1
|
Piccoli LR, Albertella L, Christensen E, Fontenelle LF, Suo C, Richardson K, Yücel M, Lee RS. Cognitive inflexibility moderates the relationship between relief-driven drinking motives and alcohol use. Addict Behav Rep 2024; 20:100559. [PMID: 39045445 PMCID: PMC11263493 DOI: 10.1016/j.abrep.2024.100559] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2024] [Revised: 06/21/2024] [Accepted: 06/26/2024] [Indexed: 07/25/2024] Open
Abstract
Introduction Drinking motives and neurocognition play significant roles in predicting alcohol use. There is limited research examining how relief-driven drinking motives interact with neurocognition in alcohol use, which would help to elucidate the neurocognitive-motivational profiles most susceptible to harmful drinking. This study investigated the interactions between neurocognition (response inhibition and cognitive flexibility) and relief-driven drinking, in predicting problem drinking. Methods Participants completed the Alcohol Use Disorders Identification Test - Consumption items (AUDIT-C) to measure drinking behaviour, and online cognitive tasks, including the Value-Modulated Attentional Capture and Reversal Task (VMAC-R) and the Stop Signal Task (SST). The sample (N = 368) were individuals who drink alcohol, which included a subsample (N = 52) with problematic drinking, as defined by self-identifying as having a primary drinking problem. Drinking motives were assessed using a binary coping question in the overall sample, and the Habit, Reward, and Fear Scale (HRFS) in the subsample. Moderation analyses were conducted to investigate whether cognitive flexibility and response inhibition moderated relationships between relief-driven motives and drinking. Results Cognitive flexibility moderated the relationship between relief-driven motives and drinking (overall sample: β = 13.69, p = 0.017; subsample: β = 1.45, p = 0.013). Greater relief-driven motives were associated with heavier drinking for individuals with low cognitive flexibility. There was no significant interaction between response inhibition and relief-driven motives. Conclusions Relief-driven drinking motives interact with cognitive inflexibility to drive heavier drinking. Greater understanding of these neurocognitive-motivational mechanisms may help to develop more targeted and effective interventions for reducing harmful drinking.
Collapse
Affiliation(s)
- Lara R. Piccoli
- BrainPark, Monash Biomedical Imaging, The Turner Institute for Brain and Mental Health, Monash University, Melbourne, Australia
| | - Lucy Albertella
- BrainPark, Monash Biomedical Imaging, The Turner Institute for Brain and Mental Health, Monash University, Melbourne, Australia
| | - Erynn Christensen
- BrainPark, Monash Biomedical Imaging, The Turner Institute for Brain and Mental Health, Monash University, Melbourne, Australia
| | - Leonardo F. Fontenelle
- Institute of Psychiatry of the Federal University of Rio de Janeiro, Brazil
- D’Or Institute for Research and Education (IDOR), Rio de Janeiro, Brazil
| | - Chao Suo
- BrainPark, Monash Biomedical Imaging, The Turner Institute for Brain and Mental Health, Monash University, Melbourne, Australia
| | - Karyn Richardson
- BrainPark, Monash Biomedical Imaging, The Turner Institute for Brain and Mental Health, Monash University, Melbourne, Australia
| | - Murat Yücel
- Department of Psychiatry, School of Clinical Sciences, Monash University, Australia
- QIMR Berghofer Medical Research Institute, Australia
| | - Rico S.C. Lee
- BrainPark, Monash Biomedical Imaging, The Turner Institute for Brain and Mental Health, Monash University, Melbourne, Australia
- The Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Australia
| |
Collapse
|
2
|
Zhao Q, Paschali M, Dehoney J, Baker FC, de Zambotti M, De Bellis MD, Goldston DB, Nooner KB, Clark DB, Luna B, Nagel BJ, Brown SA, Tapert SF, Eberson S, Thompson WK, Pfefferbaum A, Sullivan EV, Pohl KM. Identifying high school risk factors that forecast heavy drinking onset in understudied young adults. Dev Cogn Neurosci 2024; 68:101413. [PMID: 38943839 PMCID: PMC11261404 DOI: 10.1016/j.dcn.2024.101413] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2023] [Revised: 06/12/2024] [Accepted: 06/20/2024] [Indexed: 07/01/2024] Open
Abstract
Heavy alcohol drinking is a major, preventable problem that adversely impacts the physical and mental health of US young adults. Studies seeking drinking risk factors typically focus on young adults who enrolled in 4-year residential college programs (4YCP) even though most high school graduates join the workforce, military, or community colleges. We examined 106 of these understudied young adults (USYA) and 453 4YCPs from the National Consortium on Alcohol and NeuroDevelopment in Adolescence (NCANDA) by longitudinally following their drinking patterns for 8 years from adolescence to young adulthood. All participants were no-to-low drinkers during high school. Whereas 4YCP individuals were more likely to initiate heavy drinking during college years, USYA participants did so later. Using mental health metrics recorded during high school, machine learning forecasted individual-level risk for initiating heavy drinking after leaving high school. The risk factors differed between demographically matched USYA and 4YCP individuals and between sexes. Predictors for USYA drinkers were sexual abuse, physical abuse for girls, and extraversion for boys, whereas 4YCP drinkers were predicted by the ability to recognize facial emotion and, for boys, greater openness. Thus, alcohol prevention programs need to give special consideration to those joining the workforce, military, or community colleges, who make up the majority of this age group.
Collapse
Affiliation(s)
- Qingyu Zhao
- Department of Radiology, Weill Cornell Medicine, New York, NY, USA
| | | | - Joseph Dehoney
- Center for Health Sciences, SRI International, Menlo Park, CA, USA
| | - Fiona C Baker
- Center for Health Sciences, SRI International, Menlo Park, CA, USA
| | | | - Michael D De Bellis
- Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA
| | - David B Goldston
- Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA
| | - Kate B Nooner
- Department of Psychology, University of North Carolina Wilmington, Wilmington, NC, USA
| | - Duncan B Clark
- Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA
| | - Beatriz Luna
- Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA
| | - Bonnie J Nagel
- Departments of Psychiatry and Behavioral Neuroscience, Oregon Health & Science University, Portland, OR, USA
| | - Sandra A Brown
- Department of Psychology, University of California San Diego, La Jolla, CA, USA; Department of Psychiatry, University of California San Diego, La Jolla, CA, USA
| | - Susan F Tapert
- Department of Psychiatry, University of California San Diego, La Jolla, CA, USA
| | - Sonja Eberson
- Department of Psychiatry, University of California San Diego, La Jolla, CA, USA
| | | | - Adolf Pfefferbaum
- Center for Health Sciences, SRI International, Menlo Park, CA, USA; Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, USA
| | - Edith V Sullivan
- Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, USA
| | - Kilian M Pohl
- Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, USA.
| |
Collapse
|
3
|
Chavez SJ, Reed MB, Smith LR, Zúñiga ML, Pitpitan EV, Trim RS, Baweja HS. Depression mediates the relationship between adverse childhood experiences and risky drinking among Hispanic young adults. Am J Addict 2024; 33:385-392. [PMID: 38353562 PMCID: PMC11209822 DOI: 10.1111/ajad.13522] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2023] [Revised: 01/22/2024] [Accepted: 01/24/2024] [Indexed: 02/21/2024] Open
Abstract
BACKGROUND AND OBJECTIVES Hispanic young adults in the United States have consistently high rates of risky drinking, adverse childhood experiences (ACEs), depression, and anxiety. There is a positive association between ACEs and alcohol use among Hispanic populations; it is unknown if mental health symptomatology mediates this relationship. The purpose of this study was to test whether depression and anxiety mediated the relationship between ACEs and risky drinking among Hispanic young adults who engage in risky drinking. METHODS Data from 264 Hispanic young adults, ages 19 to 30, were collected via an online questionnaire. Participants were recruited via social media, emails/listservs across colleges, the community, and web-panels. The questionnaire assessed ACEs, risky drinking, depression, and anxiety. We conducted a mediational analysis to test whether depression and anxiety mediated the relationship between ACEs and risky drinking. RESULTS Of the sample, 59.8% identified as female and 40.2% as male. The average age was 24.37 (SD = 3.069). Participants (61%) identified as Mexican, Mexican American, or Chicano, and 84.1% identified as second-generation. ACEs were positively associated with risky drinking, depression, and anxiety. Depression mediated the relationship between ACEs and risky drinking. CONCLUSION AND SCIENTIFIC SIGNIFICANCE Depression explained the association between ACEs and risky drinking among Hispanic young adults, adding to our understanding of how mediators can illustrate pathways that lead from ACEs to risky drinking. Practitioners and interventionists should continue supporting Hispanic youth by integrating them into early prevention programs to mitigate the mental health consequences of ACEs that could lead to risky drinking.
