{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T09:59:02Z","timestamp":1785405542871,"version":"3.56.0"},"reference-count":35,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T00:00:00Z","timestamp":1782691200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100014082","name":"Rhode Island Foundation","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100014082","id-type":"DOI","asserted-by":"crossref"}]},{"id":[{"id":"https:\/\/ror.org\/02y6cph55","id-type":"ROR","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000027","name":"National Institutes on Alcohol Abuse and Alcoholism","doi-asserted-by":"crossref","award":["K01AA029399"],"award-info":[{"award-number":["K01AA029399"]}],"id":[{"id":"10.13039\/100000027","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100000027","name":"National Institutes on Alcohol Abuse and Alcoholism","doi-asserted-by":"crossref","award":["F31AA031602"],"award-info":[{"award-number":["F31AA031602"]}],"id":[{"id":"10.13039\/100000027","id-type":"DOI","asserted-by":"crossref"}]},{"award":["K01AA029399"],"award-info":[{"award-number":["K01AA029399"]}],"id":[{"id":"https:\/\/ror.org\/02jzrsm59","id-type":"ROR","asserted-by":"publisher"}]},{"award":["F31AA031602"],"award-info":[{"award-number":["F31AA031602"]}],"id":[{"id":"https:\/\/ror.org\/02jzrsm59","id-type":"ROR","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["EJIHPE"],"abstract":"<jats:p>Background: Alcohol use and attention-deficit\/hyperactivity disorder (ADHD) are prevalent among college students. Individuals with ADHD are at increased risk for developing alcohol use disorder, but mechanisms contributing to this risk are unclear. Subjective alcohol response, or how one experiences the effects of alcohol use, is an important factor that contributes to alcohol consumption. Research suggests that individuals with ADHD, as compared to those without ADHD, may differentially experience the effects of alcohol. Consequently, the purpose of the present study was to examine the association between ADHD symptoms and subjective alcohol response (i.e., subjective effects of alcohol, perceived intoxication, and craving). Methods: Participants (N = 26; 38.5% male, 61.5% female) were college students who completed an in-person alcohol administration session where they received a 0.65 g\/kg dose of alcohol. Breath alcohol concentrations and subjective effects of alcohol (feel, like, sedation, and stimulation), perceived intoxication (intoxication and willingness to drive), and craving were assessed at multiple time points throughout the session. ADHD symptoms were assessed at baseline. Results: Area under the curves (AUC) were generated for each participant and each subjective effect, perceived intoxication, and craving. Controlling for typical alcohol use, multiple regressions revealed that higher ADHD symptoms were associated with greater liking the drink, willingness to drive, and craving AUC scores. Conclusions: Individuals with higher ADHD symptoms may experience greater liking and craving during a drinking session. The present findings may also be useful to consider when tailoring intervention and prevention efforts to help reduce risk for college students who report elevated ADHD symptomology.<\/jats:p>","DOI":"10.3390\/ejihpe16070091","type":"journal-article","created":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T10:01:17Z","timestamp":1782813677000},"page":"91","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["College Students\u2019 ADHD Symptoms and Alcohol Response During Laboratory Self-Administration"],"prefix":"10.3390","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6759-1242","authenticated-orcid":false,"given":"Amy L.","family":"Stamates","sequence":"first","affiliation":[{"name":"Department of Psychology, University of Rhode Island, 142 Flagg Road, Chafee Hall, Kingston, RI 02881, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3281-2367","authenticated-orcid":false,"given":"Sabrina M.","family":"Todaro","sequence":"additional","affiliation":[{"name":"Department of Psychology, University of Rhode Island, 142 Flagg Road, Chafee Hall, Kingston, RI 02881, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0058-7054","authenticated-orcid":false,"given":"Anna L.","family":"Sherman","sequence":"additional","affiliation":[{"name":"Department of Psychology, University of Rhode Island, 142 Flagg Road, Chafee Hall, Kingston, RI 02881, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3879-9893","authenticated-orcid":false,"given":"Melissa C.","family":"Rothstein","sequence":"additional","affiliation":[{"name":"Department of Psychology, University of Rhode Island, 142 Flagg Road, Chafee Hall, Kingston, RI 02881, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dahianna","family":"L\u00f3pez","sequence":"additional","affiliation":[{"name":"College of Nursing, Providence College, Providence, RI 02918, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa L.","family":"Weyandt","sequence":"additional","affiliation":[{"name":"Department of Psychology, University of Rhode Island, 142 Flagg Road, Chafee Hall, Kingston, RI 02881, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,6,29]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association (APA) (2013). Diagnostic and statistical manual of mental disorders: DSM-5, American Psychiatric Association. [5th