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Dynamic structural equation modeling of the relationship between alcohol habit and drinking variability
Kelly S DeMartini1, Ralitza Gueorguieva2, Jane R Taylor1
1Yale Medical School, Department of Psychiatry, New Haven, CT, United States.
Alcohol habit is linked to increased drinking variability and higher average alcohol consumption in adults with alcohol use disorders (AUDs). Habit did not strengthen drinking autoregression but influenced overall drinking levels and variability.
Area of Science:
- Psychology
- Neuroscience
- Public Health
Background:
- A hyper-engaged habit system is frequently observed in alcohol use disorders (AUDs).
- Drinking patterns in AUDs may manifest as increased drinking autoregression, where prior day consumption predicts subsequent day drinking.
- This study investigates the relationship between alcohol habit, drinking autoregression, and alcohol consumption variability.
Purpose of the Study:
- To examine the association between alcohol habit and drinking autoregression using intensive longitudinal data.
- To determine if alcohol habit influences variable levels of alcohol consumption.
- To understand the role of habit in the context of alcohol use disorders.
Main Methods:
- Employed dynamic structural equation models (DSEM) with intensive longitudinal data from 313 adult drinkers.
- Assessed alcohol habit using the Self Report Habit Index (SRHI).
- Quantified daily drinking and heavy drinking using 30-day Timeline Followback assessments.
Main Results:
- A weak but significant autoregressive structure was found for daily drinking and heavy drinking.
- Alcohol habit correlated with increased mean drinking but did not enhance the autoregressive effect.
- Higher alcohol habit was associated with greater person-specific variability in both total and heavy drinking.
Conclusions:
- Alcohol habit significantly influences drinking variability and mean consumption levels in AUDs.
- While habit did not strengthen autoregression, it is linked to increased drinking variability.
- Interventions targeting drinking variability and heavier drinking occasions may be effective for managing AUD habit.
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