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Exploring the Relationship between Alcohol Availability and Craving in Individuals with Alcohol Use Disorder in Treatment: An Experience Sampling Study over 100 Days

Böcher, Nina (2024) Exploring the Relationship between Alcohol Availability and Craving in Individuals with Alcohol Use Disorder in Treatment: An Experience Sampling Study over 100 Days.

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Abstract:Background: Alcohol availability significantly influences craving in individuals with Alcohol Use Disorder (AUD) during recovery, but there is limited research on the temporal dynamics of this relationship. This study aimed to (a) investigate the concurrent association between alcohol availability and craving over time; (b) whether the prospective, 3-hours lagged alcohol availability is associated with craving over time; (c) whether the concurrent relationship between alcohol availability and craving is reciprocal over time. Further, lapses were found to occur frequently during the recovery journey. Accordingly, this study aimed to investigate (d) whether including lapses as a covariate influences the relationship between alcohol availability and craving over time. Positive affect (PA) and negative affect (NA) appear to further strengthen the relationship between alcohol and availability. Thus, this study examined (e) whether PA and NA moderate the relationship between alcohol availability and craving over time. Method: Experience Sampling Methodology (ESM) was utilized to investigate the association between alcohol availability and craving over 100 consecutive days (N = 10, MAge = 40, 40 % women). Participants received questionnaires 8 times per day concerning their craving, PA, NA, and alcohol availability. Lapses were measured twice, once in the morning for the previous day and once in the evening. Linear Mixed Models were applied to test the associations. Results: Results revealed a positive significant relationship between alcohol availability and craving, concurrently and prospectively, as well as a reciprocal, concurrently, positive relationship between the variables. Lapses were found to be influential on craving and alcohol availability. PA and NA moderated the relationship between alcohol availability and craving. N=1 analysis revealed individual differences in craving responses to alcohol availability and lapses. Conclusion: The present study extends existing literature by shedding light on the persisting influence of alcohol availability on craving over 100 days in AUD patients. Future research is needed to delve deeper into the influence of alcohol availability to help in developing treatment interventions to effectively target craving responses to alcohol availability, PA, NA, and lapses in AUD patients. Keywords: Alcohol Availability, Positive Affect, Negative Affect, Lapses, Craving, Alcohol Use Disorder, AUD, Experience Sampling Methodology
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/103518
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