ed.].","DOI":"10.1176\/appi.books.9780890425596"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1521\/adhd.2006.14.4.7","article-title":"Identifying new symptoms for diagnosing ADHD in adulthood","volume":"14","author":"Barkley","year":"2006","journal-title":"ADHD Report"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1177\/1087054709334446","article-title":"Self-reported ADHD and adjustment in college: Cross-sectional and longitudinal findings","volume":"13","author":"Gilbert","year":"2009","journal-title":"Journal of Attention Disorders"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"e20182305","DOI":"10.1542\/peds.2018-2305","article-title":"Traffic crashes, violations, and suspensions among young drivers with ADHD","volume":"143","author":"Curry","year":"2019","journal-title":"Pediatrics"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1007\/s12402-012-0098-y","article-title":"Do ADHD symptoms moderate the relation between positive alcohol expectancies and alcohol-related outcomes?","volume":"5","author":"Dattilo","year":"2013","journal-title":"ADHD Attention Deficit and Hyperactivity Disorders"},{"key":"ref_6","unstructured":"(2026, April 27). GraphPad prism software. 5, Available online: https:\/\/www.graphpad.com\/scientific-software\/prism\/."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"535","DOI":"10.1177\/21676968231152273","article-title":"Drinking motives mediate the relation between attention-deficit\/hyperactivity disorder symptoms and alcohol-related problems among college students","volume":"11","author":"Falco","year":"2023","journal-title":"Emerging Adulthood"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"646","DOI":"10.15288\/jsa.2001.62.646","article-title":"Alcohol effects on inhibitory and activational response strategies in the acquisition of alcohol and other reinforcers: Priming the motivation to drink","volume":"62","author":"Fillmore","year":"2001","journal-title":"Journal of Studies on Alcohol"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1037\/a0024215","article-title":"Are symptoms of ADHD related to substance use among college students?","volume":"26","author":"Glass","year":"2012","journal-title":"Psychology of Addictive Behaviors"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1037\/pha0000017","article-title":"Application of an alcohol clamp paradigm to examine inhibitory control, subjective responses, and acute tolerance in late adolescence","volume":"23","author":"Hendershot","year":"2015","journal-title":"Experimental and Clinical Psychopharmacology"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s40429-025-00708-w","article-title":"Attention-Deficit\/Hyperactivity Disorder (ADHD) and Alcohol Use Disorder (AUD): Transdiagnostic mechanisms","volume":"13","author":"Kennedy","year":"2026","journal-title":"Current Addiction Reports"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"560","DOI":"10.1176\/appi.ajp.2020.20030247","article-title":"Subjective responses to alcohol in the development and maintenance of alcohol use disorder","volume":"178","author":"King","year":"2021","journal-title":"American Journal of Psychiatry"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1001\/archgenpsychiatry.2011.26","article-title":"Rewarding, stimulant, and sedative alcohol responses and relationship to future binge drinking","volume":"68","author":"King","year":"2011","journal-title":"Archives of General Psychiatry"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1007\/s40429-013-0005-4","article-title":"On the mismeasurement of impulsivity: Trait, behavioral, and neural models in alcohol research among adolescents and young adults","volume":"1","author":"King","year":"2014","journal-title":"Current Addiction Reports"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"2072","DOI":"10.1177\/1087054717750272","article-title":"Prevalence estimates of ADHD in a sample of inpatients with alcohol dependence","volume":"24","author":"Luderer","year":"2020","journal-title":"Journal of Attention Disorders"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"696","DOI":"10.1111\/acer.12039","article-title":"Artificial sweeteners versus regular mixers increase breath alcohol concentrations in male and female social drinkers","volume":"37","author":"Marczinski","year":"2013","journal-title":"Alcoholism: Clinical and Experimental Research"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1111\/j.1530-0277.1993.tb00739.x","article-title":"Development and validation of the biphasic alcohol effects scale","volume":"17","author":"Martin","year":"1993","journal-title":"Alcoholism: Clinical and Experimental Research"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"694","DOI":"10.1177\/1087054713498931","article-title":"The relation between ADHD symptoms and alcohol use in college students","volume":"19","author":"Mesman","year":"2015","journal-title":"Journal of Attention Disorders"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1037\/0033-2909.108.3.383","article-title":"Alcohol challenge with sons of alcoholics: A critical review and analysis","volume":"108","author":"Newlin","year":"1990","journal-title":"Psychology Bulletin"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1007\/s11920-019-1019-y","article-title":"Risk-taking behavior in attention deficit\/hyperactivity disorder (ADHD): A review of potential underlying mechanisms and of