Psychometric study of the Russian version of the Obsessive-Compulsive Drinking Scale

Craving is one of the central symptoms of alcohol use disorder. Currently, there is no single accepted definition, model, or standardized approach to assessing craving for alcohol use, but the phenomenon is extensively studied in the field of addiction research. The Obsessive-Compulsive Drinking Scale was developed based on the hypothesis that both obsessive-compulsive disorder and alcohol use disorder have similar symptoms. The purpose of this study was to examine the factor structure as well as the convergent, discriminant, and criterion validity of the Obsessive-Compulsive Drinking Scale. 222 patients with Alcohol Use Disorder undergoing inpatient treatment (163 men (73,42%), average age 42,67±10,06 years old, average age of the onset of alcohol use disorder 32,19±8,57 years old) were recruited for the study. The following methods were used: clinical interview, Obsessive-Compulsive Drinking Scale, Penn Alcohol Craving Scale, Motivation for Alcohol Consumption, and Barratt Impulsiveness Scale. The results of the study confirmed two-factor structure of the scale; however, the goodness-of-fit indices slightly differed from acceptable cut-off values. The scale had acceptable internal consistency and convergent validity. Discriminant validity was moderate. The analysis of criterion validity revealed a negative correlation between the factor “Compulsions” and age of the first alcohol drink, start of the regular alcohol use, and age of the first inpatient treatment for alcohol use disorder. Participants with daily use had significantly higher scores on both factors compared to the participants with heavy drinking episodes.

1. Zav’yalov V.Yu. Kliniko-psihologicheskie aspekty formirovaniya zavisimosti ot alkogolya. Avtoreferat dissertatsii na soiskanie uchenoj stepeni doktora meditsinskih nauk. Tomsk. 1993. (In Russ.).

2. Klimanova SG, Berezina AA, Trusova AV, Podolyak DV, Rybakova KV. The relationship between clinical characteristics of patients with Alcohol Use Disorder and drinking motives. Obozrenie psihiatrii i medicinskoj psihologii imeni V.M. Bekhtereva. 2022;56:4:63-76. (In Russ.). http//doi.org/10.31363/2313-7053-2022-4-63-76.

3. Krupitsky EM, Rudenko AA, Tsoy MV, Neznanova ON, Burakov AM, Slavina TYu, Grinenko AYa, Zvartau EE, Flannery BA, Krebaum S. Phenomenology of pathological craving in patients with Alcohol Use Disorder in remission: the association with relapse. Voprosy narkologii. 2003;6:15-19. (in Russ.).

4. Mkb-10; 1993. Доступно: http://mkb-10.com/index.php?pid=4048

5. Nenasteva АYu. Psychometric scales used in modern clinical addiction medicine. Voprosy narkologii. 2018;7(167):46-71. (in Russ.).

6. Отчет о реализации проекта RUS-AUDIT. Адаптация и валидация теста AUDIT (Alcohol Use Disorders Identification Test) для выявления расстройств, обусловленных употреблением алкоголя в Российской Федерации. [www.who. int]. who; 2021. Доступно: https://www.who.int/europe/ru/publications/i/item/9789289055765

7. Шумсксая Д.С., Трусова А.В., Кибитов А.О. Краткая русскоязычная версия шкалы им- пульсивности Барратта (BIS-11): разработка и валидизация. Психология. Журнал Высшей Школы Экономики, 2023;20(2):211–230. Shumskaia DS, Trusova AV, Kibitov AO. The Short Russian Version of the Barratt Impulsiveness Scale (BIS-11): Development and Validation. Psihologiya. Zhurnal Vysshej Shkoly Ekonomiki, 2023;20(2):211–230. (in Russ.). https://doi.org/10.17323/1813-8918-2023-2-211-230.

