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Psychiatry Res. 2018 Dec 24;272:569-571. doi: 10.1016/j.psychres.2018.12.118. [Epub ahead of print]

A multi-dimensional evaluation of craving and impulsivity among people admitted for alcohol-related problems in emergency department.

Author information

1
Université Clermont Auvergne, EA NPsy-Sydo, BP 10448, F-63000 Clermont-Ferrand, France; CHU Clermont-Ferrand, Pôle Psychiatrie B, F-63001 Clermont-Ferrand, France. Electronic address: vflaudias@chu-clermontferrand.fr.
2
Université Clermont Auvergne, CNRS UMR 6024, LAPSCO, F-63000 Clermont-Ferrand, France.
3
Université Clermont Auvergne, EA NPsy-Sydo, BP 10448, F-63000 Clermont-Ferrand, France; CHU Clermont-Ferrand, Pôle Psychiatrie B, F-63001 Clermont-Ferrand, France.
4
Université Clermont Auvergne, CHU Clermont-Ferrand, Inserm, Neuro-Dol, Service de Pharmacologie médicale, Centres Addictovigilance et Pharmacovigilance, Centre Evaluation et Traitement de la Douleur, F-63001, Clermont-Ferrand, France.
5
University hospital Clermont-Ferrand, Biostatistics Unit (DRCI), Clermont-Ferrand, France.
6
Laboratory for Experimental Psychopathology, Psychological Sciences Research Institute, Université catholique de Louvain, Louvain-la-Neuve, Belgium.

Abstract

Craving and impulsivity are key psychological dimensions involved in the development and maintenance of severe alcohol-use disorders. This study proposes an integrative evaluation of craving (Visual Analogue Scale, VAS and Obsessive Compulsive Drinking Scale, OCDS) and impulsivity (UPPS Scale and Barratt Impulsiveness Scale) among patients admitted in emergency department for alcohol misuse. Ninety-eight patients were included. Regression analyses showed that the scores obtained at the compulsive subscale of the OCDS, at the VAS and at the Urgency subscale of impulsivity constitute the main predictors of the severity of alcohol-use disorders (indexed by the AUDIT). These results suggest that specific sub-dimensions of craving and impulsivity may play a critical and joint role in the maintenance of excessive alcohol consumption.

KEYWORDS:

Alcohol use disorders; Craving; Emergency department; Impulsivity

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