Multidimensionality of the Alcohol Withdrawal Symptom Checklist: A Factor Analysis of the Alcohol Withdrawal Symptom Checklist and CIWA‐Ar

Pittman, Brian; Gueorguieva, Ralitza; Krupitsky, Evgeny; Rudenko, Anatoly A.; Flannery, Barbara; Krystal, John H.

doi:10.1111/j.1530-0277.2007.00345.x

Cited by 60 publications

(43 citation statements)

References 27 publications

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“…The Alcohol Withdrawal Symptom Checklist-Revised (AWSC; Pittman, Gueorguieva, Krupitsky, Rudenko, Flannery, & Krystal, 2007) was administered at baseline and on a weekly basis to monitor withdrawal symptoms. Using a 5-point scale, participants rated 17 withdrawal symptoms (e.g., nervousness, sweating, seizures, craving for alcohol) that they had experienced during the past 24 hours (T1 α = .89; T2 α = 87; T3 α = .85).…”

Section: Methodsmentioning

confidence: 99%

Randomized controlled trial of attention bias modification in a racially diverse, socially anxious, alcohol dependent sample

Clerkin

Magee

Wells

et al. 2016

Behaviour Research and Therapy

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Objective Attention biases may be an important treatment target for both alcohol dependence and social anxiety. This is the first ABM trial to investigate two (vs. one) targets of attention bias within a sample with co-occurring symptoms of social anxiety and alcohol dependence. Additionally, we used trial-level bias scores (TL-BS) to capture the phenomena of attention bias in a more ecologically valid, dynamic way compared to traditional attention bias scores. Method Adult participants (N=86; 41% Female; 52% African American; 40% White) with elevated social anxiety symptoms and alcohol dependence were randomly assigned to an 8-session training condition in this 2 (Social Anxiety ABM vs. Social Anxiety Control) by 2 (Alcohol ABM vs. Alcohol Control) design. Symptoms of social anxiety, alcohol dependence, and attention bias were assessed across time. Results Multilevel models estimated the trajectories for each measure within individuals, and tested whether these trajectories differed according to the randomized training conditions. Across time, there were significant or trending decreases in all attention TL-BS parameters (but not traditional attention bias scores) and most symptom measures. However, there were not significant differences in the trajectories of change between any ABM and control conditions for any symptom measures. Conclusions These findings add to previous evidence questioning the robustness of ABM and point to the need to extend the effects of ABM to samples that are racially diverse and/or have co-occurring psychopathology. The results also illustrate the potential importance of calculating trial-level attention bias scores rather than only including traditional bias scores.

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Section: Methodsmentioning

confidence: 99%

Randomized controlled trial of attention bias modification in a racially diverse, socially anxious, alcohol dependent sample

Clerkin

Magee

Wells

et al. 2016

Behaviour Research and Therapy

View full text Add to dashboard Cite

show abstract

“…First, although we used several methods to identify validated alcohol measures, it is possible that some measures were not identifi ed by these methods. Second, readability formulas (Miller and Harris, 2000) 8.5 12.5 9.5 10.2 6.0 6.4 9.1 7.2 Alcohol Dependence Data Questionnaire (Raistrick et al, 1983) 8.5 8.5 10.9 9.3 7.0 8.1 9.3 8.1 Alcohol Dependence Scale (Skinner and Allen, 1982) 7.0 8.5 9.9 8.5 7.0 8.0 9.5 8.2 *Alcohol Urge Questionnaire (Bohn et al, 1995) 8.5 11.1 10.6 10.1 5.0 4.9 6.4 5.4 Alcohol Use Disorders Identifi cation Test (Babor et al, 1989) 8.5 10.8 10.3 9.9 7.0 9.0 10.1 8.7 Alcohol Use Inventory (Wanberg et al, 1977) 8.5 9.8 10.4 9.6 7.0 8.9 9.5 8.5 Alcohol Withdrawal Symptom Checklist-Revised (Pittman et al, 2007) 8.5 9.7 10.5 9.6 -.…”

Section: Discussionmentioning

confidence: 99%

Readability of Self-Report Alcohol Misuse Measures

McHugh

Sugarman

Kaufman

et al. 2014

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: Self-report measures of alcohol misuse and alcohol use disorders are valuable assessment tools for both research and clinical practice settings. However, readability is often overlooked when establishing the validity of these measures, which may result in measures written at a reading-grade level that is higher than the ability level of many potential respondents. The aim of the current study was to estimate the reading-grade level of validated measures of alcohol misuse and associated problems. Method: A total of 45 measures were identifi ed, and reading-grade level was calculated using three validated readability formulas. Results: The majority of measures were written above the recommended reading-grade level for patient materials (5th-6th grade), with particularly poor readability for measure instructions. Conclusions: Given that many self-report alcohol misuse measures are written at a high reading-grade level, the consideration of readability is important when selecting measures for use in research and practice settings. Moreover, the development or modifi cation of measures to target low-literacy populations may facilitate the broader applicability of these instruments. (J. Stud. Alcohol Drugs, 75, 328-334, 2014)

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“…The Center for Epidemiologic Studies Depression Scale (CES-D; Radloff, 1977), which assesses symptoms of depression, and the Alcohol Withdrawal Symptom Checklist (AWSC; Pittman et al, 2007), which assesses the severity of a variety of alcohol symptoms within the last 24 hours, were included to better characterize the sample. Reliability for these measures was good to excellent in the current sample (CES-D: α = .89; AWSC: α = .88).…”

Section: Methodsmentioning

confidence: 99%

Mindfulness Facets, Social Anxiety, and Drinking to Cope with Social Anxiety: Testing Mediators of Drinking Problems

et al. 2016

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This cross-sectional study tested social anxiety symptoms, trait mindfulness, and drinking to cope with social anxiety as potential predictors and/or serial mediators of drinking problems. A community-based sample of individuals with co-occurring social anxiety symptoms and alcohol dependence were recruited. Participants (N = 105) completed measures of social anxiety, drinking to cope with social anxiety, and alcohol use and problems. As well, participants completed the Five Facet Mindfulness Questionnaire, which assesses mindfulness facets of accepting without judgment, acting with awareness, not reacting to one’s internal experiences, observing and attending to experiences, and labeling and describing. As predicted, the relationship between social anxiety symptoms and drinking problems was mediated by social anxiety coping motives across each of the models. Further, the relationship between specific mindfulness facets (acting with awareness, accepting without judgment, and describe) and drinking problems was serially mediated by social anxiety symptoms and drinking to cope with social anxiety. This research builds upon existing studies that have largely been conducted with college students to evaluate potential mediators driving drinking problems. Specifically, individuals who are less able to act with awareness, accept without judgment, and describe their internal experiences may experience heightened social anxiety and drinking to cope with that anxiety, which could ultimately result in greater alcohol-related problems.

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Multidimensionality of the Alcohol Withdrawal Symptom Checklist: A Factor Analysis of the Alcohol Withdrawal Symptom Checklist and CIWA‐Ar

Abstract: Self-rated measures of AWS could play an important role in complementing observer-rated measures in clinical and research settings. In this sample, the AWSC appeared to identify multiple dimensions of AWS with face validity for clinical relevance.

Cited by 60 publications

References 27 publications

Randomized controlled trial of attention bias modification in a racially diverse, socially anxious, alcohol dependent sample

Randomized controlled trial of attention bias modification in a racially diverse, socially anxious, alcohol dependent sample

Readability of Self-Report Alcohol Misuse Measures

Mindfulness Facets, Social Anxiety, and Drinking to Cope with Social Anxiety: Testing Mediators of Drinking Problems

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