8. Adamson SJ, Sellman JD, Frampton CMA. Patient predictors of alcohol treatment outcome: A systematic review. Journal of Substance Abuse Treatment. 2009;36(1):75–86. https://doi.org/10.1016/j.jsat.2008.05.007

9. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition) [archive.org]. archive; 2013. https://doi.org/10.1176/appi.books.9780890425596Available: https://archive.org/details/american-psychiatric-association-diagnostic-and-statistical-manual-of-mental-dis/page/n3/mode/2up

10. Ansseau M, Besson J, Lejoyeux M, Pinto E, Landry U, Cornes M, Deckers F, Potgieter A, Ades J. A French Translation of the Obsessive-Compulsive Drinking Scale for Craving in Alcohol-Dependent Patients: A Validation Study in Belgium, France, and Switzerland. European Addiction Research. 2000;6(2):51–56. https://doi.org/10.1159/000019010

11. Anton RF. The Obsessive Compulsive Drinking Scale: A New Method of Assessing Outcome in Alcoholism Treatment Studies. Archives of General Psychiatry. 1996;53(3):225. https://doi.org/10.1001/arch-psyc.1996.01830030047008

12. Anton RF. What is craving? Models and implications for treatment. Alcohol Research & Health: The Journal of the National Institute on Alcohol Abuse and Alcoholism. 1999;23(3):165–173.

13. Anton RF. Obsessive-compulsive aspects of craving: Development of the Obsessive Compulsive Drinking Scale. Addiction. 2000;95(8s2):211–217. https://doi.org/10.1046/j.1360-0443.95.8s2.9.x

14. Anton RF, Moak DH, Latham P. The Obsessive Compulsive Drinking Scale: A Self-Rated Instrument for the Quantification of Thoughts about Alcohol and Drinking Behavior. Alcoholism: Clinical and Experimental Research. 1995;19(1):92–99. https://doi.org/10.1111/j.1530-0277.1995.tb01475.x

15. Bentler PM. Comparative fit indexes in structural models. Psychological Bulletin. 1990;107(2):238–246. https://doi.org/10.1037/0033-2909.107.2.238

16. Bernard L, Cyr L, Bonnet-Suard A, Cutarella C, Bréjard V. Drawing alcohol craving process: A systematic review of its association with thought suppression, inhibition and impulsivity. Heliyon. 2021;7(1):e05868. https://doi.org/10.1016/j.heliyon.2020.e05868

17. Bohn MJ, Barton BA, Barron KE. Psychometric Properties and Validity of the Obsessive-Compul-sive Drinking Scale. Alcoholism: Clinical and Experimental Research. 1996;20(5):817–823. https://doi.org/10.1111/j.1530-0277.1996.tb05257.x

18. Bresin K, Verona E. Craving and substance use: Examining psychophysiological and behavioral moderators. International Journal of Psychophysiology. 2021;163:92–103. https://doi.org/10.1016/j.ijpsycho.2019.03.006

19. Cavicchioli M, Vassena G, Movalli M, Maffei C. Is craving a risk factor for substance use among treatment-seeking individuals with alcohol and other drugs use disorders? A meta-analytic review. Drug and Alcohol Dependence. 2020;212:108002. https://doi.org/10.1016/j.drugalcdep.2020.108002

20. Chignon JM, Jacquesy L, Mennad M, Terki A, Huttin F, Martin P, Chabannes JP. Self-assessment questionnaire of alcoholic craving (ECCA Questionnaire: Behavior and Cognition in Relation to Alcohol: French translation and validation of the Obsessive-Compulsive Drinking Scale. L’Encephale. 1998;24(5):426–434.

21. Coates J.M., Feeney G.F.X., Gullo M.J., Kavanagh D.J., Young R.McD., May J., Andrade J., Connor J.P. Craving Measurement and Application of the Alcohol Craving Experience Questionnaire. In Neuroscience of Alcohol. Elsevier. 2019. https://doi.org/10.1016/B978-0-12-813125-1.00062-3

22. Connor JP, Jack A, Feeney GFX, Young RMcD. Validity of the Obsessive Compulsive Drinking Scale in a Heavy Drinking Population. Alcoholism: Clinical and Experimental Research. 2008;32(6):1067–1073. https://doi.org/10.1111/j.1530-0277.2008.00668.x

23. Cordero M, Solís L, Cordero R, Torruco M, Cruz-Fuentes C. Factor Structure and Concurrent Validity of the Obsessive Compulsive Drinking Scale in a Group of Alcohol-Dependent Subjects of Mexico City. Alcoholism: Clinical and Experimental Research, 2009;33(7):1145–1150. https://doi.org/10.1111/j.1530-0277.2009.00937.x

