Motivational factors and negative affectivity as predictors of alcohol craving

Pombo, Samuel; Figueira, Maria Luísa; Walter, Henrik; Lesch, Otto Michael

doi:10.1016/j.psychres.2016.02.064

Cited by 33 publications

(31 citation statements)

References 57 publications

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“…This is not in line with previous literature showing that negative affectivity, both as a dispositional characteristic (eg, negative affectivity or neuroticism) and as a transient mood state, plays a key role in the craving experience 24,25,46. However, we found that patients with baseline medium–high craving had a significantly smaller reduction in their anxiety and depression levels during treatment compared to the group with low craving.…”

Section: Discussioncontrasting

confidence: 85%

Motivation to change and posttreatment temptation to drink: a multicenter study among alcohol-dependent patients

Fiabane¹,

Ottonello²,

Zavan³

et al. 2017

NDT

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BackgroundAn inpatient 28-day rehabilitation program for alcohol dependence is focused on detoxification, enhancing motivation to change, and coping strategies for the management of emotional distress and temptation to drink. The aims of the present study were to investigate 1) changes over time in motivation to change, anxiety, and depression in individuals undergoing residential rehabilitation treatment for alcohol addiction, and 2) which pretreatment factors are associated with posttreatment temptation to drink.MethodsWe assessed 432 patients diagnosed with alcohol dependence based on the Diagnostic and Statistical Manual of Mental Disorders (Fourth Edition, Text Revision) consecutively recruited from seven residential rehabilitation centers in Northern Italy. Patients were assessed by means of self-report questionnaires at the beginning of rehabilitation (pretreatment) and before their hospital discharge (posttreatment) regarding motivation to change and self-efficacy (motivation assessment of change – alcoholism version), readiness to change and temptation to drink (visual analog scales), and depression and anxiety (cognitive behavioral assessment – outcome evaluation).ResultsResults showed an overall improvement in motivation to change and a significant reduction over time in depression and anxiety levels for the total sample, particularly patients with low baseline level of temptation to drink. Multivariate linear regression analysis revealed that significant predictors of posttreatment temptation to drink were polysubstance dependence (p<0.001), readiness to change (p=0.01), and self-efficacy (p=0.05).ConclusionInpatients’ rehabilitation for alcohol dependence is associated with an overall improvement in motivation to change and a significant reduction of psychological distress. Treatments for alcohol-dependent patients should focus on motivation to change, negative moods, and relapse prevention strategies for the management of craving.

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Section: Discussioncontrasting

confidence: 85%

Motivation to change and posttreatment temptation to drink: a multicenter study among alcohol-dependent patients

Fiabane¹,

Ottonello²,

Zavan³

et al. 2017

NDT

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“…Thus, after such learning has occurred, negative emotions trigger the desire for alcohol, which in the immediate absence of alcohol is experienced as craving, increasing the likelihood to relapse . In fact, as previously reported, relapse, alcohol craving and mood disturbances are linked and there is an association between craving, relapse and cyclothymia/labile and unstable temperaments . Personality modulates the incentive power of alcohol cues and exacerbates mood instability playing an important role in the early onset or relapse of AUD …”

Section: Discussionmentioning

confidence: 87%

“…The tendency to this alternating pattern of emotional highs and lows increases the likelihood to act impulsively, to use immature defence mechanisms (like acting out) and to have low self‐directedness, all of which are known predictors of abstinence violation . Patients with poor judgment about their own ability to reach goals and to deal with reality, in combination with emotional volatility, are particularly prone to experience craving and to act on craving rather than controlling it and therefore tend to relapse . Stress vulnerability and mood instability may modulate craving, may influence the individual's response to environment and may increase the number of triggers for alcohol desire.…”

Section: Discussionmentioning

confidence: 99%

“…23,28,53 Patients with poor judgment about their own ability to reach goals and to deal with reality, in combination with emotional volatility, are particularly prone to experience craving and to act on craving rather than controlling it and therefore tend to relapse. 54 Stress vulnerability and mood instability may modulate craving, may influence the individual's response to environment and may increase the number of triggers for alcohol desire. For instance, the behavioural learning models postulate that patients learn to use alcohol because alcohol can temporarily alleviate painful emotions like anxiety, anger, irritability or sadness.…”

Section: Discussionmentioning

confidence: 99%

“…55 In fact, as previously reported, relapse, alcohol craving and mood disturbances are linked 56 and there is an association between craving, relapse and cyclothymia/labile and unstable temperaments. 24,30,54 Personality modulates the incentive power of alcohol cues and exacerbates mood instability playing an important role in the early onset or relapse of AUD. 37 Besides cyclothymic affective temperament, our results also show that alcohol-dependent patients who are younger, who started to abuse and depend on alcohol at an earlier age and who had other drug consumptions are more likely to relapse during the period of 3-month follow-up.…”

Section: Discussionmentioning

confidence: 99%

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The role of affective temperament as a predictor of relapse in alcohol dependence

Paulino

Pombo

Ismail

et al. 2017

Personality and Mental Health

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Psychometric investigation of the Chinese version of the Habit, Reward and Fear Scale (HRFS)

Hong

et al. 2021

Brain and Behavior

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Background: Tobacco use is one of the most important risk factors for health, and China is the largest producer and consumer of tobacco in the world. Monitoring and controlling the tobacco epidemic is an important issue. However, the motivation underlying smoking behavior is complex and specific to the individual. The Habit, Reward and Fear Scale (HRFS) is a feasible tool to evaluate this complex motivation.Objectives: To validate the psychometric properties of the HRFS Chinese version (HRFS-C) and to assess the relationship between motivation and smoking behavior. Method: We recruited 967 participants through social media and assessed their smoking behavior with three instruments: the Fagerstrom Test for Nicotine Dependence-Chinese version (FTND-C), the Questionnaire on Smoking Urges-Brief Scale-Chinese version (QSU-brief-C), and the HRFS-C. Ultimately, we retained 700 valid data points. Cronbach's α and split-half tests were used to evaluate the reliability. Confirmatory factor analysis, Pearson's r and an analysis of variance (ANOVA) were used to evaluate the validity. In addition, linear regression was used to explore the relationship among the three instruments. The HRFS-C showed good homogeneity (α = 0.965), concurrent validity, and discriminant validity. A significant linear relationship was observed among the FTND-C, QSU-brief-C, and HRFS-C (p < .001). Conclusion: The motivation measured by the HRFS-C can significantly predict nicotine dependence and craving in the smoking population. The HRFS-C can be used to carry out targeted interventions for addicted patients (e.g., motivational enhancement therapy).

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Motivational factors and negative affectivity as predictors of alcohol craving

Cited by 33 publications

References 57 publications

Motivation to change and posttreatment temptation to drink: a multicenter study among alcohol-dependent patients

Motivation to change and posttreatment temptation to drink: a multicenter study among alcohol-dependent patients

The role of affective temperament as a predictor of relapse in alcohol dependence

Psychometric investigation of the Chinese version of the Habit, Reward and Fear Scale (HRFS)

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