1
|
Butterworth B, Hand CJ, Lorimer K, Gawrylowicz J. The impact of post-encoding alcohol consumption on episodic memory recall and remember-know responses in heavy drinkers. Front Psychol 2023; 14:1007477. [PMID: 36960000 PMCID: PMC10027770 DOI: 10.3389/fpsyg.2023.1007477] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2022] [Accepted: 02/14/2023] [Indexed: 03/09/2023] Open
Abstract
Introduction People often consume alcohol following trauma, particularly in response to distressing memories. To date, little is known about how post-encoding alcohol consumption influences episodic memory recall for negative events. Understanding these effects may help to improve support for trauma victims - for example, witnesses and victims of crimes. Methods We tested 60 participants who self-described as heavy drinkers. After watching an analog trauma film, half were allocated to consuming a moderate dose of alcohol (Alcohol-Exposed group), while half received a placebo drink (Placebo-Control group). Immediately and after a one-week delay, participants recalled the event via free and cued recall tasks. Participants also gave remember-know responses and confidence ratings, elucidating alcohol's effect on experiential memory. Results Free recall performance was similar for the Alcohol-Exposed group and the Placebo-Control group during Sessions 1 and 2. The Alcohol-Exposed group benefitted more from the delayed repeated retrieval attempt. For the cued recall task, the Alcohol-Exposed group provided more "Do not Know" responses compared to the Placebo-Control group in both sessions. For the Alcohol-Exposed group only "Correct Know" responses increased from Session 1 to 2. Although memory performance improved across sessions, confidence levels decreased from Session 1 to 2 in the Alcohol-Exposed group. Discussion Post-encoding alcohol consumption appears to impact immediate episodic memory retrieval; however, this effect is only temporary in nature. No evidence was found that alcohol primarily reduces remembering responses. Much like previous findings focusing on pre-encoding alcohol consumption (Hagsand et al., 2017), current findings suggest that providing individuals who drank alcohol after witnessing an incident with a delayed repeated retrieval attempt can lead to more complete and accurate testimonies.
Collapse
Affiliation(s)
- Benjamin Butterworth
- Glasgow Caledonian University, Glasgow, United Kingdom
- *Correspondence: Benjamin Butterworth, ; Julie Gawrylowicz,
| | | | - Karen Lorimer
- Glasgow Caledonian University, Glasgow, United Kingdom
| | - Julie Gawrylowicz
- Abertay University, Dundee, United Kingdom
- *Correspondence: Benjamin Butterworth, ; Julie Gawrylowicz,
| |
Collapse
|
2
|
Gierski F, Benzerouk F, Jeanblanc J, Angerville B, Dervaux A, Kaladjian A, Naassila M. Validity and usefulness of the short form of the Drinking Motives Questionnaire Revised (DMQ-R SF) among patients with schizophrenia. Addict Behav 2022; 129:107251. [PMID: 35093808 DOI: 10.1016/j.addbeh.2022.107251] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2021] [Revised: 12/21/2021] [Accepted: 01/14/2022] [Indexed: 11/17/2022]
Abstract
OBJECTIVE Drinking motives are considered to be major predictors of alcohol consumption and alcohol-related problems. However, these motives have been poorly investigated in patients with schizophrenia. The aim of the present study among patients with schizophrenia was twofold: 1) assess the validity of the short form of the Drinking Motives Questionnaire-Revised (DMQ-R SF); and 2) investigate the relationship between drinking motives and comorbid alcohol use disorder (AUD). METHOD A total of 179 patients with schizophrenia were approached to participate in the study. DSM-5 criteria were used to identify patients with comorbid AUD (AUD+; n = 42) and non-abstainers patients without comorbid AUD (AUD-; n = 71). RESULTS A confirmatory factor analysis conducted on items of the DMQ-R SF for the whole sample revealed adequate goodness-of-fit values, while internal consistency indices were globally satisfactory. Group comparisons revealed higher use of alcohol and other substances, as well as stronger drinking motives among AUD + patients, while groups were comparable concerning clinical features of schizophrenia, including psychotic symptom dimensions and severity. Regression analysis showed that the Alcohol Use Disorder Identification Test score was significantly associated with two internal drinking motives: enhancement and coping. CONCLUSIONS Findings suggest that the DMQ-R SF is a reliable tool for assessing drinking motives among patients with schizophrenia. Enhancement and coping motives seem to play a major role in comorbid AUD among these patients. Community-based and clinical treatment programs should take the drinking motives of dual-diagnosis patients into consideration, in order to improve their outcomes.
