Characteristics of social drinkers with and without a hangover after heavy alcohol consumption

Hogewoning, Anna; Loo, Ajae Van de; Mackus, Marlou; Raasveld, S. J.; Zeeuw, R. De; Bosma, Else; Bouwmeester, N. H.; Brookhuis, K A; Garssen, Johan; Verster, Joris C.

doi:10.2147/sar.s119361

Cited by 54 publications

(89 citation statements)

References 23 publications

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“…In this context, a recent study with a naturalistic design (i.e., participants alcohol consumption is not influenced by the researchers) revealed an estimated peak BAC of 0.18% [7]. Therefore, the aim of this study was to further examine the relationship between sleep quality and duration, and the presence or severity of hangover symptoms, experienced in real life.…”

Section: Introductionmentioning

confidence: 97%

Alcohol Hangover, Sleep Quality, and Daytime Sleepiness

et al. 2017

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Purpose Heavy drinking has been shown to disrupt sleep, increase sleepiness the next day, and produce symptoms collectively referred to as ''hangover''. A survey was conducted to determine the impact of heavy alcohol consumption on sleep, daytime sleepiness, and hangover severity. Methods N = 335 adults, experienced with alcohol hangover, completed a survey of sleep quality, daytime sleepiness, and hangover symptoms comparing a heavy drinking occasion with a non-alcohol occasion. Data from those who reported [5-h sleep on the alcohol occasion were compared to those reporting \5-h sleep. Results Participants consumed on average 22.4 (SD 16.8) alcoholic drinks per week. On their last heavy drinking session that produced a hangover, the number of alcoholic drinks they consumed equaled 14.3 (SD 8.2). Relative to a normal night of sleep, sleep quality was significantly worse after the last drinking session (p \ 0.006), and the following day daytime sleepiness was significantly increased (p \ 0.0001). When controlling for alcohol quantity, daytime sleepiness significantly correlated to overall hangover severity, whereas sleep quality and duration did not.Conclusion Heavy alcohol consumption significantly reduces sleep quality, and significantly increases daytime sleepiness the following day.

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Section: Introductionmentioning

confidence: 97%

Alcohol Hangover, Sleep Quality, and Daytime Sleepiness

et al. 2017

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“…Notwithstanding these limitations, the three hangover symptom scales are currently the most frequently used scales to assess hangover severity. Other researchers such as Hogewoning et al [17] have been using an extended symptom listing, including all symptoms of the three hangover symptom scales.…”

Section: Introductionmentioning

confidence: 99%

The Assessment of Overall Hangover Severity

Verster

Loo

Benson

et al. 2020

JCM

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The aim of this study was to critically evaluate and compare the different methods to assess overall hangover severity. Currently, there are three multi-item hangover scales that are commonly used for this purpose. All of them comprise a number of hangover symptoms for which an average score is calculated. These scales were compared to a single, 1-item scale assessing overall hangover severity. The results showed that the hangover symptom scales significantly underestimate (subjective) hangover severity, as assessed with a 1-item overall hangover severity scale. A possible reason for this could be that overall hangover severity varies, depending on the frequency of occurrence of individual symptoms included in the respective scale. In contrast, it can be assumed that, when completing a 1-item overall hangover scale, the rating includes all possible hangover symptoms and their impact on cognitive and physical functioning and mood, thus better reflecting the actually experienced hangover severity. On the other hand, solely relying on hangover symptom scales may yield false positives in subjects who report not having a hangover. When the average symptom score is greater than zero, this may lead to non-hungover subjects being categorized as having a hangover, as many of the somatic and psychological hangover symptoms may also be experienced without consuming alcohol (e.g., having a headache). Taken together, the current analyses suggest that a 1-item overall hangover score is superior to hangover symptom scales in accurately assessing overall hangover severity. We therefore recommend using a 1-item overall hangover rating as primary endpoint in future hangover studies that aim to assess overall hangover severity. and naturalistic studies, in intervention studies examining treatment efficacy, and in survey research. Generally, they may be filled in by any drinker of all (adult) ages and in any drinking-related (research) context. There is, however, ongoing debate about which measure of hangover severity is most suitable. In this paper, we compare the three most widely used hangover symptom scales with a 1-item overall hangover severity rating, and discusses why the latter is a more reliable and useful measure to be included in future hangover research.

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“…Given the diversity of hangover symptoms across the scales, researchers have also combined the different hangover items from the three scales into a new 22‐item scale, assessing them all. In addition, a one‐item overall hangover severity score is used to replace the symptom‐based sum score (Hogewoning et al, ; Van de Loo et al, ).…”

Section: Introductionmentioning

confidence: 99%

The impact of alcohol hangover symptoms on cognitive and physical functioning, and mood

Lantman

Mackus

Loo

et al. 2017

Human Psychopharmacology

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Hangover research often records the presence and severity of symptoms experienced the day after heavy alcohol consumption. However, usually no information is gathered on the impact of experiencing these symptoms on mood, cognition, and physical activities.An online survey was held among Dutch students, aged 18–30 years, who recently had a hangover. Overall hangover severity (i.e., a single 1‐item rating) and the severity of 22 individual symptoms were rated on an 11‐point scale ranging from 0 (absent) to 10 (extreme). In addition, for each symptom, participants were asked to rate their respective negative impact on (a) cognitive functioning, (b) physical functioning, and (c) mood, on a 6‐point Likert scale ranging from 0 (no impact) to 5 (extreme). N = 1837 subjects completed the survey. The mean (SD) overall (1‐item) hangover severity score was 6.1 (1.9). Sleepiness, being tired, thirst, and concentration problems were the most frequently reported hangover symptoms. These symptoms also reached the highest severity scores (ranging from 6.3 to 7.0). The 4 symptoms with the biggest combined impact on mood, and cognitive and physical functioning were being tired, sleepiness, headache, and concentration problems. In conclusion, whereas severity and impact scores usually correspond well, some frequently reported symptoms with moderate to high severity scores had little impact on mood, and cognitive and physical functioning (i.e., reduced appetite, regret, and thirst).

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Characteristics of social drinkers with and without a hangover after heavy alcohol consumption

Cited by 54 publications

References 23 publications

Alcohol Hangover, Sleep Quality, and Daytime Sleepiness

Alcohol Hangover, Sleep Quality, and Daytime Sleepiness

The Assessment of Overall Hangover Severity

The impact of alcohol hangover symptoms on cognitive and physical functioning, and mood

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