Inventory Of Drinking Situations Research Articles

Examining a brief measure and observed cutoff scores to identify reward and relief drinking profiles: Psychometric properties and pharmacotherapy response

BackgroundPrecision medicine approaches attempt to reduce variability in alcohol use disorder (AUD) outcomes by identifying patient characteristics that predict response to a particular treatment. Recent work has examined the extent to which individuals with AUD may seek alcohol to enhance positive experiences (reward drinking) or relieve negative states (relief drinking) and shown that a high reward/low relief phenotype predicts naltrexone treatment response. Yet, limitations of reward/relief drinking measures may hamper efforts to translate findings to clinical practice. We sought to refine a brief measure of reward/relief drinking and develop cutoff scores to identify reward/relief subgroups that predict pharmacotherapy response. MethodsThe Inventory of Drinking Situations (IDS), used in previous studies to measure reward/relief drinking, was administered to 426 participants (77% male; average age = 45.3) in a clinical trial examining naltrexone and acamprosate. ResultsItem response theory and tests of differential item functioning across sex, age, and alcohol dependence severity were used to create a 10-item measure, titled the Reward and Relief IDS (RR-IDS). Cutoff scores on the RR-IDS for the reward/relief drinking subgroups were identified using latent profile and area under the curve analyses. The cutoff scores demonstrated good construct validity. Individuals in the high reward/low relief subgroup who received naltrexone or acamprosate had a decreased likelihood of heavy drinking (large effect sizes) versus those who received placebo. ConclusionsThe RR-IDS is a practical measure for identifying reward/relief subgroups and predicting pharmacotherapy response. Pending replication of these findings, the RR-IDS could be a critical precision medicine tool for prescribing AUD medications.

Association between polymorphism in gene related to the dopamine circuit and motivations for drinking in patients with alcohol use disorder

The development of alcohol use disorder (AUD) is influenced by genetic, psychological, and social factors. However, the identification of the load of each of these factors and the association between them is still debatable. This study aimed to explore the load of the association between AUD and polymorphisms in genes of the dopaminergic system, as well as with drinking triggers. The study comprised 227 inpatients with AUD and 174 controls. The pattern and motivations for drinking were evaluated using the Alcohol Use Disorders Identification Test (AUDIT) and the Inventory of Drinking Situations (IDS). Analyses of genetic variation in genes encoding dopaminergic were performed using next generation sequencing. We observed an significant association between a polymorphism in DDC (rs11575457) and AUD. Positive reinforcement factors as urges/temptations to drink and pleasant emotion, in isolation, were the significantly related elements to drinking. In addition, negative (physical discomfort) and positive reinforcement factors (testing personal control; pleasant time with others) significantly reinforced the interaction with DDC genetic variant for increased odds of an individual presenting AUD. These results indicated a complex relationship between the dopaminergic system and the drug-seeking behavior profiles.

Exploring differential patterns of situational risk for binge eating and heavy drinking

This study was designed to compare risk situations for binge eating vs. heavy drinking among women who struggle with both problems. Participants were 41 women in treatment for an alcohol problem who also self-reported binge eating. Participants completed the Inventory of Binge Eating Situations (IBES; [Baker, J. M. (1998). Binge eating and binge drinking among university women. Unpublished master's thesis, Department of Psychology, Queen's University, Kingston, Ontario, Canada]) and the Inventory of Drinking Situations (IDS-42; [Annis, H. M., Graham, J. M., & Davis, C. S. (1987). Inventory of Drinking Situations (IDS) user's guide. Toronto, Canada: Addiction Research Foundation]) to measure frequency of binge eating and heavy drinking, respectively, in eight categories of situations. A 2 (substance) × 8 (situation) repeated measures ANOVA revealed a significant substance × situation interaction. Further exploration of this interaction indicated that heavy drinking is more likely than binge eating to occur in reward and interpersonal situations involving pleasant emotions, pleasant times with others, social pressure, and conflict with others. In contrast, binge eating and heavy drinking are equally likely to occur in relief situations involving unpleasant emotions, and physical discomfort, as well as in situations involving urges and temptations, and testing control. Implications of findings for the treatment of co-occurring binge eating and heavy drinking in women are discussed.