24. Cyr L, Bernard L, Pedinielli J-L, Cutarella C, Bréjard V. Association Between Negative Affectivity and Craving in Substance-Related Disorders: A Systematic Review and Meta-analysis of Direct and Indirect Relationships. Psychological Reports. 2023;126(3):1143–1180. https://doi.org/10.1177/00332941211061079

25. Dash GF, Slutske WS, Martin NG, Statham DJ, Agrawal A, Lynskey MT. Big Five personality traits and alcohol, nicotine, cannabis, and gambling disorder comorbidity. Psychology of Addictive Behaviors. 2019;33(4):420–429. https://doi.org/10.1037/adb0000468

26. Drummond DC, Litten RZ, Lowman C, Hunt WA. Craving research: Future directions. Addiction. 2000;95(8):247–255. https://doi.org/10.1080/09652140050111816

27. Eliason MJ, Amodia DS. An integral approach to drug craving. Addiction Research & Theory. 2007;15(4):343–364. https://doi.org/10.1080/16066350701500627

28. Evren C, Umut G, Evren B, Bozkurt M, Can Y. Psychometric properties of the Turkish version of the UPPS Impulsive Behavior Scale Sensation Seeking Subscale in a sample of inpatients with alcohol use disorder. European Psychiatry. 2016;33:296–297. https://doi.org/10.1016/j.eurpsy.2016.01.1010

29. Fatseas M, Serre F, Swendsen J, Auriacombe M. Effects of anxiety and mood disorders on craving and substance use among patients with substance use disorder: An ecological momentary assessment study. Drug and Alcohol Dependence. 2018;187:242–248. https://doi.org/10.1016/j.drugalcdep.2018.03.008

30. Flannery BA, Volpicelli JR, Pettinati HM. Psychometric properties of the Penn Alcohol Craving Scale. Alcoholism, Clinical and Experimental Research. 1999;23(8):1289–1295.

31. Flora DB. Your Coefficient Alpha Is Probably Wrong, but Which Coefficient Omega Is Right? A Tutorial on Using R to Obtain Better Reliability Estimates. Advances in Methods and Practices in Psychological Science. 2020;3(4):484–501. https://doi.org/10.1177/2515245920951747

32. Foulds J, Newton-Howes G, Guy NH, Boden JM, Mulder RT. Dimensional personality traits and alcohol treatment outcome: A systematic review and meta-analysis: Personality trait in alcohol use disorder. Addiction. 2017;112(8):1345–1357. https://doi.org/10.1111/add.13810

33. Gauld C, Baillet E, Micoulaud-Franchi J-A, Kervran C, Serre F, Auriacombe M. The centrality of craving in network analysis of five substance use disorders. Drug and Alcohol Dependence. 2023;245:109828. https://doi.org/10.1016/j.drugalcdep.2023.109828

34. Hartwell EE, Ray LA. Craving as a DSM-5 Symptom of Alcohol Use Disorder in Non-Treatment Seekers. Alcohol and Alcoholism. 2018;53(3):235–240. https://doi.org/10.1093/alcalc/agx088

35. Hu L, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal. 1999;6(1):1–55. https://doi.org/10.1080/10705519909540118

36. Janiri L, Calvosa F, Dario T, Pozzi G, Ruggeri A, Addolorato G, Di Giannantonio M, De Risio S. The Italian version of the Obsessive–Compulsive Drinking Scale: Validation, comparison with the other versions, and difference between type 1- and type 2-like alcoholics. Drug and Alcohol Dependence. 2004;74(2):187–195. https://doi.org/10.1016/j.drugalcdep.2004.01.004

37. Kavanagh DJ, Statham DJ, Feeney GFX, Young RMcD, May J, Andrade J, Connor JP. Measurement of alcohol craving. Addictive Behaviors. 2013;38(2):1572–1584. https://doi.org/10.1016/j.addbeh.2012.08.004