Collapse
Affiliation(s)
- Sarah J Chavez
- Department of Behavioral and Social Sciences & Center for Alcohol and Addiction Studies, Brown University, Providence, Rhode Island, USA
| | - Mark B Reed
- School of Public Health, San Diego State University, San Diego, California, USA
| | - Laramie R Smith
- Division of Infectious Diseases and Global Public Health, Department of Medicine, University of California, San Diego, California, USA
| | - Maria L Zúñiga
- School of Social Work, San Diego State University, San Diego, California, USA
| | - Eileen V Pitpitan
- School of Social Work, San Diego State University, San Diego, California, USA
| | - Ryan S Trim
- Center of Excellence in Substance Addiction Treatment and Education (CESATE), Philadelphia VA Medical Center, Philadelphia, Pennsylvania, USA
| | | |
Collapse
|
4
|
Brierley MEE, Gaidoni S, Jongenelis MI. Psychological distress and e-cigarette use among young Australians: An exploratory, qualitative study. Tob Induc Dis 2024; 22:TID-22-114. [PMID: 38899118 PMCID: PMC11186307 DOI: 10.18332/tid/189395] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2024] [Revised: 05/08/2024] [Accepted: 05/27/2024] [Indexed: 06/21/2024] Open
Abstract
INTRODUCTION Emerging research suggests an association between psychological distress and e-cigarette use. However, our understanding of young adults' experiences of this relationship is limited. We explored young adults' experiences of psychological distress and e-cigarette use. METHODS We conducted semi-structured interviews with 18- to 24-year-old university students (n=13; 77% female; mean age=21.5 years) based in Victoria, Australia. Interviews were conducted May-June 2023. Data were subject to reflexive thematic analysis. RESULTS Individuals reported that they or their friends had initiated e-cigarette use to manage their psychological distress (e.g. low mood, social isolation, stress). Immediate stress reduction following use and subsequent nicotine dependence appeared to maintain use. CONCLUSIONS A reciprocal relationship likely exists between psychological distress and e-cigarette use whereby psychological distress contributes to use initiation and use maintains distress. Public campaigns and health services should provide: 1) education on adaptive coping/stress management strategies and the signs of nicotine dependence, and 2) support to manage nicotine dependence and the psychological distress that can arise from addiction.
Collapse
Affiliation(s)
- Mary-Ellen E. Brierley
- Melbourne Centre for Behaviour Change, Melbourne School of Psychological Sciences, The University of Melbourne, Melbourne, Australia
| | - Sara Gaidoni
- Melbourne Centre for Behaviour Change, Melbourne School of Psychological Sciences, The University of Melbourne, Melbourne, Australia
| | - Michelle I. Jongenelis
- Melbourne Centre for Behaviour Change, Melbourne School of Psychological Sciences, The University of Melbourne, Melbourne, Australia
| |
Collapse
|
5
|
Burlaka J, Johnson RM, Marsack-Topolewski CN, Hughesdon K, Owczarzak J, Serdiuk O, Bogdanov R, Burlaka V. Association between Current Substance Use, Healthy Behaviors, and Depression among Ukrainian College Students. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2024; 21:586. [PMID: 38791800 PMCID: PMC11121383 DOI: 10.3390/ijerph21050586] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/09/2024] [Revised: 04/28/2024] [Accepted: 04/29/2024] [Indexed: 05/26/2024]
Abstract
Depression is a pervasive issue among college students worldwide, yet there is a significant gap in the literature regarding its prevalence and coping strategies in the Ukrainian context. The present study aims to fill this gap by investigating how substance use and health-promoting behaviors relate to depressive symptoms among Ukrainian college students. Health-promoting behaviors are an important strategy to prevent depression, whereas substance use can contribute to depression or make it harder to manage. Given the substantial psychosocial problems and stressors related to the ongoing war in Ukraine and the limited availability of mental health services for college students, it is important to understand how we can encourage college students to keep themselves mentally healthy. A cross-sectional study was conducted among college students on 10 campuses in 2018. Almost 16% of participants met a cut-off for depression. Female students and those who were older reported significantly higher depressive symptoms. Participants were more likely to report depressive symptoms if they were more often involved with alcohol and cannabis use, were older, and engaged in fewer health-promoting behaviors. Tobacco use was not significantly associated with depressive symptoms. Our findings suggest a moderate prevalence of depressive symptoms in our study population. We recommend implementing balanced public health interventions that address risk factors (such as substance use) while also promoting protective behaviors and can be tailored to the specific cultural and environmental context of the region.
Collapse
Affiliation(s)
- Julia Burlaka
- Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205-1996, USA;
| | - Renee M. Johnson
- Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205-1996, USA;
| | | | - Kathryn Hughesdon
- School of Nursing, Eastern Michigan University, Ypsilanti, MI 48197, USA;
| | - Jill Owczarzak
- Department of Health, Behavior & Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205-1996, USA;
| | - Oleksii Serdiuk
- Research Lab for Psychological Support of Law Enforcement, Kharkiv National University of Internal Affairs, 61080 Kharkiv, Ukraine; (O.S.); (R.B.)
| | - Roman Bogdanov
- Research Lab for Psychological Support of Law Enforcement, Kharkiv National University of Internal Affairs, 61080 Kharkiv, Ukraine; (O.S.); (R.B.)
| | - Viktor Burlaka
- School of Social Work, Wayne State University, Detroit, MI 48202, USA
| |
Collapse
|
6
|
Julian K, Allbaugh LJ. Shame, guilt, and drinking motives as mediators between child maltreatment and problematic alcohol use in college students. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2024:1-12. [PMID: 38626427 DOI: 10.1080/07448481.2024.2338412] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/01/2022] [Accepted: 03/22/2024] [Indexed: 04/18/2024]
Abstract
Objective: Drinking for emotion regulation may be a concern for college students who have experienced childhood maltreatment, due to high levels of shame and guilt. The present cross-sectional survey study tested how trait shame-proneness, trait guilt-proneness, and trauma-related guilt are differently related to drinking motives and how these pathways mediate the links between maltreatment severity and alcohol outcomes. Participants: Undergraduate student drinkers (n = 464; M age = 19.50, SD = 2.20) from a midsized midwestern University. Methods: Participants completed an online survey inquiring about demographics, childhood maltreatment, shame, guilt, drinking motives, alcohol use, and alcohol-related consequences. Results: There were several significant serial indirect effects of maltreatment on alcohol consumption and related consequences, through trauma-related guilt, shame-proneness, guilt-proneness, drinking-to-cope, and drinking for mood enhancement. Conclusions: On college campuses, to address problematic drinking among childhood maltreatment survivors, interventions may target maladaptive feelings of shame and guilt stemming from trauma exposure.
Collapse
Affiliation(s)
- Kelsey Julian
- Department of Psychology, University of Dayton, Dayton, Ohio, USA
| | - Lucy J Allbaugh
- Department of Psychology, University of Dayton, Dayton, Ohio, USA
| |
Collapse
|
7
|
Mo D, Gluck R, Jiang F, Tao R, Geng F, Liu T, Liu Y, Liu H, Yi-Lang Tang. The association between mental health symptoms and alcohol use among Chinese psychiatrists during the early stage of the COVID-19 pandemic. Alcohol 2024; 114:1-7. [PMID: 37604320 DOI: 10.1016/j.alcohol.2023.08.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2023] [Revised: 05/15/2023] [Accepted: 08/15/2023] [Indexed: 08/23/2023]
Abstract
AIM To investigate the association between mental health symptoms, alcohol use, and alcohol misuse among psychiatrists in China during the early stage of the COVID-19 pandemic. METHODS We conducted an online survey to collect data regarding mental health symptoms and alcohol use among psychiatrists in early 2020. The Depression Anxiety Stress Scale-Chinese Version (DASS-21) was used to assess depression, anxiety, and stress symptoms, and the Alcohol Use Disorders Identification Test-Consumption (AUDIT-C) was used to assess alcohol use. RESULTS In total, 3774 psychiatrists completed the survey. AUDIT-C scores were positively correlated with DASS total and depression, anxiety, and stress subscales (total: r = 0.015, depression: r = 0.121, anxiety: r = 0.103, and stress: r = 0.096, all p < 0.05). Alcohol misuse was associated with male sex (OR = 4.754), cigarette smoking (OR = 2.441), administrative position (OR = 1.811), depression (OR = 1.489), and stress (OR = 1.504). Those who reported increased alcohol use during the pandemic were more likely to be male (OR = 2.174), endorse anxiety symptoms (OR = 2.386), or increased stress (OR = 2.402). CONCLUSIONS Mental health symptoms were common among psychiatrists during the COVID-19 pandemic. Depression and stress symptoms were significantly associated with alcohol misuse. Anxiety and stress symptoms were associated with reported increases in alcohol use. Though a causal relationship cannot be inferred, our findings suggest that strategies promoting healthcare professionals' mental well-being should include alcohol use.
