Evidence map›Paper›PMID 30152868›Full record

ArticleAlcoholism, clinical and experimental research2018

Distinctions in Alcohol-Induced Memory Impairment: A Mixed Methods Study of En Bloc Versus Fragmentary Blackouts.

Mary Beth Miller, Jennifer E Merrill, Angelo M DiBello, Kate B Carey

Open access · greenAbstract readComparative Study
In one paragraph

Article in Alcoholism, clinical and experimental research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Health goals, sex, and college enrollment: Impacts on young adult response to digital alcohol intervention.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2026
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  15. Intentions and motives to experience alcohol-induced blackout among young adults in college.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Mary Beth MillerDepartment of Psychiatry , University of Missouri School of Medicine, Columbia, Missouri.ORCID 0000-0003-0624-1414
Jennifer E MerrillDepartment of Behavioral and Social Sciences , Center for Alcohol and Addiction Studies, Brown University School of Public Health, Providence, Rhode Island.
Angelo M DiBelloDepartment of Behavioral and Social Sciences , Center for Alcohol and Addiction Studies, Brown University School of Public Health, Providence, Rhode Island.
Kate B CareyDepartment of Behavioral and Social Sciences , Center for Alcohol and Addiction Studies, Brown University School of Public Health, Providence, Rhode Island.
Brown University · US

Funding

Real-Time Evaluations of Alcohol Consequences and Subsequent DrinkingK01AA022938 · NIAAA · BROWN UNIVERSITY · PI MERRILL, JENNIFER ELIZABETH · 2014 to 2018
$904k
NIAAA NIH HHS K01 AA022938NIAAA NIH HHS L30 AA025226
6 · The paper itself

Abstract

backgroundBlackouts-or memory loss for all or part of a drinking event-are reliable predictors of alcohol-related consequences. Studies suggest a distinction between en bloc (complete memory loss) and fragmentary (off-and-on memory loss) blackouts; however, research has not consistently differentiated between these 2 forms of blackout. This study aimed to validate the distinction between en bloc and fragmentary blackouts among young adults.

methodsData were collected using qualitative (Study 1) and quantitative (Study 2) research methods. Participants in both studies were college students with a history of alcohol-induced memory impairment. They were recruited using community advertisement (Study 1, N = 50, 56% female) and Qualtrics survey panels (Study 2, N = 350, 56% female). Study 1 participants engaged in 8 focus groups. Discussions were audio-recorded, transcribed verbatim, and coded using applied thematic analysis. Findings guided assessment of en bloc and fragmentary blackout in Study 2. In Study 2, a separate sample of participants completed an online survey assessing drinking behavior, alcohol-induced memory impairment, and theoretical correlates of en bloc and fragmentary blackouts.

resultsStudy 1 participants differentiated between en bloc and fragmentary blackouts (which they referred to as "blackouts" and "brownouts," respectively) based on duration and extent of memory loss. They indicated that blackouts occur along a continuum, with en bloc "blackouts" at the extreme. They also stated that the term "blackout drinking" does not always imply memory loss. Study 2 participants reported higher rates of "brownouts" (81%) than "blackouts" (54%). They reported less negative outcome expectancies and attitudes, greater personal approval, higher prevalence estimates, lower self-efficacy, and stronger intentions for "brownouts" than "blackouts" (p < 0.001). Women perceived "blackouts/brownouts" as more prevalent than men and reported lower intentions to experience "blackouts" (p < 0.005).

conclusionsYoung adults are more permissive of fragmentary than en bloc blackout. En bloc blackouts may be a target for future interventions.

Indexed as

AdolescentAlcohol DrinkingAlcohol Drinking in CollegeAlcoholic BeveragesAlcoholic IntoxicationFemaleHumansMaleMemory DisordersYoung AdultAlcoholBlackoutGenderMemoryPredictors

Identifiers

PMID30152868
PMCPMC6167144
OpenAlexW2889166982

What OpenQuestion holds

Textmetadata
LicenceTDM
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.