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Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment 4/2007

01-12-2007

A Psychometric Evaluation of the Approach and Avoidance of Alcohol Questionnaire (AAAQ) in Alcohol Dependent Outpatients

Auteurs: Audrey A. Klein, Paul R. Stasiewicz, James R. Koutsky, Clara M. Bradizza, Scott F. Coffey

Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment | Uitgave 4/2007

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Abstract

The Approach and Avoidance of Alcohol Questionnaire (AAAQ; McEvoy et al. in Addiction 99:482–497, 2004) was administered to a clinical sample of 138 alcohol dependent men and women. An exploratory factor analysis was used to determine the AAAQ factor structure and a confirmatory analysis run on a second administration of the AAAQ. Convergent validity was examined by conducting an alcohol cue reactivity test and by administering the Timeline Follow-Back (TLFB), a retrospective calendar method for assessing alcohol consumption, and several measures of alcohol-related problems. The factor analysis supported a two-factor solution representing approach and avoidance dimensions. Regressions predicting measures of alcohol cue reactivity, alcohol consumption, and other alcohol-related constructs with the AAAQ provide support for its convergent validity. The results suggest that alcohol craving may be viewed as a multi-dimensional construct that includes both approach and avoidance inclinations which may vary depending on the population under examination.
Voetnoten
1
The AAAQ has three different timeframes: “Right Now,” “Past 24 Hours,” and “Past Week.” The “Past Week” version was administered at Session 1, the baseline assessment session, and the “Right Now” version was administered prior to the cue reactivity test during Session 2.
 
2
In order to examine possible bias introduced into the factor analyses by using traditional methods on non-continuous Likert scale items (Bernstein and Teng 1989), factor analyses employing polychoric correlations of the items were conducted and the results compared to those reported here. There were no substantive differences found in those comparisons.
 
