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Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment 2/2013

01-06-2013

A Psychometric Evaluation of the Approach and Avoidance of Alcohol Questionnaire Among Alcohol-Dependent Patients Attending Residential Treatment

Auteurs: Audrey A. Klein, Justin J. Anker

Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment | Uitgave 2/2013

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Abstract

Despite research suggesting that alcohol-dependent individuals have both craving and avoidant tendencies for alcohol, few studies have measured self-report tendencies using the Approach and Avoidance of Alcohol Questionnaire (AAAQ). The goal of this study was to examine the psychometric properties of the AAAQ using a sample of adults receiving 12 step-based residential treatment for alcohol dependence. As part of a larger study, 100 adults receiving residential treatment completed the AAAQ and several other assessments shortly after treatment admission. Analyses of the AAAQ examined its factor structure, internal consistency, and convergent and predictive validity. A maximum likelihood estimation factor analysis using oblique rotation produced 3 factors accounting for 69 % of the variance. A confirmatory factor analysis suggested that the 3-factor model was a moderate fit for data from a second sample of patients. Internal consistency was fairly high and convergent validity was demonstrated by relationships with another scale of alcohol craving, time since last drink, and quantity and frequency of pre-treatment alcohol use. Regarding predictive validity, the level of approach tendencies on the AAAQ was significantly related to abstinence status during the first 6 months following treatment. Avoidance level was not related to abstinence. The results largely replicated past studies utilizing outpatient samples and suggest that the AAAQ shows promise as a psychometrically sound, internally reliable self-report craving measure for individuals with alcohol dependence.
Literatuur
go back to reference American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (Revised 4th ed.). Washington: Author. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (Revised 4th ed.). Washington: Author.
go back to reference American Society of Addiction Medicine. (1996). ASAM patient placement criteria for the treatment of substance-related disorders. Chevy Chase: American Society of Addiction Medicine, Inc. American Society of Addiction Medicine. (1996). ASAM patient placement criteria for the treatment of substance-related disorders. Chevy Chase: American Society of Addiction Medicine, Inc.
go back to reference Anderson, J. C., & Gerbing, D. W. (1984). The effect of sampling error on convergence, improper solutions, and goodness-of-fit indices for maximum likelihood confirmatory factor analysis. Psychometrika, 49, 155–173.CrossRef Anderson, J. C., & Gerbing, D. W. (1984). The effect of sampling error on convergence, improper solutions, and goodness-of-fit indices for maximum likelihood confirmatory factor analysis. Psychometrika, 49, 155–173.CrossRef
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 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 Collins, R. L., & Lapp, W. M. (1992). The temptation and restraint inventory for measuring drinking restraint. British Journal of Addiction, 87, 625–633.PubMedCrossRef Collins, R. L., & Lapp, W. M. (1992). The temptation and restraint inventory for measuring drinking restraint. British Journal of Addiction, 87, 625–633.PubMedCrossRef
go back to reference Costello, A. B., & Osborne, J. W. (2005). Best practices in exploratory factor analysis: four recommendations for getting the most from your analysis. Practical Assessment, Research & Evaluation, 10, 1–10. Costello, A. B., & Osborne, J. W. (2005). Best practices in exploratory factor analysis: four recommendations for getting the most from your analysis. Practical Assessment, Research & Evaluation, 10, 1–10.
go back to reference Cox, W. M., & Klinger, E. (1988). A motivational model of alcohol use. Journal of Abnormal Psychology, 97, 168–180.PubMedCrossRef Cox, W. M., & Klinger, E. (1988). A motivational model of alcohol use. Journal of Abnormal Psychology, 97, 168–180.PubMedCrossRef
go back to reference De Leon, G., Melnick, G., & Cleland, C. M. (2008). Client matching: a severity-treatment intensity paradigm. Journal of Addictive Diseases, 27, 99–113.PubMedCrossRef De Leon, G., Melnick, G., & Cleland, C. M. (2008). Client matching: a severity-treatment intensity paradigm. Journal of Addictive Diseases, 27, 99–113.PubMedCrossRef
go back to reference Drummond, D. C., Litten, R. Z., Lowman, C., & Hunt, W. A. (2000). Craving research: future directions. Addiction, 95(Suppl 2), S247–S255.PubMed Drummond, D. C., Litten, R. Z., Lowman, C., & Hunt, W. A. (2000). Craving research: future directions. Addiction, 95(Suppl 2), S247–S255.PubMed