Validation of the inventory of drinking situations (IDS) to individualize alcoholism therapy

Validation of the inventory of drinking situations (IDS) to individualize alcoholism therapy

The drinking situations of adolescents treated for alcohol use disorders: A psychometric and alcohol-related outcomes investigation

Psychometric properties of the Inventory of Drinking Situations (IDS) were examined using a sample of adolescents with Alcohol Use Disorders (AUDs; N = 352; mean age = 16.6; 65.6% boys). Relations of drinking situations to alcohol-related outcomes 1 and 3 years following treatment also were investigated. Consistent with the higher-order structure of the IDS reported in adult samples, findings indicated that a 3 factor solution provided the best fit to the data: Negative ( α = .98), Social ( α = .95), and Temptation ( α = .84) Situations. With regard to convergent and discriminate validity, evidence suggested that the Negative Situations subscale was related more strongly to an indicator of negative emotionality than to an indicator behavioral undercontrol. Conversely, the Social Situations subscale was associated more strongly with an indicator of behavioral undercontrol than an indicator of negative emotionality. Social and temptation drinking situations were associated with alcohol-related outcomes 1 year following treatment, but this was generally not the case 3 years following treatment. These results indicate that the IDS is a reliable and valid measure for use with adolescents receiving treatment for alcohol-related problems.

Reward craving and withdrawal relief craving: assessment of different motivational pathways to alcohol intake.

Craving for the rewarding effects of alcohol may be evoked by conditioned alcohol-like effects whereas conditioned compensatory responses may induce withdrawal relief craving. We tested the hypothesis that drinking in positive emotional states is associated with appetitive reactions to alcohol-associated cues and contributes to reward craving, while conditioned withdrawal is associated with drinking in negative situations and distressful, obsessive preoccupations with alcohol. In 38 detoxified alcoholics, the Obsessive Compulsive Drinking Scale was used to assess the craving factors 'impaired control', 'interference with social functioning' and 'obsession'. Affective responses to alcohol-associated visual stimuli were measured with the affect-modulated eyeblink startle reflex, positive and negative drinking situations with the Inventory of Drinking Situations (IDS) and withdrawal-like symptoms preceding alcohol intake with the revised Clinical Institute Assessment for Alcohol Scale (CIWA-Ar). Appetitive reactions to alcohol-associated cues correlated positively with drinking in positive situations and contributed significantly to the craving factor 'interference' with social and work functioning. The severity of withdrawal-like symptoms preceding alcohol intake contributed to the craving factor 'obsession'; however, contrary to our hypothesis, this measure of conditioned withdrawal correlated with drinking not only in negative but also in positive situations. Drinking in positive and negative situations, appetitive reactions to alcohol and withdrawal-like symptoms contributed differentially to the craving factors 'obsession' and 'interference', supporting the notion of different craving factors with separate underlying mechanisms.

The inventory of drinking situations (IDS) in current drinkers with different degrees of alcohol problems

The Inventory of Drinking Situations (IDS) is a questionnaire developed to characterize the situations where alcoholics in treatment drank excessively. The purpose of the present study was to extend the understanding of this instrument as a research and diagnostic tool by applying it to drinking situations in individuals who have never been diagnosed as alcoholics, but who may have problems due to alcohol. Seventy-three current drinkers (32.1 ± 9.98 years) were examined with a version of the IDS suitable for nonalcoholic individuals. Using the CAGE test we categorized the subjects in five groups according to their score. Correlational analysis revealed that the IDS subscale scores increased significantly with the severity of drinking problems. The CAGE score, the factor-derived scale Negative Situations, being male, and a preference for drinking alone were also correlated with the amount of alcohol consumed, while age was correlated with none of the variables of interest. To facilitate the analysis of the profiles of drinking situations, the IDS subscales underwent a factor analysis that rendered two factor-derived scales, suggesting that drinking occurs both in positive and in negative situations. In persons with more alcohol problems, according to their high CAGE scores, there was more drinking in negative situations than in positive ones. Accordingly, we confirmed that the profiles of drinking situations seen in problem drinkers indicated that situations related to negative emotions are more important determinants to drink. Implications of a shift from drinking in positive to drinking in negative emotional situations are discussed. We further substantiated the value of this test instrument for studies on drinking situations and for studies in nonalcoholic individuals.

Measurement of antecedents to drug and alcohol use: Psychometric properties of the Inventory of Drug-Taking Situations (IDTS)

