Alcohol Reinforcers Attenuate Goal-Directed Control in Individuals with Alcohol Use Disorder and Healthy Controls

BackgroundImpaired control over alcohol consumption is a core feature of alcohol use disorder (AUD), yet its mechanisms remain unclear. Habit theories posit a shift from goal-directed to habitual control with repeated alcohol use, but human evidence is mixed and often lacks translational alignment with animal models. Recent accounts therefore call for paradigms assessing contingency sensitivity with disorder-relevant reinforcers.MethodsWe adapted a free-operant contingency degradation task to compare goal-directed control when responding for a natural (juice) versus disorder-relevant reinforcer (alcohol). Eighty-one participants were tested, comprising 49 non-treatment-seeking individuals with AUD (31.22 ± 8.35 years; 28 females) and 32 healthy controls (27.44 ± 6.71 years; 22 females). We expected reduced goal-directed control in AUD, indexed by weaker response-rate and causality judgment adaption to changed contingencies, particularly for alcohol.ResultsContrary to our hypothesis, goal-directed control was preserved in both groups, with behavioral responding and causality judgments remaining contingency-sensitive. Rather than a generalized deficit, a reinforcer-specific attenuation emerged: across groups, behavioral sensitivity was selectively reduced when responding for alcohol. Explicit contingency judgments remained intact and were stronger in individuals with AUD than in healthy controls.ConclusionThese findings do not support a generalized deficit in goal-directed control in AUD. Instead, goal-directed control appears selectively attenuated in alcohol-related contexts across diagnostic groups, potentially reflecting reinforcement-history-dependent shifts toward cue-driven responding. Alcohol-specific reductions in goal-directed control may emerge early in alcohol use, underscoring the importance of reinforcer context.