Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Attention and Self-Control Dimensions of Impulsivity Predict the Quality of Life among Male Patients Seeking Treatment for Alcohol Use Disorder: The Mediating Role of Anxiety and Severity of Alcohol Use Disorder

Version 1 : Received: 23 August 2023 / Approved: 23 August 2023 / Online: 24 August 2023 (07:58:13 CEST)
Version 2 : Received: 18 September 2023 / Approved: 19 September 2023 / Online: 22 September 2023 (08:18:53 CEST)

How to cite: Dayal, P.; Kaloiya, G.S.; Verma, R.; Kumar, N. Attention and Self-Control Dimensions of Impulsivity Predict the Quality of Life among Male Patients Seeking Treatment for Alcohol Use Disorder: The Mediating Role of Anxiety and Severity of Alcohol Use Disorder. Preprints 2023, 2023081708. https://doi.org/10.20944/preprints202308.1708.v1 Dayal, P.; Kaloiya, G.S.; Verma, R.; Kumar, N. Attention and Self-Control Dimensions of Impulsivity Predict the Quality of Life among Male Patients Seeking Treatment for Alcohol Use Disorder: The Mediating Role of Anxiety and Severity of Alcohol Use Disorder. Preprints 2023, 2023081708. https://doi.org/10.20944/preprints202308.1708.v1

Abstract

Alcohol use disorder (AUD) is a chronic and relapsing biopsychosocial condition that leads to a wide range of medical, psychological, social, economic, and personal issues. The study investigated the predictors of quality of life (QoL) among male patients seeking treatment for AUD based on attention, cognitive instability, motor impulsiveness, perseverance, and self-control dimensions of trait impulsivity. The study also investigated the potential mediating effect of anxiety and alcohol use severity in this relationship. After an initial assessment, participants underwent comprehensive evaluations, including sociodemographic data, clinical history, and QoL domains. Evaluations also covered AUD severity, impulsivity dimensions, cognitive functions, craving intensity, depression, anxiety and self-efficacy. Multiple linear regressions were employed to identify associations between independent variables and QoL. Attention dimension of impulsivity and anxiety symptoms significantly predicted physical health QoL. Self-control dimension and severity of alcohol use disorder predicted psychological QoL. Indirect effect of attention dimension on physical health was significant [effect =-1.082,95% CI (-2.008, -0.3598)].The significance of impulsivity in influencing QoL for individuals with AUD has profound clinical implications. These findings underscore the importance of addressing anxiety and impulsivity in managing AUD, given their considerable impact, particularly on QoL, ultimately shaping treatment outcomes.

Keywords

Quality of life; WHOQOL-BREF; Impulsivity; Attention and self-control dimensions of impulsivity; Alcohol use disorder; anxiety symptoms

Subject

Public Health and Healthcare, Public Health and Health Services

Comments (1)

Comment 1
Received: 24 August 2023
Commenter:
Commenter's Conflict of Interests: I am one of the author
Comment: The article "Attention and Self-Control Dimensions of Impulsivity Predict the Quality of Life among Male Patients Seeking Treatment for Alcohol Use Disorder: The Mediating Role of Anxiety and Severity of Alcohol Use Disorder" interesting and informative. It seems like this study explores the relationship between different dimensions of impulsivity and their effects on the quality of life among male patients seeking treatment for alcohol use disorder. The article also suggests that anxiety and the severity of alcohol use disorder might mediate this relationship. Impulsivity is often considered a key factor in addictive behaviors and substance use disorders, as it involves a lack of self-control, a tendency to act on immediate desires without considering the consequences, and difficulties in inhibiting or delaying responses. Understanding the specific dimensions of impulsivity and how they relate to quality of life and treatment outcomes can provide valuable insights for developing more targeted interventions and treatment approaches for individuals with alcohol use disorder. It appears that this study not only investigates the direct relationship between different dimensions of impulsivity and quality of life, but also introduces the mediating role of anxiety and the severity of alcohol use disorder. This suggests that these factors might play a role in how impulsivity affects an individual's overall well-being and life satisfaction. The findings of this research could potentially have implications for clinical practice. For example, treatment programs for alcohol use disorder might benefit from addressing impulsivity as a multifaceted construct, considering both attention-related impulsivity and self-control-related impulsivity. Additionally, focusing on managing anxiety and reducing the severity of alcohol use disorder could potentially lead to improvements in quality of life for individuals seeking treatment.
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