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Examining the Interplay Between Physiological Arousal, Stress, and Alcohol Craving During Addiction Treatment : A Longitudinal Study

Brieger, Lotta (2024) Examining the Interplay Between Physiological Arousal, Stress, and Alcohol Craving During Addiction Treatment : A Longitudinal Study.

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Abstract:The treatment succces of Alcohol Use Disorder (AUD) is heavily influenced by alcohol craving, which is significantly impacted by stress. While self-reported stress can be biased, physiological measures like heart rate provide valuable insights. This study examines the relationship between heart rate and stress, as well as their predictive effects on cravings in individuals undergoing addiction treatment, using ecological momentary assessment (EMA) to analyze within- and between-person effects. Data for this study was obtained by van Lier et al. (2022) and involved 10 individuals with AUD over a 100-day treatment period. Participants received questionnaire prompts every three hours, and physiological arousal was measured with the E4 Empatica wristband. Data were analyzed using Linear Mixed Models and mediation analysis. The findings showed a significant positive relationship between heart rate and self-reported stress levels, though heart rate did not predict future stress. Both heart rate and stress were strongly associated with craving, mainly due to within-person effects. Additionally, stress mediated the relationship between heart rate and craving. This study highlights the critical role of stress in alcohol addiction, emphasizing the need for stress management in treatment and the potential for individualized approaches. Further research could provide deeper insights into the underlying mechanisms.
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/102841
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