Relationship between alcohol craving dimensions and features of comorbid mental health in an alcohol dependent sample

Brandon Cheng; Jason M Coates; Matthew J Gullo; Gerald F X Feeney; David J Kavanagh; Ross McD Young; Jason P Connor

doi:10.1016/j.addbeh.2021.107106

Relationship between alcohol craving dimensions and features of comorbid mental health in an alcohol dependent sample

Addict Behav. 2022 Jan:124:107106. doi: 10.1016/j.addbeh.2021.107106. Epub 2021 Aug 31.

Authors

Brandon Cheng¹, Jason M Coates², Matthew J Gullo³, Gerald F X Feeney⁴, David J Kavanagh⁵, Ross McD Young⁶, Jason P Connor⁷

Affiliations

¹ School of Psychology, The University of Queensland, Brisbane, Queensland, Australia; National Centre for Youth Substance Use Research, Faculty of Health and Behavioural Sciences, The University of Queensland, Brisbane, Queensland, Australia. Electronic address: brandon.cheng@uq.edu.au.
² National Centre for Youth Substance Use Research, Faculty of Health and Behavioural Sciences, The University of Queensland, Brisbane, Queensland, Australia; Alcohol and Drug Assessment Unit, Division of Medicine, Princess Alexandra Hospital, Brisbane, Queensland, Australia. Electronic address: j.coates@uq.edu.au.
³ National Centre for Youth Substance Use Research, Faculty of Health and Behavioural Sciences, The University of Queensland, Brisbane, Queensland, Australia; Alcohol and Drug Assessment Unit, Division of Medicine, Princess Alexandra Hospital, Brisbane, Queensland, Australia. Electronic address: m.gullo@uq.edu.au.
⁴ National Centre for Youth Substance Use Research, Faculty of Health and Behavioural Sciences, The University of Queensland, Brisbane, Queensland, Australia; Alcohol and Drug Assessment Unit, Division of Medicine, Princess Alexandra Hospital, Brisbane, Queensland, Australia. Electronic address: Gerald.Feeney@health.qld.gov.au.
⁵ School of Psychology, Faculty of Health, Queensland University of Technology, Brisbane, Queensland, Australia. Electronic address: david.kavanagh@qut.edu.au.
⁶ National Centre for Youth Substance Use Research, Faculty of Health and Behavioural Sciences, The University of Queensland, Brisbane, Queensland, Australia; Alcohol and Drug Assessment Unit, Division of Medicine, Princess Alexandra Hospital, Brisbane, Queensland, Australia; School of Psychology, Faculty of Health, Queensland University of Technology, Brisbane, Queensland, Australia; Jamieson Trauma Institute, Metro North Health, Brisbane, Queensland, Australia. Electronic address: r.young@uq.edu.au.
⁷ National Centre for Youth Substance Use Research, Faculty of Health and Behavioural Sciences, The University of Queensland, Brisbane, Queensland, Australia; Alcohol and Drug Assessment Unit, Division of Medicine, Princess Alexandra Hospital, Brisbane, Queensland, Australia; Discipline of Psychiatry, Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia. Electronic address: jason.connor@uq.edu.au.

PMID: 34530206
DOI: 10.1016/j.addbeh.2021.107106

Abstract

Background and aims: Negative affect and alcohol craving are common features of Alcohol Use Disorder (AUD). Both independently contribute to AUD severity and poorer treatment outcomes, but their relationship is poorly understood. Multidimensional alcohol craving measures now allow for examination of key dimensions of craving. This study explored the relationship between depression, anxiety, stress, and the alcohol craving dimensions of intensity, imagery and intrusiveness.

Method: Five-hundred and twenty-five treatment seeking AUD patients (mean age of 39.79 years, SD = 11.57 years, 67% male) completed the Depression Anxiety Stress Scales (DASS), Alcohol Use Disorder Identification Test-Consumption items (AUDIT-C), and Alcohol Craving Experience (ACE-F) questionnaire, which measured the frequency of craving intensity, imagery and intrusiveness. Regression models predicted main effects of predictors and moderation by alcohol consumption.

Results: Higher levels of stress were independently associated with increased craving intensity, imagery and intrusiveness. Significant positive associations were also found between anxiety and craving imagery. The association between depression and craving was not significant after controlling for other predictors.

Conclusions: AUD patients experienced higher cravings when stressed and greater imagery when anxious. These results support the need to consider the relationships between stress and craving when managing alcohol dependence.

Keywords: Alcohol; Alcohol craving; Alcohol use disorder; Mental health.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Adult
Alcohol Drinking
Alcoholism* / epidemiology
Anxiety / epidemiology
Craving*
Female
Humans
Male
Mental Health