The natural expression of individual differences in self-reported level of response to alcohol during ecologically assessed drinking episodes

Trela, Constantine J.; Piasecki, Thomas M.; Bartholow, Bruce D.; Heath, Andrew C.; Sher, Kenneth J.

doi:10.1007/s00213-016-4270-5

Cited by 25 publications

(39 citation statements)

References 61 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…An early impediment to the adoption of EMA in alcohol research was concern that acute intoxication could interfere with drinkers’ ability to log user‐initiated assessments, respond to signaled prompts in a timely fashion, and provide reliable self‐report data (Collins et al., ; Tidey et al., ). Accumulating experience suggests drinkers can achieve good compliance with signaled prompts and log reports at high drink totals and eBACs (e.g., Carpenter et al., ; Trela et al., ). Nonetheless, this issue deserves systematic study.…”

Section: Application Of Ema To Alcohol Researchmentioning

confidence: 99%

“…Field studies of alcohol use generate detailed descriptive information characterizing naturalistic drinking behaviors and their correlates, which can in turn inform theory generation, theory testing, and clinical decision making (e.g., Maisto et al., ). Such studies can capture important, naturally occurring alcohol‐related phenomena that would otherwise be difficult or unethical to study in laboratory conditions, such as underage drinking (e.g., Miranda et al., ), the near‐term correlates and consequences of high‐dose alcohol exposures (e.g., Piasecki et al., ; Trela et al., ), and drinking lapses during treatment (e.g., Holt et al., ). Monitoring of alcohol use in naturalistic settings can also be a valuable tool for evaluating treatment outcomes and delivering timely interventions (e.g., Dougherty et al., ; Suffoletto et al., ).…”

mentioning

confidence: 99%

See 1 more Smart Citation

Assessment of Alcohol Use in the Natural Environment

Piasecki

2019

Alcoholism Clin & Exp Res

Self Cite

View full text Add to dashboard Cite

The current article critically reviews 3 methodological options for assessing drinking episodes in the natural environment. Ecological momentary assessment (EMA) typically involves using mobile devices to collect self-report data from participants in daily life. This technique is now widely used in alcohol research, but investigators have implemented diverse assessment strategies. This article focuses on "high-resolution" EMA protocols that oversample experiences and behaviors within individual drinking episodes. A number of approaches have been used to accomplish this, including using signaled follow-ups tied to drinking initiation, asking participants to log entries before and after individual drinks or drinking episodes, and delivering frequent signaled assessments during periods of the day when alcohol use is most common. Transdermal alcohol sensors (TAS) are devices that are worn continuously and are capable of detecting alcohol eliminated through the skin. These methods are appealing because they do not rely upon drinkers' self-report. Studies using TAS have been appearing with greater frequency over the past several years. New methods are making the use of TAS more tractable by permitting back-translation of transdermal alcohol concentration data to more familiar estimates of blood alcohol concentration or breath alcohol concentration. However, the current generation of devices can have problems with missing data and tend to be relatively insensitive to low-level drinking. An emerging area of research investigates the possibility of using mobile device data and machine learning to passively detect the user's drinking, with promising early findings. EMA, TAS, and sensor-based approaches are all valid, and tend to produce convergent information when used in conjunction with one another. Each has a unique profile of advantages, disadvantages, and threats to validity. Therefore, the nature of the underlying research question must dictate the method(s) investigators select.

show abstract

Section: Application Of Ema To Alcohol Researchmentioning

confidence: 99%

mentioning

confidence: 99%

Assessment of Alcohol Use in the Natural Environment

Piasecki

2019

Alcoholism Clin & Exp Res

Self Cite

View full text Add to dashboard Cite

show abstract

“…Theorists have proposed several mechanisms linking LS to heavy drinking and AUD. At a descriptive level, LS individuals are at increased risk for AUD because they must consume relatively large amounts of alcohol to attain desired subjective effects (Schuckit and Smith, ; Trela et al., ). Additionally, some social, cognitive, and motivational factors, such as associating with heavy‐drinking peers (Schuckit et al., , ), forming positive alcohol outcome expectancies (e.g., Schuckit et al., ), and drinking to cope with stress (Schuckit et al., ), have been posited to encourage heavier drinking among LS drinkers, thereby increasing their AUD risk.…”

