Gillian Bruce

Alcohol-related attentional bias in problem drinkers with the flicker change blindness paradigm

The authors used a flicker paradigm for inducing change blindness as a more direct method of measuring attentional bias in problem drinkers in treatment than the previously used, modified Stroop, Posner, and dual-task paradigms. First, in an artificially constructed visual scene comprising digitized photographs of real alcohol-related and neutral objects, problem drinkers detected a change made to an alcohol-related object more quickly than to a neutral object. Age- and gender-matched social drinkers showed no such difference. Second, problem drinkers given the alcohol-related change to detect showed a negative correlation between the speed with which the change was detected and the problem severity as measured by the number of times previously treated. Coupled with other data from heavy and light social drinkers, the data support a graded continuity of attentional bias underpinning the length of the consumption continuum.

A pictorial Stroop paradigm reveals an alcohol attentional bias in heavier compared to lighter social drinkers

The findings obtained with the textual Stroop paradigm, testing for an attentional bias towards alcohol stimuli in heavier compared to lighter social drinkers, are limited in number and inconsistent in outcome. Using a pictorial rather than textual Stroop paradigm for the first time in alcohol research, a significant alcohol attentional bias is reported in heavier social drinkers compared to lighter social drinking controls. According to Cohen’s scheme, the signifant effect size is classified as ‘large’. The presence of an alcohol attentional bias helps to explain the perpetuation of abusive/dependent consumption and the frequency of post-treatment relapse. In a similar vein, these results add to the evidence that a differential alcohol attentional bias might also be present between two levels of social drinking and, in heavier social drinkers, has the potential to impact on the contents of awareness and the flow of thought towards alcohol. In this respect, it extends the small group of other perceptual-cognitive effects measured in social drinkers (alcohol cue reactions, alcohol associations and alcohol expectancies) that can influence the initiation of consumption in some social drinkers.

Alexithymia and alcohol consumption: the mediating effects of drinking motives

The association between alexithymia and alcohol consumption has been well documented. However, little research has investigated the mechanisms behind the association. In the present study, the relationship between alexithymia, drinking motives and alcohol consumption was examined in a group of social (non-problem) drinkers. In a cross-sectional study, 862 participants completed the Toronto Alexithymia Scale, Drinking Motives Questionnaire, and provided alcohol consumption information. Regression analyses revealed that alexithymia predicts alcohol consumption. Formal mediation analyses demonstrated that this relationship was fully mediated by social, enhancement and coping drinking motives, and partially mediated by conformity. Drinking motives may represent one mechanism to explain the association between alexithymia and alcohol consumption.

A flicker change blindness task employing eye tracking reveals an association with levels of craving not consumption.

We investigated attentional biases with a flicker paradigm, examining the proportion of alcohol relative to neutral changes detected. Furthermore, we examined how measures of the participants initial orienting of attention and of their maintained attention relate to levels of alcohol consumption and subjective craving in social drinkers. The eye movements of 58 participants (24 male) were monitored whilst they completed a flicker-induced change blindness task using both simple stimuli and real world scenes, with both an alcohol and neutral change competing for detection. When examined in terms of consumption levels, we observed that heavier social drinkers detected a higher proportion of alcohol related changes in real world scenes only. However, we also observed that levels of craving were not indicative of levels of consumption in social drinkers. Furthermore, also in real world scenes only, higher cravers detected a greater proportion of alcohol related changes compared to lower cravers, and were also quicker to initially fixate on alcohol related stimuli. Thus we conclude that processing biases in the orienting of attention to alcohol related stimuli were demonstrated in higher craving compared to lower craving social users in real world scenes. However, this was not related to the level of consumption as would be expected. These results highlight various methodological and conceptual issues to be considered in future research.

The impact of alexithymia on desire for alcohol during a social stress test

ABSTRACT Background: Alexithymia is a personality construct comprising difficulty in identifying and describing emotions and externally oriented thinking. Its role in heavy and problematic alcohol consumption is well documented, together with its relationship with social stress. However, little research has examined whether social stress has any effect on desire for alcohol among alexithymic individuals. Objectives: In this experimental study, we explored the relationship between alexithymia and desire for alcohol in response to an experimental social stressor. Methods: One hundred and thirty eight social drinkers completed the Toronto Alexithymia Scale, self-report measures of alcohol consumption and a stress-inducing task. Desire for alcohol was measured at three time points: baseline, stressor and recovery. Results: Correlation analysis demonstrated that alexithymia was associated with significantly higher rates of alcohol consumption and higher levels of desire for alcohol. Mixed measures ANOVA demonstrated a significant main effect of alexithymia and a significant group by time effect of alexithymia on desire for alcohol. Conclusions/Importance: The findings demonstrate increased desire for alcohol before, during and after a social stressor among alexithymic participants. These findings offer an insight into the relationship between alexithymia, social stress and alcohol consumption.

Differential emotional processing in concrete and abstract words

Emotion (positive and negative) words are typically recognized faster than neutral words. Recent research suggests that emotional valence, while often treated as a unitary semantic property, may be differentially represented in concrete and abstract words. Studies that have explicitly examined the interaction of emotion and concreteness, however, have demonstrated inconsistent patterns of results. Moreover, these findings may be limited as certain key lexical variables (e.g., familiarity, age of acquisition) were not taken into account. We investigated the emotion-concreteness interaction in a large-scale, highly controlled lexical decision experiment. A 3 (Emotion: negative, neutral, positive) × 2 (Concreteness: abstract, concrete) design was used, with 45 items per condition and 127 participants. We found a significant interaction between emotion and concreteness. Although positive and negative valenced words were recognized faster than neutral words, this emotion advantage was significantly larger in concrete than in abstract words. We explored potential contributions of participant alexithymia level and item imageability to this interactive pattern. We found that only word imageability significantly modulated the emotion-concreteness interaction. While both concrete and abstract emotion words are advantageously processed relative to comparable neutral words, the mechanisms of this facilitation are paradoxically more dependent on imageability in abstract words.