Do daily fluctuations in inhibitory control predict alcohol consumption? An ecological momentary assessment study.

Do daily fluctuations in inhibitory control predict alcohol consumption? An ecological momentary assessment study.
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DOI:
10.1007/s00213-018-4860-5
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发表时间:
2018-05
期刊:
影响因子:
3.4
通讯作者:
Field M
Field M
中科院分区:
医学3区
文献类型:
--
作者:
Jones A;Tiplady B;Houben K;Nederkoorn C;Field M

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抑制控制不足预示着实验室中酒精消耗量的增加;然而,人们对自然现实世界环境中的这种关系知之甚少。在本研究中,我们采用生态瞬时评估方法来研究现实世界中抑制控制与饮酒之间的关系。那些有动力减少饮酒量的重度饮酒者(N = 100)被借给了一部智能手机,该智能手机每天在上午 10 点到下午 6 点之间的随机时间间隔执行两次停止信号任务。持续 2 周。每天,参与者还记录他们计划和实际的饮酒量以及他们的主观渴望和情绪。我们假设抑制控制(停止信号反应时间)的日常波动将预测酒精消耗量,超过计划的消耗量和渴望。多水平模型表明,每日饮酒量是通过计划饮酒量(β = .816;95% CI .762–.870)和渴望(β = .022;95% CI .013–.031)来预测的,但抑制控制并不能预测饮酒量的任何额外变化。然而,二次分析表明,在控制了计划消费和渴望后,全天抑制控制恶化的程度是当天饮酒量增加的重要预测因素(β = .007;95% CI .004–.011)。这些发现表明,抑制控制的短期波动可以预测饮酒量,这表明抑制的短暂波动可能是酗酒事件的危险因素。本文的在线版本 (10.1007/s00213-018-4860-5) 包含补充材料,可供授权用户使用。
Deficient inhibitory control is predictive of increased alcohol consumption in the laboratory; however, little is known about this relationship in naturalistic, real-world settings. In the present study, we implemented ecological momentary assessment methods to investigate the relationship between inhibitory control and alcohol consumption in the real world. Heavy drinkers who were motivated to reduce their alcohol consumption (N = 100) were loaned a smartphone which administered a stop signal task twice per day at random intervals between 10 a.m. and 6 p.m. for 2 weeks. Each day, participants also recorded their planned and actual alcohol consumption and their subjective craving and mood. We hypothesised that day-to-day fluctuations in inhibitory control (stop signal reaction time) would predict alcohol consumption, over and above planned consumption and craving. Multilevel modelling demonstrated that daily alcohol consumption was predicted by planned consumption (β = .816; 95% CI .762–.870) and craving (β = .022; 95% CI .013–.031), but inhibitory control did not predict any additional variance in alcohol consumption. However, secondary analyses demonstrated that the magnitude of deterioration in inhibitory control across the day was a significant predictor of increased alcohol consumption on that day (β = .007; 95% CI .004–.011), after controlling for planned consumption and craving. These findings demonstrate that short-term fluctuations in inhibitory control predict alcohol consumption, which suggests that transient fluctuations in inhibition may be a risk factor for heavy drinking episodes. The online version of this article (10.1007/s00213-018-4860-5) contains supplementary material, which is available to authorized users.
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