Acute stress increases ad-libitum alcohol consumption in heavy drinkers, but not through impaired inhibitory control

McGrath, Elly; Jones, Andrew; Field, Matt

doi:10.1007/s00213-016-4205-1

Cited by 49 publications

(45 citation statements)

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“…Substance use is a discrete episodic behaviour, influenced by immediate environmental factors (e.g. substance-related cues [9]) and internal factors such as stress [10,11] and craving [12,13], which can be difficult (both practically and ethically) to model in the laboratory. Furthermore, the assessment of substance use and its correlates in the laboratory often relies on retrospective recall which can be biased, particularly when measured following periods of drug/alcohol intoxication.…”

Section: Introductionmentioning

confidence: 99%

Compliance with ecological momentary assessment protocols in substance users: a meta‐analysis

et al. 2018

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Background and Aims While there are considerable benefits to Ecological Momentary Assessment (EMA), poor compliance with assessment protocols has been identified as a limitation, particularly in substance users. Our aim was to identify the pooled compliance rate of EMA studies in substance users and examine variables that may influence compliance with EMA protocols, such as the length and frequency of assessments. Design A meta‐analysis and meta‐regression of all possible studies (randomized controlled trials and longitudinal) which incorporated EMA protocols, examining substance use. Setting Studies took place from 1998 to 2017, in numerous countries world‐wide. Participants One hundred and twenty‐six studies were identified, contributing a total of 19 431 participants (52.32% male, mean age = 28.86). Measurements Compliance data, the proportion of responses to the study protocol, were extracted from each study alongside prompt frequency, total length of assessment period, substance use population and device used to administer EMA prompts. Findings The pooled compliance rate across all studies was 75.06% [95% confidence interval (CI) = 72.37%, 77.65%]. There was no evidence that compliance rates were significantly associated with prompt frequency [Q(3) = 7.35, P = 0.061], length of assessment period [Q(2) = 2.40, P = 0.301], substance type [Q(3) = 6.30, P = 0.098] or device administration [Q(4) = 4.28, P = 0.369]. However, dependent samples (69.80%) had lower compliance rates than non‐dependent samples [76.02%; Q(1) = 4.13, P = 0.042]. Conclusions The pooled compliance rate for Ecological Momentary Assessment studies in substance‐using populations from 1998 to 2017 was lower than the recommended rate of 80%, and was not associated with frequency or duration of assessments.

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Section: Introductionmentioning

confidence: 99%

Compliance with ecological momentary assessment protocols in substance users: a meta‐analysis

et al. 2018

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“…Conversely, the relationship between impulsivity and alcohol consumption is less clear. Both our previous work ) and a study conducted in a seminaturalistic 'mock bar' environment, which aimed to investigate the role that impulsivity plays in stress induced alcohol consumption found no evidence that implicit impulsivity predicts stress-induced drinking (McGrath, Jones, & Field, 2016). Nevertheless, this could be due to differences between laboratory-induced and naturalistic stressors.…”

Section: Discussionmentioning

confidence: 80%

“…Therefore, it is assumed that stress levels increase proportionally to craving, in turn, acting as the causative factor for subsequent consumption. This process has been demonstrated, in both translational (animal) studies (Cleck & Blendy, 2008;Koob, & Kreek, 2007;Koob et al, 2004;Rasmussen, Wilkinson, & Raskind, 2006) and human studies Field & Quigley, 2009;McGrath et al, 2016). Moreover, the literature suggests that adaptations in neural pathways related to stress (e.g.…”

Section: Discussionmentioning

confidence: 89%

Ecological momentary assessment of daily stress and blood alcohol concentration in healthy drinkers: A feasibility study

