Cognitive inflexibility moderates the relationship between relief-driven drinking motives and alcohol use

Q1 Psychology Addictive Behaviors Reports Pub Date : 2024-06-27 DOI:10.1016/j.abrep.2024.100559

Lara R. Piccoli , Lucy Albertella , Erynn Christensen , Leonardo F. Fontenelle , Chao Suo , Karyn Richardson , Murat Yücel , Rico S.C. Lee

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Abstract

Introduction

Drinking motives and neurocognition play significant roles in predicting alcohol use. There is limited research examining how relief-driven drinking motives interact with neurocognition in alcohol use, which would help to elucidate the neurocognitive-motivational profiles most susceptible to harmful drinking. This study investigated the interactions between neurocognition (response inhibition and cognitive flexibility) and relief-driven drinking, in predicting problem drinking.

Methods

Participants completed the Alcohol Use Disorders Identification Test – Consumption items (AUDIT-C) to measure drinking behaviour, and online cognitive tasks, including the Value-Modulated Attentional Capture and Reversal Task (VMAC-R) and the Stop Signal Task (SST). The sample (N = 368) were individuals who drink alcohol, which included a subsample (N = 52) with problematic drinking, as defined by self-identifying as having a primary drinking problem. Drinking motives were assessed using a binary coping question in the overall sample, and the Habit, Reward, and Fear Scale (HRFS) in the subsample. Moderation analyses were conducted to investigate whether cognitive flexibility and response inhibition moderated relationships between relief-driven motives and drinking.

Results

Cognitive flexibility moderated the relationship between relief-driven motives and drinking (overall sample: β = 13.69, p = 0.017; subsample: β = 1.45, p = 0.013). Greater relief-driven motives were associated with heavier drinking for individuals with low cognitive flexibility. There was no significant interaction between response inhibition and relief-driven motives.

Conclusions

Relief-driven drinking motives interact with cognitive inflexibility to drive heavier drinking. Greater understanding of these neurocognitive-motivational mechanisms may help to develop more targeted and effective interventions for reducing harmful drinking.

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认知不灵活调节解压型饮酒动机与饮酒之间的关系

导言：饮酒动机和神经认知在预测饮酒方面发挥着重要作用。关于解脱驱动型饮酒动机与神经认知在酒精使用中的相互作用的研究还很有限，这将有助于阐明最容易导致有害饮酒的神经认知-动机特征。本研究调查了神经认知（反应抑制和认知灵活性）与解脱驱动型饮酒之间在预测问题饮酒方面的相互作用。方法受试者完成酒精使用障碍识别测验--饮酒项目（AUDIT-C）以测量饮酒行为，并完成在线认知任务，包括价值调节注意力捕捉和逆转任务（VMAC-R）和停止信号任务（SST）。样本（N = 368）为饮酒者，其中包括一个有饮酒问题的子样本（N = 52），其定义是自我认定有主要饮酒问题。在总体样本中，采用二元应对问题对饮酒动机进行评估；在子样本中，采用习惯、奖赏和恐惧量表（HRFS）对饮酒动机进行评估。结果认知灵活性调节了解脱驱动动机与饮酒之间的关系（总体样本：β = 13.69，p = 0.017；子样本：β = 1.45，p = 0.013）。对于认知灵活性较低的个体来说，解脱动机越强，饮酒量越大。结论解脱驱动型饮酒动机与认知灵活性不足相互作用，导致饮酒量增加。加深对这些神经认知-动机机制的理解，可能有助于制定更有针对性、更有效的干预措施来减少有害饮酒。

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来源期刊

Addictive Behaviors Reports Medicine-Psychiatry and Mental Health

CiteScore

6.80

自引率

0.00%

发文量

审稿时长

71 days

期刊介绍： Addictive Behaviors Reports is an open-access and peer reviewed online-only journal offering an interdisciplinary forum for the publication of research in addictive behaviors. The journal accepts submissions that are scientifically sound on all forms of addictive behavior (alcohol, drugs, gambling, Internet, nicotine and technology) with a primary focus on behavioral and psychosocial research. The emphasis of the journal is primarily empirical. That is, sound experimental design combined with valid, reliable assessment and evaluation procedures are a requisite for acceptance. We are particularly interested in ''non-traditional'', innovative and empirically oriented research such as negative/null data papers, replication studies, case reports on novel treatments, and cross-cultural research. Studies that might encourage new lines of inquiry as well as scholarly commentaries on topical issues, systematic reviews, and mini reviews are also very much encouraged. We also welcome multimedia submissions that incorporate video or audio components to better display methodology or findings.