Constructs derived from the addiction cycle predict alcohol use disorder treatment outcomes and recovery 3 years following treatment
| Autor: | Katie Witkiewitz, Elena R. Stein, Victoria R. Votaw, Kevin A. Hallgren, Benjamin C. Gibson, Cassandra L. Boness, Matthew R. Pearson, Stephen A. Maisto |
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| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | Psychology of Addictive Behaviors. 37:376-389 |
| ISSN: | 1939-1501 0893-164X |
| Popis: | The addiction cycle has been proposed as a framework for understanding the progression of alcohol use disorder (AUD) in terms of psychological and biological domains, including reward drinking/incentive salience, relief drinking/negative emotionality, and loss of control/executive functioning impairment. To have utility in clinical practice, self-report measures of these domains that are applicable across sociodemographic groups and associated with clinical outcomes are needed. This study sought to validate domains from self-report measures and to test whether domains are measurement invariant across sociodemographic groups and associated with treatment outcomes.Secondary analysis of individuals with AUD (Fifteen self-report items were used as indicators of the addiction cycle domains, with sociodemographic differences in measurement by sex, age, race, education, and AUD symptoms. Relief/negative emotionality and reward/incentive salience were significantly associated with outcomes at 1 and 3 years following treatment, and executive functioning also predicted nonabstinent recovery at 3 years.The results support the utility of domains relevant to the addiction cycle in predicting AUD treatment outcomes and recovery among individuals who sought treatment for AUD. The addiction cycle domains were more strongly associated with outcomes than other measures clinicians might use to predict outcomes (e.g., AUD symptoms). Future research should continue to develop and refine the items and test whether the addiction cycle domains can inform treatment planning. (PsycInfo Database Record (c) 2022 APA, all rights reserved). |
| Databáze: | OpenAIRE |
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