3
The items allowed to covary were: 4 and 19, 12 and 16, 11 and 18, and 8 and 15.
 
Literatuur
go back to reference Anton, R. F. (1999). What is craving? Models and implications for treatment. Alcohol Research and Health, 23, 165–173.PubMed Anton, R. F. (1999). What is craving? Models and implications for treatment. Alcohol Research and Health, 23, 165–173.PubMed
go back to reference Beck, A. T., Brown, G. K., & Steer, R. A. (1996). Beck depression inventory-II (BDI-II). San Antonio, TX: The Psychological Corporation. Beck, A. T., Brown, G. K., & Steer, R. A. (1996). Beck depression inventory-II (BDI-II). San Antonio, TX: The Psychological Corporation.
go back to reference Benjamini, Y., & Hochberg, Y. (1995). Controlling the false discovery rate: A practical and powerful approach to multiple testing. Journal of the Royal Statistical Society, 57, 289–300. Benjamini, Y., & Hochberg, Y. (1995). Controlling the false discovery rate: A practical and powerful approach to multiple testing. Journal of the Royal Statistical Society, 57, 289–300.
go back to reference Bentler, P. M. (1990). Comparative fit indexes in structural modeling. Psychological Bulletin, 107, 238–246.PubMedCrossRef Bentler, P. M. (1990). Comparative fit indexes in structural modeling. Psychological Bulletin, 107, 238–246.PubMedCrossRef
go back to reference Bernstein, I. H., & Teng, G. (1989). Factoring items and factoring scales are different: Spurious evidence for multidimensionality due to item categorization. Psychological Bulletin, 105, 467–477.CrossRef Bernstein, I. H., & Teng, G. (1989). Factoring items and factoring scales are different: Spurious evidence for multidimensionality due to item categorization. Psychological Bulletin, 105, 467–477.CrossRef
go back to reference Blouin, A. G., Perez, E. L., & Blouin, J. H. (1988). Computerized administration of the Diagnostic Interview Schedule. Psychiatry Research, 23, 335–344.PubMedCrossRef Blouin, A. G., Perez, E. L., & Blouin, J. H. (1988). Computerized administration of the Diagnostic Interview Schedule. Psychiatry Research, 23, 335–344.PubMedCrossRef
go back to reference Breiner, M. J., Stritzke, W. G., & Lang, A. R. (1999). Approaching avoidance: A step essential to the understanding of craving. Alcohol Research & Health, 23, 197–206. Breiner, M. J., Stritzke, W. G., & Lang, A. R. (1999). Approaching avoidance: A step essential to the understanding of craving. Alcohol Research & Health, 23, 197–206.
go back to reference Browne, M. W., & Cudeck, R. (1993). Alternative ways of assessing model fit. In K. A. Bollen & J. S. Long (Eds.), Testing structural equation models (pp. 132–162). Thousand Oaks, CA: Sage. Browne, M. W., & Cudeck, R. (1993). Alternative ways of assessing model fit. In K. A. Bollen & J. S. Long (Eds.), Testing structural equation models (pp. 132–162). Thousand Oaks, CA: Sage.
go back to reference Coffey, S. F., Saladin, M. E., Libet, J. M., Drobes, D. J., & Dansky, B. S. (1999). Differential urge and salivary responsivity to alcohol cues in alcohol-dependent patients: A comparison of traditional and stringent classification approaches. Experimental and Clinical Psychopharmacology, 7, 464–472.PubMedCrossRef Coffey, S. F., Saladin, M. E., Libet, J. M., Drobes, D. J., & Dansky, B. S. (1999). Differential urge and salivary responsivity to alcohol cues in alcohol-dependent patients: A comparison of traditional and stringent classification approaches. Experimental and Clinical Psychopharmacology, 7, 464–472.PubMedCrossRef
go back to reference Collins, B. N., & Brandon, T. H. (2002). Effects of extinction context and retrieval cues on alcohol cue reactivity among nonalcoholic drinkers. Journal of Consulting and Clinical Psychology, 70, 390–397.PubMedCrossRef Collins, B. N., & Brandon, T. H. (2002). Effects of extinction context and retrieval cues on alcohol cue reactivity among nonalcoholic drinkers. Journal of Consulting and Clinical Psychology, 70, 390–397.PubMedCrossRef
