Interactive Effects of Cumulative Stress and Impulsivity on Alcohol Consumption
Open accessAbstract
Background: Alcohol addiction may reflect adaptations to stress, reward, and regulatory brain systems. While extensive research has identified both stress and impulsivity as independent risk factors for drinking, few studies have assessed the interactive relationship between stress and impulsivity in terms of hazardous drinking within a community sample of regular drinkers. Methods: One hundred and thirty regular drinkers (56M/74F) from the local community were assessed for hazardous and harmful patterns of alcohol consumption using the Alcohol Use Disorders Identification Test (AUDIT). All participants were also administered the Barratt Impulsiveness Scale (BIS‐11) as a measure of trait impulsivity and the Cumulative Stress/Adversity Checklist (CSC) as a comprehensive measure of cumulative adverse life events. Standard multiple regression models were used to ascertain the independent and interactive nature of both overall stress and impulsivity as well as specific types of stress and impulsivity on hazardous and harmful drinking. Results: Recent life stress, cumulative traumatic stress, overall impulsivity, and nonplanning‐related impulsivity as well as cognitive and motor‐related impulsivity were all independently predictive of AUDIT scores. However, the interaction between cumulative stress and total impulsivity scores accounted for a significant amount of the variance, indicating that a high to moderate number of adverse events and a high trait impulsivity rating interacted to affect greater AUDIT scores. The subscale of cumulative life trauma accounted for the most variance in AUDIT scores among the stress and impulsivity subscales. Conclusions: Findings highlight the interactive relationship between stress and impulsivity with regard to hazardous drinking. The specific importance of cumulative traumatic stress as a marker for problem drinking is also discussed.
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These impairments, marked by impulsivity under stress, are associated with substance abuse, other addictive behaviors, and eating disturbances.
“These impairments, marked by impulsivity in the face of stress, for example, are in turn associated with substance abuse, other addictive behaviors, and eating disturbances (Dawe & Loxton, 2004; Fox, Bergquist, Gu, & Sinha, 2010; Hyman, Malenka, & Nestler, 2006)”
From A transdiagnostic minority stress treatment approach for gay and bisexual men's syndemic health conditions (2015) · cites this paper as Fox et al., 2010
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- Authors
- Helen C., F., Keri L., B., Peihua, G., & Rajita, S.
- Affiliations
- Yale University (US)
- Venue
- Alcoholism: Clinical and Experimental Research
- Publisher
- Wiley
- Published
- 2010-07-21
- Volume
- 34
- Issue
- 8
- Pages
- 1376-1385
- ISSN
- 0145-6008 (ISSN-L)
- 1530-0277
- PMC
- PMC3676668
- OpenAlex
- W2099103863
- Cited by
- 106
- References
- 93
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 3 · 2023: 4 · 2022: 11 · 2021: 8 · 2020: 10 · 2019: 5 · 2018: 9 · 2017: 5 · 2016: 6 · 2015: 8 · 2014: 8 · 2013: 4 · 2012: 9
- FWCI
- 5.08
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Alcoholism Clinical and Experimental Research (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Institute on Alcohol Abuse and Alcoholism (R01AA013892)
- National Institute on Drug Abuse (PLI-DA024859, PL1DA024859)
- National Institute of Dental and Craniofacial Research (UL1DE019586)
- Common Fund
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
- Social Sciences › Psychology › Clinical Psychology › Gambling Behavior and Treatments
- Keywords
- cumulative stress, impulsivity, alcohol consumption, hazardous drinking, life events, trait impulsivity, problem drinking, cumulative adversity
- MeSH terms
- Adult, Alcohol Drinking, Chronic Disease, Female, Humans, Impulsive Behavior, Interviews as Topic, Male, Stress, Psychological, Alcohol-Related Disorders, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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