Section: Overview Of the Current Study And Hypothesesmentioning

confidence: 99%

Interactive Effects of Naturalistic Drinking Context and Alcohol Sensitivity on Neural Alcohol Cue‐Reactivity Responses

Martins

Bartholow

Cooper

et al. 2019

Alcoholism Clin & Exp Res

Self Cite

View full text Add to dashboard Cite

Background: Considerable evidence indicates that a low level of subjective response to alcohol's acute effects (i.e., low sensitivity) is associated with enhanced risk for alcohol use disorder (AUD). Recent work suggests that the highest risk response profile consists of blunted sensitivity to alcohol's sedation-like effects, coupled with enhanced sensitivity to alcohol's stimulation-like effects (i.e., differential sensitivity). A largely separate body of work indicates that enhanced reactivity to alcohol-related cues is associated with increased AUD risk.Aims: The current research examined the extent to which variability in alcohol response phenotypes is associated with enhanced P3 event-related potential (ERP) responses to alcohol-related pictures (ACR-P3), and whether this reactivity varies according to depicted drinking contexts.Methods: Eighty young adults (aged 18 to 33 years) completed a self-report measure of alcohol sensitivity (the Alcohol Sensitivity Questionnaire) and viewed images depicting drinking in naturalistic contexts, alcohol and nonalcohol beverages in isolation (devoid of naturalistic drinking context), and neutral nonbeverage control images while ERPs were recorded.Results: Results indicated that blunted sensitivity to alcohol's sedative-like effects was differentially associated with enhanced ACR-P3 but reduced P3 reactivity to nonalcohol cues. Variation in sensitivity to alcohol's stimulant-like effects was not associated with differential ACR-P3. Contrary to predictions, these effects were not potentiated by drinking contexts.Conclusions: The current results replicate and extend previous work linking low alcohol sensitivity with enhanced incentive salience for alcohol-related cues and suggest that cues depicting drinking contexts are less likely to differentiate high-risk from low-risk drinkers.

show abstract

“…“Gulping” of drinks is associated with an increased probability of blackout (Goodwin et al, 1969; Perry et al, 2006; Ryback, 1970). Using AA, Trela et al (2016) found that lower alcohol sensitivity, a well-documented risk factor for AUD, was associated with elevated rate of consumption, as measured by a steeper estimated blood alcohol concentration (eBAC) slope after drinking initiation.…”

Section: Rate Of Consumptionmentioning

confidence: 99%

Elevated rate of alcohol consumption in borderline personality disorder patients in daily life

et al. 2017

Self Cite

View full text Add to dashboard Cite

Rationale Borderline personality disorder (BPD) is highly associated with alcohol use disorder, but little is known about how BPD individuals consume alcohol, or the immediate effects of their consumption. There is therefore a need for research investigating drinking behavior in BPD. Objectives The current study examined rate of alcohol consumption in BPD (N = 54) and community individuals (COM; N = 59) within ecologically valid drinking episodes. We hypothesized that rate of consumption would be elevated in BPD individuals. We further hypothesized that rate of consumption would be positively associated with subjective stimulation, but not sedation, and that stimulation would be associated with increased positive affect (PA) and reduced negative affect (NA). Methods Ambulatory Assessment was used to assess rate of consumption, subjective alcohol response, and affect in the moment (Nobservations = 3,444). Rate of consumption was defined as change in estimated blood alcohol concentration (eBAC) relative to drinking episode start. Multilevel modeling was used to test hypotheses. Results As hypothesized, BPD individuals demonstrated a faster increase in eBAC than COM individuals. Rate of consumption was associated with subjective stimulation, but not sedation, in both groups. Stimulation was associated with increased PA in both groups and reduced NA in the BPD group. Conclusions BPD individuals consumed alcohol more rapidly than COM individuals. Faster consumption may serve as a means for BPD individuals to maximize the rewarding pharmacological effects of alcohol and to increase positive and reduce negative affect.

show abstract

The natural expression of individual differences in self-reported level of response to alcohol during ecologically assessed drinking episodes

Cited by 25 publications

References 61 publications

Assessment of Alcohol Use in the Natural Environment

Assessment of Alcohol Use in the Natural Environment

Interactive Effects of Naturalistic Drinking Context and Alcohol Sensitivity on Neural Alcohol Cue‐Reactivity Responses

Elevated rate of alcohol consumption in borderline personality disorder patients in daily life

Contact Info

Product

Resources

About