go back to reference Erdman, H. P., Klein, M. H., Greist, J. H., Skare, S. S., Husted, J. J., Robins, L. N., et al. (1992). A comparison of two computer-administered versions of the NIMH diagnostic interview schedule. Journal of Psychiatric Research, 26, 85–95.PubMedCrossRef Erdman, H. P., Klein, M. H., Greist, J. H., Skare, S. S., Husted, J. J., Robins, L. N., et al. (1992). A comparison of two computer-administered versions of the NIMH diagnostic interview schedule. Journal of Psychiatric Research, 26, 85–95.PubMedCrossRef
go back to reference Ferrando, P. J., & Lorenzo-Seva, U. (2000). Unrestricted versus restricted factor analysis of multidimensional test items: Some aspects of the problem and some suggestions. Psicológica, 21, 301–323. Ferrando, P. J., & Lorenzo-Seva, U. (2000). Unrestricted versus restricted factor analysis of multidimensional test items: Some aspects of the problem and some suggestions. Psicológica, 21, 301–323.
go back to reference Franken, I. H. A., De Haan, H. A., Van Der Meer, C. W., Haffmans, P. M. J., & Hendriks, V. M. (1999). Cue reactivity and effects of cue exposure in abstinent post-treatment drug users. Journal of Substance Abuse Treatment, 16, 81–85.PubMedCrossRef Franken, I. H. A., De Haan, H. A., Van Der Meer, C. W., Haffmans, P. M. J., & Hendriks, V. M. (1999). Cue reactivity and effects of cue exposure in abstinent post-treatment drug users. Journal of Substance Abuse Treatment, 16, 81–85.PubMedCrossRef
go back to reference Horn, J. L. (1965). A rationale and test for the number of factors in factor analysis. Psychometrica, 30, 179–185.CrossRef Horn, J. L. (1965). A rationale and test for the number of factors in factor analysis. Psychometrica, 30, 179–185.CrossRef
go back to reference Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55.CrossRef Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55.CrossRef
go back to reference Kozlowski, L. T., Mann, R. E., Wilkinson, D. A., & Poulos, C. X. (1989). “Cravings” are ambiguous: Ask about urges or desires. Addictive Behaviors, 14, 443–445.PubMedCrossRef Kozlowski, L. T., Mann, R. E., Wilkinson, D. A., & Poulos, C. X. (1989). “Cravings” are ambiguous: Ask about urges or desires. Addictive Behaviors, 14, 443–445.PubMedCrossRef
go back to reference Kozlowski, L. T., Pilliterri, J. L., Sweeney, C. T., Whitfield, K. E., & Graham, J. W. (1996). Asking questions about urges or cravings for cigarettes. Psychology of Addictive Behaviors, 10, 248–260.CrossRef Kozlowski, L. T., Pilliterri, J. L., Sweeney, C. T., Whitfield, K. E., & Graham, J. W. (1996). Asking questions about urges or cravings for cigarettes. Psychology of Addictive Behaviors, 10, 248–260.CrossRef
go back to reference Kozlowski, L. T., & Wilkinson, D. A. (1987). Use and misuse of the concept of craving by alcohol, tobacco, and drug researchers. British Journal of Addiction, 82, 31–36.PubMedCrossRef Kozlowski, L. T., & Wilkinson, D. A. (1987). Use and misuse of the concept of craving by alcohol, tobacco, and drug researchers. British Journal of Addiction, 82, 31–36.PubMedCrossRef
go back to reference Leigh, B. C., & Stacy, A. (1993). Alcohol outcome expectancies: Scale construction and predictive utility in higher order confirmatory models. Psychological Assessment, 5, 216–229.CrossRef Leigh, B. C., & Stacy, A. (1993). Alcohol outcome expectancies: Scale construction and predictive utility in higher order confirmatory models. Psychological Assessment, 5, 216–229.CrossRef
go back to reference Levitan, R. D., Blouin, A. G., Navarro, J. R., & Hill, J. (1991). Validity of the computerized DIS for diagnosing psychiatric inpatients. Canadian Journal of Psychiatry, 36, 728–731. Levitan, R. D., Blouin, A. G., Navarro, J. R., & Hill, J. (1991). Validity of the computerized DIS for diagnosing psychiatric inpatients. Canadian Journal of Psychiatry, 36, 728–731.
go back to reference McEvoy, P. M., Stritzke, W. G., French, D. J., Lang, A. R., & Ketterman, R. L. (2004). Comparison of three models of alcohol craving in young adults: A cross-validation. Addiction, 99, 482–497.PubMedCrossRef McEvoy, P. M., Stritzke, W. G., French, D. J., Lang, A. R., & Ketterman, R. L. (2004). Comparison of three models of alcohol craving in young adults: A cross-validation. Addiction, 99, 482–497.PubMedCrossRef
