Alcohol Dependent Patients Have Weak Negative Rather Than Strong Positive Implicit Alcohol Associations

Overview

Journal Psychopharmacology (Berl)

Specialty Pharmacology

Date 2013 Mar 19

PMID 23503702

Citations 8

Authors

Joanne M Dickson

Claire Gately

Matt Field

Affiliations

Soon will be listed here.

Abstract

Rationale: Alcohol dependence is characterised by motivational conflict (or ambivalence) in controlled cognitive processes, but it is unclear if ambivalence also exists within automatic cognitive processes, and if ambivalence operates between controlled and automatic processes.

Objective: To investigate ambivalence operating within and between controlled and automatic processes in alcohol dependence.

Method: Alcohol-dependent patients who had recently completed inpatient alcohol detoxification (N = 47) and social drinking controls (N = 40) completed unipolar implicit association tests and self-report measures of alcohol approach and avoidance motivation and alcohol outcome expectancies.

Results: As predicted, both positive and negative alcohol outcome expectancies were stronger in alcohol-dependent patients compared to controls, indicative of ambivalence. Groups did not differ on implicit alcohol-positive associations, but alcohol-dependent participants had significantly weaker alcohol-negative associations than controls. Regression analyses revealed that implicit negative associations accounted for unique variance in group membership after controlling for alcohol outcome expectancies.

Conclusions: Our findings demonstrate that alcohol dependent patients possess weak automatic alcohol-negative associations but not strong automatic alcohol-positive associations, and they suggest the presence of conflict between controlled and automatic processes with regard to negative alcohol cognitions.

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References

De Houwer J, Crombez G, Koster E, De Beul N . Implicit alcohol-related cognitions in a clinical sample of heavy drinkers. J Behav Ther Exp Psychiatry. 2004; 35(4):275-86. DOI: 10.1016/j.jbtep.2004.05.001. View

McEvoy P, Stritzke W, French D, Lang A, Ketterman R . Comparison of three models of alcohol craving in young adults: a cross-validation. Addiction. 2004; 99(4):482-97. DOI: 10.1111/j.1360-0443.2004.00714.x. View

Lee N, Greely J, Oei T . The relationship of positive and negative alcohol expectancies to patterns of consumption of alcohol in social drinkers. Addict Behav. 1999; 24(3):359-69. DOI: 10.1016/s0306-4603(98)00091-4. View

Zigmond A, SNAITH R . The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983; 67(6):361-70. DOI: 10.1111/j.1600-0447.1983.tb09716.x. View

Breiner M, Stritzke W, Lang A . Approaching avoidance. A step essential to the understanding of craving. Alcohol Res Health. 2000; 23(3):197-206. PMC: 6760377. View

Houben K, Wiers R . Implicitly positive about alcohol? Implicit positive associations predict drinking behavior. Addict Behav. 2008; 33(8):979-86. DOI: 10.1016/j.addbeh.2008.03.002. View

Jones B, Corbin W, Fromme K . A review of expectancy theory and alcohol consumption. Addiction. 2001; 96(1):57-72. DOI: 10.1046/j.1360-0443.2001.961575.x. View

Reich R, Below M, Goldman M . Explicit and implicit measures of expectancy and related alcohol cognitions: a meta-analytic comparison. Psychol Addict Behav. 2010; 24(1):13-25. PMC: 2845325. DOI: 10.1037/a0016556. View

Cox W, Klinger E . A motivational model of alcohol use. J Abnorm Psychol. 1988; 97(2):168-80. DOI: 10.1037//0021-843x.97.2.168. View

10.

Young R, Connor J, Feeney G . Alcohol expectancy changes over a 12-week cognitive-behavioral therapy program are predictive of treatment success. J Subst Abuse Treat. 2010; 40(1):18-25. DOI: 10.1016/j.jsat.2010.08.003. View

11.

Spada M, Wells A . Metacognitive beliefs about alcohol use: development and validation of two self-report scales. Addict Behav. 2007; 33(4):515-27. DOI: 10.1016/j.addbeh.2007.10.011. View

12.

Miller W . Motivational interviewing: research, practice, and puzzles. Addict Behav. 1996; 21(6):835-42. DOI: 10.1016/0306-4603(96)00044-5. View

13.

Connors G, OFarrell T, Cutter H, Thompson D . Alcohol expectancies among male alcoholics, problem drinkers, and nonproblem drinkers. Alcohol Clin Exp Res. 1986; 10(6):667-71. DOI: 10.1111/j.1530-0277.1986.tb05165.x. View

14.

Jajodia A, Earleywine M . Measuring alcohol expectancies with the implicit association test. Psychol Addict Behav. 2003; 17(2):126-33. DOI: 10.1037/0893-164x.17.2.126. View

15.

Jones B, McMahon J . A comparison of positive and negative alcohol expectancy and value and their multiplicative composite as predictors of post-treatment abstinence survivorship. Addiction. 1996; 91(1):89-99. DOI: 10.1046/j.1360-0443.1996.9118911.x. View

16.

Spruyt A, De Houwer J, Tibboel H, Verschuere B, Crombez G, Verbanck P . On the predictive validity of automatically activated approach/avoidance tendencies in abstaining alcohol-dependent patients. Drug Alcohol Depend. 2012; 127(1-3):81-6. DOI: 10.1016/j.drugalcdep.2012.06.019. View

17.

Brinol P, Petty R, Wheeler S . Discrepancies between explicit and implicit self-concepts: Consequences for information processing. J Pers Soc Psychol. 2006; 91(1):154-70. DOI: 10.1037/0022-3514.91.1.154. View

18.

Li H, Dingle G . Using the Drinking Expectancy Questionnaire (revised scoring method) in clinical practice. Addict Behav. 2011; 37(2):198-204. DOI: 10.1016/j.addbeh.2011.10.002. View

19.

Noel X, Van der Linden M, dAcremont M, Colmant M, Hanak C, Pelc I . Cognitive biases toward alcohol-related words and executive deficits in polysubstance abusers with alcoholism. Addiction. 2005; 100(9):1302-9. DOI: 10.1111/j.1360-0443.2005.01125.x. View

20.

Heather N . A conceptual framework for explaining drug addiction. J Psychopharmacol. 1998; 12(1):3-7. DOI: 10.1177/026988119801200101. View