Alcohol hangover: a critical review of explanatory factors

Prat, Gemma; Adán, Ana; Sánchez-Turet, M.

doi:10.1002/hup.1023

Cited by 88 publications

(85 citation statements)

References 75 publications

(103 reference statements)

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“…Although researchers have some understanding of the physiological effects of hangover, much less is known about the cognitive effects of hangover (Prat, Adan, Pérez-Pàmies & Sànchez-Turet, 2008;Prat, Adan & Sánchez-Turet, 2009). …”

Section: The Effect Of Alcohol Hangover On Choice Response Timementioning

confidence: 99%

The effect of alcohol hangover on choice response time

et al. 2016

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The effect of alcohol hangover on cognitive processing has received little attention.We explored the effect of alcohol hangover on choice response time (RT), a dominant dependent variable in cognitive research. Prior research of the effect of hangover on RT has produced mixed findings; all studies reviewed relied exclusively on estimates of central tendency (e.g., mean RT), which has limited information value. Here we present novel analytical methods by going beyond mean RT analysis. Specifically, we examined performance in hangover conditions (N = 31) across the whole RT distribution by fitting exGaussian models to participant data, providing a formal description of the RT distribution.This analysis showed detriments to performance under hangover conditions at the slower end of the RT distribution and increased RT variance under hangover conditions. We also fitted an explicit mathematical process model of choice RT-the diffusion model-which estimates parameters reflecting psychologically-meaningful processes underlying choice RT. This analysis showed that hangover reduced information processing efficiency during response selection, and increased response caution; changes in these parameters reflect hangover affecting core decisional-components of RT performance. The implications of the data as well as the methods used for hangover research are discussed. The Effect of Alcohol Hangover on Choice Response TimeAlcohol hangover refers to the set of adverse symptoms experienced following alcohol consumption once alcohol has been eliminated from the blood (Verster et al., 2010).A number of biological mechanisms underlying hangover have been put forward such as the metabolism of congeners (alcohols in drinks other than ethanol) such as methanol, imbalance in the immune system and reduced blood glucose concentration (Penning et al., 2010), as well as acetaldehyde level increase, dehydration, sleep deprivation and insufficient eating (Verster et al., 2003). Although researchers have some understanding of the physiological effects of hangover, much less is known about the cognitive effects of hangover (Prat, Adan, Pérez-Pàmies & Sànchez-Turet, 2008;Prat, Adan & Sánchez-Turet, 2009).Stephens, Grange, Jones, and Owen (2014) provided a review of studies which have investigated the effects of alcohol hangover on general cognition. They reviewed the growing evidence base that shows hangover negatively affects core cognitive functions such as divided attention (e.g., Roehrs et al., 1991), sustained attention (e.g., Anderson & Dawson, 1999;McKinney et al., 2012; Rohsenow et al., 2010), attentional selection (e.g., McKinney et al., 2012), and some executive functions (e.g., Streufert et al., 1995).The focus of the present study was on the effect of alcohol hangover on response time (RT). Simple RT requires no choice between response alternatives, and is merely a reaction to an external stimulus (e.g., "Press the space bar as soon as you see a flash on the screen").Choice RT, in contrast, requires participants to make a ...

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Section: The Effect Of Alcohol Hangover On Choice Response Timementioning

confidence: 99%

The effect of alcohol hangover on choice response time

et al. 2016

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“…H ANGOVER IS ONE OF THE MOST COMMON negative consequences of heavy drinking (Prat et al, 2009). Emerging evidence suggests that hangover is associated with numerous known risk factors for alcohol use disorder (AUD; for a review, see Piasecki et al, 2010).…”

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confidence: 99%

Low Sensitivity to Alcohol: Relations With Hangover Occurrence and Susceptibility in an Ecological Momentary Assessment Investigation

