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Measurement of alcohol hangover severity: development of the Alcohol Hangover Severity Scale (AHSS).
Psychopharmacology (Berl) 2013; 225(4):803-10P

Abstract

OBJECTIVE

This study aims to develop a new alcohol hangover symptom severity scale and compare its effectiveness with the Hangover Symptoms Scale (HSS), the Acute Hangover Scale (AHS), and a one-item hangover score.

METHODS

Data from 1,410 Dutch students (Penning et al., Alcohol Alcohol 47:248-252, 2012) on the severity of 47 hangover symptoms were re-analyzed to develop the Alcohol Hangover Severity Scale (AHSS). The psychometric properties of the AHSS were compared with those of the HSS and the AHS. A survey among 1,000 students compared the AHSS and HSS with a one-item hangover severity score. The AHSS was further tested in a naturalistic hangover experiment.

RESULTS

The 12 items of the AHSS were fatigue, clumsiness, dizziness, apathy, sweating, shivering, nausea, heart pounding, confusion, stomach pain, concentration problems, and thirst. The Penning et al. (Alcohol Alcohol 47:248-252, 2012) data revealed that the predictive validity of the AHSS (92.4 %) for the overall hangover score was significantly higher than that of the HSS (81.5 %) and the AHS (71.0 %). The survey data (N = 966) showed that scores on the AHSS (39.7 %) and the HSS (47.6 %) only moderately predicted the one-item hangover score. A total of 119 subjects completed the naturalistic study. On average, they consumed 9.7 alcoholic consumptions, yielding a mean estimated blood alcohol concentration (BAC) of 0.16 %. During hangover, the AHSS score correlated significantly with the number of alcoholic consumptions (r = 0.38, p < 0.0001) and estimated BAC (r = 0.40, p < 0.0001).

CONCLUSIONS

The AHS, HSS, and AHSS all seem appropriate for application in hangover research. The use of a one-item hangover scale is not recommended.

Authors+Show Affiliations

Division of Pharmacology, Utrecht Institute for Pharmaceutical Sciences, Utrecht University, Universiteitsweg 99, 3584CG Utrecht, The Netherlands.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

23007602

Citation

Penning, Renske, et al. "Measurement of Alcohol Hangover Severity: Development of the Alcohol Hangover Severity Scale (AHSS)." Psychopharmacology, vol. 225, no. 4, 2013, pp. 803-10.
Penning R, McKinney A, Bus LD, et al. Measurement of alcohol hangover severity: development of the Alcohol Hangover Severity Scale (AHSS). Psychopharmacology (Berl). 2013;225(4):803-10.
Penning, R., McKinney, A., Bus, L. D., Olivier, B., Slot, K., & Verster, J. C. (2013). Measurement of alcohol hangover severity: development of the Alcohol Hangover Severity Scale (AHSS). Psychopharmacology, 225(4), pp. 803-10. doi:10.1007/s00213-012-2866-y.
Penning R, et al. Measurement of Alcohol Hangover Severity: Development of the Alcohol Hangover Severity Scale (AHSS). Psychopharmacology (Berl). 2013;225(4):803-10. PubMed PMID: 23007602.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Measurement of alcohol hangover severity: development of the Alcohol Hangover Severity Scale (AHSS). AU - Penning,Renske, AU - McKinney,Adele, AU - Bus,Lucien D, AU - Olivier,Berend, AU - Slot,Karin, AU - Verster,Joris C, Y1 - 2012/09/25/ PY - 2012/04/16/received PY - 2012/08/29/accepted PY - 2012/9/26/entrez PY - 2012/9/26/pubmed PY - 2013/10/18/medline SP - 803 EP - 10 JF - Psychopharmacology JO - Psychopharmacology (Berl.) VL - 225 IS - 4 N2 - OBJECTIVE: This study aims to develop a new alcohol hangover symptom severity scale and compare its effectiveness with the Hangover Symptoms Scale (HSS), the Acute Hangover Scale (AHS), and a one-item hangover score. METHODS: Data from 1,410 Dutch students (Penning et al., Alcohol Alcohol 47:248-252, 2012) on the severity of 47 hangover symptoms were re-analyzed to develop the Alcohol Hangover Severity Scale (AHSS). The psychometric properties of the AHSS were compared with those of the HSS and the AHS. A survey among 1,000 students compared the AHSS and HSS with a one-item hangover severity score. The AHSS was further tested in a naturalistic hangover experiment. RESULTS: The 12 items of the AHSS were fatigue, clumsiness, dizziness, apathy, sweating, shivering, nausea, heart pounding, confusion, stomach pain, concentration problems, and thirst. The Penning et al. (Alcohol Alcohol 47:248-252, 2012) data revealed that the predictive validity of the AHSS (92.4 %) for the overall hangover score was significantly higher than that of the HSS (81.5 %) and the AHS (71.0 %). The survey data (N = 966) showed that scores on the AHSS (39.7 %) and the HSS (47.6 %) only moderately predicted the one-item hangover score. A total of 119 subjects completed the naturalistic study. On average, they consumed 9.7 alcoholic consumptions, yielding a mean estimated blood alcohol concentration (BAC) of 0.16 %. During hangover, the AHSS score correlated significantly with the number of alcoholic consumptions (r = 0.38, p < 0.0001) and estimated BAC (r = 0.40, p < 0.0001). CONCLUSIONS: The AHS, HSS, and AHSS all seem appropriate for application in hangover research. The use of a one-item hangover scale is not recommended. SN - 1432-2072 UR - https://www.unboundmedicine.com/medline/citation/23007602/Measurement_of_alcohol_hangover_severity:_development_of_the_Alcohol_Hangover_Severity_Scale__AHSS__ L2 - https://dx.doi.org/10.1007/s00213-012-2866-y DB - PRIME DP - Unbound Medicine ER -