Collapse
Affiliation(s)
- Daming Mo
- Department of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei, China; Department of Psychiatry, Hefei Fourth People's Hospital, 316 Huangshan Road, Shushan District, Hefei, 230022, China; Department of Psychiatry, School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei, China
| | - Rachel Gluck
- Department of Psychiatry and Behavioral Sciences, Emory University, Atlanta, GA, USA
| | - Feng Jiang
- School of International and Public Affairs, Shanghai Jiao Tong University, Shanghai, China; Institute of Healthy Yangtze River Delta, Shanghai Jiao Tong University, Shanghai, China
| | - Rui Tao
- Department of Psychiatry, Hefei Fourth People's Hospital, 316 Huangshan Road, Shushan District, Hefei, 230022, China
| | - Feng Geng
- Department of Psychiatry, Second Affiliated Hospital of Anhui Medical University, Hefei, China
| | - Tingfang Liu
- School of Health Policy and Management, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Yuanli Liu
- School of Health Policy and Management, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Huanzhong Liu
- Department of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei, China; Department of Psychiatry, School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei, China.
| | - Yi-Lang Tang
- Department of Psychiatry and Behavioral Sciences, Emory University, Atlanta, GA, USA; Atlanta Veterans Affairs Medical Center, Decatur, GA, USA.
| |
Collapse
|
8
|
Jennings Mathis K, Carden H, Tavares A, Al Sanea A. How Do Risky Behaviors and Mental Health Differ Among Students Based on Undergraduate Class Status? J Am Psychiatr Nurses Assoc 2023; 29:477-482. [PMID: 35277094 DOI: 10.1177/10783903211066126] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
OBJECTIVE The purpose of this study was to examine the relationships among undergraduate class status, risky behaviors (i.e., alcohol and marijuana use, sexual activity), life satisfaction, and ability to cope. METHODS Undergraduate students (N = 2,961) completed an electronic survey to assess for mental health status and risky behaviors. RESULTS Compared with others, first-year students reported fewer days of having at least one alcoholic drink, fewer days of having five or more alcoholic drinks in a row, and less frequency of marijuana use. First-year students reported fewer sexual partners and less frequency of sexual activity compared with others. First-year students were more likely to report greater life satisfaction, being able to cope with difficult situations, and greater self-worth, compared with others. CONCLUSIONS As undergraduate students progress through their academic career, they are more likely to engage in risky behaviors and experience life dissatisfaction.
Collapse
Affiliation(s)
- Karen Jennings Mathis
- Karen Jennings Mathis, PhD, APRN-CNP, PMHNP-BC, FAED, University of Rhode Island, Providence, RI, USA
| | - Holly Carden
- Holly Carden, University of Rhode Island, Kingston, RI, USA
| | - Alexis Tavares
- Alexis Tavares, University of Rhode Island, Kingston, RI, USA
| | - Alia Al Sanea
- Alia Al Sanea, University of Rhode Island, Kingston, RI, USA
| |
Collapse
|
9
|
Hsu T, Adamowicz JL, Thomas EBK. The effect of acceptance and commitment therapy on the psychological flexibility and inflexibility of undergraduate students: A systematic review and three-level meta-analysis. JOURNAL OF CONTEXTUAL BEHAVIORAL SCIENCE 2023; 30:169-180. [PMID: 37982074 PMCID: PMC10655902 DOI: 10.1016/j.jcbs.2023.10.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2023]
Abstract
Rising rates of mental health problems in undergraduate students is a critical public health issue. There is evidence supporting the efficacy of acceptance and commitment therapy (ACT) in decreasing psychological symptoms in undergraduates, which is thought to be facilitated through increases in psychological flexibility (PF) and decreases in psychological inflexibility (PIF). However, little is known about the effect of ACT on these processes in undergraduates. We conducted a systematic review and three-level meta-analysis examining this effect in 20 studies, which provided 56 effect sizes. A combined sample of 1,750 undergraduates yielded a small-to-medium overall effect (g = .38, SE = .09, p < .001, 95% CI: [0.20, 0.56]). This effect did not depend on control group type, intervention modality, number of sessions, the questionnaire used, whether PF or PIF was measured, or participant age. However, there was a significant mean effect only in studies with a specific clinical target, but not in those without one. Furthermore, the higher the percentage of female participants, the lower the reported effect size. Results suggested that ACT may increase PF and decrease PIF in undergraduates and highlighted various conceptual and measurement issues. Study protocol and materials were preregistered (https://osf.io/un6ce/).
Collapse
Affiliation(s)
- Ti Hsu
- Department of Psychological and Brain Sciences, University of Iowa University of Iowa, G60 Psychological and Brain Sciences Building, Iowa City, Iowa 52242-1407
| | - Jenna L. Adamowicz
- Department of Psychological and Brain Sciences, University of Iowa University of Iowa, G60 Psychological and Brain Sciences Building, Iowa City, Iowa 52242-1407
| | - Emily B. K. Thomas
- Department of Psychological and Brain Sciences, University of Iowa University of Iowa, G60 Psychological and Brain Sciences Building, Iowa City, Iowa 52242-1407
| |
Collapse
|
10
|
Morgan RM, Trager BM, Boyle SC, LaBrie JW. An examination of the associations between depressive symptoms, perceived parental discipline, alcohol use, and drinking-related consequences during the first year of college: A moderated mediation model. JOURNAL OF AFFECTIVE DISORDERS REPORTS 2023; 13:100603. [PMID: 37576159 PMCID: PMC10421615 DOI: 10.1016/j.jadr.2023.100603] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/15/2023] Open
Abstract
Background Depression is prevalent among adolescents and young adults and is associated with experiencing increased negative alcohol-related consequences; thus, it is imperative to identify malleable protective factors for alcohol risks in young adults experiencing elevated depressive symptoms. The current study longitudinally explored the effects of perceived parental alcohol-related discipline on the relationship between depressive symptoms, alcohol use, and negative drinking consequences during the transition into college. Methods Incoming college students (N = 272, 63.2% female) completed web-based surveys before (July, T1) and after (October, T2) the transition into college and reported depressive symptoms, perceived alcohol-related discipline, alcohol use, and consequences of drinking experienced in the past 30 days. Results The moderated mediation model revealed that at above average perceptions of alcohol-related discipline, depressive symptoms were negatively associated with alcohol use, which in turn was associated with experiencing fewer negative consequences of drinking. Limitations The current study did not measure a diagnosis of major depressive disorder, and therefore our results may differ among clinical populations. In addition, we did not measure other parenting constructs shown to protect students with elevated levels of depressive symptoms from experiencing consequences (i.e., monitoring). Conclusions The present findings suggest perceptions of parental alcohol-related discipline measured here (e.g., having a privilege taken away, being scolded or grounded) can be protective against alcohol risks among college students experiencing above average depressive symptoms. Parent-based alcohol interventions administered prior to matriculation should encourage parents of depressed students to clearly communicate consequences for drinking to their child.
Collapse
Affiliation(s)
- Reed M. Morgan
- Department of Psychological Science, Loyola Marymount University, 1 LMU Drive Suite 4700, Los Angeles, CA 90045, United States
| | - Bradley M. Trager
- Department of Psychological Science, Loyola Marymount University, 1 LMU Drive Suite 4700, Los Angeles, CA 90045, United States
| | - Sarah C. Boyle
- Department of Psychological Science, Loyola Marymount University, 1 LMU Drive Suite 4700, Los Angeles, CA 90045, United States
| | - Joseph W. LaBrie
- Department of Psychological Science, Loyola Marymount University, 1 LMU Drive Suite 4700, Los Angeles, CA 90045, United States
| |
Collapse
|
11
|
Hall NA, Neighbors C. Shame-and-guilt-proneness, interpersonal sensitivity, and alcohol: Results from a moderated mediation. Drug Alcohol Depend 2023; 249:110831. [PMID: 37393750 DOI: 10.1016/j.drugalcdep.2023.110831] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/09/2023] [Revised: 06/08/2023] [Accepted: 06/09/2023] [Indexed: 07/04/2023]
Abstract
BACKGROUND Shame-proneness has been consistently associated with more problematic alcohol outcomes, and guilt-proneness has been associated with fewer. The aim of this study was to determine if the associations of shame-and-guilt-proneness with alcohol outcomes vary as a function of interpersonal sensitivity. METHOD A longitudinal study examined shame-proneness and guilt-proneness as predictors of alcohol consumption and related problems one month later. This research was conducted at a large public university in the United States. RESULTS Participants (N=414) were heavy-drinking college students (51% female) with a mean age of 21.76 (SD=2.02) who consumed an average of 12.13 (SD=8.81) standard drinks per week. Shame-proneness, but not guilt-proneness, was directly associated with increased drinking and indirectly associated with increased problems. The indirect effects of shame on problems through drinking were stronger at higher levels of interpersonal sensitivity. CONCLUSIONS Results suggest that shame-proneness may increase alcohol consumption and subsequent problems among those high in interpersonal sensitivity. Alcohol may be used as a means to withdraw from social threats that are amplified by interpersonal sensitivity.
Collapse
|
12
|
Baschnagel JS, Bell JS. Drinking to cope and coping strategies in Deaf/Hard of hearing college students. Addict Behav 2023; 136:107485. [PMID: 36087499 DOI: 10.1016/j.addbeh.2022.107485] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2022] [Revised: 08/23/2022] [Accepted: 08/29/2022] [Indexed: 02/03/2023]
Abstract
INTRODUCTION Deaf and hard of hearing (DHH) students experience unique stressors as a minority linguistic and cultural group that may contribute to problematic substance and alcohol use behavior. Proper coping strategies may be one protective factor to avoid reliance on alcohol as a means to reduce stress. METHODS The current study compared the endorsement of coping strategies by DHH students and hearing individuals and their relationship to drinking to cope behavior. Data was collected among DHH (n = 126) and hearing students (n = 349) at a large university. RESULTS While these two groups did not differ in their levels of problematic drinking behavior, there were differences observed in drinking to cope motives as well as in the levels of coping styles used. DHH students were found to endorse greater levels of emotion-oriented and task-oriented coping than hearing students. Drinking to cope motivations were also higher for DHH students, particularly those who endorsed greater emotion focused coping. CONCLUSIONS Interventions and educational efforts involving coping skills is a potentially important area of focus for the DHH student population. Further implications for understanding drinking behavior in this population are discussed.
