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Predictive Cross-Lagged Relationship Between Negative Affect and Alcohol Craving in Alcohol Dependent People Undergoing Treatment During 100 Days of Ecological Momentary Assessment

Staudigel, Lea (2024) Predictive Cross-Lagged Relationship Between Negative Affect and Alcohol Craving in Alcohol Dependent People Undergoing Treatment During 100 Days of Ecological Momentary Assessment.

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Abstract:Alcohol Use Disorder (AUD) presents significant public health challenges, particularly due to the interaction of negative affect (NA) and craving, which contribute to relapse. This study examines the predictive relationship between NA and craving, using Ecological Momentary Assessment over time. Using an intensive repeated measures design in natural settings, ten participants from a Dutch addiction care facility completed eight daily questionnaires over 100 days, reporting on craving, affect, and lapses. Fixed-effect and linear mixed models analyzed the cross-lagged relationship between affect and craving with 3-hour lags, considering the moderators of time since the study began and weekly lapse frequency at both group and individual levels. Results showed affect did not significantly predict craving, nor did craving predict affect across all participants. Only one participant exhibited a bidirectional predictive effect. Time and weekly lapse frequency did not moderate the affect-craving relationship at the group level. However, some participants showed significant individual moderation effects. This study highlights the variability and complexity of the affect-craving relationship in AUD treatment. While no consistent group-level predictive relationships were found, individual patterns varied, emphasizing the need for personalized treatment approaches to manage relapse in AUD effectively.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology MSc (66604)
Link to this item:https://purl.utwente.nl/essays/100452
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