ArticleJournal of studies on alcohol and drugs2021
Mean Versus Variability: Disentangling Stress Effects on Alcohol Lapses Among Individuals in the First Year of Alcohol Use Disorder Recovery.
Article in Journal of studies on alcohol and drugs, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
What it found
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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.
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.
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Who cites it
10 citing papers in PubMed.
- An examination of the associations between AUDIT scores, person-level differences in daily location changes, and stress among college students.Scientific reports · 2026Article
- Development of a Heart Rate Variability Based Ambulatory Stress Detection Model for Clinical Populations.Applied psychophysiology and biofeedback · 2026Article
- Current approaches using remote monitoring technology in alcohol use disorder (AUD): an integrative review.Alcohol and alcoholism (Oxford, Oxfordshire) · 2025Review
- Within-person affect dynamics among individuals in residential treatment for opioid use disorder: An ecological momentary assessment study.Journal of psychopathology and clinical science · 2025Article
- In natura heart rate variability predicts subsequent alcohol use in individuals in early recovery from alcohol use disorder.Addiction biology · 2023Article
- Cortisol as a risk biomarker to guide recovery from substance use disorders.Alcohol, clinical & experimental research · 2023Article
- Prior Periods of Abstinence Among Adults With an Alcohol Use Disorder: A Qualitative Template Analysis.Substance abuse : research and treatment · 2023Article
- Examining Associations Between Negative Affect and Substance Use in Treatment-Seeking Samples: A Review of Studies Using Intensive Longitudinal Methods.Current addiction reports · 2022Article
- Emotion differentiation in early recovery from alcohol use disorder: Associations with in-the-moment affect and 3-month drinking outcomes.Alcoholism, clinical and experimental research · 2022Article
- Resting Heart Rate Variability, Perceived Emotion Regulation, and Low-Risk Drug Use in College-Aged Adults: Gender as a Moderator.Frontiers in psychiatry · 2022Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectiveAlthough stress is a well-known predictor of alcohol use lapses among individuals seeking recovery from alcohol use disorder (AUD), most research has relied on retrospective self-report using conventional questionnaires that explore stress effects at the level of the mean. Ecological momentary assessment (EMA) overcomes many of the shortcomings of questionnaire-based, retrospective self-report by using real-time, in-the-environment evaluations for the acquisition of ecologically valid data that can also capture stress variability. The present investigation used EMA to disentangle stress effects on alcohol lapses among individuals in the first year of an AUD recovery attempt by exploring associations between mean-level stress, stress variability, and subsequent alcohol use.
methodParticipants (
resultsAn interaction effect was observed such that the combination of high mean stress level and high stress variability was associated with the lowest percentage of days abstinent. For those with high mean stress levels, this relationship was attenuated as stress variability decreased.
conclusionsThe findings support previous research linking stress to alcohol use lapses; however, these results indicate that the stress/alcohol use relationship is more nuanced than previously described. Our findings suggest that stress variability should also be considered in clinical contexts when assessing risk conferred by mean-level stress.
Indexed as
Identifiers
34546909PMC8819608What OpenQuestion holds
Registered trials
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.