Collapse
Affiliation(s)
- Joseph S Baschnagel
- Health and Addictions Research Center, Department of Psychology, Rochester Institute of Technology, Rochester, NY, United States.
| | - Justin S Bell
- Department of Psychology, DePaul University, Chicago, IL, United States
| |
Collapse
|
13
|
Haywood D, Pantaleo A, Mullan BA, Heslop KR, Baughman FD. Do Dimensional Measures of Mental Health Symptoms Predict Level of Alcohol Involvement in the General Population? Subst Use Misuse 2023; 58:629-636. [PMID: 36790047 DOI: 10.1080/10826084.2023.2177962] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/16/2023]
Abstract
Background: There is a limited understanding of what specific mental health symptoms are associated to alcohol involvement. It is important to understand how the severity of different mental health dimensions may differ, and distinguish between, levels of alcohol involvement. Objectives: (a) explore for differences in severity of mental health symptoms between those with lower, and moderate/high alcohol involvement, (b) assess the degree to which mental health dimensions can distinguish between those with lower, and moderate/high alcohol involvement, and (c) examine what mental health dimensions are related to the highest risk of moderate/high alcohol involvement. Results: 400 participants representative of the general population in the USA were recruited online through Prolific and completed the Alcohol, Smoking and Substance Involvement Screening Test and Brief Symptom Inventory. Each of the nine mental health symptom dimensions significantly differed between lower and moderate/high alcohol involvement, with the moderate/high alcohol involvement group reporting greater severity symptoms. The nine symptom dimensions in combination also significantly distinguished lower and moderate/high alcohol involvement, however only somatization offered unique predictive utility. Lastly, global distress was also able to significantly distinguish the alcohol involvement groups, albeit to a lesser accuracy compared to the collection of individual symptom dimensions. Conclusions: These findings suggest that overall mental health distress may be important to understanding alcohol involvement, however individual symptom dimensions can add further explanatory variance. In particular, somatic symptoms may offer unique utility in understanding the relationship between mental health and alcohol involvement.
Collapse
Affiliation(s)
- Darren Haywood
- Turner Institute for Brain and Mental Health and School of Psychological Sciences, Monash University, Clayton, Australia.,Department of Mental Health, St. Vincent's Hospital Melbourne, Fitzroy, Australia
| | - Ashleigh Pantaleo
- School of Population Health, Curtin University, Perth, Australia.,WA Cancer Prevention Research Unit, Curtin University, Perth, Australia
| | - Barbara A Mullan
- School of Population Health, Curtin University, Perth, Australia.,WA Cancer Prevention Research Unit, Curtin University, Perth, Australia
| | - Karen R Heslop
- Curtin School of Nursing, Curtin University, Perth, Australia
| | - Frank D Baughman
- School of Population Health, Curtin University, Perth, Australia
| |
Collapse
|
14
|
Lau-Barraco C, Stamates AL, Ehlke SJ, Glenn DJ. Differential Pathways of Risky Drinking via Coping Motives in College and Noncollege Young Adults. ADDICTION RESEARCH & THEORY 2022; 31:127-136. [PMID: 37200537 PMCID: PMC10187969 DOI: 10.1080/16066359.2022.2127693] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/30/2022] [Revised: 09/15/2022] [Accepted: 09/20/2022] [Indexed: 05/20/2023]
Abstract
The current study tested a mediation model of psychological functioning (i.e., perceived stressors, psychological distress, and self-regulation) and risky drinking through a drinking to cope pathway comparing college and noncollege young adults. Participants were 623 young adult drinkers (M age = 21.46) who completed an online survey. Multigroup analyses examined the proposed mediation model for college students and nonstudents. For nonstudents, the indirect effects of psychological distress to alcohol use outcomes (i.e., alcohol quantity, binge drinking frequency, and alcohol-related problems) via coping motives was significant. Further, coping motives significantly mediated the positive effects of self-regulation on alcohol quantity, binge drinking frequency, and alcohol-related problems. For students, greater psychological distress was associated with greater coping motives, which in turn, related to greater alcohol-related problems. Coping motives significantly mediated the positive effect of self-regulation on binge drinking frequency. Findings highlight the different pathways that may result in risky drinking and alcohol problems based on young adult's educational attainment. These results have important clinical implications, particularly for those who have not attended college.
Collapse
Affiliation(s)
- Cathy Lau-Barraco
- Old Dominion University
- Virginia Consortium Program in Clinical Psychology
| | | | - Sarah J. Ehlke
- Old Dominion University
- TSET Health Promotion Research Center, University of Oklahoma Health Sciences Center
| | - Douglas J. Glenn
- Old Dominion University
- Virginia Consortium Program in Clinical Psychology
| |
Collapse
|
15
|
Unravelling Reciprocal Effects Among Young Adults’ Binge Drinking, Stress, and Anticipated Regret. Addict Behav 2022; 135:107432. [DOI: 10.1016/j.addbeh.2022.107432] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2020] [Revised: 06/21/2022] [Accepted: 07/15/2022] [Indexed: 11/23/2022]
|
16
|
Fede SJ, Kisner MA, Manuweera T, Kerich M, Momenan R. Compounding Vulnerability in the Neurocircuitry of Addiction: Longitudinal Functional Connectivity Changes in Alcohol Use Disorder. Alcohol Alcohol 2022; 57:712-721. [PMID: 35760068 DOI: 10.1093/alcalc/agac028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2021] [Revised: 05/16/2022] [Accepted: 05/21/2022] [Indexed: 11/14/2022] Open
Abstract
AIMS The addiction neurocircuitry model describes the role of several brain circuits (drug reward, negative emotionality and craving/executive control) in alcohol use and subsequent development of alcohol use disorder (AUD). Human studies examining longitudinal change using resting-state functional magnetic resonance imaging (rs-fMRI) are needed to understand how functional changes to these circuits are caused by or contribute to continued AUD. METHODS In order to characterize how intrinsic functional connectivity changes with sustained AUD, we analyzed rs-fMRI data from individuals with (n = 18; treatment seeking and non-treatment seeking) and without (n = 21) AUD collected on multiple visits as part of various research studies at the NIAAA intramural program from 2012 to 2020. RESULTS Results of the seed correlation analysis showed that individuals with AUD had an increase in functional connectivity over time between emotionality and craving neurocircuits, and a decrease between executive control and reward networks. Post hoc investigations of AUD severity and alcohol consumption between scans revealed an additive effect of these AUD features in many of the circuits, such that more alcohol consumption or more severe AUD was associated with more pronounced changes to synchronicity. CONCLUSIONS These findings suggest an increased concordance of networks underlying emotionality and compulsions toward drinking while also a reduction in control network connectivity, consistent with the addiction neurocircuitry model. Further, they suggest a compounding effect of continued heavy drinking on these vulnerabilities in neurocircuitry. More longitudinal research is necessary to understand the trajectories of individuals with AUD not adequately represented in this study, as well as whether this can inform effective harm reduction strategies.
Collapse
Affiliation(s)
- Samantha J Fede
- Clinical NeuroImaging Research Core, National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, 10 Center Drive, MSC 1108, Bethesda, MD 20892, USA.,Department of Psychological Sciences, Auburn University, 226 Thach Hall, Auburn, AL 36849, USA
| | - Mallory A Kisner
- Clinical NeuroImaging Research Core, National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, 10 Center Drive, MSC 1108, Bethesda, MD 20892, USA
| | - Thushini Manuweera
- Clinical NeuroImaging Research Core, National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, 10 Center Drive, MSC 1108, Bethesda, MD 20892, USA
| | - Mike Kerich
- Clinical NeuroImaging Research Core, National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, 10 Center Drive, MSC 1108, Bethesda, MD 20892, USA
| | - Reza Momenan
- Clinical NeuroImaging Research Core, National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, 10 Center Drive, MSC 1108, Bethesda, MD 20892, USA
| |
Collapse
|
17
|
Herrero-Montes M, Alonso-Blanco C, Paz-Zulueta M, Pellico-López A, Ruiz-Azcona L, Sarabia-Cobo C, Fradejas-Sastre V, Boixadera-Planas E, Parás-Bravo P. Relationship between Depressive Symptoms, Personality, and Binge Drinking among University Students in Spain. J Clin Med 2021; 11:jcm11010053. [PMID: 35011792 PMCID: PMC8745157 DOI: 10.3390/jcm11010053] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2021] [Revised: 12/10/2021] [Accepted: 12/21/2021] [Indexed: 12/14/2022] Open
Abstract
Binge drinking (BD) is a common practice among college students. Alcohol consumption has been related to depressive symptoms and certain personality factors, although less is known about the relationship of these variables with BD. The aim of this study was to analyze the relationship of BD with depressive symptoms and personality in university students. We performed a cross-sectional study among students (aged 18–30 years) enrolled in the academic year 2018–2019 at the Faculty of Nursing of the University of Cantabria (Spain). Sociodemographic, academic, and alcohol and other drug use information was collected by means of a semi-structured questionnaire. The Beck Depression Inventory-II was used to measure depressive symptomatology and the Neo Five-Factor Inventory was used for personality. A total of 142 participants were included, 88.03% of which were women. Up to 38.03% were classified as BD. Concerning depressive symptoms, 7.41% of BD were at the moderate-severe level compared to 3.41% of non-BD (p = 0.7096). Regarding personality, the median score for extraversion of BD was 35 (Q1 = 29, Q3 = 40), 32 (Q1 = 28, Q3 = 36) in non-BD (p = 0.0062), conscientiousness scored 34 (Q1 = 30.5, Q3 = 38) points in non-BD, 31.50 (Q1 = 27, Q3 = 37) in BD (p = 0.0224). In conclusion, BD students have higher levels of extraversion and lower levels of responsibility than non-BD students. No significant differences were found between the level of depressive symptomatology between BD and non-BD students.
