Sex Differences in the Presence and Severity of Alcohol Hangover Symptoms

Pabst, Albertine van Lawick van E; Devenney, Lydia E; Verster, Joris C.

doi:10.3390/jcm8060867

Cited by 36 publications

(35 citation statements)

References 86 publications

(108 reference statements)

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“…A similar variability in the presence and severity of hangover symptoms was recently reported by Van Lawick van Pabst et al [18]. Omitting relevant items from a scale can have a significant impact on the overall rating of hangover severity.…”

Section: Presence and Severity Of Hangover Symptomssupporting

confidence: 77%

“…Van Schrojenstein Lantman et al [4] also examined the impact of experiencing hangover symptoms on cognitive and physical functioning, and mood in n = 1837 social drinkers who reported A similar variability in the presence and severity of hangover symptoms was recently reported by Van Lawick van Pabst et al [18]. Omitting relevant items from a scale can have a significant impact on the overall rating of hangover severity.…”

Section: Negative Impact Of Hangover Symptomsmentioning

confidence: 82%

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The Assessment of Overall Hangover Severity

Verster

Loo

Benson

et al. 2020

JCM

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The aim of this study was to critically evaluate and compare the different methods to assess overall hangover severity. Currently, there are three multi-item hangover scales that are commonly used for this purpose. All of them comprise a number of hangover symptoms for which an average score is calculated. These scales were compared to a single, 1-item scale assessing overall hangover severity. The results showed that the hangover symptom scales significantly underestimate (subjective) hangover severity, as assessed with a 1-item overall hangover severity scale. A possible reason for this could be that overall hangover severity varies, depending on the frequency of occurrence of individual symptoms included in the respective scale. In contrast, it can be assumed that, when completing a 1-item overall hangover scale, the rating includes all possible hangover symptoms and their impact on cognitive and physical functioning and mood, thus better reflecting the actually experienced hangover severity. On the other hand, solely relying on hangover symptom scales may yield false positives in subjects who report not having a hangover. When the average symptom score is greater than zero, this may lead to non-hungover subjects being categorized as having a hangover, as many of the somatic and psychological hangover symptoms may also be experienced without consuming alcohol (e.g., having a headache). Taken together, the current analyses suggest that a 1-item overall hangover score is superior to hangover symptom scales in accurately assessing overall hangover severity. We therefore recommend using a 1-item overall hangover rating as primary endpoint in future hangover studies that aim to assess overall hangover severity. and naturalistic studies, in intervention studies examining treatment efficacy, and in survey research. Generally, they may be filled in by any drinker of all (adult) ages and in any drinking-related (research) context. There is, however, ongoing debate about which measure of hangover severity is most suitable. In this paper, we compare the three most widely used hangover symptom scales with a 1-item overall hangover severity rating, and discusses why the latter is a more reliable and useful measure to be included in future hangover research.

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Section: Presence and Severity Of Hangover Symptomssupporting

confidence: 77%

Section: Negative Impact Of Hangover Symptomsmentioning

confidence: 82%

The Assessment of Overall Hangover Severity

Verster

Loo

Benson

et al. 2020

JCM

View full text Add to dashboard Cite

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“…The study sample was limited to males, as the ethics committee did not approve inducing such an intoxication in females. This is rather unfortunate, as other studies have reported females to experience more severe hangover symptoms than males [24,50], potentially because females tend to metabolite ethanol more slowly than males. In this light, females might experience greater hangover effects, which could translate to more severely impaired behavioral performance.…”

Section: Limitationsmentioning

confidence: 94%

Alcohol Hangover Differentially Modulates the Processing of Relevant and Irrelevant Information

Opitz¹,

Beste²,

Stock³

2020

JCM

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Elevated distractibility is one of the major contributors to alcohol hangover-induced behavioral deficits. Yet, the basic mechanisms driving increased distractibility during hangovers are still not very well understood. Aside from impairments in attention and psychomotor functions, changes in stimulus-response bindings may also increase responding to distracting information, as suggested by the theory of event coding (TEC). Yet, this has never been investigated in the context of alcohol hangover. Therefore, we investigated whether alcohol hangover has different effects on target-response bindings and distractor-response bindings using a task that allows to differentiate these two phenomena. A total of n = 35 healthy males aged 19 to 28 were tested once sober and once hungover after being intoxicated in a standardized experimental drinking setting the night before (2.64 gr of alcohol per estimated liter of body water). We found that alcohol hangover reduced distractor-response bindings, while no such impairment was found for target-response bindings, which appeared to be unaffected. Our findings imply that the processing of distracting information is most likely not increased, but in fact decreased by hangover. This suggests that increased distractibility during alcohol hangover is most likely not caused by modulations in distractor-response bindings.

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“…Sex differences in alcohol metabolism are well known and may also reflect variability of the presence and severity of hangover symptoms in men and women, and their impact on cognitive and psychomotor functioning and mood [19,20]. Surveys generally indicate higher social consumption levels by males, although gender differences in consequential hangover severity have not been consistently reported, and may be more apparent in women at intermediate BAC levels (0.1-0.3%) [21,22].…”

Section: Introductionmentioning

confidence: 99%

The Effects of Alcohol Hangover on Mood and Performance Assessed at Home

Alford

Martínková

Tiplady

et al. 2020

JCM

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The current study evaluated the next day consequences of a social night of drinking compared to a no alcohol night, with standardised mood and portable screen-based performance measures assessed in the morning at participants’ homes, and a breathalyser screen for zero alcohol. A mixed sex group (n = 20) took part in the study. Participants reported consuming on average 16.9 units (135 g) alcohol, resulting in a hangover rating of 60 (out of 100) compared to 0.3 following the no alcohol night. Statistical significance comparisons contrasting the hangover with the no alcohol condition revealed an increase in negative mood and irritability during hangover and an (unexpected) increase in risk and thrill seeking. Performance scores showed an overall slowing of responses across measures, but with less impact on errors. The results support the description of hangover as a general state of cognitive impairment, reflected in slower responses and reduced accuracy across a variety of measures of cognitive function. This suggests a general level of impairment due to hangover, as well as increased negative mood. The use of a naturalistic design enabled the impact of more typical levels of alcohol associated with real life social consumption to be assessed, revealing wide ranging neurocognitive impairment with these higher doses. This study has successfully demonstrated the sensitivity of home-based assessment of the impact of alcohol hangover on a range of subjective and objective measures. The observed impairments, which may significantly impair daily activities such as driving a car or job performance, should be further investigated and taken into account by policy makers.

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Sex Differences in the Presence and Severity of Alcohol Hangover Symptoms

Cited by 36 publications

References 86 publications

The Assessment of Overall Hangover Severity

The Assessment of Overall Hangover Severity

Alcohol Hangover Differentially Modulates the Processing of Relevant and Irrelevant Information

The Effects of Alcohol Hangover on Mood and Performance Assessed at Home

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