Associations between the Brief Assessment of Alcohol Demand (BAAD) questionnaire and alcohol use disorder severity in UK samples of student and community drinkers

Hardy, Lorna; Bakou, Alexandra Elissavet; Shuai, Ruichong; Acuff, Samuel F.; MacKillop, James; Murphy, Cara M.; Murphy, James G.; Hogarth, Lee

doi:10.1016/j.addbeh.2020.106724

Cited by 13 publications

(11 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Breakpoint was assessed by asking, “What is the maximum you would pay for a single drink?” with a response range from $0 to $20 in $2 increments. Although abbreviated, the BAAD has demonstrated strong validity and associations with alcohol use outcomes (Amlung et al, 2015; Hardy et al, 2021; Owens et al, 2015).…”

Section: Methodsmentioning

confidence: 99%

Association of therapeutic and recreational reasons for alcohol use with alcohol demand.

Ferguson¹,

Fiore²,

Yurasek³

et al. 2023

Experimental and Clinical Psychopharmacology

View full text Add to dashboard Cite

Motives for alcohol use and behavioral economic measures of demand are associated with alcohol consumption and alcohol-related problems. However, it is unclear how differences in reasons for alcohol use may affect alcohol demand. Additionally, although alcohol is commonly used to self-manage conditions such as pain and sleep problems, the impact of these reasons for alcohol use on alcohol demand is not well characterized. The present study addressed this gap. Participants were adults recruited via Amazon Mechanical Turk as part of a larger study investigating health behaviors. Analyses included participants who reported alcohol use in the past year (N = 637). Participants were categorized as having recreational, therapeutic, or both recreational and therapeutic reasons for using alcohol. A brief, three-item measure of alcohol demand was administered. Multivariate analysis of variance (MANOVA) analyses revealed that alcohol drinkers endorsing both recreational and therapeutic reasons for use had significantly higher average intensity, O max , and breakpoint indices compared to those who only reported recreational or therapeutic drinking motives ( ps < .05; Cohen's d = .09-.17). Secondary analyses revealed differences in demand according to therapeutic reason for alcohol use endorsed. Significant main effects were found for use to relieve pain and anxiety/depression/stress, while interactive effects were detected for use to relieve pain and improve sleep and use to relieve pain and anxiety/depression/stress. Overall, results suggest that alcohol demand is highest in drinkers who consume alcohol for both therapeutic and recreational reasons. This group may be at elevated risk for alcohol use disorder and alcohol-related consequences. Continued research is necessary to examine this possibility. Public Health SignificanceThis study suggests that individuals with both therapeutic and recreational reasons for alcohol use have greater demand for alcohol compared to either reason for use alone. Associations with alcohol demand also differed based on the type of therapeutic reason for use endorsed. Results highlight self-reported reasons for alcohol use as potential indicators of risk for hazardous use.

show abstract

Section: Methodsmentioning

confidence: 99%

Association of therapeutic and recreational reasons for alcohol use with alcohol demand.

Ferguson¹,

Fiore²,

Yurasek³

et al. 2023

Experimental and Clinical Psychopharmacology

View full text Add to dashboard Cite

show abstract

“…To address these limitations, future research could employ longitudinal designs (e.g., following a person over repeated time points) to explore how behavioral economic and VBDM parameters alter during behavior change. This might encompass studies of drinkers recruited from both community (Hardy et al, 2021) and treatment (Meshesha et al, 2020) settings with careful matching of potential confounding variables such as socioeconomic status and severity of comorbidity. It is also important to explore how cultural and societal changes might facilitate or impede transitions from heavy to moderate drinking and attempt to identify how behavioral economic constructs and VBDM parameters may mediate these transitions.…”

Section: Discussionmentioning

confidence: 99%

Behavioral economic and value-based decision-making constructs that discriminate current heavy drinkers versus people who reduced their drinking without treatment.

