Weinland C, Mühle C, Kornhuber J, Lenz B (2019)
Publication Type: Journal article
Publication year: 2019
Book Volume: 90
Pages Range: 300-307
DOI: 10.1016/j.pnpbp.2018.11.019
OBJECTIVE: Addictive alcohol drinking, craving, and overeating share common etiopathological mechanisms. We investigated whether body mass index (BMI) and craving predict outcome of alcohol-dependent in-patients. METHOD: The prospective study included 101 male and 72 female early-abstinent alcohol-dependent in-patients. Craving was quantified by Obsessive-Compulsive Drinking Scale (OCDS) scores. We documented alcohol-related readmissions over 24 months. RESULTS: In males, a higher BMI was associated with alcohol-related hospital readmission (median 26.1 vs. 23.1 kg/m2, P = .007) and correlated with more (ρ = 0.286, P = .004) and earlier readmissions (ρ = -0.256, P = .010). These associations were stronger in the subgroup of active smokers (n = 79; median 25.9 vs. 22.3 kg/m2, P = .005; ρ = 0.350, P = .002; ρ = -0.340, P = .002). BMI did not significantly predict outcome in females. Males with at least one readmission reported higher OCDS scores than those without (OCDS-total, OCDS-obsessive, OCDS-compulsive, P < .040), and the OCDS scores correlated with more readmissions (males: OCDS-total, OCDS-obsessive, OCDS-compulsive, ρ > 0.244, P < .014; females: OCDS-compulsive, ρ = 0.341, P = .003) and fewer days to first readmission (males: OCDS-total, OCDS-compulsive, ρ < -0.195, P < .050; females: OCDS-compulsive, ρ = -0.335, P = .004). The OCDS scores explained 9 to 19% of the relationship between BMI and outcome in males. CONCLUSION: BMI and craving are easily accessible outcome predictors of alcohol-related readmission following in-patient withdrawal treatment. They might be used to individualize relapse prevention in the future.
APA:
Weinland, C., Mühle, C., Kornhuber, J., & Lenz, B. (2019). Body mass index and craving predict 24-month hospital readmissions of alcohol-dependent in-patients following withdrawal. Progress in Neuro-Psychopharmacology & Biological Psychiatry, 90, 300-307. https://doi.org/10.1016/j.pnpbp.2018.11.019
MLA:
Weinland, Christian, et al. "Body mass index and craving predict 24-month hospital readmissions of alcohol-dependent in-patients following withdrawal." Progress in Neuro-Psychopharmacology & Biological Psychiatry 90 (2019): 300-307.
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