Collapse
Affiliation(s)
- Manuel Herrero-Montes
- Department of Nursing, Faculty of Nursing, University of Cantabria, 39008 Cantabria, Spain; (M.H.-M.); (A.P.-L.); (L.R.-A.); (C.S.-C.); (V.F.-S.); (P.P.-B.)
- IDIVAL, Research Nursing Group, 39008 Cantabria, Spain
| | - Cristina Alonso-Blanco
- Department of Physiotherapy, Occupational Therapy, Rehabilitation, and Physical Medicine, University Rey Juan Carlos, 28922 Madrid, Spain;
| | - María Paz-Zulueta
- Department of Nursing, Faculty of Nursing, University of Cantabria, 39008 Cantabria, Spain; (M.H.-M.); (A.P.-L.); (L.R.-A.); (C.S.-C.); (V.F.-S.); (P.P.-B.)
- IDIVAL, GI Derecho Sanitario y Bioética, GRIDES, 39008 Cantabria, Spain
- Correspondence:
| | - Amada Pellico-López
- Department of Nursing, Faculty of Nursing, University of Cantabria, 39008 Cantabria, Spain; (M.H.-M.); (A.P.-L.); (L.R.-A.); (C.S.-C.); (V.F.-S.); (P.P.-B.)
- Cantabria Health Service, 39340 Cantabria, Spain
| | - Laura Ruiz-Azcona
- Department of Nursing, Faculty of Nursing, University of Cantabria, 39008 Cantabria, Spain; (M.H.-M.); (A.P.-L.); (L.R.-A.); (C.S.-C.); (V.F.-S.); (P.P.-B.)
| | - Carmen Sarabia-Cobo
- Department of Nursing, Faculty of Nursing, University of Cantabria, 39008 Cantabria, Spain; (M.H.-M.); (A.P.-L.); (L.R.-A.); (C.S.-C.); (V.F.-S.); (P.P.-B.)
- IDIVAL, Research Nursing Group, 39008 Cantabria, Spain
| | - Víctor Fradejas-Sastre
- Department of Nursing, Faculty of Nursing, University of Cantabria, 39008 Cantabria, Spain; (M.H.-M.); (A.P.-L.); (L.R.-A.); (C.S.-C.); (V.F.-S.); (P.P.-B.)
| | - Ester Boixadera-Planas
- Servei d’Estadística Aplicada, Universitat Autònoma de Barcelona, 08193 Cerdanyola, Spain;
| | - Paula Parás-Bravo
- Department of Nursing, Faculty of Nursing, University of Cantabria, 39008 Cantabria, Spain; (M.H.-M.); (A.P.-L.); (L.R.-A.); (C.S.-C.); (V.F.-S.); (P.P.-B.)
- IDIVAL, Research Nursing Group, 39008 Cantabria, Spain
| |
Collapse
|
18
|
Magee KE, Connell AM. The role of substance use coping in linking depression and alcohol use from late adolescence through early adulthood. Exp Clin Psychopharmacol 2021; 29:659-669. [PMID: 33539119 PMCID: PMC9563008 DOI: 10.1037/pha0000436] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Although theoretical models highlight the role of coping motivations in promoting co-development of depression and alcohol use, few longitudinal studies have examined such processes across early adulthood. The current study examined the role of coping in the association between depression and alcohol use across late adolescence and early adulthood. A control sample of adolescents (N = 498) from a longitudinal prevention trial completed the Brief Symptom Inventory, Life Events Coping Inventory, and a self-report survey on alcohol use at ages 17, 22, and 23, as well as the Composite International Diagnostic Interview at age 28-30. Path analyses integrated self-report and diagnostic measures. Although gender differences were observed in mean levels of depression, alcohol use, and the use of substances to cope, we did not find gender differences in structural relations across these domains over time. Substance use coping served as an intervening pathway in the association between alcohol use and depression both at the symptom level from age 17 to 23, and in predicting longer term diagnostic outcomes at ages 28-30. Depressive symptoms in early adulthood were indirectly related to major depressive disorder (MDD) through two independent paths, including the stability of depressive symptoms over time, and through the influence of depression on increasing the tendency to use substances to cope with stress. Our results underscore that coping effects provide unique predictive power across developmental transitions, over and above the stability of depressive symptoms and alcohol use, underscoring coping motives as a promising intervention target that may prevent co-occurring depression and substance use. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
Collapse
Affiliation(s)
- Kelsey E. Magee
- Case Western Reserve University, Department of Psychological Sciences,Corresponding Author 11220 Bellflower Rd. Cleveland, OH 44106, , (p) 216-282-6320, (f) 216-368-4891
| | - Arin M. Connell
- Case Western Reserve University, Department of Psychological Sciences
| |
Collapse
|
19
|
Brief Negative Affect Focused Functional Imagery Training Abolishes Stress-Induced Alcohol Choice in Hazardous Student Drinkers. JOURNAL OF ADDICTION 2021; 2021:5801781. [PMID: 34580617 PMCID: PMC8464424 DOI: 10.1155/2021/5801781] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/27/2021] [Revised: 08/25/2021] [Accepted: 09/07/2021] [Indexed: 11/17/2022]
Abstract
Introduction Imagery-based stress management therapies are effective at reducing alcohol use. To explore the therapeutic mechanism, the current study tested whether brief functional imagery training linked to personal negative affect drinking triggers would attenuate sensitivity to noise stress-induced alcohol seeking behaviour in a laboratory model. Methods Participants were UK-based hazardous student drinkers (N = 61, 80.3% women, aged 18–25) who reported drinking to cope with negative affect. Participants in the active intervention group (n = 31) were briefly trained to respond to personal negative drinking triggers by retrieving an adaptive strategy to mitigate negative affect, whereas participants in the control group (n = 30) received risk information about binge drinking at university. The relative value of alcohol was then measured by preference to view alcohol versus food pictures in two-alternative choice trials, before (baseline) and during noise stress induction. Results There was a significant two-way interaction (p < .04) where the control group increased their alcohol picture choice from baseline to the noise stress test (p < .001), whereas the active intervention group did not (p=.33), and the control group chose alcohol more frequently than the active group in the stress test (p=.03), but not at baseline (p=.16). Conclusions These findings indicate that imagery-based mood management can protect against the increase in the relative value of alcohol motivated by acute stress in hazardous negative affect drinkers, suggesting this mechanism could underpin the therapeutic effect of mood management on drinking outcomes.
Collapse
|
20
|
Su J, Seaton EK, Williams CD, Dick DM. Racial discrimination, depressive symptoms, ethnic-racial identity, and alcohol use among Black American college students. PSYCHOLOGY OF ADDICTIVE BEHAVIORS 2021; 35:523-535. [PMID: 34424030 PMCID: PMC8385999 DOI: 10.1037/adb0000717] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
BACKGROUND Racial discrimination is prevalent among Black Americans, and may increase risk for alcohol use and related problems. Understanding the mediating and moderating factors in the pathways linking racial discrimination to alcohol use outcomes is important for prevention and intervention efforts. We tested depressive symptoms as a mediator and ethnic-racial identity as a moderator in the relation between racial discrimination and alcohol use outcomes among Black American young adults. METHODS We used data from 2 independent samples of Black American young adults recruited from different regions in the United States. The first sample included 383 Black American young adults (Mage = 20.65, SD = 2.28; 81% female), and the second sample included 165 Black American young adults (Mage = 21.56, SD = 4.92; 75% female). RESULTS Racial discrimination was associated with alcohol consumption and problems indirectly via depressive symptoms across the 2 independent samples. Moderation was evident for one sample such that high private regard levels buffered the association between racial discrimination and alcohol consumption, whereas high public regard levels exacerbated the association between racial discrimination and depressive symptoms. CONCLUSIONS Racial discrimination experiences put Black American young adults at risk for alcohol use and related problems through increased depressive symptoms. Ethnic-racial identity may buffer or exacerbate these associations depending on the specific dimension. The findings imply the need to target depressive symptoms and alcohol use simultaneously to promote health and well-being among Black Americans. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
Collapse
Affiliation(s)
- Jinni Su
- Department of Psychology, Arizona State University
| | - Eleanor K. Seaton
- T. Denny Sanford School of Social and Family Dynamics, Arizona State University
| | | | | | - Danielle M. Dick
- Department of Psychology, Virginia Commonwealth University
- Department of Human and Molecular Genetics, Virginia Commonwealth University
| |
Collapse
|
21
|
Nelson JD, Fischer S. Recent Sexual Assault Predicting Changes in Coping Motives for Alcohol Use in First-Year College Women. VIOLENCE AND VICTIMS 2021; 36:424-435. [PMID: 34103415 DOI: 10.1891/vv-d-19-00159] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Sexual assault and heavy alcohol consumption are common among college students. There is strong evidence that the two are associated, but more remains to be understood about the nature of the relationship. Drinking motives have been found to mediate the relationship between sexual assault and drinking problems and between depression and alcohol risk (Kenney, Anderson, & Stein, 2018; Lindgren, Neighbors, Blayney, Mullins, & Kasen, 2012), however drinking motives have not been studied as an outcome. The current study investigated the impact of a recent sexual assault on the endorsement of coping motives for drinking in first year college women using hierarchical regression analysis with Time 2 coping motives as the outcome variable. Lifetime experience of sexual assault and Time 1 coping motives were entered in the first step of the model and a dichotomous variable indicating a recent sexual assault was entered in the second step of the model. Sexual assault during the first semester of college was found to be a significant predictor of coping motives at the end of the semester after controlling for lifetime history of sexual assault and endorsement of coping motives at Time 1. These findings suggest that coping motives for drinking may change following a sexual assault and are of concern due to the negative outcomes associated with drinking to cope. Drinking motives may be an important target of interventions provided to survivors of sexual assault to reduce risk of future drinking-related problems.
