Measurement of alcohol hangover severity: development of the Alcohol Hangover Severity Scale (AHSS)

Penning, Renske; McKinney, Adele; Bus, Lucien D.; Olivier, Berend; Slot, K.A.; Verster, Joris C.

doi:10.1007/s00213-012-2866-y

Cited by 53 publications

(76 citation statements)

References 18 publications

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“…The 23 items were derived from the Alcohol Hangover Severity Scale, the Hangover Symptoms Scale, and the Acute Hangover Scale 12–14. The rationale for assessing individual hangover symptoms instead of using one of the three scales is the fact that they each list different hangover symptoms.…”

Section: Methodsmentioning

confidence: 99%

Characteristics of social drinkers with and without a hangover after heavy alcohol consumption

Hogewoning¹,

Loo²,

Mackus³

et al. 2016

SAR

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BackgroundA number of social drinkers claim that they do not experience next-day hangovers despite consuming large quantities of alcohol. The aim of this study was to investigate the characteristics of drinkers who claim to be hangover immune and compare them with drinkers who do report having hangovers.MethodsA total of 36 social drinkers participated in a naturalistic study consisting of a hangover day (alcohol consumed) and a control day (no alcohol consumed). Data were collected on alcohol consumption, demographics, sleep, next-day adverse effects, and mood. Data from drinkers with a hangover (N=18) were compared with data from drinkers who claim to be hangover immune (N=18).ResultsDrinkers with a hangover reported drowsiness-related symptoms, symptoms related to reduced cognitive functioning, and classic hangover symptoms such as headache, nausea, dizziness, weakness, and stomach pain. Corresponding mood changes comprised increased feelings of depression, anger–hostility, fatigue, and reduced vigor–activity. In contrast, hangover-immune drinkers reported relatively few hangover symptoms, with only mild corresponding severity scores. The reported symptoms were limited to drowsiness-related symptoms such as sleepiness and being tired. The classic hangover symptoms were usually not reported by these drinkers.ConclusionIn contrast to drinkers with a hangover, for those who claim to be hangover immune, next-day adverse effects of alcohol consumption are limited to a mild increase in drowsiness-related symptoms.

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Section: Methodsmentioning

confidence: 99%

Characteristics of social drinkers with and without a hangover after heavy alcohol consumption

Hogewoning¹,

Loo²,

Mackus³

et al. 2016

SAR

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“…The amount of carbohydrates, proteins, fats, ethanol, methanol, propanol-1, butanol-2, isobutanol, butanol-1, 2-methyl-butanol-1 and 3-methyl-butanol-1 was determined. Hangover severity was assessed with the Alcohol Hangover Severity Scale, AHSS [34], and a 1-item hangover score. The analyses showed that hangover severity scores correlated significantly with the amount of carbohydrates, proteins, fats, ethanol, and congeners.…”

Section: Determinants Of Hangover Severitymentioning

confidence: 99%

Hangover Research Needs: Proceedings of the 5th Alcohol Hangover Research Group Meeting

Verster¹,

Alford²,

Bervoets³

et al. 2014

CDAR

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“…For these 47 individual symptoms, the score reflected a single overall severity score for the hangover day. Using the symptoms present in the Alcohol Hangover Severity Scale (Penning et al., 2013), an overall hangover severity was computed.…”

Section: Methodsmentioning

confidence: 99%

“…Overall hangover severity is commonly assessed using 1 of 3 currently used scales (Penning et al., 2013; Rohsenow et al., 2007; Slutske et al., 2003). In all 3 scales, individual symptoms are scored with the sum or average representing the overall hangover severity score.…”

mentioning

confidence: 99%

Differences in the Temporal Typology of Alcohol Hangover

Verster

Lantman

Mackus

et al. 2018

Alcoholism Clin & Exp Res

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BackgroundAt a group level, hangover severity during the day has been described to follow an inverted U‐shaped curve, with gradually increasing severity scores that, after reaching a peak, gradually decrease toward zero. The aim of this study was to examine if and how individual drinkers' hangover severity scores vary during the day.MethodsData from a survey (Penning et al., 2012) in which 727 drinkers reported on their latest alcohol hangover were reanalyzed. The temporal pattern of each individual's hangover was first categorized as belonging to 1 of 6 types based on predefined temporal characteristics.ResultsThree dominant hangover patterns emerged as comprising more than 95% of the sample: (i) a continuous decline hangover (Severity Type 1 hangover, 54.5%), (ii) a steady state hangover (Severity Type 2 hangover, 19.1%), and (iii) an inverted U‐shaped curve hangover (Severity Type 3 hangover, 21.8%). Of these 3 patterns, Severity Type 2 hangovers are associated with significantly less alcohol consumption and with having the lowest severity scores of individual hangover symptoms. Severity Type 1 hangovers are associated with having the highest severity of individual hangover symptoms. In line with significantly lower levels of alcohol consumption, Severity Type 2 hangovers were significantly more often observed in women when compared to men. Severity Type 1 hangovers were significantly more common in men than in women. Severity Type 3 hangovers, characterized by the increased presence of gastrointestinal complaints, were equally commonly experienced in men and women.ConclusionsThis study revealed that the temporal pattern of hangover severity can follow marked interindividual variability. Three common temporal patterns were identified, which are uniquely related to the amount of alcohol consumed and the presence and severity of different individual hangover symptoms. Better understanding of individual differences in hangover typology may help to delineate mechanisms underlying alcohol hangover.

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Measurement of alcohol hangover severity: development of the Alcohol Hangover Severity Scale (AHSS)

Abstract: The AHS, HSS, and AHSS all seem appropriate for application in hangover research. The use of a one-item hangover scale is not recommended.

Cited by 53 publications

References 18 publications

Characteristics of social drinkers with and without a hangover after heavy alcohol consumption

Characteristics of social drinkers with and without a hangover after heavy alcohol consumption

Hangover Research Needs: Proceedings of the 5th Alcohol Hangover Research Group Meeting

Differences in the Temporal Typology of Alcohol Hangover

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