Abstract
A counterbalanced within-subjects design was employed to assess the acute effects of alcohol ingestion on thirst and fluid intake and to relate these effects to the dehydration known to result from acute ingestion of alcohol. Fourteen male nonalcoholic social drinkers between the ages of 18 and 30 consumed 0.8 gm of alcohol/kg body weight during one experimental session and a placebo (0.05 gm/kg) of equal volume during the other. During the 90-minute drinking period and for one hour both before and afterward, urine specimens were collected. After the drinking period, blood alcohol levels and unobstrusive measures of ad lib drinking were recorded. In addition, subjects rated their degree of thirst three times during each session. Analyses of variance indicated that alcohol significantly increased both fluid intake and urine output, and decreased urine specific gravity. Moreover, thirst ratings were also significantly greater after alcohol than after placebo and fluid intake after alcohol was significantly correlated with prior measures of fluid balance, mean urine specific gravity, peak blood alcohol level and thirst. The implications of these results for the loss of control in alcoholism are discussed and a new theoretical account of the phenomenon is proposed.
This research was supported by U.S. Public Health Service Grant AA 00259–05 to Peter E. Nathan
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References
Allman, L. R., Taylor, H. A., and Nathan, P. E. Group drinking during stress: Effects on drinking behavior, affect and pychopathology. American Journal of Psychiatry, 1972, 129(6), 669–678.
Baldie, A. Alcoholic craving. Lancet, 1931, 221, 434–436.
Beard, J. D., and Knott, D. H. The effect of alcohol on fluid and electrolyte metabolism. In B. Kissin and H. Begleiter (Eds.), The Biology of Alcoholism, Vol. 1: Biochemistry. New York: Plenum Press, 1971.
Bigelow, G. E., and Liebson, I. Cost factors controlling drinking. The Psychological Record, 1972, 22, 305–314.
Briddell, D. W., and Wilson, G. T. The effects of alcohol and expectancy set on male sexual arousal. Journal of Abnormal Psychology, 1976, 85, 225–234.
Cohen, M., Liebson, I. A., and Paillace, L. A. The role of reinforcement contingencies in chronic alcoholism: An experimental analysis of one case. Behavior Research and Therapy, 1971, 9 375–379.
Cutter, H. S. G., Schwaab, E. L., and Nathan, P. E. Effects of alcohol on its utility for alcoholics and nonalcoholics. Quarterly Journal of Studies on Alcohol, 1970, 31(2), 369–37.
Eggleton, M. G. The diuretic action of alcohol in man. Journal of Physiology, 1942, 101, 172–191.
Engle, K. B., and Williams, T. K. Effect of an ounce of vodka on alcoholics’ desire for alcohol. Quarterly Journal of Studies on Alcohol, 1972, 33, 1099–1105.
Fitzsimons, J. T. Thirst. Physiological Reviews, 1972, 52(2) 468–561.
Flynn, P. A. Water and electrolyte balance after alcohol ingestion. Unpublished doctoral dissertation, Yale University School of Medicine, 1958.
Gottheil, E., Corbett, L. O., Grasberger, J. C., and Cornelison, P. S. Treating the alcoholic in the presence of alcohol. American Journal of Psychiatry, 1971, 128(4), 475–480.
Haggard, H. W., Greenberg, L. A., and Carroll, R. P. Studies on the absorption, distribution, and elimination of alcohol. VIII. The diuresis from alcohol and its influence on the elimination of alcohol in the urine. Journal of Pharmacological and Experimental Therapeutics, 194l, 71, 349–357.
Jellinek, E. M. Phases of alcohol addiction. Quarterly Journal of Studies on Alcohol, 1952, 13, 673–684.
Jellinek, E. M., Isbell, H., Lundquist, G., Tiebout, H. M., Duchêne, H., Mardones, J., and MacLeod, L. D. The craving for alcohol. A symposium by members of the WHO Expert Committees on Mental Health and on Alcohol. Quarterly Journal of Studies on Alcohol, 1955, 16, 34–66.
