Gender Differences in Response to Emotional Stress: An Assessment Across Subjective, Behavioral, and Physiological Domains and Relations to Alcohol Craving

Chaplin, Tara M.; Hong, Kwangik; Bergquist, Keri; Sinha, Rajita

doi:10.1111/j.1530-0277.2008.00679.x

Cited by 237 publications

(213 citation statements)

References 57 publications

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“…The finding that women had greater negative emotional response to the stress paradigm is consistent with Chaplin et al (2008) results with heavy social drinkers. However, this study differs from Chaplin in that the women in the present study exhibited greater craving than the men.…”

Section: Discussionsupporting

confidence: 80%

“…A human laboratory study of healthy social drinkers using guided imagery for stress induction found that women showed greater negative emotional response than men and that men's alcohol craving was associated with higher subjective emotional responses (Chaplin, Hong, Bergquist, & Sinha, 2008). The aforementioned study, however, Addictive Behaviors 38 (2013) 2643-2646 showed no sex differences in alcohol craving.…”

Section: Introductionmentioning

confidence: 57%

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Sex moderates stress reactivity in heavy drinkers

Hartwell

Ray

2013

Addictive Behaviors

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• Study examined stress effects on craving and mood among heavy drinkers.• Females showed greater stress-induced craving and negative mood than males.• The relationship between mood and craving was stronger among females. Psychological stress and alcohol use disorders have a well-known connection. Individual differences in stress reactivity have been an area of interest in alcohol research, particularly given the relationship between craving and stress reactivity to later relapse. The present study examines the role of sex on stress-induced alcohol craving and emotional reactivity using a guided imagery stress paradigm. Participants were 64 non-treatment seeking heavy drinkers from the community who completed a two-session protocol that included two guided imagery exposures, Stress and Neutral. Participants reported their mood and craving before and after each exposure using the Differential Emotions Scale and the Alcohol Urge Questionnaire respectively. Analyses revealed a significant Stress × Sex × Trial effect on craving [F (1,61) = 5.35; p b .05] after controlling for AUDIT scores [F (1,61) = 8.16; p b .01] such that females reported greater increases in craving from baseline to post-imagery during the stress imagery versus the neutral imagery condition, than did males. Mood reactivity analysis showed similar patterns. Specifically, there was a significant Stress × Sex × Trial effect on the anxiety subscale of the DES [F (1,61) = 15.81; p b .001] such that females reported greater increases in anxiety from baseline to post-imagery during the stress imagery versus the neutral conditions, than did males. These results suggest that female heavy drinkers were more sensitive to the effects of the stress-induction on alcohol craving and mood reactivity than males. If supported by future studies, these initial findings may help advance understanding of the mechanisms of stress and mood regulation as central to alcoholism liability and recovery in females. a b s t r a c t a r t i c l e i n f o

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Section: Discussionsupporting

confidence: 80%

Section: Introductionmentioning

confidence: 57%

Sex moderates stress reactivity in heavy drinkers

Hartwell

Ray

2013

Addictive Behaviors

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“…Regarding gender, a research carried out for the validation of the Brazilian version of PAID (16) showed that women had higher scores of stress related to emotional problems, corroborating the findings of this study and of the literature, showing that women present higher emotional distress (16,19,21) . With regard to age and diagnosis time, research show that older patients with more time of diagnosis may perceive the disease on a less stressful way (16,19) .…”

Section: Discussionsupporting

confidence: 77%

Consumo de álcool e problemas emocionais relacionados ao diabetes mellitus

Teixeira

Arrelias

Zanetti

et al. 2014

SMAD, Rev. Eletrônica Saúde Mental Álcool Drog. (Ed. port.)

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This study aimed to analyze the use of alcohol and emotional problems in patients with diabetes. The convenience sample consisted of 82 patients with type 2 diabetes in two centers of university extension in 2010. For data collection we used the Alcohol Use Este estudio tuvo como objetivo analizar el uso de alcohol y los problemas emocionales de pacientes con diabetes. La muestra de conveniencia fue constituida por 82 pacientes con diabetes tipo 2 en dos centros de extensión universitaria, en 2010. Para recogida de datos fueron utilizados los instrumentos Alcohol Use Disorder Identification Test y el Problem Areas in Diabetes. Los resultados mostraron que 93,9% de los pacientes presentaron bajo riesgo para uso de alcohol y 21,9% clasificaron los problemas emocionales enfrentados como relevantes. Se concluye que el uso de alcohol y los problemas emocionales constituyen variables importantes para la planificación de programa educativo en diabetes.

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“…However, the conditions that are necessary for these effects remain to be determined. Important variables that may well moderate the Go and Stop processes include addiction status and gender, both of which have been found to affect responses to stress and cues on other cognitive indices (Chaplin et al, 2008;Fox et al, 2009;Lawrence et al, 2009;Li et al, 2009;Nesic and Duka, 2006;Udo et al, 2009). In addition, the present subjects were active drinkers and may therefore differ from individuals who have undergone treatment.…”

Section: Stress and Alcohol Cues On Go-stop Responding M Zack Et Almentioning

confidence: 99%

Stress and Alcohol Cues Exert Conjoint Effects on Go and Stop Signal Responding in Male Problem Drinkers

Zack

Woodford

Tremblay

et al. 2010

Neuropsychopharmacol

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Stress, cues, and pharmacological priming are linked with relapse to addictive behavior. Increased salience and decreased inhibitory control are thought to mediate the effects of relapse-related stimuli. However, the functional relationship between these two processes is unclear. To address this issue, a modified Stop Signal Task was employed, which used Alcohol, Neutral, and Non-Words as Go stimuli, and lexical decision as the Go response. Subjects were 38 male problem drinkers (mean Alcohol Dependence Scale (ADS) score: 18.0). Uncontrollable noise (B10 min at 110 dB) was the stressor; nonalcoholic placebo beer (P-Beer) was the cue manipulation, and alcohol (0.7 g/kg), the pharmacological prime. Half the sample received alcohol, and half P-Beer. Stress and beverage (test drink vs soft drink) were manipulated within subjects on two sessions, with half the sample receiving active manipulations together and half receiving them separately. Go response time (RT) and Stop Signal RT (SSRT) were slower to Alcohol than Neutral words. Stress augmented this bias. Alcohol and P-Beer impaired overall SSRT. Stress impaired neither overall SSRT nor Go RT. SSRT to Neutral words and Non-Words correlated inversely with Go RT to Alcohol and Neutral words, and Non-Words. ADS correlated directly with SSRT to Alcohol words. A resource allocation account was proposed, whereby diversion of limited resources to salient cues effectively yoked otherwise independent Go and Stop processes. Disturbances of prefrontal norepinephrine and dopamine were cited as possibly accounting for these effects. Treatments that optimize prefrontal catecholamine transmission may deter relapse by reducing disinhibitory effects of salient eliciting stimuli.

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Gender Differences in Response to Emotional Stress: An Assessment Across Subjective, Behavioral, and Physiological Domains and Relations to Alcohol Craving

Cited by 237 publications

References 57 publications

Sex moderates stress reactivity in heavy drinkers

Sex moderates stress reactivity in heavy drinkers

Consumo de álcool e problemas emocionais relacionados ao diabetes mellitus

Stress and Alcohol Cues Exert Conjoint Effects on Go and Stop Signal Responding in Male Problem Drinkers

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