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Recent laboratory evidence revealed that alcohol use behavior is associated with brain morphometry among young adults. Scant research has focused on identifying whether young adults experience functional cognitive consequences after drinking and alcohol\u2010induced memory loss (\u201cblackout drinking\u201d) events. We collected intensive 21\u2010day data to examine acute effects of any alcohol use and higher risk use behavior on next\u2010day cognitive functioning.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Participants were 304 (79% female) college\u2010attending young adults who reported recent heavy drinking and blackout drinking. Participants completed a baseline survey and up to 21 daily diaries assessing prior\u2010day alcohol use, self\u2010reported cognition (prospective\/retrospective memory lapses, general cognitive lapses), and performance\u2010based cognition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Multilevel models examined associations between any alcohol use, number of drinks, high\u2010intensity drinking (8+\/10+ drinks in a sitting for females\/males), and blackout drinking on multiple next\u2010day cognitive outcomes. All day\u2010level drinking indicators were associated with a higher likelihood of next\u2010day cognitive lapses. High\u2010intensity drinking and blackout drinking were both associated with higher odds of retrospective memory lapses, and high\u2010intensity drinking was associated with higher odds of prospective memory lapses. Blackout drinking was associated with poorer next\u2010day working memory with manipulation. All other drinking indicators were unassociated with performance\u2010based cognition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Overall, while high\u2010intensity drinking and blackout drinking were both associated with more self\u2010reported retrospective memory lapses, only high\u2010intensity drinking was linked with self\u2010reported prospective memory lapses and only blackout drinking was linked to performance\u2010based cognition. These findings generally indicate that young adults experienced more cognitive lapses the morning after intense drinking and blackout drinking events. As a key indicator of longer\u2010term cognitive outcomes is observed functional impacts in young adulthood, early prevention and intervention in this age group is warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/acer.70280","type":"journal-article","created":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T06:08:43Z","timestamp":1774505323000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["High\u2010intensity and blackout drinking impact on next\u2010day cognitive functioning among college\u2010attending young adults"],"prefix":"10.1111","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8187-6538","authenticated-orcid":false,"given":"Ashley N.","family":"Linden\u2010Carmichael","sequence":"first","affiliation":[{"name":"Department of Counseling Psychology and Human Services University of Oregon  Eugene Oregon USA"},{"name":"Prevention Science Institute University of Oregon  Eugene Oregon USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacqueline","family":"Mogle","sequence":"additional","affiliation":[{"name":"Research Triangle Institute Health Solutions  Research Triangle Park North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3372-4585","authenticated-orcid":false,"given":"Sara E.","family":"Miller","sequence":"additional","affiliation":[{"name":"Edna Bennett Pierce Prevention Research Center The Pennsylvania State University  University Park Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5203-4486","authenticated-orcid":false,"given":"Jennifer L.","family":"Shipley","sequence":"additional","affiliation":[{"name":"Prevention Science Institute University of Oregon  Eugene Oregon USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen J.","family":"Wilson","sequence":"additional","affiliation":[{"name":"Department of Psychology The Pennsylvania State University  University Park Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,25]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/opo.12131"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2019.00632"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2017.01111"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.2174\/1874473708666150416110515"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13195-025-01720-y"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022\u2010006X.72.2.155"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.abrep.2019.100197"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.3758\/BF03203267"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2022.107246"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.2174\/1874473710801030263"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360\u20100443.2005.01142.x"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brainres.2025.149643"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/add.14404"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nicl.2018.11.005"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1027\/1015\u20105759\/a000223"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/acer.13010"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/acer.14446"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1037\/h0043688"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360\u20100443.2009.02656.x"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1037\/pas0000320"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1037\/adb0000421"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2023.109905"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2023.107653"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.2196\/77584"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1002\/hup.2268"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/acer.14204"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/acer.13637"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/dar.13721"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/gbx012"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2010.1140"},{"key":"e_1_2_9_32_1","doi-asserted-by":"crossref","unstructured":"Patrick M.E. 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