Alcohol (Fayetteville, N.Y.) · 2026
The role of emotion dysregulation, illness-related depression, and general anxiety in hangover anxiety.
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Tellez-Monnery Kristin, Weber Ann M
Аннотация
OBJECTIVES: Anxiety during hangovers, a common yet understudied phenomenon, may be influenced by psychological factors prior to or concurrent with the hangover event. Alcohol intake levels; general anxiety and depression; depression symptoms during acute physical illness; state- and trait-based emotion dysregulation; and repetitive negative thinking (RNT) were examined.
METHODS: Participants reporting current alcohol consumption (n = 217) completed baseline assessments of psychological traits. Two-week follow-up (n = 136) captured state-based factors and hangover outcomes. Participants reporting hangovers (n = 39) completed symptom assessments. Anxiety severity was assessed when reporting any anxiety during hangovers, and zero severity assigned otherwise. Non-hangover participants were excluded from analyses. Non-parametric (random forest) and parametric (lasso regression) models that are insensitive to multicollinearity were used to identify psychological factors most strongly associated with hangover anxiety.
RESULTS: State-based emotion dysregulation was the most important explanatory factor in the random forest model, followed by illness-related depression, general anxiety, trait emotion dysregulation, state- and trait-based RNT, and general depression. Baseline and follow-up alcohol intake showed minimal relevance in explaining hangover anxiety severity. Lasso regression also selected state-based emotion dysregulation and general anxiety as relevant explanatory factors.
CONCLUSIONS: Variables most strongly associated with hangover anxiety were state-based emotion dysregulation, illness-related depression, and general anxiety. The role of illness-related depression may reflect underlying inflammation or unique psychological mechanisms. State-based emotion dysregulation and inflammation emerged as relevant factors warranting additional study in the context of hangover anxiety intervention development. Additionally, findings underscore the higher probability of hangover anxiety among individuals with elevated general anxiety.
METHODS: Participants reporting current alcohol consumption (n = 217) completed baseline assessments of psychological traits. Two-week follow-up (n = 136) captured state-based factors and hangover outcomes. Participants reporting hangovers (n = 39) completed symptom assessments. Anxiety severity was assessed when reporting any anxiety during hangovers, and zero severity assigned otherwise. Non-hangover participants were excluded from analyses. Non-parametric (random forest) and parametric (lasso regression) models that are insensitive to multicollinearity were used to identify psychological factors most strongly associated with hangover anxiety.
RESULTS: State-based emotion dysregulation was the most important explanatory factor in the random forest model, followed by illness-related depression, general anxiety, trait emotion dysregulation, state- and trait-based RNT, and general depression. Baseline and follow-up alcohol intake showed minimal relevance in explaining hangover anxiety severity. Lasso regression also selected state-based emotion dysregulation and general anxiety as relevant explanatory factors.
CONCLUSIONS: Variables most strongly associated with hangover anxiety were state-based emotion dysregulation, illness-related depression, and general anxiety. The role of illness-related depression may reflect underlying inflammation or unique psychological mechanisms. State-based emotion dysregulation and inflammation emerged as relevant factors warranting additional study in the context of hangover anxiety intervention development. Additionally, findings underscore the higher probability of hangover anxiety among individuals with elevated general anxiety.