1. Reward, relief, and habit drinking profiles in treatment seeking individuals with an AUD
- Author
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Grodin, Erica N, Baskerville, Wave-Ananda, Meredith, Lindsay R, Nieto, Steven, and Ray, Lara A
- Subjects
Biological Psychology ,Psychology ,Clinical Trials and Supportive Activities ,Substance Misuse ,Clinical Research ,Brain Disorders ,Behavioral and Social Science ,Alcoholism ,Alcohol Use and Health ,Basic Behavioral and Social Science ,6.1 Pharmaceuticals ,Evaluation of treatments and therapeutic interventions ,Stroke ,Cardiovascular ,Mental health ,Oral and gastrointestinal ,Cancer ,Good Health and Well Being ,Humans ,Male ,Female ,Reward ,Alcoholism ,Alcohol Drinking ,Adult ,Middle Aged ,Double-Blind Method ,Habits ,Patient Acceptance of Health Care ,Affect ,Craving ,relief ,reward ,habit ,AUD - Abstract
AimsThis study aimed to compare reward, relief, and habit treatment-seeking individuals on recent drinking, alcohol use disorder (AUD) phenomenology, and mood. The second aim of the study was to evaluate the predictive validity of reward, relief, and habit profiles.MethodTreatment-seeking individuals with an AUD (n = 169) were recruited to participate in a medication trial for AUD (NCT03594435). Reward, relief, and habit drinking groups were assessed using the UCLA Reward Relief Habit Drinking Scale. Group differences at baseline were evaluated using univariate analyses of variance. A subset of participants were enrolled in a 12-week, double-blind, placebo-controlled medication trial (n = 102), and provided longitudinal drinking and phenomenology data. The predictive validity of group membership was assessed using linear regression analyses.ResultsAt baseline, individuals who drink primarily for relief had higher craving and negative mood than those who drink for reward and habit. Prospectively, membership in the relief drinking group predicted greater alcohol use, greater heavy drinking, and fewer days abstinent compared to those in the reward drinking group. Membership in the relief drinking group also predicted greater alcohol craving, more alcohol-related consequences, and more anxiety symptoms over 12 weeks compared to those in the reward drinking group.ConclusionsThis study provides support for reward and relief drinking motive profiles in treatment-seeking individuals with an AUD. Membership in the relief drinking motive group was predictive of poorer drinking outcomes and more negative symptomology over 12 weeks, indicating that individuals who drink for relief may be a particularly vulnerable sub-population of individuals with AUD.
- Published
- 2024