Cited by 205Substance Abuse Treatment and OutcomesNeurotransmitter Receptor Influence on BehaviorAlcohol Consumption and Health Effects

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Alcohol Challenge Responses Predict Future Alcohol Use Disorder Symptoms: A 6-Year Prospective Study

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King, Andrea C., McNamara, Patrick J., Hasin, Deborah S., Cao, Dingcai·2014·Biological Psychiatry

DOI 10.1016/j.biopsych.2013.08.001PMC PMC4280017

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Abstract

Background Propensity for alcohol misuse may be linked to an individuals' response to alcohol. This study examined the role of alcohol response phenotypes to future drinking problems.Methods One hundred four young heavy social drinkers participated in a within-subject, double-blind, placebo-controlled laboratory alcohol challenge study with 6-year follow-up. Participants were examined for subjective responses before and after receiving an intoxicating dose of alcohol (.8 g/kg) or a placebo beverage, given in random order. Follow-up was conducted in 5 waves over 6 years after the sessions to assess drinking behaviors and alcohol use disorder (AUD) symptoms. Retention was high with 98% (509 of 520) of possible follow-ups completed.Results Greater sensitivity to alcohol, in terms of stimulation and rewarding effects (like, want more) and lower sensitivity to alcohol sedation predicted greater number of AUD symptoms through 6 years of follow-up. Cluster analyses revealed that for half the sample, increasing levels of stimulation and liking were predictors of more AUD symptoms with the other half divided between those showing like and want more and want more alone as significant predictors.Conclusions The findings extend previous findings and offer new empirical insights into the propensity for excessive drinking and alcohol problems. Heightened alcohol stimulation and reward sensitivity robustly predicted more alcohol use disorder symptoms over time associated with greater binge-drinking frequency. These drinking problems were maintained and progressed as these participants were entering their third decade of life, a developmental interval when continued alcohol misuse becomes more deviant.

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Authors: King, A. C., McNamara, P. J., Hasin, D. S., & Cao, D.
Affiliations: University of Chicago (US)
Columbia University (US)
University of Illinois Chicago (US)
Corresponding author: King, Andrea C.
ORCID: King, Andrea C.
Hasin, Deborah S.
Cao, Dingcai
Venue: Biological Psychiatry
Publisher: Elsevier BV
Published: 2014-05
Volume: 75
Issue: 10
Pages: 798-806
ISSN: 0006-3223 (ISSN-L)
DOI: 10.1016/j.biopsych.2013.08.001
PMC: PMC4280017
OpenAlex: W2083767842
Cited by: 205
References: 64
Citations by year: 2026: 12 · 2025: 22 · 2024: 7 · 2023: 18 · 2022: 16 · 2021: 15 · 2020: 16 · 2019: 23 · 2018: 13 · 2017: 14 · 2016: 23 · 2015: 18 · 2014: 7
FWCI: 11.90
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Biological Psychiatry (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institutes of Health (UL1TR000430)
National Institute on Alcohol Abuse and Alcoholism (R01AA013746, K05AA014223)
National Cancer Institute (P30‐CA14599, P30CA014599)
National Center for Research Resources (UL1RR024999)
National Center for Advancing Translational Sciences
Topics: Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
Keywords: alcohol challenge, alcohol use disorder symptoms, alcohol sensitivity, alcohol reward, binge drinking, young adults
MeSH terms: Adult, Alcohol Drinking, Ethanol, Double-Blind Method, Female, Follow-Up Studies, Humans, Male, Prospective Studies, Reward, Risk Factors, Alcohol-Related Disorders, Young Adult, Binge Drinking

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Alcohol Challenge Responses Predict Future Alcohol Use Disorder Symptoms: A 6-Year Prospective Study

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