Clay¹,

Parker²

2018

Preprint

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Rationale:Hazardous drinking presents a global health risk and if chronic, can escalate into an alcohol use disorder. The causal mechanisms for the transition from controlled alcohol use to uncontrolled misuse and dependence are complex, and it is not presently possible to accurately predict those most as-risk of misusing alcohol, or of developing AUD. Objectives:We investigated the feasibility of using ecological momentary assessments, specifically related to daily stress and alcohol use, to study risk factors for hazardous drinking. We tested the hypothesis that in a sample of healthy drinkers, risk-taking would modulate the impact of daily selfreported stress on alcohol use. Methods:We characterised impulsivity/risk-taking in 23 participants (12 female; mean age = 24.59[SD = 5.34]) using a battery of questionnaires and computer tasks. We then collected daily behavioural and physiological data related to self-reported stress levels and blood alcohol concentration consumption for 30 days. Results:Attrition and missing data rates were low, with an overall response rate of 92.6% We found support for our hypothesis, with higher risk-taking and impulsive participants drinking more following daily stressors. However, the picture was not clear, with participants drinking greater volumes of alcohol at weekends, and the interactions of stress x personality trait often differing on weekdays. Conclusions:This feasibility study demonstrated the potential for was the first to demonstrate that using ecological momentary assessments, such as, digital biomarkers to assess risk factors for alcohol misuse is a viable option for investigating the effects of neurocognitive endophenotypes and stress on alcohol misuse on a longitudinal basis.RUNNING HEAD: Ecological momentary assessment in healthy drinkers Despite decades of knowledge that hazardous drinking (both acute and chronic) and associated morbidities present a significant risk to global health (Connor,

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“…The idea behind this approach is that if people randomly assigned to receive a stressor consume more alcohol during the taste-test than those in a no-stress control group, the stressor is associated with increased drinking. Using the taste-test procedure, researchers have found full or partial support for increases in alcohol consumption when receiving negative feedback on an intelligence test (8), talking to an annoying confederate (9), after preparing an embarrassing speech (10), and being judged on attractiveness by members of the opposite sex (7). Other work has shown that being ostracized (11) or preparing a self-disclosing speech (12) does not cause an increase in alcohol consumed during a taste-test.…”

Section: Introductionmentioning

confidence: 99%

Effect of anticipatory stress on placebo alcohol consumption in a bar laboratory

Bernstein

Wood

2016

The American Journal of Drug and Alcohol Abuse

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Background Only one laboratory study has examined the relation between stress and alcohol use in an ecologically valid drinking context. In that prior study, drinking was measured after the stressful situation. Objective To examine the effect of an anticipatory stressor, and trait social anxiety on “alcohol” consumption in a bar-laboratory. Methods College students ages 18 and older (N=127) in same-sex groups of two or three participants took part in a study that ostensibly examined alcohol's effect on language fluency. Using a between-subjects design, participants were randomly assigned to a stress or control condition. Participants in the stress condition anticipated giving a stressful speech for the fluency procedure, whereas those in the control group anticipated a non-stressful activity. Before the alleged fluency task, groups could order and consume mixed drinks ad-lib in a bar laboratory. No beverages actually contained alcohol, but we used a validated procedure to ensure that participants included in these analyses were deceived. Primary analyses were performed with a Hierarchical Linear Model due to a substantial group/modeling effect. Results Counter to expectations, participants in the control group consumed more placebo alcohol than those in the stress condition. This main effect was moderated by past 3-months drinks per week, such that the effect was attenuated (or reversed) among heavy drinkers. No main or interaction effects were observed for trait social anxiety. Conclusions Some stressors (i.e. those invoking performance anxiety) may decrease consumption. People with higher levels of alcohol involvement might be especially motivated to drink for tension reduction purposes.

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Acute stress increases ad-libitum alcohol consumption in heavy drinkers, but not through impaired inhibitory control

Cited by 49 publications

References 50 publications

Compliance with ecological momentary assessment protocols in substance users: a meta‐analysis

Compliance with ecological momentary assessment protocols in substance users: a meta‐analysis

Ecological momentary assessment of daily stress and blood alcohol concentration in healthy drinkers: A feasibility study

Effect of anticipatory stress on placebo alcohol consumption in a bar laboratory

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