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Updated: Aug 15, 2026

Chronic Intermittent Ethanol Vapor Exposure Paired with Two-Bottle Choice to Model Alcohol Use Disorder
Published on: June 23, 2023
Volume intake and craving in alcohol withdrawal
Thomas Hillemacher1, Kristina Bayerlein, Julia Wilhelm
1Department of Psychiatry and Psychotherapy, University of Erlangen-Nuremberg, Schwabachanlage 6, D-91054 Erlangen, Germany. thomas.hillemacher@psych.imed.uni-erlangen.de
Daily alcohol volume intake, not ethanol content, is linked to craving in men during alcohol withdrawal. This suggests volume-regulating mechanisms may play a role in alcohol dependence.
Area of Science:
- Neuroscience
- Addiction Medicine
- Psychiatry
Background:
- Alcohol craving is a key factor in alcohol use disorder.
- Previous research suggests beer consumption, unlike wine or spirits, is linked to craving.
- The role of total beverage volume versus ethanol content in craving requires further investigation.
Purpose of the Study:
- To investigate the association between daily volume intake of alcoholic beverages and craving in male patients undergoing alcohol withdrawal.
- To determine if total beverage volume or daily ethanol intake is more strongly associated with craving.
Main Methods:
- 158 male patients undergoing alcohol withdrawal were assessed.
- Obsessive Compulsive Drinking Scale (OCDS) was used to measure craving.
- Daily volume intake was calculated irrespective of alcohol percentage; Lesch's typology was used for subgroup analysis.
Main Results:
- A significant correlation was found between daily alcohol volume intake and OCDS scores (r = 0.33; P < 0.001).
- General linear models revealed a significant association between total beverage volume intake and craving (P = 0.012), but not daily ethanol intake.
- Lesch Type 2 (anxiety model) patients showed a particularly significant association between volume intake and craving (P = 0.001).
Conclusions:
- The study supports the hypothesis that the volume of alcohol consumed is associated with craving.
- Findings suggest that pathophysiological changes in volume-regulating mechanisms may contribute to the neurobiology of alcohol craving.
- This association appears particularly relevant in male patients with Lesch Type 2 classification during alcohol withdrawal.
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