Relationship between alcohol craving dimensions and features of comorbid mental health in an alcohol dependent sample,Addictive Behaviors

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Relationship between alcohol craving dimensions and features of comorbid mental health in an alcohol dependent sample
Addictive Behaviors ( IF 4.4 ) Pub Date : 2021-08-31 , DOI: 10.1016/j.addbeh.2021.107106
Brandon Cheng ₁ , Jason M Coates ₂ , Matthew J Gullo ₂ , Gerald F X Feeney ₂ , David J Kavanagh ₃ , Ross McD Young ₄ , Jason P Connor ₅

Affiliation

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.
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.
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.
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.

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.

中文翻译：

酒精依赖样本中酒精渴望维度与共病心理健康特征之间的关系

背景和目标

负面影响和对酒精的渴望是酒精使用障碍 (AUD) 的常见特征。两者都独立地导致 AUD 严重性和较差的治疗结果，但它们的关系知之甚少。多维酒精渴望测量现在允许检查渴望的关键维度。本研究探讨了抑郁、焦虑、压力与酒精渴望的强度、意象和侵入性维度之间的关系。

方法

525 名寻求治疗的 AUD 患者（平均年龄 39.79 岁，SD = 11.57 岁，67% 男性）完成了抑郁焦虑压力量表 (DASS)、酒精使用障碍识别测试 - 消费项目 (AUDIT-C)和酒精渴望体验 (ACE-F) 问卷，该问卷测量了渴望强度、意象和侵入性的频率。回归模型预测了酒精消费的预测因子和节制的主要影响。