Alcohol consumption dynamics and day-to-day experiences of alcohol-related problems: Combining transdermal alcohol concentration sensors and daily self-reports in young adults' natural settings.

Day-level alcohol-related problems (ARPs)-such as craving, difficulty limiting/stopping, tolerance, impairment, and withdrawal-may signal risk for alcohol use disorder in young adults' natural settings. ARPs may relate to how people drink (e.g., intensity, speed, duration), but these consumption dynamics are difficult to assess accurately through self-reports. We tested the association between ARPs and alcohol consumption dynamics in young adults using wearable transdermal alcohol concentration (TAC) sensors and daily diaries. College students (N = 79; 55.7% female, 86.1% White, Mage = 20.1) who frequently engaged in heavy episodic drinking wore TAC sensors and completed daily diaries over four consecutive weekends (89.9% completion rate). ARPs were measured the morning after drinking events. Three consumption dynamics were extracted from TAC data: speed (rise rate), intensity (peak), and duration (rise duration) of drinking. Analyses using unadjusted models showed that young adults reported more ARPs on days with faster rise rates, higher peaks, or longer rise durations compared with their own slower, lower, and shorter days. Adjusted models including all three TAC features showed that faster rise rates and longer rise durations were independently associated with ARPs, but higher peaks were not. These findings provide novel evidence that the speed and duration of drinking-not just the amount-may be key targets for ARP prevention among young adults. These insights would not have emerged without the rich, objective measurement of drinking dynamics offered by TAC sensors. TAC features may help indicate existing alcohol-related impairment, warranting investigation of their prospective links to alcohol use disorder risk. (PsycInfo Database Record (c) 2025 APA, all rights reserved).