Decision making and response inhibition as predictors of heavy alcohol use: a prospective study
Open accessAbstract
Background: Very few studies have investigated the “real world” prospective, predictive value of behavioral instruments used in laboratory studies to test decision‐making abilities or impulse control. The current study examines the degree to which 2 commonly used decision‐making/impulse control measures prospectively predict (heavy) alcohol use in a sample of college students. Methods: Two hundred healthy young adults (50% women) performed the Iowa Gambling Task (IGT) and a StopSignal inhibition task in the second college year. At testing and at the end of the fourth college year, heavy alcohol use was assessed. Results: Disadvantageous performance on the IGT was associated with higher scores on a heavy drinking measure and higher quantity/frequency of alcohol use 2 years past neurocognitive testing in male students even after controlling for prior drinking. These results were corrected for heavy drinking and alcohol use in the period before neurocognitive testing. Interactions with gender indicated that this general pattern held for male but not for female students. Level of response inhibition was not associated with either of the alcohol use measures prospectively. Conclusion: These findings indicate that a neurocognitive decision‐making task is predictive of maladaptive alcohol use. Advantageous decision makers appear to show adaptive real‐life decision making, changing their drinking habits to the changing challenges of early adulthood (e.g., finishing college), whereas disadvantageous decision makers do not, and continue to drink heavily. These findings extend earlier findings of neurocognitive predictors of relapse in clinical substance‐dependent groups, to subclinical alcohol use and abuse.
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Similar bidirectional relationships between binge drinking and impulsive decision making have been reported in young adults.
“Similar bidirectional relationships between binge-drinking and impulsive decision making have also been reported in young adults”
From Addiction, adolescence, and the integration of control and motivation (2011) · cites this paper as Goudriaan et al., 2011
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- Authors
- Goudriaan, A. E., Grekin, E. R., & Sher, K. J.
- Affiliations
- Wayne State University (US)
- Corresponding author
- Goudriaan, Anna E.
- Venue
- Alcoholism: Clinical and Experimental Research
- Publisher
- Wiley
- Published
- 2011-02-17
- Volume
- 35
- Issue
- 6
- Pages
- 1050-1057
- ISSN
- 0145-6008 (ISSN-L)
- 1530-0277
- PMC
- PMC3097267
- OpenAlex
- W2101470464
- Cited by
- 109
- References
- 41
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 6 · 2023: 6 · 2022: 2 · 2021: 4 · 2020: 7 · 2019: 10 · 2018: 8 · 2017: 11 · 2016: 11 · 2015: 13 · 2014: 14 · 2013: 8 · 2012: 3
- FWCI
- 6.75
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Alcoholism Clinical and Experimental Research (publishedVersion)
- PubMed (publishedVersion)
- Pure Amsterdam UMC (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Funders
- University of Missouri
- National Institute on Alcohol Abuse and Alcoholism (T32 AA13526, R37 AA7231, P60AA011998, R37AA007231, K05AA017242, T32AA013526, P60 AA11990)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Social Sciences › Psychology › Clinical Psychology › Historical and Modern Theater Studies
- Keywords
- heavy alcohol use, decision-making, response inhibition, Iowa Gambling Task, stop-signal task, impulsivity, neurocognitive predictors, university students, gender differences, early adulthood, relapse
- MeSH terms
- Alcohol Drinking, Alcoholism, Decision Making, Female, Follow-Up Studies, Gambling, Humans, Inhibition, Psychological, Longitudinal Studies, Male, Predictive Value of Tests, Prospective Studies, Psychomotor Performance, Young Adult
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