Portuguese validation of the Alcohol Craving Questionnaire-Short Form-Revised

Alcohol craving has been described as a strong subjective desire to drink, being considered highly valuable in the clinical practice, as it is recognized as a strong predictor of alcohol relapse in alcohol-dependent individuals. However, to date, there is not a multifactorial questionnaire available for assessing short-term acute craving experience in Portugal. The aim of the present study was to validate a swift and efficient tool for the assessment of acute alcohol craving in a sample of Portuguese citizens. For that purpose, the Alcohol Craving Questionnaire-Short Form-Revised (ACQ-SF-R) was translated into European Portuguese and administered to a sample of 591 college participants with ages between 18 and 30 years. Results suggested that a three-factor model (i.e., Emotionality, Purposefulness, and Compulsivity) proved to be most suitable for the Portuguese sample. Overall, the ACQ-SF-R exhibited good psychometric properties, having a good internal consistency both for the general craving index (Cronbach's alpha = 0.85) and each subscale (Cronbach's alpha = 0.66-0.83), as well as an appropriate convergent validity with the Penn Alcohol Craving Scale (r = 0.65, p<0.001), suggesting a good construct validity. In addition, the ACQ-SF-R also showed a good concurrent validity with the Alcohol Use Disorders Identification Test (r = 0.57, p<0.001), indicating that risky alcohol use patterns are associated with increased craving scores in the ACQ-SF-R. Collectively, these findings suggest that the Portuguese version of the ACQ-SF-R can accurately measure alcohol craving at a multifactorial level, being a valid and reliable tool to use in Portuguese samples in research settings.
This study was conducted at the Psychology Research Centre (CIPsi/UM) School of Psychology, University of Minho, supported by the Foundation for Science and Technology (FCT) through the Portuguese State Budget (UIDB/01662/2020). The study was also supported by the project POCI-01-0145-FEDER-028672, funded by FCT and the European Regional Development Fund (FEDER). Eduardo Lopez-Caneda and Alberto Crego were supported by the FCT and the Portuguese Ministry of Science, Technology and Higher Education, within the scope of the Individual Call to Scientific Employment Stimulus (CEECIND/02979/2018), and within the scope of the Transitory Disposition of the Decrete No. 57/2016, of 29th of August, amended by Law No. 57/2017 of 19 July, respectively. Natalia Almeida-Antunes was supported by a fellowship from the FCT (SFRH/BD/146194/2019). https://ec.europa.eu/regional_policy/pt/funding/erdf/https://www.fct.pt/ The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.