Collapse
Affiliation(s)
- Fabien Gierski
- Cognition Health Society Laboratory (C2S - EA 6291), University of Reims Champagne Ardenne, Reims, France; Department of Psychiatry, Marne Public Mental Health Institution & Reims University Hospital, Reims, France; Research Group on Alcohol and Dependences, INSERM & University of Picardy Jules Verne, Amiens, France; Department of Psychiatry and Addiction, Amiens University Hospital, Amiens, France; Institute of Psychiatry and Addictions, Paris, France.
| | - Farid Benzerouk
- Cognition Health Society Laboratory (C2S - EA 6291), University of Reims Champagne Ardenne, Reims, France; Department of Psychiatry, Marne Public Mental Health Institution & Reims University Hospital, Reims, France; Institute of Psychiatry and Addictions, Paris, France
| | - Jérôme Jeanblanc
- Research Group on Alcohol and Dependences, INSERM & University of Picardy Jules Verne, Amiens, France; Institute of Psychiatry and Addictions, Paris, France
| | - Bernard Angerville
- Research Group on Alcohol and Dependences, INSERM & University of Picardy Jules Verne, Amiens, France; Department of Psychiatry and Addiction, Amiens University Hospital, Amiens, France; Institute of Psychiatry and Addictions, Paris, France
| | - Alain Dervaux
- Research Group on Alcohol and Dependences, INSERM & University of Picardy Jules Verne, Amiens, France; Department of Psychiatry and Addiction, Amiens University Hospital, Amiens, France; Institute of Psychiatry and Addictions, Paris, France
| | - Arthur Kaladjian
- Cognition Health Society Laboratory (C2S - EA 6291), University of Reims Champagne Ardenne, Reims, France; Department of Psychiatry, Marne Public Mental Health Institution & Reims University Hospital, Reims, France; Institute of Psychiatry and Addictions, Paris, France
| | - Mickaël Naassila
- Research Group on Alcohol and Dependences, INSERM & University of Picardy Jules Verne, Amiens, France; Institute of Psychiatry and Addictions, Paris, France
| |
Collapse
|
3
|
Santora L, Byrne D, Klöckner C. Clusters of older adults with and without experience of alcohol-related harms based on affective motivations for drinking. NORDIC STUDIES ON ALCOHOL AND DRUGS 2022; 39:379-405. [PMID: 36003125 PMCID: PMC9379293 DOI: 10.1177/14550725211073006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2020] [Accepted: 12/22/2021] [Indexed: 11/17/2022] Open
Abstract
Aim: This cross-sectional study explores profiles of community-residing Norwegian older adults (aged 62–95 years) in relation to their personally expressed motives for alcohol use. It specifically investigates drinking motives as they uniquely characterise alcohol consumers reporting problem and non-problem drinking assessed using the Drinking Problem Index (DPI). Methods: Two-step cluster analysis was used to delineate subgroups of alcohol consumers on seven drinking motivation variables, together with DPI score. The clusters were evaluated by gender, physical health and psychological health status. Results: Four clusters of alcohol consumers were identified in relation to drinking motives: Low motivated drinkers, Ambivalent drinkers, Enhancement drinkers, and Coping drinkers. For one subgroup, a strong reliance on alcohol to cope with negative feelings was most relevant to both non-problem and problem drinkers. For another subgroup, enjoying the effects of alcohol, but non-reliance on alcohol to cope with negative mood were associated with reporting drinking problems. Ambivalent drinkers reported overall low satisfaction with mental health. Very poor physical and mental health were more prevalent in men than in women characterised as Coping drinkers. Predominantly mental health status supported distinctiveness of delineated clusters. Conclusion: This study demonstrates that the classification approach to profiling of characteristics of alcohol consumers based on their motivations to drink may have a potential utility in human care settings to identify individuals who incur or may be at risk of developing alcohol-related problems in later life, and those who are not.