Piasecki

Alley

Slutske

et al. 2012

J. Stud. Alcohol Drugs

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ABSTRACT.Objective: The current investigation tested whether low sensitivity to alcohol, as measured by the Self-Rating of the Effects of Alcohol (SRE) form, is associated with hangover occurrence or resistance, two potentially important predictors of later problematic drinking outcomes. Method: Drinkers who reported using alcohol at least four times in the past month (N = 402) completed the SRE at baseline and used ecological momentary assessment methods with an electronic diary to record drinking behaviors and related experiences over 21 days. Each morning, the diary assessed prior-night drinking behaviors and the presence of current hangover. Results: After adjustments for sex, body weight, age, and smoking status, higher SRE scores (indicating lower alcohol sensitivity) predicted hangover occurrence on postdrinking mornings (odds ratio [OR] = 1.24 per interquartile range [IQR], p = .003). However, when the number of drinks consumed in the drinking episode was covaried, SRE scores were negatively associated with hangover (OR = 0.67 per IQR, p <.001). An interaction between SRE scores and the number of drinks consumed indicated that low-sensitivity drinkers tend to be differentially resistant to hangover at a given number of drinks. Higher SRE scores were associated with consuming more drinks on average (generalized estimating equations coeffi cient = 2.20 per IQR, p <.001). Conclusions: Individuals lower in alcohol sensitivity appear to be more resistant to hangovers per unit of alcohol. However, they are also more likely to engage in excessive drinking, and this may account for their increased odds of experiencing hangover during an arbitrary monitoring period. Heavy consumption, hangover resistance, and hangover frequency may each be manifestations of low sensitivity to alcohol, an established risk factor for alcohol use disorder. (J. Stud. Alcohol Drugs, 73, 925-932, 2012) Received: May 22, 2012. Revision: July 23, 2012. This research was supported by National Institutes of Health Grants P50AA011998 (to Andrew C. Heath), K05AA017688 (to Andrew C. Heath), and K05AA017242 (to Kenneth J. Sher). Saul Shiffman is a cofounder of invivodata, inc., which provides electronic diary services for research and was responsible for the software used in this study.*Correspondence may be sent to Thomas M. Piasecki at the Department of Psychological Sciences, University of Missouri, 210 McAlester Hall, Columbia, MO 65211, or via email at: piaseckit@missouri.edu. H ANGOVER IS ONE OF THE MOST COMMON negative consequences of heavy drinking (Prat et al., 2009).Emerging evidence suggests that hangover is associated with numerous known risk factors for alcohol use disorder (AUD; for a review, see Piasecki et al., 2010).Two prospective investigations have examined how hangover measures relate to drinking outcomes. Piasecki et al. (2005) examined survey data from a familial high-risk study of college undergraduates followed into young adulthood. A measure of hangover frequency during the freshman year of college predicted AUD di...

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“…The influence of cigarette smoking on the alcohol hangover was previously hypothesized, but it was never heavily supported by data [13][14][15]. In one study of college students, smokers tended more to report hangover like experiences, but there was no evidence that smoking status was associated with increased hangover susceptibility [16].…”

Section: Discussionmentioning

confidence: 99%

Alcohol Hangover Symptoms are More Common among Smokers

Zlotnik¹,

Engel²,

Ifergane³

2012

J Addict Res Ther

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IntroductionAlcohol hangover is a common phenomenon, experienced by numerous people amongst alcohol consuming societies. Recent research has demonstrated the impact of this phenomenon on various aspects such as quality of life, cognitive functioning and affect, work effectiveness and economy [1]. Nevertheless, so far, no measure was found to be effective in reducing the burden of hangover, besides alcohol abstinence. While several strategies and products were systematically evaluated, none of them was found efficient [2].Two of the most purchasable drugs, alcohol and tobacco, are often co-abused. In fact, about 7% of the U.S. population is co-dependent [3,4]. Additionally, alcoholism is estimated to be 10 times more common amongst smokers than nonsmokers [5]. Concurrent use of these drugs poses significant public health concern and a large financial burden upon society.Results from animal and human studies have demonstrated multiple mechanisms for alcohol and nicotine co-use. Smokers reported that they felt less intoxicated compared with nonsmokers after the administration of an identical dose of alcohol [6]. These findings suggest that smokers are more tolerant to alcohol's effects. In rodents, co-treatment may be influenced by each drug more effectively than the adverse effects of the both [7]. Supporting this concept, neuroimaging studies, which had been conducted on people during alcohol withdrawal period with continuity of cigarette smoking, found decreased severity of the withdrawal-related changes in gamma-aminobutyric acid (GABA) neurotransmitter activity [8].Considering these interactions found, it is surprising that several nonscientific internet sites such as, WikiHow, HubPages and HowToPrevent.com, which are full of good advice on preventing a hangover after a night of excessive drinking (lowering alcohol consumption, eating before drinking or avoid dehydration) recommend avoiding smoking, including passive exposure to cigarette smoke during a drinking night in order to reduce hangover symptoms. (http://www. wikihow.com/Prevent-a-Hangover; http://kennywordsmith.hubpages. com/hub/How-To-Get-Over-A-Hang-Over---Best-HangoverRemedies;http://www.howtoprevent.com/physical-health/how-toprevent-a-hangover/). This popular concept, that avoiding smoking can ameliorate hangover symptoms is currently not supported by the medical literature. In order to evaluate whether this concept is valid, we conducted a study which compares the tendency to develop hangover symptoms between smokers and non-smokers. Materials and Methods Participants739 University students were recruited in this observational, crosssectional study, during September and October of 2009. 252 subjects have met the exclusion criteria, 47 due to chronic headache or head trauma, 124 due to alcohol abstinence and 81 participants who have not Abstract Background: The popular concept which claims avoiding smoking contributes to meliorate hangover symptoms is currently not supported by the medical literature. In order to evaluate whether this concept is ...

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Alcohol hangover: a critical review of explanatory factors

Cited by 88 publications

References 75 publications

The effect of alcohol hangover on choice response time

The effect of alcohol hangover on choice response time

Low Sensitivity to Alcohol: Relations With Hangover Occurrence and Susceptibility in an Ecological Momentary Assessment Investigation

Alcohol Hangover Symptoms are More Common among Smokers

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