Leveraging Online Treatment to Re-examine the Association Between Alcohol Use and Disinhibition.
Psicothema
; 36(1): 15-25, 2024.
Article
in En
| MEDLINE
| ID: mdl-38227296
ABSTRACT
BACKGROUND:
Cognitive disinhibition underpins alcohol and drug use problems. Although higher-risk substance use is consistently associated with poorer disinhibition, current findings may be limited by narrow recruitment methods, which over-represent individuals engaged in traditional treatment services with more severe presentations. We embedded a novel gamified disinhibition task (the Cognitive Impulsivity Suite; CIS) in a national online addiction support service ( https//www.counsellingonline.org.au/ ).METHOD:
Participants aged 18 to 64 ( N = 137; 109 women) completed the Alcohol-Use Disorders Identification Test (AUDIT) and Drug Use Disorders Identification Test (DUDIT) along with the CIS, which measures three aspects of disinhibition (Attentional Control, Information-Sampling, and Feedback Monitoring/Shifting). The majority of the sample comprised people with alcohol use, and AUDIT scores were differentiated into 'higher-risk' or 'lower-risk' groups using latent-class analysis. These classes were then regressed against CIS performance measures.RESULTS:
Compared to lower-risk, higher-risk alcohol use was associated with poorer attentional control and feedback monitoring/shifting. While higher-risk alcohol use was associated with slower information accumulation, this was only observed for older adults, who appeared to compensate with a more conservative response criterion.CONCLUSIONS:
Our results reveal novel relationships between higher-risk alcohol use and specific aspects of disinhibition in participants who sought online addiction help services.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Alcohol Drinking
/
Behavior, Addictive
Type of study:
Prognostic_studies
/
Risk_factors_studies
Limits:
Aged
/
Female
/
Humans
Language:
En
Journal:
Psicothema
Journal subject:
PSICOLOGIA
Year:
2024
Document type:
Article
Country of publication:
Spain