38. Kline T. Psychological testing: A practical approach to design and evaluation. Sage Publications. 2005.

39. Kranzler HR, Mulgrew CL, Modesto-Lowe V, Burleson JA. Validity of the Obsessive Compulsive Drinking Scale (OCDS): Does Craving Predict Drinking Behavior? Alcoholism: Clinical and Experimental Research. 1999;23(1):108–114. https://doi.org/10.1111/j.1530-0277.1999.tb04030.x

40. Lee RSC, Hoppenbrouwers S, Franken I. A Systematic Meta-Review of Impulsivity and Compulsivity in Addictive Behaviors. Neuropsychology Review. 2019;29(1):14–26. https://doi.org/10.1007/s11065-019-09402-x

41. Malcolm R, Herron JE, Anton RF, Roberts J, Moore J. Recurrent detoxification may elevate alcohol craving as measured by the Obsessive Compulsive Drinking scale. Alcohol. 2000;20(2):181–185. https://doi.org/10.1016/S0741-8329(99)00073-7

42. Mann K, Ackermann K. Die OCDS-G: Psychometrische Kennwerte der deutschen Version der Obsessive Compulsive Drinking Scale. SUCHT. 2000;46(2):90–100. https://doi.org/10.1024/suc.2000.46.2.90

43. Martins JS, Fogelman N, Wemm S, Hwang S, Sinha R. Alcohol craving and withdrawal at treatment entry prospectively predict alcohol use outcomes during outpatient treatment. Drug and Alcohol Dependence. 2022;231:109253. https://doi.org/10.1016/j.drugalcdep.2021.109253

44. Moak DH, Anton RF, Latham PK. Further Validation of the Obsessive-Compulsive Drinking Scale (OCDS): Relationship to Alcoholism Severity. American Journal on Addictions. 1998;7(1):14–23. https://doi.org/10.3109/10550499809034708

45. Modell JG, Glaser FB, Cyr L, Mountz JM. Obsessive and Compulsive Characteristics of Craving for Alcohol in Alcohol Abuse and Dependence. Alcoholism: Clinical and Experimental Research. 1992;16(2):272–274. https://doi.org/10.1111/j.1530-0277.1992.tb01375.x

46. Nakovics H, Diehl A, Croissant B, Mann K. Modifications of the Obsessive Compulsive Drinking Scale (OCDS-G) for use in longitudinal studies. Addictive Behaviors. 2008;33(10):1276–1281. https://doi.org/10.1016/j.addbeh.2008.05.013

47. Ooteman W, Koeter MWJ, Vserheul R, Schippers GM, Van Den Brink W. Measuring Craving: An Attempt to Connect Subjective Craving with Cue Reactivity. Alcoholism: Clinical and Experimental Research. 2006;30(1):57–69. https://doi.org/10.1111/j.1530-0277.2006.00019.x

48. Patton JH, Stanford MS, Barratt ES. Factor structure of the barratt impulsiveness scale. Journal of Clinical Psychology. 1995;51(6):768–774. https://doi.org/10.1002/1097-4679(199511)51:6<768::AID-JCLP2270510607>3.0.CO;2-1

49. Potgieter AS, Deckers F, Geerlings P. Craving and relapse measurement in alcoholism. Alcohol and Alcoholism (Oxford, Oxfordshire). 1999;34(2):254–260. https://doi.org/10.1093/alcalc/34.2.254

50. Ray L.A., Courtney K.E., Bacio G., MacKillop J. The Assessment of Craving in Addiction Research. In J. MacKillop & H. De Wit (Eds.), The Wiley‐ Blackwell Handbook of Addiction Psychopharmacology. Wiley. 2013. https://doi.org/10.1002/9781118384404.ch13

51. Roberts JS, Anton RF, Latham PK, Moak DH. Factor Structure and Predictive Validity of the Obsessive Compulsive Drinking Scale. Alcoholism: Clinical and Experimental Research. 1999;23(9):1484–1491. https://doi.org/10.1111/j.1530-0277.1999.tb04671.x

52. Rosenberg H. Defining and Assessing Drug Craving. In Principles of Addiction. Elsevier. 2013. https://doi.org/10.1016/B978-0-12-398336-7.00040-1

