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D Colin Drummond

Publications and source records attributed to D Colin Drummond.

5 recordsLinked to original sources

Acute effect of a brief bout of exercise on alcohol urges.

AIM: To examine whether a brief bout of moderate intensity exercise reduces alcohol urges and mood disturbance in those with alcohol dependence. DESIGN: A counterbalanced cross-over design (within-subjects). SETTING: A hospital-based alcohol rehabilitation clinic. PARTICIPANTS: Twenty males and females [mean (SD) age = 40.1 (8.2) years, mean (SD) Severity of Alcohol Dependence Questionnaire score = 34.2 (13.4)] who had recently completed alcohol detoxification [mean (SD) days since completing detoxification = 3.5 (2.3)]. INTERVENTION: On the first day of experimentation all participants (N = 20) were randomized to undergo one of two conditions, either: (i) a single bout of 10 minutes of moderate intensity cycling (experimental), or (ii) a single bout of 10 minutes of very light intensity cycling (control). On the following day they underwent the remaining condition. MEASUREMENTS: All participants completed the Alcohol Urge Questionnaire and a six-item measure of mood disturbance at the following times: (i) immediately before exercise (baseline), (ii) during exercise (at 5 minutes), (iii) immediately following exercise, (iv) 5 minutes following exercise and (v) 10 minutes after exercise. FINDINGS: Relative to baseline, there was a significant decline in alcohol urges for the experimental condition versus control during exercise (P = 0.02) but not at any measurement point following exercise. At baseline, by chance, there was a non-significant tendency for there to be higher ratings of alcohol urges for the experimental condition versus the control. For mood, there was no evidence for significant differences between treatment conditions for baseline versus any subsequent measurement point. CONCLUSIONS: A brief bout of moderate intensity exercise may provide some short-term relief from alcohol urges during exercise. Further studies are required to replicate the present findings and to confirm whether any moderating effect of exercise on alcohol urges is sustained following exercise.

Adult↗

Alcohol urges in alcohol-dependent drinkers: further validation of the Alcohol Urge Questionnaire in an untreated community clinical population.

BACKGROUND: Alcohol craving is a key element of the alcohol dependence syndrome. However, there is a lack of consensus about the precise nature of craving and the most appropriate method of measurement. Alcohol urges measured by the Alcohol Urge Questionnaire showed a unidimensional structure and evidence of validity and reliability in a US clinical population. The main aim of this study was to establish the validity of the AUQ in an untreated UK clinical population, and its relationships to drinking and personality factors. SUBJECTS: All subjects (n = 80) were alcohol-dependent (DSM-IV) and presenting for pre-treatment assessment at a community alcohol team in South-west -London. METHOD: All subjects completed the AUQ, Severity of Alcohol Dependence -Questionnaire (SADQ), Spielberger's State Trait Anxiety Inventory (STAI) and Eysenck Personality Questionnaire (EPQ) and provided a breath specimen for alcohol analysis (BAL). RESULTS: Principal components analysis of AUQ revealed one factor which accounted for 69% of variance with high interitem correlations, and an alpha reliability of 0.93. AUQ was significantly correlated with SADQ, BAC, state and trait anxiety and negatively correlated with time since last drink. There were no significant correlations between AUQ and any of the EPQ subscales. SADQ was correlated with neuroticism, but not other EPQ subscales. A regression analysis showed that only SADQ, time since last drink and BAL were significant predictors of alcohol urges. CONCLUSIONS: This study confirmed the AUQ factor structure and provided further evidence for the validity of AUQ. The relationship between BAL and urges deserves further research. The results did not support the contention that -anxiety and personality factors predict urges when drinking-related variables, which also predict urges, are controlled for. The AUQ is a useful measure for clinical and experimental alcohol craving research.

Adult↗