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Does hangover influence the time to next drink? An investigation using ecological momentary assessment.
Alcohol Clin Exp Res 2014; 38(5):1461-9AC

Abstract

BACKGROUND

Measures of hangover are associated with current and future problematic alcohol use. At present, it is not known whether these associations reflect any direct influence of hangover events on near-term drinking behaviors. The current study aimed to determine whether hangover following a drinking episode influences time to next drink (TTND) and, if so, to determine the direction of this effect and identify any moderating personal or contextual factors.

METHODS

Community-recruited, frequent drinkers oversampled for current smoking (N = 386) carried electronic diaries for 21 days, reporting on drinking behaviors and other experiences. Survival analysis was used to model data from 2,276 drinking episodes, including 463 episodes that were followed by self-reported hangover in morning diary entries.

RESULTS

When tested as the sole predictor in a survival model, hangover was associated with increased TTND. The median survival time was approximately 6 hours longer after episodes with hangovers compared to those without. In a multivariate model, hangover was only significant in the presence of interaction effects involving craving at the end of the index drinking episode and the occurrence of financial stressors. Additional predictors of TTND in the final multivariate model included age, lifetime alcohol use disorder diagnosis, typical drinking frequency, day of the week, and morning reports of craving, negative affect, and stressors after the index episode. There was no association between morning reports of hangover and contemporaneous diary ratings of likelihood of drinking later the same day.

CONCLUSIONS

The findings suggest that hangover has, at best, a modest or inconsistent influence on the timing of subsequent alcohol use among frequent drinkers.

Authors+Show Affiliations

Midwest Alcoholism Research Center and the Department of Psychological Sciences, University of Missouri, Columbia, Missouri.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

24588377

Citation

Epler, Amee J., et al. "Does Hangover Influence the Time to Next Drink? an Investigation Using Ecological Momentary Assessment." Alcoholism, Clinical and Experimental Research, vol. 38, no. 5, 2014, pp. 1461-9.
Epler AJ, Tomko RL, Piasecki TM, et al. Does hangover influence the time to next drink? An investigation using ecological momentary assessment. Alcohol Clin Exp Res. 2014;38(5):1461-9.
Epler, A. J., Tomko, R. L., Piasecki, T. M., Wood, P. K., Sher, K. J., Shiffman, S., & Heath, A. C. (2014). Does hangover influence the time to next drink? An investigation using ecological momentary assessment. Alcoholism, Clinical and Experimental Research, 38(5), pp. 1461-9. doi:10.1111/acer.12386.
Epler AJ, et al. Does Hangover Influence the Time to Next Drink? an Investigation Using Ecological Momentary Assessment. Alcohol Clin Exp Res. 2014;38(5):1461-9. PubMed PMID: 24588377.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Does hangover influence the time to next drink? An investigation using ecological momentary assessment. AU - Epler,Amee J, AU - Tomko,Rachel L, AU - Piasecki,Thomas M, AU - Wood,Phillip K, AU - Sher,Kenneth J, AU - Shiffman,Saul, AU - Heath,Andrew C, Y1 - 2014/03/03/ PY - 2013/07/24/received PY - 2014/01/09/accepted PY - 2014/3/5/entrez PY - 2014/3/5/pubmed PY - 2014/12/20/medline KW - Alcohol KW - Ecological Momentary Assessment KW - Hangover KW - Negative Reinforcement KW - Punishment SP - 1461 EP - 9 JF - Alcoholism, clinical and experimental research JO - Alcohol. Clin. Exp. Res. VL - 38 IS - 5 N2 - BACKGROUND: Measures of hangover are associated with current and future problematic alcohol use. At present, it is not known whether these associations reflect any direct influence of hangover events on near-term drinking behaviors. The current study aimed to determine whether hangover following a drinking episode influences time to next drink (TTND) and, if so, to determine the direction of this effect and identify any moderating personal or contextual factors. METHODS: Community-recruited, frequent drinkers oversampled for current smoking (N = 386) carried electronic diaries for 21 days, reporting on drinking behaviors and other experiences. Survival analysis was used to model data from 2,276 drinking episodes, including 463 episodes that were followed by self-reported hangover in morning diary entries. RESULTS: When tested as the sole predictor in a survival model, hangover was associated with increased TTND. The median survival time was approximately 6 hours longer after episodes with hangovers compared to those without. In a multivariate model, hangover was only significant in the presence of interaction effects involving craving at the end of the index drinking episode and the occurrence of financial stressors. Additional predictors of TTND in the final multivariate model included age, lifetime alcohol use disorder diagnosis, typical drinking frequency, day of the week, and morning reports of craving, negative affect, and stressors after the index episode. There was no association between morning reports of hangover and contemporaneous diary ratings of likelihood of drinking later the same day. CONCLUSIONS: The findings suggest that hangover has, at best, a modest or inconsistent influence on the timing of subsequent alcohol use among frequent drinkers. SN - 1530-0277 UR - https://www.unboundmedicine.com/medline/citation/24588377/Does_hangover_influence_the_time_to_next_drink_An_investigation_using_ecological_momentary_assessment_ L2 - https://doi.org/10.1111/acer.12386 DB - PRIME DP - Unbound Medicine ER -