@article{THESIS,
      recid = {2897},
      author = {Fischer, Andrew},
      title = {Alcohol Consumption, Drinking Context, and Subjective  Responses to Alcohol in Binge-Drinking Episodes: An  Ecological Momentary Assessment Investigation},
      publisher = {University of Chicago},
      school = {M.A.},
      address = {2021-06},
      number = {THESIS},
      abstract = {Binge drinking is common among young adults, putting them  at increased risk for severe alcohol related health  outcomes and mortality. Past research links subjective  responses to alcohol (i.e., how individuals experience its  rewarding or impairing effects) to risk for future negative  alcohol related health outcomes. Further work demonstrates  that context (e.g. drinking in the presence of others or in  certain locations such as bars and restaurants) may  increase the rewarding effects of alcohol and drive heavy  binge drinking behavior. However, most research on drinking  context, subjective responses to alcohol, and drinking  behavior has been conducted in the laboratory or using  retrospective measures, which limits ecological validity.  High resolution ecological momentary assessment (HR-EMA)  provides a promising solution to these limitations. HR-EMA  allows researchers to measure drinking behavior and related  outcomes (e.g., drinking context, alcohol subjective  responses) in real time in a naturalistic setting. The  present study used HR-EMA to evaluate subjective responses  to alcohol in different contexts along two domains: in the  presence or absence of others and in different physical  locations. Participants were 21-29 year old regular heavy  binge drinkers, who completed smartphone-based EMA sessions  where they recorded the quantity and type of alcohol they  consumed, as well as their context and subjective responses  to alcohol. Generalized estimating equations (GEE) analysis  revealed significantly higher standard drinks consumed and  eBAC levels for participants who drank with others as  opposed to alone and those who drank in bars and  restaurants compared to other locations. In addition,  participants reported greater reward (stimulation and  wanting more alcohol) when drinking with others compared to  alone and when drinking at bars and restaurants compared to  other locations. Significant interactions between time and  context indicate that differences in subjective responses  associated with reward are especially significant later in  naturalistic drinking episodes. Conclusions: Drinking in  the presence of others and at certain locations associated  with alcohol (e.g., bars and restaurants) increase both  consumption and rewarding responses to alcohol among young  adult heavy binge drinkers and present as a significant  risk factor for increased alcohol use.},
      url = {http://knowledge.uchicago.edu/record/2897},
      doi = {https://doi.org/10.6082/uchicago.2897},
}