Journal
DRUG AND ALCOHOL DEPENDENCE
Volume 148, Issue -, Pages 1-20Publisher
ELSEVIER IRELAND LTD
DOI: 10.1016/j.drugalcdep.2014.12.024
Keywords
Craving; Relapse; Ecological momentary assessment; Experience sampling methodology; Systematic review
Categories
Funding
- French Ministry of Health
- Aquitaine Regional Council [20091301018]
- French Government Addiction Agency MILDT
- French National Research Agency
- CNRS
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Background: Craving is viewed as a major determinant of relapse in persons with substance addiction, but this association remains poorly understood due to its time-limited nature and the biases associated with retrospective reporting. Ecological momentary assessment (EMA) offers new opportunities to examine both craving and substance use with strong ecological validity by collecting real-time data in daily life. This review examined all published studies using EMA to: (1) assess the link between craving and substance use; and (2) identify relevant moderators of craving among substance users. Methods: We searched PubMed and PsycInfo databases up to October 31, 2013. Results: Ninety-one studies were selected, involving mostly tobacco smokers (73%). A majority of studies (92%) reported a positive relationship between craving and substance use, concurrently and prospectively, and among users with different levels of use for both legal and illegal substances. Results suggest that craving is a stronger predictor of relapse episodes when assessed in close temporal proximity to substance use. EMA data also confirmed the influence of diverse within-person and between-person sources of variation in daily life craving reports. Conclusions: This review provides strong support for the link between craving and substance use, and underscores the importance of the timing of assessments. (C) 2015 Elsevier Ireland Ltd. All rights reserved.
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