go back to reference Miller, W. R., & Rollnick, S. (2002). Motivational interviewing: Preparing people for change. New York: Guilford. Miller, W. R., & Rollnick, S. (2002). Motivational interviewing: Preparing people for change. New York: Guilford.
go back to reference Miller, W. R., & Tonigan, J. S. (1996). Assessing drinkers’ motivation for change: The Stages of Change Readiness and Treatment Eagerness Scale (SOCRATES). Psychiatry and Addictive Behavior, 10, 81–89.CrossRef Miller, W. R., & Tonigan, J. S. (1996). Assessing drinkers’ motivation for change: The Stages of Change Readiness and Treatment Eagerness Scale (SOCRATES). Psychiatry and Addictive Behavior, 10, 81–89.CrossRef
go back to reference Miller, W. R., Tonigan, J. S., & Longabaugh, R. (1995). The drinker inventory of consequences (DrInC): An instrument for assessing adverse consequences of alcohol abuse. NIAAA Project MATCH Monograph Series, vol. 4. Washington, D.C.: Government Printing Office. Miller, W. R., Tonigan, J. S., & Longabaugh, R. (1995). The drinker inventory of consequences (DrInC): An instrument for assessing adverse consequences of alcohol abuse. NIAAA Project MATCH Monograph Series, vol. 4. Washington, D.C.: Government Printing Office.
go back to reference Monti, P. M., Binkoff, J. A., Abrams, D. B., Zwick, W. R., Nirenberg, T. D., & Liepman, M. R. (1987). Reactivity of alcoholics and nonalcoholics to drinking cues. Journal of Abnormal Psychology, 96, 122–126.PubMedCrossRef Monti, P. M., Binkoff, J. A., Abrams, D. B., Zwick, W. R., Nirenberg, T. D., & Liepman, M. R. (1987). Reactivity of alcoholics and nonalcoholics to drinking cues. Journal of Abnormal Psychology, 96, 122–126.PubMedCrossRef
go back to reference O’Connor, B. P. (2000). SPSS and SAS programs for determining the number of components using parallel analysis and Velicer’s MAP test. Behavior Research Methods, Instrumentation, and Computers, 32, 396–402. O’Connor, B. P. (2000). SPSS and SAS programs for determining the number of components using parallel analysis and Velicer’s MAP test. Behavior Research Methods, Instrumentation, and Computers, 32, 396–402.
go back to reference Robins, L., Cotter, L., Bucholz, K., & Compton, W. (1995). Diagnostic Interview Schedule for DSM-IV. St. Louis, MO: Washington University School of Medicine. Robins, L., Cotter, L., Bucholz, K., & Compton, W. (1995). Diagnostic Interview Schedule for DSM-IV. St. Louis, MO: Washington University School of Medicine.
go back to reference Rohsenow, D. J., Monti, P. M., Rubonis, A. V., Sirota, A. D., Niaura, R. S., Colby, S., et al. (1994). Cue reactivity as a predictor of drinking among male alcoholics. Journal of Consulting and Clinical Psychology, 62, 620–626.PubMedCrossRef Rohsenow, D. J., Monti, P. M., Rubonis, A. V., Sirota, A. D., Niaura, R. S., Colby, S., et al. (1994). Cue reactivity as a predictor of drinking among male alcoholics. Journal of Consulting and Clinical Psychology, 62, 620–626.PubMedCrossRef
go back to reference Sayette, M. A., Shiffman, S., Tiffany, S. T., Niaura, R. S., Martin, C. S., & Shadel, W. G. (2000). The measurement of drug craving. Addiction, 95(Supplement 2), 189–210.CrossRef Sayette, M. A., Shiffman, S., Tiffany, S. T., Niaura, R. S., Martin, C. S., & Shadel, W. G. (2000). The measurement of drug craving. Addiction, 95(Supplement 2), 189–210.CrossRef
go back to reference Sinha, R., Fuse, T., Aubin, L.-R., & O’Malley, S. S. (2000). Psychological stress, drug-related cues and cocaine craving. Psychopharmacology, 152, 140–148.PubMedCrossRef Sinha, R., Fuse, T., Aubin, L.-R., & O’Malley, S. S. (2000). Psychological stress, drug-related cues and cocaine craving. Psychopharmacology, 152, 140–148.PubMedCrossRef
go back to reference Skinner, H. A., & Allen, B. A. (1982). Alcohol dependence syndrome: Measurement and validation. Journal of Abnormal Psychology, 91, 199–209.PubMedCrossRef Skinner, H. A., & Allen, B. A. (1982). Alcohol dependence syndrome: Measurement and validation. Journal of Abnormal Psychology, 91, 199–209.PubMedCrossRef