go back to reference Flannery, B. A., Volpicelli, J. R., & Pettinati, H. M. (1999). Psychometric properties of the Penn alcohol craving scale. Alcoholism, Clinical and Experimental Research, 23, 1289–1295.PubMedCrossRef Flannery, B. A., Volpicelli, J. R., & Pettinati, H. M. (1999). Psychometric properties of the Penn alcohol craving scale. Alcoholism, Clinical and Experimental Research, 23, 1289–1295.PubMedCrossRef
go back to reference Greenwood, G. L., Woods, W. J., Guydish, J., & Bein, E. (2001). Relapse outcomes in a randomized trial of residential and day drug abuse treatment. Journal of Substance Abuse Treatment, 20, 15–23.PubMedCrossRef Greenwood, G. L., Woods, W. J., Guydish, J., & Bein, E. (2001). Relapse outcomes in a randomized trial of residential and day drug abuse treatment. Journal of Substance Abuse Treatment, 20, 15–23.PubMedCrossRef
go back to reference Hser, Y. I., Anglin, M. D., & Fletcher, B. (1998). Comparative treatment effectiveness. Effects of program modality and client drug dependence history on drug use reduction. Journal of Substance Abuse Treatment, 15, 513–523.PubMedCrossRef Hser, Y. I., Anglin, M. D., & Fletcher, B. (1998). Comparative treatment effectiveness. Effects of program modality and client drug dependence history on drug use reduction. Journal of Substance Abuse Treatment, 15, 513–523.PubMedCrossRef
go back to reference Klein, A. A., Stasiewicz, P. R., Koutsky, J. R., Bradizza, C. M., & Coffey, S. F. (2007). A psychometric evaluation of the approach and avoidance of alcohol questionnaire (AAAQ) in alcohol dependent outpatients. Journal of Psychopathology and Behavioral Assessment, 29, 231–240.CrossRef Klein, A. A., Stasiewicz, P. R., Koutsky, J. R., Bradizza, C. M., & Coffey, S. F. (2007). A psychometric evaluation of the approach and avoidance of alcohol questionnaire (AAAQ) in alcohol dependent outpatients. Journal of Psychopathology and Behavioral Assessment, 29, 231–240.CrossRef
go back to reference McEvoy, P. M., Stritzke, W. G. K., 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. K., 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 Oslin, D. W., Cary, M., Slaymaker, V., Colleran, C., & Blow, F. C. (2009). Daily ratings measures of alcohol craving during an inpatient stay define subtypes of alcohol addiction that predict subsequent risk for resumption of drinking. Drug and Alcohol Dependence, 103, 131–136.PubMedCrossRef Oslin, D. W., Cary, M., Slaymaker, V., Colleran, C., & Blow, F. C. (2009). Daily ratings measures of alcohol craving during an inpatient stay define subtypes of alcohol addiction that predict subsequent risk for resumption of drinking. Drug and Alcohol Dependence, 103, 131–136.PubMedCrossRef
go back to reference Project MATCH Research Group. (1993). Project MATCH (matching alcoholism treatment to client heterogeneity): rationale and methods for a multisite clinical trial matching patients to alcoholism treatment. Alcoholism, Clinical and Experimental Research, 17, 1130–1145.CrossRef Project MATCH Research Group. (1993). Project MATCH (matching alcoholism treatment to client heterogeneity): rationale and methods for a multisite clinical trial matching patients to alcoholism treatment. Alcoholism, Clinical and Experimental Research, 17, 1130–1145.CrossRef
go back to reference Rosenberg, H. (2009). Clinical and laboratory assessment of the subjective experience of drug craving. Clinical Psychology Review, 29, 519–534.PubMedCrossRef Rosenberg, H. (2009). Clinical and laboratory assessment of the subjective experience of drug craving. Clinical Psychology Review, 29, 519–534.PubMedCrossRef
go back to reference Rychtarik, R. G., Connors, G. J., Whitney, R. B., McGillicuddy, N. B., Fitterling, J. M., & Wirtz, P. W. (2000). Treatment settings for persons with alcoholism: evidence for matching clients to inpatient versus outpatient care. Journal of Consulting and Clinical Psychology, 68, 277–289.PubMedCrossRef Rychtarik, R. G., Connors, G. J., Whitney, R. B., McGillicuddy, N. B., Fitterling, J. M., & Wirtz, P. W. (2000). Treatment settings for persons with alcoholism: evidence for matching clients to inpatient versus outpatient care. Journal of Consulting and Clinical Psychology, 68, 277–289.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(Suppl 2), S189–S210.PubMed 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(Suppl 2), S189–S210.PubMed
go back to reference Schlauch, R.C., Stasiewicz, P.R., Bradizza, C.M., Coffey, S.F., Gulliver, S.B., & Gudleski, G.D. (2012). Relationship between approach and avoidance inclinations to use alcohol and treatment outcomes. Addictive Behaviors, PMID: 22459327 Schlauch, R.C., Stasiewicz, P.R., Bradizza, C.M., Coffey, S.F., Gulliver, S.B., & Gudleski, G.D. (2012). Relationship between approach and avoidance inclinations to use alcohol and treatment outcomes. Addictive Behaviors, PMID: 22459327