53. Sayette MA, Shiffman S, Tiffany ST, Niaura RS, Martin CS, Schadel WG. The measurement of drug craving. Addiction. 2000;95(8s2):189–210. https://doi.org/10.1046/j.1360-0443.95.8s2.8.x

54. Schippers GM, DeJong CAJ, Lehert Ph, Potgieter A, Deckers F, Casselman J, Geerlings PJ. The Obsessive Compulsive Drinking Scale: Translation into Dutch and Possible Modifications. European Addiction Research. 1997;3(3):116–122. https://doi.org/10.1159/000259164

55. Schmidt P, Helten C, Soyka M. Predictive value of obsessive-compulsive drinking scale (OCDS) for outcome in alcohol-dependent inpatients: Results of a 24-month follow-up study. Substance Abuse Treatment, Prevention, and Policy. 2011;6(1):14. https://doi.org/10.1186/1747-597X-6-14

56. Serre F, Fatseas M, Swendsen J, Auriacombe M. Ecological momentary assessment in the investigation of craving and substance use in daily life: A systematic review. Drug and Alcohol Dependence. 2015;148:1–20. https://doi.org/10.1016/j.drugalcdep.2014.12.024

57. Shmulewitz D, Stohl M, Greenstein E, Roncone S, Walsh C, Aharonovich E, Wall MM, Hasin DS. Validity of the DSM-5 craving criterion for alcohol, tobacco, cannabis, cocaine, heroin, and non-prescription use of prescription painkillers (opioids). Psychological Medicine. 2023;53(5):1955–1969. https://doi.org/10.1017/S0033291721003652

58. Skinner MD, Aubin H-J. Craving’s place in addiction theory: Contributions of the major models. Neuroscience & Biobehavioral Reviews. 2010;34(4):606–623. https://doi.org/10.1016/j.neubiorev.2009.11.024

59. Stohs ME, Schneekloth TD, Geske JR, Biernacka JM, Karpyak VM. Alcohol Craving Predicts Relapse After Residential Addiction Treatment. Alcohol and Alcoholism. 2019;54(2):167–172. https://doi.org/10.1093/alcalc/agy093

60. Tatsuzawa Y, Yoshimasu H, Moriyama Y, Furusawa T, Yoshino A. Validation study of the Japanese version of the Obsessive-Compulsive Drinking Scale. Psychiatry and Clinical Neurosciences. 2002;56(1):91–95. https://doi.org/10.1046/j.1440-1819.2002.00934.x

61. Tiffany ST, Wray JM. The clinical significance of drug craving. Annals of the New York Academy of Sciences. 2012;1248(1):1–17. https://doi.org/10.1111/j.1749-6632.2011.06298.x

62. Tiffany ST, Carter BL, Singleton EG. Challenges in the manipulation, assessment and interpretation of craving relevant variables. Addiction. 2000;95(8s2):177–187. https://doi.org/10.1046/j.1360-0443.95.8s2.7.x

63. Vafaie N, Kober H. Association of Drug Cues and Craving With Drug Use and Relapse: A Systematic Review and Meta-analysis. JAMA Psychiatry. 2022;79(7):641. https://doi.org/10.1001/jamapsychiatry.2022.1240

64. Van Lier HG, Pieterse ME, Schraagen JMC, Postel MG, Vollenbroek-Hutten MMR, De Haan HA, Noordzij ML. Identifying viable theoretical frameworks with essential parameters for real-time and real world alcohol craving research: A systematic review of craving models. Addiction Research & Theory. 2018;26(1):35–51. https://doi.org/10.1080/16066359.2017.1309525

65. Verheul R, van den Brink W, Geerlings P. A three-pathway psychobiological model of craving for alcohol. Alcohol and Alcoholism (Oxford, Oxfordshire). 1999;34(2):197–222.

66. Wang H, Lan L, Lan X, Chen P, Liu G, Rong X, Liu L, Kang C-Y, Yang J, Guan Y-Z, Zhu X-F, Hu J, Yang M, Zheng D, Peng Y. Validation and Factor Analysis of the Obsessive Compulsive Drinking Scale (OCDS) in the Chinese Population. Frontiers in Psychiatry. 2021;12:770860. https://doi.org/10.3389/fpsyt.2021.770860