Collapse
Affiliation(s)
- Jillian D Nelson
- Department of Psychology, George Mason University, Fairfax, Virginia, USA
| | - Sarah Fischer
- Department of Psychology, George Mason University, Fairfax, Virginia, USA
| |
Collapse
|
22
|
Coakley KE, Lardier DT, Holladay KR, Amorim FT, Mechler H, Zuhl MN. Mental Health Severity Is Associated with Increases in Alcohol Consumption in Young Adult Students during the COVID-19 Pandemic. ALCOHOLISM TREATMENT QUARTERLY 2021. [DOI: 10.1080/07347324.2021.1917325] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Affiliation(s)
- Kathryn E Coakley
- College of Education & Human Sciences, University of New Mexico, Albuquerque, New Mexico, USA
| | - David T Lardier
- College of Education & Human Sciences, University of New Mexico, Albuquerque, New Mexico, USA
- Department of Psychiatry and Behavioral Sciences, University of New Mexico School of Medicine, Albuquerque, New Mexico, USA
| | - Kelley R Holladay
- College of Education & Human Sciences, University of New Mexico, Albuquerque, New Mexico, USA
| | - Fabiano T Amorim
- College of Education & Human Sciences, University of New Mexico, Albuquerque, New Mexico, USA
| | - Heather Mechler
- Office of Institutional Analytics, University of New Mexico, Albuquerque, New Mexico, USA
| | - Micah N Zuhl
- School of Health Sciences, Central Michigan University, Mt. Pleasant, Michigan, USA
| |
Collapse
|
23
|
Paulus DJ, Heggeness LF, Raines AM, Zvolensky MJ. Difficulties regulating positive and negative emotions in relation to coping motives for alcohol use and alcohol problems among hazardous drinkers. Addict Behav 2021; 115:106781. [PMID: 33341531 DOI: 10.1016/j.addbeh.2020.106781] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2020] [Revised: 12/06/2020] [Accepted: 12/07/2020] [Indexed: 02/07/2023]
Abstract
OBJECTIVE Hazardous drinking is a prevalent form of alcohol misuse. Past research has examined emotion regulation difficulties as a risk factor for hazardous drinking; however, the majority of prior studies have focused on regulation of negative emotions. Recent work has implicated difficulties regulating positive emotions in relation to alcohol misuse, yet, it is largely unknown if difficulties regulating positive emotions are significantly related to alcohol misuse outcomes after accounting for difficulties regulating negative emotions. METHOD A racially diverse sample of hazardous drinkers were recruited from a university setting (75% female, Mage = 22.1, SDage = 4.0) to participate in a treatment study. Data from baseline was used in the current study. Structural equation modeling was used to evaluate relations between difficulties regulating positive and negative emotions and alcohol problems both directly and indirectly via coping motives. RESULTS After controlling for sex, age, and levels of negative and positive affect, positive but not negative emotion regulation difficulties were significantly associated with alcohol problems. Difficulties regulating emotions (both positive and negative), were significantly related to coping motives; each valence of difficulty was also indirectly related to alcohol problems via drinking to cope. CONCLUSIONS Difficulties regulating emotions - both positive and negative - carry a heightened risk of engaging in coping-oriented alcohol use during drinking episodes and this maladaptive means of self-regulation may explain a common pathway to experiencing alcohol-related problems. Notably, difficulties regulating positive emotions appear to offer incremental, explanatory value over and above difficulties regulating negative emotions. Such findings offer important clinical and theoretical implications.
Collapse
|
24
|
Asagba RB, Agberotimi SF, Olaseni AO. Prevalence and psychological correlates of alcohol use among Nigerian university students. JOURNAL OF SUBSTANCE USE 2021. [DOI: 10.1080/14659891.2021.1875067] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Affiliation(s)
| | - Samson F. Agberotimi
- Lifestyle Diseases Research Entity, North-West University, Mafikeng Campus, South Africa
| | | |
Collapse
|
25
|
Bilevicius E, Kempe T, Pankratz L, Wardell JD, Johnson EA, Keough MT. Shame's Associations with Depression and Problem Drinking: An Ecological Momentary Study. Subst Use Misuse 2021; 56:1715-1725. [PMID: 34253147 DOI: 10.1080/10826084.2021.1949616] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
INTRODUCTION Depression and problem drinking are comorbid in emerging adulthood, yet the processes that link them are not well understood. Research has argued that shame has a unique influence on the experience of problematic drinking, but this has rarely been assessed at the state level. Using ecological momentary assessments (EMAs), we assessed whether shame, and not guilt, mediated the association between baseline depression and alcohol use and problems. METHODS One hundred and eighty-four emerging adults (Mage= 19.27) completed a 12-day EMA study. Multilevel models were used to test hypotheses. RESULTS In a model with alcohol use as the outcome, there were no significant associations between shame or guilt and alcohol use at the within- or between-subjects level. In a model with alcohol problems as the outcome, guilt was positively associated with alcohol problems but only at the daily level. At the between-subjects level and after controlling for guilt, there was a significant association between depression, shame, and alcohol problems; average levels of shame mediated the association between depression and alcohol problems. In post-hoc reverse directionality models, average alcohol problems mediated the relationship between depression and shame and guilt at the between-person level. No mediation was present for alcohol use. CONCLUSION After controlling for guilt, shame is an emotion that helps explain risk for alcohol problems among depressed emerging adults, which has implications for targeted interventions. Reciprocal associations between shame, guilt, and alcohol problems emerged highlighting the need for more fulsome assessments of shame and guilt in future EMA research.
Collapse
Affiliation(s)
- Elena Bilevicius
- Department of Psychology, University of Manitoba, Winnipeg, Manitoba, Canada
| | - Tyler Kempe
- Department of Psychology, University of Manitoba, Winnipeg, Manitoba, Canada
| | - Lily Pankratz
- Department of Psychology, University of Manitoba, Winnipeg, Manitoba, Canada
| | - Jeffrey D Wardell
- Department of Psychology, York University, Toronto, Ontario, Canada.,Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.,Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada
| | - Edward A Johnson
- Department of Psychology, University of Manitoba, Winnipeg, Manitoba, Canada
| | - Matthew T Keough
- Department of Psychology, York University, Toronto, Ontario, Canada
| |
Collapse
|
26
|
Gonzalez VM, Halvorsen KAS. Mediational Role of Drinking to Cope in the Associations of Depression and Suicidal Ideation with Solitary Drinking in Adults Seeking Alcohol Treatment. Subst Use Misuse 2021; 56:588-597. [PMID: 33673785 DOI: 10.1080/10826084.2021.1883661] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
BACKGROUND Little research on solitary drinking has focused on clinical samples. Previous research in college students has found that depression, suicidal ideation, and drinking to cope with negative affect are associated with drinking in solitary, but not social, contexts. These associations have not been examined among individuals with alcohol use disorder, despite their high rates of depression and suicidal behavior. METHOD To fill this gap in knowledge, the associations of depression and suicidal ideation with solitary and social drinking were examined among 96 individuals seeking alcohol treatment, the majority of whom had alcohol use disorder (97.9%). Multiple mediation models were conducted to examine the mediating effects of two drinking to cope variables (drinking excessively to cope and coping motives) on the associations of depression and suicidal ideation with drinks per month and heavy episodic drinking in social and solitary contexts. RESULTS Significant indirect effects were found for depression and suicidal ideation with solitary drinking variables through greater drinking excessively to cope. No significant indirect effects were found for social drinking variables. However, a positive direct association was found between suicidal ideation and greater social drinks per month that was not mediated by drinking to cope. CONCLUSIONS These findings suggest that greater depression or suicidal ideation, through their effect on greater drinking to cope, are associated with greater solitary drinking in a treatment seeking sample. Drinking context should perhaps be considered in alcohol interventions, particularly when treating individuals suffering from depression or suicidal ideation.
