A day-by-day prospective analysis of stress, craving and risk of next day alcohol intake during alcohol use disorder treatment.

ABSTRACT: BACKGROUND:Stress has been known to increase craving in individuals with Alcohol Use Disorders (AUD) and predict future alcohol relapse risk, but whether stress on a particular day affects craving on that day to impact prospective alcohol intake in the real world, particularly during early treatment and recovery, has not been studied thus far. METHOD:The first study included 85 AUD individuals who reported their daily stress, craving, and alcohol intake in the first two weeks of early treatment. A second validation study included 28 AUD patients monitored daily during eight weeks of outpatient 12-Step based behavioral counseling treatment for AUD. Data were collected from telephone-based daily diaries for 903 days in Study 1 and 1488 in Study 2. Multilevel latent models tested if daily and person-averaged craving mediated the link between stressful events and next day drinking during treatment. RESULTS:In both Study 1 and 2, exposure to a stressful event on a particular day predicted increased craving on that day (p's?.002); and such increases in craving predicted the likelihood of drinking the next day (p's?.014) and the drinking amount (p's

SUBMITTER: Wemm SE 

PROVIDER: S-EPMC6916671 | biostudies-literature | 2019 Nov

REPOSITORIES: biostudies-literature