Lolli, G., Rubin, M., and Greenberg, L. A. The effect of ethyl alcohol on the volume of extracellular water. Quarterly Journal of Studies on Alcohol, 1944, 5, 1–4.
Ludwig, A. M., and Wikler, A. “Craving” and relapse to drink. Quarterly Journal of Studies on Alcohol, 1974, 35, 108–130.
Ludwig, A. M., Wikler, A., and Stark, L. H. The first drink, psychobiological aspects of craving. Archives of General Psychiatry, 1974, 30, 539–547.
Marlatt, G. A., Demming, B., and Reid, J. B. Loss of control drinking In alcoholics: An experimental analogue. Journal of Abnormal Psychology, 1973, 8l, 233–241.
Mello, N. K. Behavioral studies of alcoholism. In B. Kissin and H. Begleiter (Eds.). The Biology of Alcoholism, 1972.
Merry, J. The “loss of control” myth. Lancet, 1966, 1, 1257–1258.
Miles, W. R. The comparative concentrations of alcohol in human blood and urine at intervals after ingestion. Journal of Pharmacological and Experimental Therapeutics, 1922, 20, 265–319.
Murray, M. M. The diuretic action of alcohol and its relation to Pituitrin. Journal of Physiology, 1932, 76, 379–386.
Nathan, P. E., Titler, N. A., Lowenstein, L. M., Solomon, P., and Rossi, A. M. Behavioral analysis of chronic alcoholism. Archives of General Psychiatry, 1970, 22, 419–430.
Nathan, P. E., and O’Brien, J. S. An experimental analysis of the behavior of alcoholics and nonalcoholics during prolonged experimental drinking: A necessary precursor of behavior therapy? Behavior Therapy, 1971, 2, 455–476.
Ritchie, J. M. The aliphatic alcohols. In L. S. Goodman and A. Gilman (Eds.), The pharmacological basis of therapeutics. Fourth Edition. New York: Macmillan, 1970.
Roberts, K. E. Mechanism of dehydration following alcohol ingestion. Archives of Internal Medicine, 1963, 112, 154–157.
Rubini, M. E., Kleeman, C. R., and Lamdin, E. Studies on alcohol diuresis. I. The effect of ethyl alcohol ingestion on water, electrolyte and acid-base metabolism. Journal of Clinical Investigation, 1955, 34, 439–447.
Schachter, S. In L. Berkowitz (Ed.), Advances in Experimental Social Psychology, Vol. 1, New York; Academic Press, 1964.
Schaefer, H. H., Sobell, M. B., and Mills, K. C. Baseline drinking behaviors in alcoholics and social drinkers; kinds of drinks and sip magnitude. Behavior Research and Therapy, 1971, 9, 23–21.
Silkworth, W. D., and Texon, M. Chloride levels in the blood of alcoholic patients in relation to the phenomenon of craving. Quarterly Journal of Studies on Alcohol, 1950, 11, 381–384.
Strauss, M. B., Rosenbaum, J. D., and Nelson, W. P., III. The effect of alcohol on the renal excretion of water and electrolyte. Journal of Clinical Investigation, 1955, 29, 1053–1058.
Wayner, M. J. Effects of ethyl alcohol on lateral hypothalamic neurons. Annals of The New York Academy of Sciences, 1973, 215, 13–37.
Wolf, A. V. Thirst. Physiology of the urge to drink and problems of water lack. Springfield, Illinois: Thomas, 1958.
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© 1977 Plenum Press, New York
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Lawson, D.M. (1977). The Dipsogenic Effect of Alcohol and the Loss of Control Phenomenon. In: Gross, M.M. (eds) Alcohol Intoxication and Withdrawal—IIIb. Advances in Experimental Medicine and Biology, vol 85B. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-9038-5_35
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DOI: https://doi.org/10.1007/978-1-4615-9038-5_35
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