Collapse
Affiliation(s)
- Lidia Santora
- Norwegian University of Science and Technology, Trondheim, Norway; and Australian National University, Canberra, Australia
| | - Don Byrne
- Australian National University, Canberra, Australia
| | | |
Collapse
|
4
|
McCabe CT, Mohr CD, Hammer LB, Carlson KF. PTSD Symptomology and Motivated Alcohol Use Among Military Service Members: Testing a Conditional Indirect Effect Model of Social Support. Subst Use Misuse 2019; 54:257-270. [PMID: 30372358 DOI: 10.1080/10826084.2018.1517176] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
BACKGROUND Posttraumatic stress disorder (PTSD) and problematic alcohol use commonly co-occur among military service members. It remains critical to understand why these patterns emerge, and under what conditions. OBJECTIVES This study examined whether PTSD symptoms (PTSS) and alcohol involvement (quantity and frequency of use, heavy episodic drinking, and alcohol problems) are indirectly related through four distinct drinking motivations. A secondary aim was to identify factors, specifically forms of social support, which buffer these associations. METHODS Using baseline data from a randomized-controlled trial of health and well-being among civilian-employed separated service members and reservists, the present study examined these issues using a subsample of 398 current drinkers. RESULTS Parallel mediation models revealed PTSS-alcohol consumption associations were indirect through coping and enhancement motivations. PTSS was only related to alcohol problems through coping motivations. In addition, the indirect effect of PTSS on average level of consumption via coping motives was conditional on perceived support from friends and family, whereas the indirect effect for alcohol problems was conditional only on friend support. In contrast, the indirect effects of PTSS on alcohol consumption variables (but not problems) via enhancement motives were conditional on perceived support from friends and family. Conclusions/Importance: Future research and screening efforts should attend to individual motivations for drinking as important factors related to alcohol use and problems among service members experiencing PTSS, and emphasize the importance of communication, trust, and effective supports among military and nonmilitary friends and family.
Collapse
Affiliation(s)
- Cameron T McCabe
- a Department of Psychology , Portland State University , Portland , Oregon , USA
| | - Cynthia D Mohr
- a Department of Psychology , Portland State University , Portland , Oregon , USA
| | - Leslie B Hammer
- a Department of Psychology , Portland State University , Portland , Oregon , USA.,b Oregon Institute of Occupational Health Sciences , Oregon Health & Science University , Portland , Oregon , USA
| | - Kathleen F Carlson
- c Veterans Affairs (VA) Portland Healthcare System , Oregon Health & Science University , Portland , Oregon , USA.,d School of Public Health , Oregon Health & Science University , Portland , Oregon , USA
| |
Collapse
|
5
|
Labhart F, Kuntsche E, Wicki M, Gmel G. Reciprocal Influences of Drinking Motives on Alcohol Use and Related Consequences: A Full Cross-Lagged Panel Study Among Young Adult Men. Behav Med 2017; 43:277-284. [PMID: 26959722 DOI: 10.1080/08964289.2016.1157057] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
Using a full cross-lagged model, this study investigates the extent to which drinking motives predict alcohol use and related consequences, and vice versa. At baseline and 15 months later, 4575 men (mean age = 19.4 years) in Switzerland completed a questionnaire assessing drinking motives, average weekly consumption, risky single-occasion drinking, and alcohol-related consequences. Results indicated that social and enhancement motives more strongly influenced alcohol use over time than the other way round. Coping motives predicted an increase in alcohol-related consequences, and vice versa. Higher social motives predicted an increase in coping motives while higher coping motives predicted a decrease in enhancement motives. These results suggest that social and enhancement motives amplify each other in early adulthood and predict increases in risky drinking. Structural measures aimed at reducing opportunities to engage in heavy drinking are recommended. Additionally, the detection of young adult men vulnerable to maladaptive coping behaviors appears important for alcohol prevention strategies.
Collapse
Affiliation(s)
| | - Emmanuel Kuntsche
- b Addiction Switzerland and Behavioural Science Institute, Radboud University
| | | | - Gerhard Gmel
- d Addiction Switzerland; Alcohol Treatment Centre, Lausanne University Hospital/CHUV, Switzerland; Centre for Addiction and Mental Health, Toronto; and University of the West of England
| |
Collapse
|