Excessive alcohol use has many negative health consequences, including higher risk of mortality. In addition, in 2006, the estimated economic cost of excessive drinking was $223.5 billion when the combined costs of lost productivity, health and health care, and crime are considered61. Despite unparalleled advances in technology over the last several decades, the clinical assessment of features and correlates of alcohol use disorders (and psychopathology more generally), still primarily relies on traditional paper-and-pencil questionnaires and face-to- face clinical interviews. However, these tried-and-true methods are limited in a number of ways, including total reliance on patients'retrospective self-report, the skill of the clinical interviewer, and the artificial setting of the assessment (te clinic consulting room). The present study proposes to use an innovative methodology, ambulatory assessment (AA) to describe and investigate alcohol use and dependence-related symptomatology (specifically, cue- reactivity/craving), and emotional dysregulation among psychiatric outpatients with disorders characterized by clinical significant emotional dysregulation problems (mood disorders, anxiety disorders, or borderline personality disorder) while in their natural environment. This "real-world" approach can shed light on the causes and correlates of alcohol dependence, and suggest improvements in treatment approaches.

Public Health Relevance

Excessive alcohol use is a major public health problem and incurs enormous costs to our society. By studying the subjective and physiological correlates of alcohol use, emotional dysregulation, and alcohol craving, this study will improve the conceptualization and assessment of alcohol use disorder (AUD), facilitate research on the causes and correlates of alcohol dependence, and suggest improvements in treatment approaches.

Agency
National Institute of Health (NIH)
Institute
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Type
Exploratory/Developmental Grants (R21)
Project #
1R21AA022099-01
Application #
8485376
Study Section
Health Services Research Review Subcommittee (AA)
Program Officer
Ruffin, Beverly
Project Start
2013-09-15
Project End
2015-08-31
Budget Start
2013-09-15
Budget End
2014-08-31
Support Year
1
Fiscal Year
2013
Total Cost
$207,312
Indirect Cost
$63,562
Name
University of Missouri-Columbia
Department
Psychology
Type
Schools of Arts and Sciences
DUNS #
153890272
City
Columbia
State
MO
Country
United States
Zip Code
65211
Trull, Timothy J; Ebner-Priemer, Ulrich (2014) The Role of Ambulatory Assessment in Psychological Science. Curr Dir Psychol Sci 23:466-470