The development, factor structure, and validity of the Inventory of Drug-Taking Situations (IDTS) is described. This 50-item self-report questionnaire, which is an extension of the Inventory of Drinking Situations (Annis, 1982, Inventory of drinking situations; Annis, Graham & Davis, 1987, Inventory of drinking situations (IDS): User's guide), is designed to assess the situational antecedents to use of a wide range of drugs of abuse. The IDTS consists of 8 subscales that measure a client's substance use in the 8 situations identified in the work of Marlatt (1978, Alcoholism: New directions in behavioral research and treatment): Unpleasant Emotions, Physical Discomfort, Pleasant Emotions, Testing Personal Control, Urges and Temptations to Use, Conflict with Others, Social Pressure to Use, and Pleasant Times with Others. Reliability, factor structure and validity of the IDTS were assessed on 699 clients admitted to the Addiction Research Foundation's treatment facility in Toronto. The IDTS was shown to have reliable subscales. The IDTS total score correlated with self-ratings of the severity of the clients' substance use problem, and with retrospective reports of frequency of use (drugs) and quantity of use (alcohol), years of usage, and severity of dependence. Confirmatory factor analysis was used to test the fit of the data to Marlatt's model of substance use situations, as well as to several alternative models. The goodness-of-fit indicators suggested that the best fit for the data was an 8-factor model corresponding to the 8 subscales based on the Marlatt categories. Evidence was presented that the 8 subscales can be further grouped into 3 second-order factors: (1) negative situations, (2) positive situations, and (3) temptation situations. The negative situation subscales of Unpleasant Emotions, Conflict with Others and Physical Discomfort were found to be correlated with the SCL-90 R Depression scale, Interpersonal Sensitivity scale and Somatization scale respectively. The positive social situation subscales of Pleasant Times with Others and Social Pressure to Use were found to be negatively correlated with percentage of time using alone, and positively correlated with pressure from friends and family to use. On the States of Change Readiness and Treatment Eagerness Scales (SOCRATES), clients at the precontemplation stage of change had relatively flat, undifferentiated IDTS profiles (i.e. little scatter of subscale scores), whereas clients in the determination stage had the most differentiation in their IDTS subscale scores. Excellent comparability was found for alcohol clients between the IDS and the IDTS. Evidence was also presented for adequate comparability between the computer and paper and pencil administrative formats of the IDTS.

Excessive drinking situations in German alcoholics: Replication of a three-factor model used for North Americans

German alcoholics were examined for a profile of drinking situations which was found recently in North American alcoholics. A mixed sample of alcoholics ( N = 336) receiving in-patient rehabilitation treatment for alcoholism was administered a validated translation of the English version of Annis's Inventory of Drinking Situations (IDS). Analysis of the 100 items in the questionnaire, using principal component methods and varimax rotation, revealed the same three factorial scales seen in the previous study in North American alcoholics (Cannon et al. (1990) Addictive Behaviour 15, 265–269). Drinking was most likely to take place in situations (1) of negative states, (2) of positive states, and (3) where personal control was tested. Although there are large differences in the level and social acceptability of drinking between Central Europe and English-speaking countries, the present data confirm the cross-cultural validity of basic determinants of drinking.

Psychometric evaluation of a short form of the inventory of drinking situations.

The Inventory of Drinking Situations (IDS) was developed to assess the likelihood of alcoholic relapse in eight high-risk situations. Previous research questioned the factor stability of the instrument; therefore, an alternative, short form of the IDS (IDS42) was developed and subjected to preliminary examination. This project reports on the further examination of the psychometric characteristics of the IDS42. The instrument's primary factor stability and higher-order factor structure were examined, and subscale means, standard deviations, alpha coefficients, interscale correlations and independence (unique variance) were determined. Also, the relationships between the IDS42 subscale scores and alcohol dependence, social desirability and demographic characteristics were explored. Results of the principal components analysis support the instrument's primary factor stability and indicate that the scales load onto one higher order dimension. The subscale internal consistency estimates were very high. Significantly high positive correlations were found between the IDS42 subscales and alcohol dependence. The IDS42 is influenced by a socially desirable response set that may result in spuriously low IDS42 scale elevations. The subscales initially demonstrated high interscale correlations; however, estimates of unique variance show that the IDS42 scales have an acceptable level of independence. Except for a significant negative correlation with age for three subscales, demographic characteristics do not appear to influence IDS42 results. These findings support the use of the IDS42 in assessing the extent to which heavy alcohol use has occurred in five situations. With this information, it may be possible to prepare to avoid or cope with these situations in the future and, consequently, to reduce the potential for relapse.(ABSTRACT TRUNCATED AT 250 WORDS)

Principal components analysis of the inventory of drinking situations: Empirical categories of drinking by alcoholics

Male alcoholics ( n = 336) were given the Inventory of Drinking Situations (IDS), a 100-item questionnaire that asks subjects to rate the frequency with which they drank in various situations during the previous year. A principal components analysis of the responses suggests there are three major categories of situations in which alcoholics are likely to drink: negative affect states, positive affect states combined with social cues to drink, and attempts to test one's ability to control one's drinking. These categories are compared with recent empirical attempts to define categories of alcohol and smoking relapse.