health (K Garrison, Section Editor)
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Abstract

Purpose of Review

Many psychosocial interventions for substance use disorders (SUDs) focus on teaching self-regulation strategies. Research using intensive longitudinal methods (ILM), such as ecological momentary assessment and daily diaries, is critical for elucidating if and how these strategies function as mechanisms of change among individuals with SUDs. We review this emerging area of research.

Recent Findings

We found a small number of studies using ILM to study self-regulation strategies in SUD (n = 18 studies), with most conducted among college student drinkers (n = 9) and cigarette smokers (n = 7), and few among treatment-engaged individuals, and those with other drug use disorders. There is preliminary evidence that the use of specific self-regulation strategies commonly taught in psychosocial interventions for SUDs (i.e., cognitive reappraisal, problem-solving, stimulus control, harm reduction) is associated with decreased momentary or daily substance use, at the within-person level.

Summary

There is a need for further ILM research on self-regulation strategies as mechanisms of substance use behavior change. Such research can inform the development, refinement, and personalization of interventions that teach self-regulation strategies, including mobile interventions that facilitate strategy use in the moment. One key next step is developing psychometrically validated ILM assessments of self-regulation strategy use.

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Acknowledgements

This research was supported by NIH grant awards, including support for C.R.R. (T32DA007238-27 and K23AT011342-01.

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Authors and Affiliations

  1. Yale University School of Medicine, New Haven, CT, 06510, USA

    Corey R. Roos, Hedy Kober & R. Ross MacLean

  2. Department of Psychological Sciences, University of Missouri, Columbia, 65211, USA

    Timothy J. Trull

  3. VA Connecticut Healthcare System, West Haven, CT, 06515, USA

    R. Ross MacLean

  4. Johns Hopkins University School of Medicine, Baltimore, MD, 21205, USA

    Chung Jung Mun

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  1. Corey R. Roos
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Correspondence to Corey R. Roos.

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Roos, C.R., Kober, H., Trull, T.J. et al. Intensive Longitudinal Methods for Studying the Role of Self-Regulation Strategies in Substance Use Behavior Change. Curr Addict Rep 7, 301–316 (2020). https://doi.org/10.1007/s40429-020-00329-5

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