{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T00:51:37Z","timestamp":1791161497990,"version":"4.1.0"},"reference-count":52,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T00:00:00Z","timestamp":1786320000000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000027","name":"National Institute on Alcohol Abuse and Alcoholism","doi-asserted-by":"publisher","award":["F32AA025251"],"award-info":[{"award-number":["F32AA025251"]}],"id":[{"id":"10.13039\/100000027","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Addiction Biology"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Craving is one of the most robust proximal predictors of both treatment dropout and relapse during early recovery for alcohol use disorder (AUD). Craving can onset rapidly, and the ability to accurately detect or modulate cravings varies significantly within\u2010 and between\u2010persons. Because of this, craving management is a central feature of most current AUD treatment models. However, impaired interoceptive awareness, which is common in early AUD recovery, can stymie individuals' capacity to implement craving management strategies. Measurement and detection of craving through passive biosensor monitoring could support novel just\u2010in\u2010time adaptive interventions that can mitigate this vulnerability. This study sought to characterize the biosignatures of craving through the measurement of heart rate variability (HRV) using a combination of ambulatory electrocardiogram (ECG) monitoring and ecological momentary assessment (EMA) in individuals in the first year of a current AUD recovery attempt (\n                    <jats:italic>N\u2009=<\/jats:italic>\n                    \u200940, observations\u2009=\u2009400). A multilevel negative binomial regression analysis was conducted to estimate correlations between craving and HRV. Results demonstrated that, at the within\u2010person level, high\u2010frequency HRV (HF\u2010HRV;\n                    <jats:italic>IRR\u2009=<\/jats:italic>\n                    \u20091.01,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.013) and SD1 (\n                    <jats:italic>IRR\u2009=<\/jats:italic>\n                    \u20090.97,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.020) were associated with craving at the same moment. Findings highlight HRV as a viable target for passive monitoring in interventions aimed at supporting craving mitigation in early AUD recovery, particularly at the momentary level.\n                  <\/jats:p>","DOI":"10.1111\/adb.70182","type":"journal-article","created":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T01:32:08Z","timestamp":1786411928000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Using Passive Sensing to Isolate a Biosignature for Craving Among Individuals in Early Alcohol Use Disorder Recovery"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1314-4399","authenticated-orcid":false,"given":"Sara","family":"Mei","sequence":"first","affiliation":[{"name":"Department of Psychology Colorado State University  Fort Collins Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4891-2303","authenticated-orcid":false,"given":"Noah N.","family":"Emery","sequence":"additional","affiliation":[{"name":"Department of Psychology Colorado State University  Fort Collins Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0619-7209","authenticated-orcid":false,"given":"David","family":"Eddie","sequence":"additional","affiliation":[{"name":"Center for Addiction Medicine, Massachusetts General Hospital Recovery Research Institute  Boston Massachusetts USA"},{"name":"Department of Psychiatry Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,10]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"Centers for Disease Control and Prevention \u201cAlcohol and Public Health: Alcohol\u2010Related Disease Impact (ARDI). Annual Average for United States 2011\u20102015 Alcohol\u2010Attributable Deaths due to Excessive Alcohol Use All Ages 2021 \u201d (2011). Available from:https:\/\/nccd.cdc.gov\/DPH_ARDI\/Default\/Report.aspx?T=AAM&P=1A04A664\u20100244\u201042C1\u201091DE316F3AF6B447&R=B885BD06\u201013DF\u201045CD\u20108DD8\u2010AA6B178C4ECE&M=32B5FFE7\u201081D2\u201043C5\u2010A892\u20109B9B3C4246C7&F=AAMCauseGenderNew&D=H."},{"key":"e_1_2_11_3_1","unstructured":"World Health Organization \u201cGlobal Status Report on Alcohol and Health 2018 World Health Organization \u201d (2018). 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