Collapse
Affiliation(s)
- Vivian M Gonzalez
- Department of Psychology, University of Alaska Anchorage, Anchorage, Alaska, USA
| | - Kevin A S Halvorsen
- Department of Psychology, University of Alaska Anchorage, Anchorage, Alaska, USA
| |
Collapse
|
27
|
Kuntsche S, Kuntsche E. Drinking to cope mediates the link between work-family conflict and alcohol use among mothers but not fathers of preschool children. Addict Behav 2021; 112:106665. [PMID: 32992281 DOI: 10.1016/j.addbeh.2020.106665] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2020] [Revised: 08/29/2020] [Accepted: 09/15/2020] [Indexed: 11/17/2022]
Abstract
Based on the assumptions of emotion regulation theory, this study tests whether drinking to cope mediates the association between work-family conflict (WFC) and alcohol use; an important link missing in previous studies. Based on a sample of 144 fathers and 165 mothers of pre-schoolers in Switzerland, Poisson regression mediation models were estimated. Models were adjusted for other drinking motives, age, and employment level. The results revealed that, among mothers, coping motives fully mediated the effect of WFC on frequency of risky single occasion drinking (IRR direct effect = 0.969, p > .05; IRR indirect effect = 1.043, p < .05) and partially mediated the link between WFC and usual quantity per drinking day (IRR direct effect = 1.181, p < .01; IRR indirect effect = 1.035, p < .05). Among fathers, no effect of WFC on alcohol use was found and consequently no mediation of coping motives. The findings suggest that mothers who drink to cope are at risk of excessive drinking, particularly when experiencing WFC. This puts them at risk for long-term health consequences when the stress and negative affects resulting from WFC are not adequately addressed. Intervention efforts should focus on women who drink for coping motives by providing them with support and non-drinking alternatives.
Collapse
Affiliation(s)
- Sandra Kuntsche
- Centre for Alcohol Policy Research (CAPR), School of Psychology and Public Health, La Trobe University, Melbourne, Australia.
| | - Emmanuel Kuntsche
- Centre for Alcohol Policy Research (CAPR), School of Psychology and Public Health, La Trobe University, Melbourne, Australia; Institute of Psychology, Eötvös Loránd University, Budapest, Hungary
| |
Collapse
|
28
|
Yeo AJ, O'Rourke EJ, Halpern LF, Bettcher J. The Mediated Moderation Model of Depressive Symptoms, Alcohol Use, and Consequences: The Protective Role of Executive Function. Subst Use Misuse 2021; 56:1651-1661. [PMID: 34263715 DOI: 10.1080/10826084.2021.1949605] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
Heavy episodic drinking (HED) and negative drinking consequences represent prevalent and serious health concerns for college students. Depressive symptoms may elevate students' risk for engaging in HED and experiencing negative consequences, but levels of risk may vary by executive function (EF) capabilities. Growing evidence suggests that EF deficits are associated with comorbid depressive symptoms and alcohol misuse. Nevertheless, little is known about unique and shared risks that depressive symptoms and EF may interactively pose for HED and negative drinking consequences. Methods: To address these gaps, the study assessed depressive symptoms, multiple domains of EF via multimethod approach, HED, and negative drinking consequences in a sample of 446 undergraduate students. Mediated moderation models were conducted to examine associations between depressive symptoms and alcohol use behaviors and modulating roles of EF. Results: Depressive symptoms, poor planning, and self-reported executive dysfunction were significantly associated with HED and negative drinking consequences. HED mediated the effect of depressive symptoms and executive dysfunction on negative consequences. A significant interaction indicated that better EF (i.e. low or average self-reported executive dysfunction) may buffer the risk depressive symptoms present for negative drinking consequences. Conclusions: The current findings suggest that among college students, risk and resilience factors for HED and negative drinking consequences may vary. Effective EF capabilities may be especially helpful for reducing students' risk for more serious drinking consequences.
Collapse
Affiliation(s)
- Anna J Yeo
- Department of Psychology, University at Albany, State University of New York, Albany, New York, USA
| | - Elisabeth J O'Rourke
- Department of Psychology, University at Albany, State University of New York, Albany, New York, USA
| | - Leslie F Halpern
- Ferkauf Graduate School of Psychology, Yeshiva University, New York, New York, USA
| | - Joseph Bettcher
- Department of Psychology, University at Albany, State University of New York, Albany, New York, USA
| |
Collapse
|
29
|
Erevik EK, Torsheim T, Vedaa Ø, Andreassen CS, Pallesen S. Demographical, personality, alcohol use, and mental health characteristics associated with different alcoholic beverage preferences among students. COGENT PSYCHOLOGY 2020. [DOI: 10.1080/23311908.2020.1824305] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
Affiliation(s)
- Eilin K. Erevik
- Department of Psychosocial Science, University of Bergen, Bergen, Norway
| | - Torbjørn Torsheim
- Department of Psychosocial Science, University of Bergen, Bergen, Norway
| | - Øystein Vedaa
- Department of Health Promotion, Norwegian Institute of Public Health, Bergen, Norway
- Department of Mental Health, Norwegian University of Science and Technology, Trondheim, Norway
- Voss District Psychiatric Hospital, NKS Bjørkeli, Voss, Norway
- Department of Research and Development, St. Olav’s University Hospital, Trondheim, Norway
| | - Cecilie S Andreassen
- Department of Clinical Psychology, University of Bergen, Bergen, Norway
- Department of Social Studies, University of Stavanger, Stavanger, Norway
| | - Ståle Pallesen
- Department of Psychosocial Science, University of Bergen, Bergen, Norway
- Optentia, Vaal Triangle Campus of the North-West University, Vanderbijlpark, South-Africa
| |
Collapse
|
30
|
Wahesh E, Moreton A, McKechnie M. The Indirect Effect of Distress Tolerance on Young Adult Alcohol Use Behaviors via Coping Motives. JOURNAL OF ADDICTIONS & OFFENDER COUNSELING 2020. [DOI: 10.1002/jaoc.12084] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Affiliation(s)
- Edward Wahesh
- Department of Education and Counseling Villanova University
| | - Amanda Moreton
- Department of Education and Counseling Villanova University
- Now at The Lincoln Center for Family and Youth AudubonPennsylvania
| | - Megan McKechnie
- Department of Education and Counseling Villanova University
- Now at Merakey Behavioral Health Services PhiladelphiaPennsylvania
| |
Collapse
|
31
|
Bodenlos JS, Hawes ES, Burstein SM, Arroyo KM. Association of cognitive fusion with domains of health. JOURNAL OF CONTEXTUAL BEHAVIORAL SCIENCE 2020. [DOI: 10.1016/j.jcbs.2020.08.001] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
32
|
Orui K, Frohlich JR, Stewart SH, Sherry SB, Keough MT. Examining Subgroups of Depression and Alcohol Misuse in Emerging Adults During University: a Replication and Extension Study. Int J Ment Health Addict 2020. [DOI: 10.1007/s11469-020-00325-w] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
|
33
|
Miller MB, DiBello AM, Merrill JE, Neighbors C, Carey KB. The role of alcohol-induced blackouts in symptoms of depression among young adults. Drug Alcohol Depend 2020; 211:108027. [PMID: 32354579 PMCID: PMC7263566 DOI: 10.1016/j.drugalcdep.2020.108027] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/15/2019] [Revised: 04/05/2020] [Accepted: 04/10/2020] [Indexed: 12/11/2022]
Abstract
OBJECTIVE Blackouts are associated with other alcohol-related consequences and depression among young adults, but the mechanisms underlying these associations are unclear. Using two separate samples, we tested the hypothesis that blackouts would be linked to symptoms of depression due in part to their association with other alcohol-related consequences. METHOD Young adults who use alcohol completed assessments at baseline in Sample 1 (N1 = 381, 58% female) and baseline, 3 months, and 6 months in Sample 2 (N2 = 603, 53 % female). Bootstrapped confidence intervals were used to examine the direct and indirect effects of blackouts on depressive symptoms, using cross-sectional mediation analysis in Sample 1 and a counterfactual approach with longitudinal data in Sample 2. RESULTS In both samples, alcohol-induced blackouts were associated with alcohol-related consequences, which in turn were associated with symptoms of depression. In Sample 1, blackouts had both direct and indirect (mediated) effects on depressive symptoms. In Sample 2, blackouts measured at baseline only had an indirect effect on depressive symptoms six months later through other alcohol-related consequences at three months. CONCLUSIONS Among heavy-drinking college students, the majority of whom reported minimal symptoms of depression, blackouts were associated with increases in other alcohol-related consequences, which in turn were associated with increases in symptoms of depression. These findings suggest that prevention and intervention efforts targeting blackouts may help reduce other alcohol-related consequences among young adults.
