Alcohol, clinical & experimental research · 2026
Relations between impulsivity and drinking in adults with alcohol use disorder during recovery: A longitudinal observational cohort study.
СтатьяНаблюдательное исследованиеНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Garber Molly L, Belisario Kyla L, Doggett Amanda, Clifton Allan, Kelly John F, MacKillop James
Аннотация
BACKGROUND: Impulsivity is a multifaceted construct robustly associated with alcohol use disorder (AUD). Few studies, however, have examined its relations with drinking during a recovery attempt, and those that have typically used coarse measurements with few follow-up periods. This study examined prospective and reciprocal relations between multiple indices of impulsivity and drinking over a 1-year period among adults with AUD making a significant recovery attempt.
METHODS: Participants (N = 501, Mage = 41.4, 42.5% Male, 79% White) were enrolled at two sites. Longitudinal trajectories of alcohol use and impulsivity were examined using mixed effects and random-intercept cross-lagged panel models. Drinking variables included drinks per week (DpW), percent drinking days (%DD), and heavy drinking days (%HDD). Impulsivity variables included Negative/Positive Urgency, Sensation Seeking, Lack of Premeditation, Lack of Perseverance, and a delay discounting task.
RESULTS: Compared with baseline, significant decreases in multiple facets of impulsivity were observed during the follow-up. The most robust relations were for Negative Urgency, with bidirectional cross-lagged effects observed for all drinking outcomes (βs = 0.09-0.18, ps < 0.05) from months 3-12. Similarly, Positive Urgency forecasted subsequent %DD months 3-12 (βs = 0.06-0.08, ps < 0.05), and Lack of Perseverance predicted %HDD (βs = 0.062-0.066, ps < 0.05) from months 3-12. In other cases, drinking forecasted changes in impulsivity over time.
CONCLUSIONS: Findings highlight the malleability and predictive validity of impulsivity during AUD recovery, but reveal potential specificity by indicator and timeframe. The consistent later-stage bidirectional associations between Negative Urgency and drinking suggest the importance of continuing to address negative emotion regulation during the AUD recovery process.
METHODS: Participants (N = 501, Mage = 41.4, 42.5% Male, 79% White) were enrolled at two sites. Longitudinal trajectories of alcohol use and impulsivity were examined using mixed effects and random-intercept cross-lagged panel models. Drinking variables included drinks per week (DpW), percent drinking days (%DD), and heavy drinking days (%HDD). Impulsivity variables included Negative/Positive Urgency, Sensation Seeking, Lack of Premeditation, Lack of Perseverance, and a delay discounting task.
RESULTS: Compared with baseline, significant decreases in multiple facets of impulsivity were observed during the follow-up. The most robust relations were for Negative Urgency, with bidirectional cross-lagged effects observed for all drinking outcomes (βs = 0.09-0.18, ps < 0.05) from months 3-12. Similarly, Positive Urgency forecasted subsequent %DD months 3-12 (βs = 0.06-0.08, ps < 0.05), and Lack of Perseverance predicted %HDD (βs = 0.062-0.066, ps < 0.05) from months 3-12. In other cases, drinking forecasted changes in impulsivity over time.
CONCLUSIONS: Findings highlight the malleability and predictive validity of impulsivity during AUD recovery, but reveal potential specificity by indicator and timeframe. The consistent later-stage bidirectional associations between Negative Urgency and drinking suggest the importance of continuing to address negative emotion regulation during the AUD recovery process.