University of Twente Student Theses
Predicting Alcohol Lapses : A 100-Day Ecological Momentary Assessment Study on 3-Hour Interval Predictors in Individuals with Alcohol Use Disorder Undergoing Treatment
Tosun, D.R. (2024) Predicting Alcohol Lapses : A 100-Day Ecological Momentary Assessment Study on 3-Hour Interval Predictors in Individuals with Alcohol Use Disorder Undergoing Treatment.
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| Abstract: | Background: Alcohol Use Disorder (AUD) poses significant public health challenges, particularly due to the complex interplay of various physiological, psychological, and contextual factors contributing to lapses. This study explores the predictive relationships between these factors and lapses in individuals undergoing treatment for AUD over an extended period using Ecological Momentary Assessment (EMA). Methods: An Intensive Repeated and Continuous Measures in Naturalistic Settings Case-study design was conducted. Six participants recruited from an addiction care facility in the Netherlands completed multiple questionnaires per day over 100 days, providing self-reported measures of craving, affect, stress, coping skills, and lapses. Additionally, participants were monitored using an E4 wristband to measure cardiovascular activity, electrodermal activity, and movement. Multilevel Modelling and Time-Series Analysis were used to investigate the predictive relationships of these factors, on lapses three hours later with a focus on both group-level trends and individual variability. Results: The belief in the effectiveness of one’s coping skills was found to be the most robust predictor of lapses three hours later, suggesting that higher self-efficacy reduces the likelihood of lapsing. Craving, negative affect, availability of alcohol, and permission to drink were identified as significant predictors of lapses with a 3-hour lag in the SEM analysis. Positive affect, coping skills, and perceived availability of alcohol were also found to covary with each other. Conclusion: This study highlights the importance of the belief in the effectiveness of one´s coping skills and the complexity of relationships between variables that predict lapses in the long-term AUD recovery process. Despite the study's limitations, such as a small sample size and low model fit indices, the results underscore the importance of personalized interventions and continuous support in sustaining long-term sobriety for individuals with AUD. Hence, future research with larger and more diverse populations is needed to validate and extend these results, enhancing the robustness and applicability of interventions for AUD. |
| 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/103093 |
| Export this item as: | BibTeX EndNote HTML Citation Reference Manager |
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