Alcohol craving in the natural environment: Moderating roles of cue exposure, drinking, and alcohol sensitivity

Casey B Kohen; Roberto U Cofresí; Bruce D Bartholow; Thomas M Piasecki

doi:10.1037/pha0000540

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Alcohol craving in the natural environment: Moderating roles of cue exposure, drinking, and alcohol sensitivity

Journal article

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Alcohol craving in the natural environment: Moderating roles of cue exposure, drinking, and alcohol sensitivity

Casey B Kohen, Roberto U Cofresí, Bruce D Bartholow and Thomas M Piasecki

Experimental and clinical psychopharmacology, Vol.31(1), pp.57-71

02/01/2023

DOI: 10.1037/pha0000540

PMCID: PMC9276840

PMID: 35025586

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Abstract

Effects of cue exposure and alcohol consumption (e.g., priming doses) on craving for alcohol have been examined in largely separate literature, limiting what is known about their potential interaction. Individuals with low alcohol sensitivity, a known risk factor for alcohol use disorder (AUD), exhibit stronger cue-elicited craving than their higher-sensitivity (HS) peers in both laboratory and real-world contexts. Here, underage drinkers ( = 155) completed a 21-day ecological momentary assessment (EMA) protocol in which they recorded exposure to alcohol cues and levels of craving during both nondrinking and postdrinking moments. Multilevel modeling detected a significant interaction of cue exposure and postdrinking status on craving. Cue-induced craving was increased in postdrinking moments compared to nondrinking moments. Contrary to prediction, cue-elicited increase in craving during nondrinking moments was stronger in participants reporting higher sensitivity to alcohol. In the presence of cues, lower sensitivity was robustly related to craving intensity in the postdrinking state but unrelated to craving during nondrinking moments. Craving during drinking episodes in the natural environment is magnified by the presence of alcohol cues, potentially contributing to the maintenance or acceleration of drinking episodes. Moreover, lower-sensitivity drinkers may be particularly susceptible to the combined effects of cue exposure and postdrinking status on alcohol craving. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Alcohol Drinking

Alcoholism

Craving

Cues

Ethanol - pharmacology

Humans

Details

Title: Subtitle: Alcohol craving in the natural environment: Moderating roles of cue exposure, drinking, and alcohol sensitivity
Creators: Casey B Kohen - Department of Psychological Sciences
Roberto U Cofresí - Department of Psychological Sciences
Bruce D Bartholow - Department of Psychological Sciences
Thomas M Piasecki - Department of Psychological Sciences
Resource Type: Journal article
Publication Details: Experimental and clinical psychopharmacology, Vol.31(1), pp.57-71
DOI: 10.1037/pha0000540
PMID: 35025586
PMCID: PMC9276840
NLM abbreviation: Exp Clin Psychopharmacol
ISSN: 1064-1297
eISSN: 1936-2293
Grant note: R01 AA025451 / NIAAA NIH HHS NIAAA NIH HHS T32 AA013526 / NIAAA NIH HHS
Language: English
Date published: 02/01/2023
Academic Unit: Psychological and Brain Sciences; Iowa Neuroscience Institute
Record Identifier: 9984446436602771

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