go back to reference Smith-Hoerter, K., Stasiewicz, P. R., & Bradizza, C. M. (2004). Subjective reactions to alcohol cue exposure: A qualitative analysis of patients’ self-reports. Psychology of Addictive Behaviors, 18, 402–406.PubMedCrossRef Smith-Hoerter, K., Stasiewicz, P. R., & Bradizza, C. M. (2004). Subjective reactions to alcohol cue exposure: A qualitative analysis of patients’ self-reports. Psychology of Addictive Behaviors, 18, 402–406.PubMedCrossRef
go back to reference Sobell, L. C., & Sobell, M. B. (1992). Timeline followback: A technique for assessing self-reported alcohol consumption. In J. Allen & R. Z. Litten (Eds.), Measuring alcohol consumption: Psychosocial and biological methods (pp. 41–72), Totowa, NJ: Humana. Sobell, L. C., & Sobell, M. B. (1992). Timeline followback: A technique for assessing self-reported alcohol consumption. In J. Allen & R. Z. Litten (Eds.), Measuring alcohol consumption: Psychosocial and biological methods (pp. 41–72), Totowa, NJ: Humana.
go back to reference Stasiewicz, P. R., Gulliver, S. B., Bradizza, C. M., Torrisi, R., Rohsenow, D. J., & Monti, P. M. (1997). Exposure to negative emotional cues and alcohol cue reactivity with alcoholics: A preliminary investigation. Behaviour Research & Therapy, 35, 1143–1149.CrossRef Stasiewicz, P. R., Gulliver, S. B., Bradizza, C. M., Torrisi, R., Rohsenow, D. J., & Monti, P. M. (1997). Exposure to negative emotional cues and alcohol cue reactivity with alcoholics: A preliminary investigation. Behaviour Research & Therapy, 35, 1143–1149.CrossRef
go back to reference Stasiewicz, P. R., & Maisto, S. A. (1993). Two-factor avoidance theory: The role of negative affect in the maintenance of substance use and substance use disorder. Behavior Therapy, 24, 337–356.CrossRef Stasiewicz, P. R., & Maisto, S. A. (1993). Two-factor avoidance theory: The role of negative affect in the maintenance of substance use and substance use disorder. Behavior Therapy, 24, 337–356.CrossRef
go back to reference Stritzke, W. G., Breiner, M. J., Curtin, J. J., & Lang, A. R. (2004). Assessment of substance cue reactivity: Advances in reliability, specificity, and validity. Psychology of Addictive Behaviors, 18, 148–159.PubMedCrossRef Stritzke, W. G., Breiner, M. J., Curtin, J. J., & Lang, A. R. (2004). Assessment of substance cue reactivity: Advances in reliability, specificity, and validity. Psychology of Addictive Behaviors, 18, 148–159.PubMedCrossRef
go back to reference Tiffany, S. T., & Conklin, C. A. (2000). A cognitive processing model of alcohol craving and compulsive alcohol use. Addiction, 95(Supplement 2), 145–153.CrossRef Tiffany, S. T., & Conklin, C. A. (2000). A cognitive processing model of alcohol craving and compulsive alcohol use. Addiction, 95(Supplement 2), 145–153.CrossRef
go back to reference van Prooijen, J. W., & van der Kloot, W. A. (2001). Confirmatory analysis of exploratively obtained factor structures. Educational and Psychological Measurement, 61, 777–792.CrossRef van Prooijen, J. W., & van der Kloot, W. A. (2001). Confirmatory analysis of exploratively obtained factor structures. Educational and Psychological Measurement, 61, 777–792.CrossRef
go back to reference Zwick, W. R., & Velicer, W. F. (1986). Comparison of five rules for determining the number of components to retain. Psychological Bulletin, 90, 432–442.CrossRef Zwick, W. R., & Velicer, W. F. (1986). Comparison of five rules for determining the number of components to retain. Psychological Bulletin, 90, 432–442.CrossRef
Metagegevens
Titel
A Psychometric Evaluation of the Approach and Avoidance of Alcohol Questionnaire (AAAQ) in Alcohol Dependent Outpatients
Auteurs
Audrey A. Klein
Paul R. Stasiewicz
James R. Koutsky
Clara M. Bradizza
Scott F. Coffey
Publicatiedatum
01-12-2007
Uitgeverij
Springer US
Gepubliceerd in
Journal of Psychopathology and Behavioral Assessment / Uitgave 4/2007
Print ISSN: 0882-2689
Elektronisch ISSN: 1573-3505
DOI
https://doi.org/10.1007/s10862-007-9044-2

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