Relationship of negative emotionality, NIAAA recovery, and 3- and 6-month drinking outcomes among adults in treatment for alcohol use disorder

The National Institute of Alcohol Abuse and Alcoholism (NIAAA) recently released a new definition of recovery from alcohol use disorder (AUD). A patient is considered recovered if they are remitted from DSM-5 AUD and report cessation of heavy drinking. The NIAAA has also recently proposed the Addict...

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Published in:	Drug and alcohol dependence Vol. 242; p. 109695
Main Authors:	Linn, B.K., Zhao, J., Stasiewicz, P.R., LaBarre, C., Wilding, G.E., Bradizza, C.M.
Format:	Journal Article
Language:	English
Published:	Ireland Elsevier B.V 01-01-2023 Elsevier Science Ltd
Subjects:	Addictions Addictions Neuroclinical Assessment Adult Alcohol abuse Alcohol Drinking Alcohol related disorders Alcohol use Alcohol use disorder treatment Alcoholic beverages Alcoholism Alcoholism - therapy Behavior, Addictive Criteria Domains Drinking Drinking behavior Drug abuse Emotionality Emotions Female Handheld computers Humans Male National Institute on Alcohol Abuse and Alcoholism (U.S.) Negative affect Negative emotionality Negative emotions Negative reinforcement Recovery Reinforcement Surveys and Questionnaires Treatment outcome United States United States Alcohol use disorder treatment Treatment outcome Addictions Neuroclinical Assessment Negative emotionality Recovery Negative affect
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Summary:	The National Institute of Alcohol Abuse and Alcoholism (NIAAA) recently released a new definition of recovery from alcohol use disorder (AUD). A patient is considered recovered if they are remitted from DSM-5 AUD and report cessation of heavy drinking. The NIAAA has also recently proposed the Addictions Neuroclinical Assessment (ANA) to guide treatment research. Negative emotionality is one of three domains of the ANA and theory proposes that AUD is maintained by negative reinforcement via the relief of negative affect. The purpose of the current study was to examine: (1) the relationship of end-of-treatment negative emotionality and NIAAA recovery, and (2) the ability of NIAAA recovery at the end of treatment to predict three- and six-month drinking outcomes. At baseline and end-of-treatment, women and men (n = 181) in treatment for AUD completed measures of negative emotionality, drinking, and were assessed for DSM-5 AUD diagnostic criteria. At three- and six-months post-treatment, drinking was re-assessed. 22.5% (n = 24) of participants met full criteria for NIAAA recovery at end-of-treatment. Lower levels of end of treatment negative emotionality were associated with increased odds of achieving NIAAA recovery. Meeting NIAAA recovery predicted greater percent days abstinent (PDA) and lower percent heavy drinking days (PHDD) at 3-months, but not at 6-months post-treatment. This study is among the first to report a relationship between the negative emotionality domain of the ANA and NIAAA recovery. Results underscore the importance of addressing negative emotionality in treatment. Findings also suggest that NIAAA recovery predicts positive short term drinking outcomes. •Lower levels of end of AUD treatment negative emotionality were associated with greater odds of achieving NIAAA recovery.•Achieving NIAAA recovery predicted better 3-month drinking outcomes.•Meeting only one of the NIAAA recovery criteria was conferred no benefit at 3- and 6- month follow ups.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0376-8716 1879-0046 1879-0046
DOI:	10.1016/j.drugalcdep.2022.109695