Relationship between alcohol craving dimensions and features of comorbid mental health in an alcohol dependent sample.

Autor: Cheng B; School of Psychology, The University of Queensland, Brisbane, Queensland, Australia; National Centre for Youth Substance Use Research, Faculty of Health and Behavioural Sciences, The University of Queensland, Brisbane, Queensland, Australia. Electronic address: brandon.cheng@uq.edu.au., Coates JM; National Centre for Youth Substance Use Research, Faculty of Health and Behavioural Sciences, The University of Queensland, Brisbane, Queensland, Australia; Alcohol and Drug Assessment Unit, Division of Medicine, Princess Alexandra Hospital, Brisbane, Queensland, Australia. Electronic address: j.coates@uq.edu.au., Gullo MJ; National Centre for Youth Substance Use Research, Faculty of Health and Behavioural Sciences, The University of Queensland, Brisbane, Queensland, Australia; Alcohol and Drug Assessment Unit, Division of Medicine, Princess Alexandra Hospital, Brisbane, Queensland, Australia. Electronic address: m.gullo@uq.edu.au., Feeney GFX; National Centre for Youth Substance Use Research, Faculty of Health and Behavioural Sciences, The University of Queensland, Brisbane, Queensland, Australia; Alcohol and Drug Assessment Unit, Division of Medicine, Princess Alexandra Hospital, Brisbane, Queensland, Australia. Electronic address: Gerald.Feeney@health.qld.gov.au., Kavanagh DJ; School of Psychology, Faculty of Health, Queensland University of Technology, Brisbane, Queensland, Australia. Electronic address: david.kavanagh@qut.edu.au., Young RM; National Centre for Youth Substance Use Research, Faculty of Health and Behavioural Sciences, The University of Queensland, Brisbane, Queensland, Australia; Alcohol and Drug Assessment Unit, Division of Medicine, Princess Alexandra Hospital, Brisbane, Queensland, Australia; School of Psychology, Faculty of Health, Queensland University of Technology, Brisbane, Queensland, Australia; Jamieson Trauma Institute, Metro North Health, Brisbane, Queensland, Australia. Electronic address: r.young@uq.edu.au., Connor JP; National Centre for Youth Substance Use Research, Faculty of Health and Behavioural Sciences, The University of Queensland, Brisbane, Queensland, Australia; Alcohol and Drug Assessment Unit, Division of Medicine, Princess Alexandra Hospital, Brisbane, Queensland, Australia; Discipline of Psychiatry, Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia. Electronic address: jason.connor@uq.edu.au.
Jazyk: angličtina
Zdroj: Addictive behaviors [Addict Behav] 2022 Jan; Vol. 124, pp. 107106. Date of Electronic Publication: 2021 Aug 31.
DOI: 10.1016/j.addbeh.2021.107106
Abstrakt: Background and Aims: Negative affect and alcohol craving are common features of Alcohol Use Disorder (AUD). Both independently contribute to AUD severity and poorer treatment outcomes, but their relationship is poorly understood. Multidimensional alcohol craving measures now allow for examination of key dimensions of craving. This study explored the relationship between depression, anxiety, stress, and the alcohol craving dimensions of intensity, imagery and intrusiveness.
Method: Five-hundred and twenty-five treatment seeking AUD patients (mean age of 39.79 years, SD = 11.57 years, 67% male) completed the Depression Anxiety Stress Scales (DASS), Alcohol Use Disorder Identification Test-Consumption items (AUDIT-C), and Alcohol Craving Experience (ACE-F) questionnaire, which measured the frequency of craving intensity, imagery and intrusiveness. Regression models predicted main effects of predictors and moderation by alcohol consumption.
Results: Higher levels of stress were independently associated with increased craving intensity, imagery and intrusiveness. Significant positive associations were also found between anxiety and craving imagery. The association between depression and craving was not significant after controlling for other predictors.
Conclusions: AUD patients experienced higher cravings when stressed and greater imagery when anxious. These results support the need to consider the relationships between stress and craving when managing alcohol dependence.
(Copyright © 2021 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: