Are drinking motives universal? Characteristics of motive types in alcohol-dependent men from two diverse populations

Ertl V, Preuße M, Neuner F (2018)
Frontiers in Psychiatry 9: 38.

Zeitschriftenaufsatz | Veröffentlicht | Englisch
OA 1.56 MB
Abstract / Bemerkung
Background and Aims: Since alcohol use disorders are among the most prevalent and destructive mental disorders, it is critical to address factors contributing to their development and maintenance. Drinking motives are relevant driving factors for consumption. Identifying groups of drinkers with similar motivations may help to specialize intervention components and make treatment more effective and efficient. We aimed to identify and describe distinct motive types of drinkers in dependent males from two diverse cultures (Uganda and Germany) and to explore potential differences and similarities in addiction-related measures. Moreover, we investigated specific links between motive types and childhood maltreatment, traumatic experiences, and symptoms of comorbid psychopathologies. Methods: To determine distinct drinking motive types, we conducted latent class analyses concerning drinking motives (Drinking Motive Scale) in samples of treatment-seeking alcohol-dependent men (N = 75). Subsequently we compared the identified motive types concerning their alcohol consumption and alcohol-related symptoms (Alcohol Use Disorders Identification Test), history of childhood maltreatment (Childhood Trauma Questionnaire), trauma exposure (Violence, War and Abduction Exposure Scale), psychopathology (Posttraumatic Stress Diagnostic Scale, Depression-section of the Hopkins Symptom Checklist, and Brief Symptom Inventory) and deficits in emotion regulation (Difficulties in Emotion Regulation Scale). Results: We found two congruent drinking motive types in both contexts. Reward-oriented drinking motives like the generation of positive feelings and enhancing performance were endorsed almost equally by both motive types, whereas high relief motive endorsement characterized one group, but not the other. The relief motive type drank to overcome aversive feelings, withdrawal, and daily hassles and was characterized by higher adversity in general. Emotional maltreatment in childhood and psychopathological symptoms were reported to a significantly greater extent by relief drinkers (effect sizes of comparisons ranging from r = 0.25 to r = 0.48). However, the motive types did not differ significantly on alcohol consumption or alcohol-related symptoms and traumatic experiences apart from childhood maltreatment. Conclusion: The chronology of addiction development and patterns of drinking motivation seem to be similar across cultures, i.e., that motive targeting interventions might be applicable cross-culturally. Addressing comorbid symptomatology should be a key treatment component for relief drinkers, whereas finding alternatives for the creation of positive feelings and ways to counteract boredom and inactivity should be a general treatment element. Introduction
Frontiers in Psychiatry
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Ertl V, Preuße M, Neuner F. Are drinking motives universal? Characteristics of motive types in alcohol-dependent men from two diverse populations. Frontiers in Psychiatry. 2018;9: 38.
Ertl, V., Preuße, M., & Neuner, F. (2018). Are drinking motives universal? Characteristics of motive types in alcohol-dependent men from two diverse populations. Frontiers in Psychiatry, 9, 38. doi:10.3389/fpsyt.2018.00038
Ertl, Verena, Preuße, Melissa, and Neuner, Frank. 2018. “Are drinking motives universal? Characteristics of motive types in alcohol-dependent men from two diverse populations”. Frontiers in Psychiatry 9: 38.
Ertl, V., Preuße, M., and Neuner, F. (2018). Are drinking motives universal? Characteristics of motive types in alcohol-dependent men from two diverse populations. Frontiers in Psychiatry 9:38.
Ertl, V., Preuße, M., & Neuner, F., 2018. Are drinking motives universal? Characteristics of motive types in alcohol-dependent men from two diverse populations. Frontiers in Psychiatry, 9: 38.
V. Ertl, M. Preuße, and F. Neuner, “Are drinking motives universal? Characteristics of motive types in alcohol-dependent men from two diverse populations”, Frontiers in Psychiatry, vol. 9, 2018, : 38.
Ertl, V., Preuße, M., Neuner, F.: Are drinking motives universal? Characteristics of motive types in alcohol-dependent men from two diverse populations. Frontiers in Psychiatry. 9, : 38 (2018).
Ertl, Verena, Preuße, Melissa, and Neuner, Frank. “Are drinking motives universal? Characteristics of motive types in alcohol-dependent men from two diverse populations”. Frontiers in Psychiatry 9 (2018): 38.
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127 References

Daten bereitgestellt von Europe PubMed Central.

Global burden of disease and injury and economic cost attributable to alcohol use and alcohol-use disorders.
Rehm J, Mathers C, Popova S, Thavorncharoensap M, Teerawattananon Y, Patra J., Lancet 373(9682), 2009
PMID: 19560604
Global burden of diseases, injuries, and risk factors for young people's health during 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013.
Mokdad AH, Forouzanfar MH, Daoud F, Mokdad AA, El Bcheraoui C, Moradi-Lakeh M, Kyu HH, Barber RM, Wagner J, Cercy K, Kravitz H, Coggeshall M, Chew A, O'Rourke KF, Steiner C, Tuffaha M, Charara R, Al-Ghamdi EA, Adi Y, Afifi RA, Alahmadi H, AlBuhairan F, Allen N, AlMazroa M, Al-Nehmi AA, AlRayess Z, Arora M, Azzopardi P, Barroso C, Basulaiman M, Bhutta ZA, Bonell C, Breinbauer C, Degenhardt L, Denno D, Fang J, Fatusi A, Feigl AB, Kakuma R, Karam N, Kennedy E, Khoja TA, Maalouf F, Obermeyer CM, Mattoo A, McGovern T, Memish ZA, Mensah GA, Patel V, Petroni S, Reavley N, Zertuche DR, Saeedi M, Santelli J, Sawyer SM, Ssewamala F, Taiwo K, Tantawy M, Viner RM, Waldfogel J, Zuniga MP, Naghavi M, Wang H, Vos T, Lopez AD, Al Rabeeah AA, Patton GC, Murray CJ., Lancet 387(10036), 2016
PMID: 27174305

Hull CL., 1952
Addiction: an opponent-process theory of acquired motivation: the affective dynamics of addiction
Solomon RL., 1977
Addiction motivation reformulated: an affective processing model of negative reinforcement.
Baker TB, Piper ME, McCarthy DE, Majeskie MR, Fiore MC., Psychol Rev 111(1), 2004
PMID: 14756584
A hot/cool-system analysis of delay of gratification: dynamics of willpower.
Metcalfe J, Mischel W., Psychol Rev 106(1), 1999
PMID: 10197361
Prevalence and co-occurrence of substance use disorders and independent mood and anxiety disorders: results from the National Epidemiologic Survey on Alcohol and Related Conditions.
Grant BF, Stinson FS, Dawson DA, Chou SP, Dufour MC, Compton W, Pickering RP, Kaplan K., Arch. Gen. Psychiatry 61(8), 2004
PMID: 15289279
Social phobia and subtypes in the national comorbidity survey-adolescent supplement: prevalence, correlates, and comorbidity.
Burstein M, He JP, Kattan G, Albano AM, Avenevoli S, Merikangas KR., J Am Acad Child Adolesc Psychiatry 50(9), 2011
PMID: 21871369
Substance abuse and posttraumatic stress disorder
Brady KT, Back SE, Coffey SF., 2004
Trauma and PTSD in patients with alcohol, drug, or dual dependence: a multi-center study.
Driessen M, Schulte S, Luedecke C, Schaefer I, Sutmann F, Ohlmeier M, Kemper U, Koesters G, Chodzinski C, Schneider U, Broese T, Dette C, Havemann-Reinecke U; TRAUMAB-Study Group., Alcohol. Clin. Exp. Res. 32(3), 2008
PMID: 18215214
A systematic review of the comorbidity between PTSD and alcohol misuse.
Debell F, Fear NT, Head M, Batt-Rawden S, Greenberg N, Wessely S, Goodwin L., Soc Psychiatry Psychiatr Epidemiol 49(9), 2014
PMID: 24643298
Lifetime co-occurrence of DSM-III-R alcohol abuse and dependence with other psychiatric disorders in the National Comorbidity Survey.
Kessler RC, Crum RM, Warner LA, Nelson CB, Schulenberg J, Anthony JC., Arch. Gen. Psychiatry 54(4), 1997
PMID: 9107147
Allostasis as a conceptual framework linking bipolar disorder and addiction.
Pettorruso M, De Risio L, Di Nicola M, Martinotti G, Conte G, Janiri L., Front Psychiatry 5(), 2014
PMID: 25520673
Chronic PTSD in Vietnam combat veterans: course of illness and substance abuse.
Bremner JD, Southwick SM, Darnell A, Charney DS., Am J Psychiatry 153(3), 1996
PMID: 8610824
Adverse childhood events as risk factors for substance dependence: partial mediation by mood and anxiety disorders.
Douglas KR, Chan G, Gelernter J, Arias AJ, Anton RF, Weiss RD, Brady K, Poling J, Farrer L, Kranzler HR., Addict Behav 35(1), 2009
PMID: 19720467
Modeling associations between posttraumatic stress symptoms and substance use.
Ouimette P, Read JP, Wade M, Tirone V., Addict Behav 35(1), 2009
PMID: 19729250
Precipitants of first substance use in recently abstinent substance use disorder patients with PTSD.
Ouimette P, Coolhart D, Funderburk JS, Wade M, Brown PJ., Addict Behav 32(8), 2006
PMID: 17188816
Triggers for cocaine and alcohol use in the presence and absence of posttraumatic stress disorder.
Waldrop AE, Back SE, Verduin ML, Brady KT., Addict Behav 32(3), 2006
PMID: 16863682
The prospective relation between dimensions of anxiety and the initiation of adolescent alcohol use.
Kaplow JB, Curran PJ, Angold A, Costello EJ., J Clin Child Psychol 30(3), 2001
PMID: 11501249
A motivational model of alcohol use.
Cox WM, Klinger E., J Abnorm Psychol 97(2), 1988
PMID: 3290306
Stress and alcohol use: moderating effects of gender, coping, and alcohol expectancies.
Cooper ML, Russell M, Skinner JB, Frone MR, Mudar P., J Abnorm Psychol 101(1), 1992
PMID: 1537960
Motivations for alcohol use among adolescents: development and validation of a four-factor model
Cooper ML., 1994
Drinking to regulate positive and negative emotions: a motivational model of alcohol use.
Cooper ML, Frone MR, Russell M, Mudar P., J Pers Soc Psychol 69(5), 1995
PMID: 7473043
A three-pathway psychobiological model of craving for alcohol.
Verheul R, van den Brink W, Geerlings P., Alcohol Alcohol. 34(2), 1999
PMID: 10344781
Development and validation of the Amsterdam Motives for Drinking Scale (AMDS): an attempt to distinguish relief and reward drinkers.
Ooteman W, Koeter M, Verheul R, Schippers G, Van den Brink W., Alcohol Alcohol. 41(3), 2006
PMID: 16540493
Craving Typology Questionnaire (CTQ): a scale for alcohol craving in normal controls and alcoholics.
Martinotti G, Di Nicola M, Tedeschi D, Callea A, Di Giannantonio M, Janiri L; Craving Study Group., Compr Psychiatry 54(7), 2013
PMID: 23642635
Coping and sustance use: a conceptual framework
Wills T, Shiffman S., 1985
Type I and type II alcoholism: an update
Cloninger C, Sigvardsson S, Bohman M., 1996
The structure of positive alcohol expectancies in alcohol-dependent inpatients
Demmel R, Hagen J., 2004
Alcohol expectancies and reasons for drinking: comments from a study of sexuality
Leigh BC., 1990
Beer and current mood state
Demmel R, Nicolai J., 2009
Drinking motives as mediators of the link between alcohol expectancies and alcohol use among adolescents.
Kuntsche E, Knibbe R, Engels R, Gmel G., J Stud Alcohol Drugs 68(1), 2007
PMID: 17149520
Drinking at European universities? A review of students' alcohol use.
Wicki M, Kuntsche E, Gmel G., Addict Behav 35(11), 2010
PMID: 20624671
Cross-cultural comparisons of drinking motives in 10 countries: Data from the DRINC project.
Mackinnon SP, Couture ME, Cooper ML, Kuntsche E, O'Connor RM, Stewart SH; DRINC Team., Drug Alcohol Rev 36(6), 2017
PMID: 28337801
Motivational pathways to alcohol use and abuse among Black and White adolescents.
Cooper ML, Krull JL, Agocha VB, Flanagan ME, Orcutt HK, Grabe S, Dermen KH, Jackson M., J Abnorm Psychol 117(3), 2008
PMID: 18729604
Motives for drinking, alcohol consumption, and alcohol-related problems among British secondary-school and university students.
Cox WM, Hosier SG, Crossley S, Kendall B, Roberts KL., Addict Behav 31(12), 2006
PMID: 16616434
Validation of the four-dimensional structure of drinking motives among adults.
Crutzen R, Kuntsche E., Eur Addict Res 19(4), 2013
PMID: 23392053
Drinking motives and drinking behavior over time: a full cross-lagged panel study among adults.
Crutzen R, Kuntsche E, Schelleman-Offermans K., Psychol Addict Behav 27(1), 2012
PMID: 22925011
Domestic violence and alcohol use: trauma-related symptoms and motives for drinking.
Kaysen D, Dillworth TM, Simpson T, Waldrop A, Larimer ME, Resick PA., Addict Behav 32(6), 2006
PMID: 17098370
Adult transition from at-risk drinking to alcohol dependence: the relationship of family history and drinking motives.
Beseler CL, Aharonovich E, Keyes KM, Hasin DS., Alcohol. Clin. Exp. Res. 32(4), 2008
PMID: 18341650
Gender differences in relationships among PTSD severity, drinking motives, and alcohol use in a comorbid alcohol dependence and PTSD sample.
Lehavot K, Stappenbeck CA, Luterek JA, Kaysen D, Simpson TL., Psychol Addict Behav 28(1), 2013
PMID: 23647151
Drinking motives moderate daily relationships between PTSD symptoms and alcohol use.
Simpson TL, Stappenbeck CA, Luterek JA, Lehavot K, Kaysen DL., J Abnorm Psychol 123(1), 2014
PMID: 24661174
Reports of drinking to self-medicate anxiety symptoms: longitudinal assessment for subgroups of individuals with alcohol dependence.
Crum RM, La Flair L, Storr CL, Green KM, Stuart EA, Alvanzo AA, Lazareck S, Bolton JM, Robinson J, Sareen J, Mojtabai R., Depress Anxiety 30(2), 2012
PMID: 23280888
Drinking motives in alcohol use disorder patients with and without social anxiety disorder.
Cooper R, Hildebrandt S, Gerlach AL., Anxiety Stress Coping 27(1), 2013
PMID: 23915169

Alcohol-related negative consequences among drinkers around the world.
Graham K, Bernards S, Knibbe R, Kairouz S, Kuntsche S, Wilsnack SC, Greenfield TK, Dietze P, Obot I, Gmel G., Addiction 106(8), 2011
PMID: 21395893

Motivational typologies of drinkers: do enhancement and coping drinkers form two distinct groups?
Littlefield AK, Verges A, Rosinski JM, Steinley D, Sher KJ., Addiction 108(3), 2012
PMID: 22994420
Different drinking motives, different adverse consequences? Evidence among adolescents from 10 European countries.
Wicki M, Kuntsche E, Eichenberger Y, Aasvee K, Bendtsen P, Dankulincova Veselska Z, Demetrovics Z, Dzielska A, Farkas J, de Matos MG, Roberts C, Tynjala J, Valimaa R, Vieno A., Drug Alcohol Rev 36(6), 2017
PMID: 28580680
Why do young people drink? A review of drinking motives.
Kuntsche E, Knibbe R, Gmel G, Engels R., Clin Psychol Rev 25(7), 2005
PMID: 16095785
Initial reliability and validity of a new retrospective measure of child abuse and neglect.
Bernstein DP, Fink L, Handelsman L, Foote J, Lovejoy M, Wenzel K, Sapareto E, Ruggiero J., Am J Psychiatry 151(8), 1994
PMID: 8037246
Development and validation of a brief screening version of the Childhood Trauma Questionnaire.
Bernstein DP, Stein JA, Newcomb MD, Walker E, Pogge D, Ahluvalia T, Stokes J, Handelsman L, Medrano M, Desmond D, Zule W., Child Abuse Negl 27(2), 2003
PMID: 12615092
[The German version of the Childhood Trauma Questionnaire (CTQ): preliminary psychometric properties].
Wingenfeld K, Spitzer C, Mensebach C, Grabe HJ, Hill A, Gast U, Schlosser N, Hopp H, Beblo T, Driessen M., Psychother Psychosom Med Psychol 60(11), 2010
PMID: 20200804
Childhood Trauma Questionnaire – psychometrische eigenschaften einer deutschsprachigen Version
Bader K, Hänny C, Schäfer V, Neuckel A, Kuhl C., 2009
[The German Version of the Childhood Trauma Questionnaire (CTQ): psychometric characteristics in a representative sample of the general population].
Klinitzke G, Romppel M, Hauser W, Brahler E, Glaesmer H., Psychother Psychosom Med Psychol 62(2), 2011
PMID: 22203470
Validation of a mental health assessment in an African conflict population.
Ertl V, Pfeiffer A, Saile R, Schauer E, Elbert T, Neuner F., Psychol Assess 22(2), 2010
PMID: 20528059
The challenge of living on: psychopathology and its mediating influence on the readjustment of former child soldiers.
Ertl V, Pfeiffer A, Schauer-Kaiser E, Elbert T, Neuner F., PLoS ONE 9(7), 2014
PMID: 25054324
A clinician rating scale for assessing current and lifetime PTSD: the CAPS-1
Blake DD, Weathers FW, Nagy LM, Kaloupek DG, Klauminzer G, Charney DS., 1990

Babor T, Higgins-Biddle J, Saunders J, Monteiro M., 2001
A review of research on the Alcohol Use Disorders Identification Test (AUDIT).
Allen JP, Litten RZ, Fertig JB, Babor T., Alcohol. Clin. Exp. Res. 21(4), 1997
PMID: 9194913
Alcohol disorder amongst forcibly displaced persons in northern Uganda.
Roberts B, Felix Ocaka K, Browne J, Oyok T, Sondorp E., Addict Behav 36(8), 2011
PMID: 21481540

Funke W, Funke J, Klein M, Scheller R., 1987
Beyond self-reports: drinking motives predict grams of consumed alcohol in wine-tasting sessions.
Kuntsche E, Kuendig H., Exp Clin Psychopharmacol 20(4), 2012
PMID: 22369671
Development and validation of the Drinking Motive Questionnaire Revised Short Form (DMQ-R SF).
Kuntsche E, Kuntsche S., J Clin Child Adolesc Psychol 38(6), 2009
PMID: 20183672
Drinking motives and links to alcohol use in 13 European countries.
Kuntsche E, Gabhainn SN, Roberts C, Windlin B, Vieno A, Bendtsen P, Hublet A, Tynjala J, Valimaa R, Dankulincova Z, Aasvee K, Demetrovics Z, Farkas J, van der Sluijs W, de Matos MG, Mazur J, Wicki M., J Stud Alcohol Drugs 75(3), 2014
PMID: 24766755

Foa E., 1995

The Hopkins Symptom Checklist (HSCL): a self-report symptom inventory.
Derogatis LR, Lipman RS, Rickels K, Uhlenhuth EH, Covi L., Behav Sci 19(1), 1974
PMID: 4808738
Prevalence of depression in rural Rwanda based on symptom and functional criteria.
Bolton P, Neugebauer R, Ndogoni L., J. Nerv. Ment. Dis. 190(9), 2002
PMID: 12357098

Franke G., 2000
Das Brief Symptom Inventory (BSI) als Instrument zur Qualitätssicherung in der Psychotherapie
Geisheim C, Hahlweg K, Fiegenbaum W, Frank M, Söchrder B, von I., 2002
Multidimensional assessment of emotion regulation: development, factor structure, and initial validation of the difficulties in emotion regulation scale
Gratz KL, Roemer L., 2004
Characteristics of emotion regulation in recovered depressed versus never depressed individuals
Ehring T, Fischer S, Schnülle J, Bösterling A, Tuschen-Caffier B., 2008
Deciding on the number of classes in latent class analysis and growth mixture modeling: a Monte Carlo Simulation Study
Nylund KL, Asparouhov T, Muthen BO., 2007


Kafuko A, Bukuluki P., 2008
Motivational pathways to unique types of alcohol consequences.
Merrill JE, Read JP., Psychol Addict Behav 24(4), 2010
PMID: 20822194
Drinking motives in the prospective prediction of unique alcohol-related consequences in college students.
Merrill JE, Wardell JD, Read JP., J Stud Alcohol Drugs 75(1), 2014
PMID: 24411801
Drinking to cope and alcohol use and abuse in unipolar depression: a 10-year model.
Holahan CJ, Moos RH, Holahan CK, Cronkite RC, Randall PK., J Abnorm Psychol 112(1), 2003
PMID: 12653424
Sexual assault and alcohol use: exploring the self-medication hypothesis.
Miranda R Jr, Meyerson LA, Long PJ, Marx BP, Simpson SM., Violence Vict 17(2), 2002
PMID: 12033555
Do drinking motives mediate the association between sexual assault and problem drinking?
Lindgren KP, Neighbors C, Blayney JA, Mullins PM, Kaysen D., Addict Behav 37(3), 2011
PMID: 22094169
Cognitive and affective development in adolescence.
Steinberg L., Trends Cogn. Sci. (Regul. Ed.) 9(2), 2005
PMID: 15668099
Neurocognitive bases of emotion regulation development in adolescence.
Ahmed SP, Bittencourt-Hewitt A, Sebastian CL., Dev Cogn Neurosci 15(), 2015
PMID: 26340451
Affect and alcohol use: an ecological momentary assessment study of outpatients with borderline personality disorder.
Jahng S, Solhan MB, Tomko RL, Wood PK, Piasecki TM, Trull TJ., J Abnorm Psychol 120(3), 2011
PMID: 21823761
Alcohol abuse and dependence symptoms: a multidimensional model of common and specific etiology.
Simons JS, Carey KB, Wills TA., Psychol Addict Behav 23(3), 2009
PMID: 19769426
Risk and vulnerability for marijuana use problems: the role of affect dysregulation.
Simons JS, Carey KB., Psychol Addict Behav 16(1), 2002
PMID: 11934090
An affective and cognitive model of marijuana and alcohol problems.
Simons JS, Carey KB., Addict Behav 31(9), 2006
PMID: 16426771
Behavioral and emotional self-control: relations to substance use in samples of middle and high school students.
Wills TA, Walker C, Mendoza D, Ainette MG., Psychol Addict Behav 20(3), 2006
PMID: 16938064
Indochinese versions of the Hopkins Symptom Checklist-25: a screening instrument for the psychiatric care of refugees.
Mollica RF, Wyshak G, de Marneffe D, Khuon F, Lavelle J., Am J Psychiatry 144(4), 1987
PMID: 3565621
Hopkins symptom checklist (HSCL-25): manual for Cambodian, Laotian and Vietnamese versions
Mollica RF, Wyshak G, de D, Tu B, Yang T, Khuon F., 1996
Impact of torture on refugees displaced within the developing world: symptomatology among Bhutanese refugees in Nepal.
Shrestha NM, Sharma B, Van Ommeren M, Regmi S, Makaju R, Komproe I, Shrestha GB, de Jong JT., JAMA 280(5), 1998
PMID: 9701080
Co-occurrence of alcohol use disorder and behavioral addictions: relevance of impulsivity and craving.
Di Nicola M, Tedeschi D, De Risio L, Pettorruso M, Martinotti G, Ruggeri F, Swierkosz-Lenart K, Guglielmo R, Callea A, Ruggeri G, Pozzi G, Di Giannantonio M, Janiri L., Drug Alcohol Depend 148(), 2015
PMID: 25630963
Adolescent drug use: findings of national and local surveys.
Oetting ER, Beauvais F., J Consult Clin Psychol 58(4), 1990
PMID: 2212174

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