go back to reference Schreiber, J. B., Stage, F. K., King, J., Nora, A., & Barlow, E. A. (2006). Reporting structural equation modeling and confirmatory factor analysis results: a review. The Journal of Educational Research, 99, 323–337.CrossRef Schreiber, J. B., Stage, F. K., King, J., Nora, A., & Barlow, E. A. (2006). Reporting structural equation modeling and confirmatory factor analysis results: a review. The Journal of Educational Research, 99, 323–337.CrossRef
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 Streiner, D. L., & Norman, G. R. (Eds.). (2003). Health measurement scales: A practical guide to their development and use. New York: Oxford University Press, Inc. Streiner, D. L., & Norman, G. R. (Eds.). (2003). Health measurement scales: A practical guide to their development and use. New York: Oxford University Press, Inc.
go back to reference Stritzke, W. G. K., McEvoy, P. M., Wheat, L. R., Dyer, K. R., & French, D. J. (2007). The yin and yang of indulgence and restraint: the ambivalence model of craving. In P. W. O’Neal (Ed.), Motivation of health behavior. Hauppage: Nova Science Publishers, Inc. Stritzke, W. G. K., McEvoy, P. M., Wheat, L. R., Dyer, K. R., & French, D. J. (2007). The yin and yang of indulgence and restraint: the ambivalence model of craving. In P. W. O’Neal (Ed.), Motivation of health behavior. Hauppage: Nova Science Publishers, Inc.
go back to reference Tiet, Q. Q., Ilgen, M. A., Byrnes, H. F., Harris, A. H., & Finney, J. W. (2007). Treatment setting and baseline substance use severity interact to predict patients’ outcomes. Addiction, 102, 432–440.PubMedCrossRef Tiet, Q. Q., Ilgen, M. A., Byrnes, H. F., Harris, A. H., & Finney, J. W. (2007). Treatment setting and baseline substance use severity interact to predict patients’ outcomes. Addiction, 102, 432–440.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(Suppl 2), S145–S153.PubMed Tiffany, S. T., & Conklin, C. A. (2000). A cognitive processing model of alcohol craving and compulsive alcohol use. Addiction, 95(Suppl 2), S145–S153.PubMed
go back to reference Tonigan, J. S., Miller, W. R., & Brown, J. M. (1997). The reliability of the form 90: an instrument for assessing alcohol treatment outcome. Journal of Studies on Alcohol, 58, 358–364.PubMed Tonigan, J. S., Miller, W. R., & Brown, J. M. (1997). The reliability of the form 90: an instrument for assessing alcohol treatment outcome. Journal of Studies on Alcohol, 58, 358–364.PubMed
go back to reference Townshend, J. M., & Duka, T. (2001). Attentional bias associated with alcohol cues: differences between heavy and occasional social drinkers. Psychopharmacology, 157, 67–74.PubMedCrossRef Townshend, J. M., & Duka, T. (2001). Attentional bias associated with alcohol cues: differences between heavy and occasional social drinkers. Psychopharmacology, 157, 67–74.PubMedCrossRef
go back to reference Townshend, J. M., & Duka, T. (2007). Avoidance of alcohol-related stimuli in alcohol-dependent inpatients. Alcoholism, Clinical and Experimental Research, 31, 1349–1357.PubMedCrossRef Townshend, J. M., & Duka, T. (2007). Avoidance of alcohol-related stimuli in alcohol-dependent inpatients. Alcoholism, Clinical and Experimental Research, 31, 1349–1357.PubMedCrossRef
go back to reference Vollstadt-Klein, S., Loeber, S., von der Golz, C., Mann, K., & Kiefer, F. (2009). Avoidance of alcohol-related stimuli increases during the early stage of abstinence in alcohol-dependent patients. Alcohol and Alcoholism, 44, 458–463.PubMedCrossRef Vollstadt-Klein, S., Loeber, S., von der Golz, C., Mann, K., & Kiefer, F. (2009). Avoidance of alcohol-related stimuli increases during the early stage of abstinence in alcohol-dependent patients. Alcohol and Alcoholism, 44, 458–463.PubMedCrossRef
go back to reference Wiers, R. W., Eberl, C., Rinck, M., Becker, E. S., & Lindenmeyer, J. (2011). Retraining automatic action tendencies changes alcoholic patients’ approach bias for alcohol and improves treatment outcome. Psychological Science, 22, 490–497.PubMedCrossRef Wiers, R. W., Eberl, C., Rinck, M., Becker, E. S., & Lindenmeyer, J. (2011). Retraining automatic action tendencies changes alcoholic patients’ approach bias for alcohol and improves treatment outcome. Psychological Science, 22, 490–497.PubMedCrossRef
go back to reference Wiers, R. W., van Woerden, N., Smulders, T. Y., & Jong, P. J. (2002). Implicit and explicit alcohol-related cognitions in heavy and light drinkers. Journal of Abnormal Psychology, 111, 648–658.PubMedCrossRef Wiers, R. W., van Woerden, N., Smulders, T. Y., & Jong, P. J. (2002). Implicit and explicit alcohol-related cognitions in heavy and light drinkers. Journal of Abnormal Psychology, 111, 648–658.PubMedCrossRef
Metagegevens
Titel
A Psychometric Evaluation of the Approach and Avoidance of Alcohol Questionnaire Among Alcohol-Dependent Patients Attending Residential Treatment
Auteurs
Audrey A. Klein
Justin J. Anker
Publicatiedatum
01-06-2013
Uitgeverij
Springer US
Gepubliceerd in
Journal of Psychopathology and Behavioral Assessment / Uitgave 2/2013
Print ISSN: 0882-2689
Elektronisch ISSN: 1573-3505
DOI
https://doi.org/10.1007/s10862-012-9322-5

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