strong relationship between a lower LR and other risk factors cited as increasing both the risk for and severity of AUDs, including high levels of impulsivity and sensation seeking that might impact on a more severe AUD course (Fein et al., 2010; Littlefield et al., 2009; Penick et al., 2010; Schuckit and Smith 2017; Smith et al., 1983). Another predictor of outcomes relates to greater stimulation effects of alcohol especially at rising BACs (e.g., King et al., 2016).
