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Craving Mediates Stress in Predicting Lapse During Alcohol Dependence Treatment

Overview of attention for article published in Alcoholism: Clinical & Experimental Research, March 2016
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Title
Craving Mediates Stress in Predicting Lapse During Alcohol Dependence Treatment
Published in
Alcoholism: Clinical & Experimental Research, March 2016
DOI 10.1111/acer.13034
Pubmed ID
Authors

Bonnie Law, Matthew J Gullo, Mark Daglish, David J Kavanagh, Gerald F X Feeney, Ross M Young, Jason P Connor

Abstract

Stress, craving, and depressed mood have all been implicated in alcohol use treatment lapses. Few studies have examined all 3 factors. Progress has been limited because of difficulties with craving assessment. The Alcohol Craving Experience Questionnaire (ACE) is a new measure of alcohol craving. It is both psychometrically sound and conceptually rigorous. This prospective study examines a stress-treatment response model that incorporates mediation by craving and moderation by depressed mood and pharmacotherapy. Five hundred and thirty-nine consecutively treated alcohol-dependent patients voluntarily participated in an abstinence-based 12-week cognitive-behavioral therapy (CBT) program at a hospital alcohol and drug outpatient clinic. Measures of stress, craving, depressed mood, and alcohol dependence severity were administered prior to treatment. Treatment lapse and treatment dropout were assessed over the 12-week program duration. Patients reporting greater stress experienced stronger and more frequent cravings. Stronger alcohol craving predicted lapse, after controlling for dependence severity, stress, depression, and pharmacotherapy. Alcohol craving mediated stress to predict lapse. Depressed mood and anticraving medication were not significant moderators. Among treatment seeking, alcohol-dependent patients, craving mediated the relationship between stress and lapse. The effect was not moderated by depressed mood or anticraving medication.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 82 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Colombia 1 1%
Belgium 1 1%
Unknown 80 98%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 14 17%
Researcher 14 17%
Student > Doctoral Student 9 11%
Student > Bachelor 6 7%
Professor 5 6%
Other 21 26%
Unknown 13 16%
Readers by discipline Count As %
Psychology 38 46%
Medicine and Dentistry 9 11%
Social Sciences 4 5%
Nursing and Health Professions 2 2%
Pharmacology, Toxicology and Pharmaceutical Science 2 2%
Other 5 6%
Unknown 22 27%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 27 March 2016.
All research outputs
#17,348,622
of 25,457,858 outputs
Outputs from Alcoholism: Clinical & Experimental Research
#2,917
of 3,619 outputs
Outputs of similar age
#193,151
of 314,927 outputs
Outputs of similar age from Alcoholism: Clinical & Experimental Research
#41
of 61 outputs
Altmetric has tracked 25,457,858 research outputs across all sources so far. This one is in the 21st percentile – i.e., 21% of other outputs scored the same or lower than it.
So far Altmetric has tracked 3,619 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 15.6. This one is in the 13th percentile – i.e., 13% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 314,927 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 30th percentile – i.e., 30% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 61 others from the same source and published within six weeks on either side of this one. This one is in the 21st percentile – i.e., 21% of its contemporaries scored the same or lower than it.