Copeland¹,

Stafford²,

Acuff³

et al. 2023

Psychology of Addictive Behaviors

Self Cite

View full text Add to dashboard Cite

Objective: A substantial number of people reduce their consumption of alcohol in the absence of formal treatment; however, less is known about the mechanisms of change. The aim of this study is to explore whether constructs derived from behavioral economics and computational decision-modeling characterize the moderation of alcohol consumption that many heavy drinkers experience without treatment. Method: Between-subject, preregistered design. People who reside in the United Kingdom and who drink heavily (n = 60) or used to drink heavily but now consume alcohol in moderation (n = 60) were recruited. Participants completed self-report behavioral economic measures (alcohol demand and alcohol-related and alcohol-free reinforcement) and a two-alternative forced choice task in which they chose between two alcoholic (in one block) or two soft drink images (in a different block). A drift-diffusion model was fitted to responses from this task to yield the underlying parameters of value-based choice. Results: Compared to heavy drinkers, moderated drinkers had significantly lower alcohol demand, O max , p = .03, Cohen's d = .36; elasticity, p = .03, rank-biserial correlation (r rb ) = .21, and higher proportionate alcohol-free reinforcement ( p < .001, Cohen's d = .75). However, contrary to hypotheses, there were no robust between-group differences in value-based decision-making (VBDM) parameters. Conclusions: Self-report behavioral economic measures demonstrate that alcohol moderation without treatment is characterized by lowered alcohol demand and greater behavioral allocation to alcohol-free reinforcement, in line with behavioral economic theory. However, a computerized VBDM measure yielded inconclusive findings. Public Health Significance StatementIt is common for people to reduce their consumption of alcohol, including those who consume alcohol heavily but are not dependent. This study highlights the importance of lowered alcohol demand and heightened behavioral allocation toward activities that do not involve alcohol. Findings may inform interventions for heavy drinkers who would like to moderate their alcohol consumption.

show abstract

“…Another potential explanation may be that unlike contemporary accounts of VBDM which acknowledge that a diverse range of input processes (internal and external) contribute to value (Berkman et al, 2017), purchase tasks such as the APT are confined to price. Indeed, a recent commentary (Acuff & Murphy, 2021) speculated upon the potential to modify hypothetical purchase tasks in future research by including constraints beyond price, which will in turn facilitate future opportunities for idiographic measurement using these tools.…”

Section: Discussionmentioning

confidence: 99%

“…To address these limitations, future research could employ longitudinal designs (e.g., following a person over repeated time points) to explore how behavioral economic and VBDM parameters alter during behavior change. This might encompass studies of drinkers recruited from both community (Hardy et al, 2021) and treatment (Meshesha et al, 2020) settings with careful matching of potential confounding variables such as socioeconomic status and severity comorbidity. It is also important to explore how cultural and societal changes might facilitate or impede transitions from heavy to moderate drinking and attempt to identify how behavioral economic constructs and VBDM parameters may mediate these transitions.…”

Section: Discussionmentioning

confidence: 99%

Behavioral economic and value-based decision-making constructs that discriminate current heavy drinkers versus people who reduced their drinking without treatment

Copeland¹,

Stafford²,

Acuff³

et al. 2022

Preprint

View full text Add to dashboard Cite

Objective: A substantial number of people reduce their consumption of alcohol in the absence of formal treatment; however, less is known about the mechanisms of change. The aim of this study is to explore whether constructs derived from behavioral economics and computational decision-modeling characterize the moderation of alcohol consumption that many heavy drinkers experience without treatment. Method: Case-control, pre-registered design. People who reside in the United Kingdom and who drink heavily (n = 60) or used to drink heavily but now consume alcohol in moderation (n = 60) were recruited. Participants completed self-report behavioral economic measures (alcohol demand and alcohol-related and alcohol-free reinforcement), and a two-alternative forced choice task in which they chose between two alcoholic (in one block) or two soft-drink images (in a different block). A drift-diffusion model was fitted to responses from this task to yield the underlying parameters of value-based choice. Results: Compared to heavy drinkers, moderated drinkers had significantly lower alcohol demand (Omax, p = .03, Cohen’s d = .36; elasticity, p = .03, rank-biserial correlation (rrb) = .21) and higher proportionate alcohol-free reinforcement (p < .001, Cohen’s d = .75). However, contrary to hypotheses, there were no robust between-group differences in VBDM parameters. Conclusions: Self-report behavioral economic measures demonstrate that alcohol moderation without treatment is characterized by lowered alcohol demand, and greater behavioral allocation to alcohol-free reinforcement, in line with behavioral economic theory. However, a computerized VBDM measure yielded inconclusive findings.

show abstract

Associations between the Brief Assessment of Alcohol Demand (BAAD) questionnaire and alcohol use disorder severity in UK samples of student and community drinkers

Cited by 13 publications

References 40 publications

Association of therapeutic and recreational reasons for alcohol use with alcohol demand.

Association of therapeutic and recreational reasons for alcohol use with alcohol demand.

Behavioral economic and value-based decision-making constructs that discriminate current heavy drinkers versus people who reduced their drinking without treatment.

Behavioral economic and value-based decision-making constructs that discriminate current heavy drinkers versus people who reduced their drinking without treatment

Contact Info

Product

Resources

About