Background
Researchers have suggested that binge drinkers experience disproportionate increases in impulsivity during the initial period of drinking, leading to a loss of control over further drinking, and that serotonergic mechanisms may underlie such effects.
Methods
We examined the effects of a simulated-alcohol binge and tryptophan depletion on three types of impulsivity: response initiation (IMT task), response inhibition (GoStop task), and delay discounting (SKIP task), and tested whether observed effects were related to “real world” binge drinking. 179 adults with diverse drinking histories completed a within-subject crossover design over 4 experimental days. Each day, participants underwent one of four test conditions: tryptophan depletion/alcohol, tryptophan depletion/placebo, tryptophan balanced control/alcohol, or tryptophan balanced control/placebo. The simulated binge involved consuming 0.3 g/kg of alcohol at 5, 6, and 7 hours after consuming the tryptophan depletion/balanced mixture. Impulsivity was measured before and after each drink.
Results
Relative to the placebo beverage condition, when alcohol was consumed, impulsive responding was increased at moderate and high levels of intoxication on the IMT and GoStop, but only at high levels of intoxication on the SKIP. Tryptophan depletion had no effect on impulsivity measured under either placebo or alcohol beverage conditions. Effects of alcohol and tryptophan manipulations on impulsivity were unrelated to patterns of binge drinking outside the laboratory.
Conclusion
The effects of alcohol consumption on impulsivity depend on the component of impulsivity being measured and the dose of alcohol consumed. Such effects do not appear to be a result of reduced serotonin synthesis. Additionally, “real world” binge drinking behaviors were unrelated to behavioral changes observed in the laboratory.