interventions","volume":"21","author":"Pollak","year":"2019","journal-title":"Current Psychiatry Reports"},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Pollak, Y., Shoham, R., Scheres, A., and Dekkers, T. J. (2023). ADHD and risk-taking behavior: Associations, mechanisms, and interventions. Clinical handbook of ADHD assessment and treatment across the lifespan, Springer.","DOI":"10.1007\/978-3-031-41709-2_12"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1007\/s00213-013-3016-x","article-title":"Reduced acute recovery from alcohol impairment in adults with ADHD","volume":"228","author":"Roberts","year":"2013","journal-title":"Psychopharmacology"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1016\/0165-0173(93)90013-P","article-title":"The neural basis of drug craving: An incentive-sensitization theory of addiction","volume":"18","author":"Robinson","year":"1993","journal-title":"Brain Research Reviews"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"791","DOI":"10.1111\/j.1360-0443.1993.tb02093.x","article-title":"Development of the alcohol use disorders identification test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption-II","volume":"88","author":"Saunders","year":"1993","journal-title":"Addiction"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1176\/ajp.151.2.184","article-title":"Low level of response to alcohol as a predictor of future alcoholism","volume":"151","author":"Schuckit","year":"1994","journal-title":"American Journal of Psychiatry"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"1881","DOI":"10.1097\/01.ALC.0000148111.43332.A5","article-title":"Testing the level of response to alcohol: Social information processing model of alcoholism risk\u2014A 20-year prospective study","volume":"28","author":"Schuckit","year":"2004","journal-title":"Alcoholism: Clinical and Experimental Research"},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Litten, R. Z., and Allen, J. P. (1992). Timeline follow-back: A technique for assessing self-reported alcohol consumption. Measuring alcohol consumption: Psychosocial and biochemical methods, Humana Press\/Springer Nature.","DOI":"10.1007\/978-1-4612-0357-5"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1037\/pha0000779","article-title":"A pilot study of impulsivity and subjective alcohol response in the lab and moment","volume":"33","author":"Stamates","year":"2025","journal-title":"Experimental and Clinical Psychopharmacology"},{"key":"ref_29","unstructured":"Substance Abuse and Mental Health Services Administration (SAMHSA) (2025). Key substance use and mental health indicators in the United States: Results from the 2024 national survey on drug use and health (Standard No. HHS Publication No. PEP25-07-007, NSDUH Series H-60)."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"25683","DOI":"10.1007\/s12144-024-06186-z","article-title":"Sociodemographic and psychological factors affecting motor vehicle crashes (MVCs): A classification analysis based on the contextual-mediated model of traffic-accident involvement","volume":"43","author":"Tinella","year":"2024","journal-title":"Current Psychology"},{"key":"ref_31","doi-asserted-by":"crossref","unstructured":"Tinella, L., Caff\u00f2, A. O., Lopez, A., Nardulli, F., Grattagliano, I., and Bosco, A. (2021). Reassessing fitness-to-drive in drinker drivers: The role of cognition and personality. International Journal of Environmental Research and Public Health, 18.","DOI":"10.3390\/ijerph182312828"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1037\/pha0000133","article-title":"Craving and acute effects of alcohol in youths\u2019 daily lives: Associations with alcohol use disorder severity","volume":"25","author":"Treloar","year":"2017","journal-title":"Experimental and Clinical Psychopharmacology"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"1562","DOI":"10.1111\/j.1530-0277.2009.00984.x","article-title":"The relationships of the level of response to alcohol and additional characteristics to alcohol use disorders across adulthood: A discrete-time survival analysis","volume":"33","author":"Trim","year":"2009","journal-title":"Alcoholism: Clinical and Experimental Research"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1037\/1064-1297.16.3.251","article-title":"Simulated driving performance of adults with ADHD: Comparisons with alcohol intoxication","volume":"16","author":"Weafer","year":"2008","journal-title":"Experimental and Clinical Psychopharmacology"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1002\/ddrr.38","article-title":"ADHD in college students: Developmental findings","volume":"14","author":"Weyandt","year":"2008","journal-title":"Developmental Disabilities Research Reviews"}],"container-title":["European Journal of Investigation in Health, Psychology and Education"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2254-9625\/16\/7\/91\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T04:17:43Z","timestamp":1783052263000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2254-9625\/16\/7\/91"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,29]]},"references-count":35,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2026,7]]}},"alternative-id":["ejihpe16070091"],"URL":"https:\/\/doi.org\/10.3390\/ejihpe16070091","relation":{},"ISSN":["2254-9625"],"issn-type":[{"value":"2254-9625","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,29]]}}}