Collapse
Affiliation(s)
- Mary Beth Miller
- Department of Psychiatry, University of Missouri School of Medicine, 1 Hospital Dr DC067.00, Columbia, MO 65212, USA; Center for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University School of Public Health, Box G-S121-5, Providence, RI 02912, USA.
| | - Angelo M DiBello
- Department of Psychology, City University of New York, Brooklyn College, 2900 Bedford Ave, Brooklyn, NY 11210, USA; Center for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University School of Public Health, Box G-S121-5, Providence, RI 02912, USA
| | - Jennifer E Merrill
- Center for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University School of Public Health, Box G-S121-5, Providence, RI 02912, USA
| | - Clayton Neighbors
- Department of Psychology, University of Houston, 3695 Cullen Boulevard, Houston, TX 77204, USA
| | - Kate B Carey
- Center for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University School of Public Health, Box G-S121-5, Providence, RI 02912, USA
| |
Collapse
|
34
|
Amanvermez Y, Rahmadiana M, Karyotaki E, de Wit L, Ebert DD, Kessler RC, Cuijpers P. Stress management interventions for college students: A systematic review and meta-analysis. ACTA ACUST UNITED AC 2020. [DOI: 10.1111/cpsp.12342] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|
35
|
Gierski F, De Wever E, Benzerouk F, Lannoy S, Kaladjian A, Naassila M, Quaglino V. Disentangling the Relationship Between Self-Esteem and Problematic Alcohol Use Among College Students: Evidence From a Cluster Analytic Approach. Alcohol Alcohol 2020; 55:196-203. [PMID: 31845969 DOI: 10.1093/alcalc/agz097] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2019] [Revised: 09/20/2019] [Accepted: 10/28/2019] [Indexed: 11/13/2022] Open
Abstract
AIMS Investigation of the relationship between self-esteem and alcohol use among college students has yielded discrepant results. We hypothesized that these discrepancies could originate from a potential heterogeneity of self-esteem patterns among young adult with an alcohol use disorder (AUD). METHODS A community sample of 343 college students was recruited and categorized with or without AUD using the Alcohol Use Disorders Identification Test cut-offs. College students were compared on the dimensions of the Coopersmith Self-Esteem Inventory (CSEI) as well as mood, impulsiveness, alcohol- and other substance-related measures, including drinking motives. RESULTS A cluster analysis conducted among college students with AUD highlighted two subgroups characterized by contrasting patterns on the CSEI: one group with a high level of self-esteem and low levels of anxiety and depression symptoms and one group with a low level of self-esteem and high levels of impulsiveness, mood symptoms and drinking to cope motives. CONCLUSION Findings caution against assuming that AUD is associated with low self-esteem, as reported in previous studies. These results rather emphasize a heterogeneity of self-esteem in college students, showing that high self-esteem was also related to AUD. Implications of these results are major for prevention purposes and clinical practice.
Collapse
Affiliation(s)
- Fabien Gierski
- Laboratoire Cognition Santé, Société (C2S - EA 6291), Université de Reims Champagne Ardenne, 57 rue Pierre Taittinger, 51096 Reims Cedex, France.,Pôle Universitaire de Psychiatrie, Etablissement Public de Santé Mentale de la Marne, 8 rue Roger Aubry, 51100 Reims, France.,INSERM U1247 GRAP, Research Group on Alcohol and Drugs, Université de Picardie Jules Verne, Chemin du Thil, 80025 Amiens Cedex 1, France
| | - Elodie De Wever
- Laboratoire CRP-CPO (EA7273), Université de Picardie Jules Verne, Chemin du Thil, 80025 Amiens Cedex 1, France
| | - Farid Benzerouk
- Laboratoire Cognition Santé, Société (C2S - EA 6291), Université de Reims Champagne Ardenne, 57 rue Pierre Taittinger, 51096 Reims Cedex, France.,Pôle Universitaire de Psychiatrie, Etablissement Public de Santé Mentale de la Marne, 8 rue Roger Aubry, 51100 Reims, France
| | - Séverine Lannoy
- Laboratoire Cognition Santé, Société (C2S - EA 6291), Université de Reims Champagne Ardenne, 57 rue Pierre Taittinger, 51096 Reims Cedex, France.,Laboratoire de Psychopathologie Expérimentale, Université catholique de Louvain, Place du Cardinal Mercier, B-1348 Louvain-la-Neuve, Belgium
| | - Arthur Kaladjian
- Laboratoire Cognition Santé, Société (C2S - EA 6291), Université de Reims Champagne Ardenne, 57 rue Pierre Taittinger, 51096 Reims Cedex, France.,Pôle Universitaire de Psychiatrie, Etablissement Public de Santé Mentale de la Marne, 8 rue Roger Aubry, 51100 Reims, France
| | - Mickaël Naassila
- INSERM U1247 GRAP, Research Group on Alcohol and Drugs, Université de Picardie Jules Verne, Chemin du Thil, 80025 Amiens Cedex 1, France
| | - Véronique Quaglino
- Laboratoire CRP-CPO (EA7273), Université de Picardie Jules Verne, Chemin du Thil, 80025 Amiens Cedex 1, France
| |
Collapse
|
36
|
Thompson JB, Conrad SE, Torres C, Papini MR. Inescapable exposure to the Barnes maze increases preference for alcohol over water in rats: Implications for depression and anxiety. LEARNING AND MOTIVATION 2020. [DOI: 10.1016/j.lmot.2019.101602] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
|
37
|
Acuff SF, Soltis KE, Dennhardt AA, Borsari B, Martens MP, Witkiewitz K, Murphy JG. Temporal precedence of self-regulation over depression and alcohol problems: Support for a model of self-regulatory failure. PSYCHOLOGY OF ADDICTIVE BEHAVIORS 2019; 33:603-615. [PMID: 31448930 DOI: 10.1037/adb0000505] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
Alcohol use is highly comorbid with depression, especially among college students, whose rates of both phenomena are higher than in the general population. The self-medication hypothesis (i.e., alcohol use is negatively reinforced via the alleviation of negative affect) has dominated explanatory models of comorbidity. However, self-regulation has also demonstrated cross-sectional relationships with both depression and alcohol problems and may contribute to the development of alternative comorbidity models. Self-regulation introduces three alternative models that can be tested empirically: (a) a depressed regulation model, (b) a central nervous system depressant model, and (c) a self-regulatory failure model. The purpose of this study was to test the utility of these models (in addition to the self-medication hypothesis) by examining the temporal precedence in the relations between self-regulation, depressive symptoms, and alcohol problems among heavy-drinking college students (N = 393) over 5 assessment points (baseline, 1 month, 6 months, 12 months, and 16 months) using an autoregressive cross-lagged model. Lower self-regulation, and higher alcohol problems and depressive symptoms, prospectively predicted higher depressive symptoms. Higher alcohol problems and lower self-regulation prospectively predicted higher alcohol problems. Only self-regulation prospectively predicted self-regulation. These results were consistent across multiple time points. Findings are consistent with a self-regulatory failure model of depressive symptoms and alcohol problems. Therefore, self-regulation may be an important etiological variable and potential intervention target to reduce both alcohol problems and depressive symptoms among college students. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
Collapse
Affiliation(s)
| | | | | | | | | | - Katie Witkiewitz
- Department of Psychology and Center on Alcoholism, Substance Abuse, and Addictions
| | | |
Collapse
|
38
|
Lau-Barraco C, Braitman AL, Linden-Carmichael A, Stamates AL. Mediators and Moderators of a Personalized Feedback Alcohol Intervention for Nonstudent Emerging Adult Drinkers. Alcohol Clin Exp Res 2018; 42:1756-1768. [PMID: 29935086 DOI: 10.1111/acer.13819] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2018] [Accepted: 06/18/2018] [Indexed: 01/10/2023]
Abstract
BACKGROUND The main objective of this study was to test proposed mediators and moderators of a personalized feedback alcohol intervention (PFI) on alcohol use. Data for the current investigation came from an earlier randomized controlled trial of a PFI targeted for nonstudent heavy drinkers between 18 and 25 years. METHODS Participants were 164 (65.9% men) drinkers recruited from the community. They were randomly assigned to either a single-session PFI or an assessment-only (AO) control group. Follow-up assessments at 1 and 3 months were included for analysis. RESULTS Perceived drinking norms mediated the intervention effect on quantity, frequency, and peak drinking; 2 dimensions of protective behavioral strategies (PBS) mediated the intervention effect on peak drinking; and drinking to cope motives did not mediate any drinking outcomes. Of the moderating factors examined (i.e., norms, PBS, drink to cope motives, age, gender), only PBS related to serious harm reduction moderated intervention impact. Specifically, for those high in serious harm reduction PBS at baseline, postintervention reductions in drinking were stronger for the PFI group compared to AO. CONCLUSIONS Overall, findings highlight the importance of correcting misperceived drinking norms and addressing the use of specific PBS in brief interventions. The knowledge gained from this study represents an important step toward minimizing drinking-related harms that are disproportionately experienced by those with lower educational attainment.
Collapse
Affiliation(s)
- Cathy Lau-Barraco
- Department of Psychology, Old Dominion University, Norfolk, Virginia.,Virginia Consortium Program in Clinical Psychology, Norfolk, Virginia
| | - Abby L Braitman
- Department of Psychology, Old Dominion University, Norfolk, Virginia
| | - Ashley Linden-Carmichael
- Department of Biobehavioral Health, The Pennsylvania State University, University Park, Pennsylvania
| | - Amy L Stamates
- Department of Psychology, Old Dominion University, Norfolk, Virginia
| |
Collapse
|
39
|
Woerner J, Overstreet C, Amstadter AB, Sartor CE. Profiles of psychosocial adversity and their associations with health risk behaviors and mental health outcomes in young adults. J Health Psychol 2018; 25:1882-1893. [PMID: 29911440 DOI: 10.1177/1359105318780504] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Adverse psychosocial experiences operate simultaneously to affect mental health and behavior. The current study used mixture modeling to identify subgroups of young adults based on experiences of four types of psychosocial adversity and characterize their associations with depression, anxiety, world assumptions, substance use, and sexual risk behavior. Sexual assault, physical assault, and discrimination (interpersonal adversity) showed similar patterns within each group but diverged from neighborhood disadvantage in two groups. Groups characterized by higher interpersonal adversity reported the most negative health outcomes. Findings highlight variations in the co-occurrence of adverse experiences and differential links to risky health behaviors and mental health.
Collapse
|