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Leeman RF, Berey BL, Frohe T, Vásquez Ferreiro A, O’Malley SS. Impaired Control (Both Attempts to Control Drinking and Failed Control) as Prospective Predictors of Negative Outcomes Among Young Adults Who Drink Heavily. J Stud Alcohol Drugs 2024; 85:508-521. [PMID: 38315139 PMCID: PMC11289869 DOI: 10.15288/jsad.22-00362] [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: 10/21/2022] [Accepted: 12/28/2023] [Indexed: 02/07/2024] Open
Abstract
OBJECTIVE Impaired control over alcohol is a hallmark of addiction relevant to young adults, but additional prospective findings are needed, particularly in samples reporting heavy drinking. Further, we lack understanding of how attempts and failed efforts to control drinking relate to each other in predicting outcomes. We hypothesized that attempted and failed control would prospectively predict outcomes, with endorsement of both being especially problematic. METHOD We used data from young adults reporting heavy drinking who enrolled in laboratory alcohol self-administration studies (n = 109). Mixed-effects models were used to predict drinks per drinking day, heavy drinking, and negative consequences across baseline and 6- and 12-month follow-ups. Interactions by time and between attempted and failed control were tested. RESULTS Higher failed control was associated with steeper declines in consequences and heavy drinking over time compared with lower failed control. However, higher attempted or failed control was still associated with more consequences and alcohol use than lower impaired control at multiple time points. A significant interaction indicated that the combination of higher attempted and failed control was associated with the most drinks per drinking day. There was also a significant Attempted × Failed Control interaction for heavy drinking. CONCLUSIONS These findings provide further evidence supporting impaired control over alcohol use as a risk factor among young adults. Those reporting both higher attempted and failed control drank the most per day. Either attempted or failed control was associated with negative consequences. Those reporting both higher attempted and failed control may be in greatest need of intensive intervention.
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Affiliation(s)
- Robert F. Leeman
- Department of Public Health and Health Sciences, School of Community Health and Behavioral Sciences, Bouvé College of Health Sciences, Northeastern University, Boston, Massachusetts
- Department of Health Education & Behavior, College of Health and Human Performance, University of Florida, Gainesville, Florida
| | - Benjamin L. Berey
- Department of Health Education & Behavior, College of Health and Human Performance, University of Florida, Gainesville, Florida
- Center for Alcohol and Addiction Studies, Brown University School of Public Health, Providence, Rhode Island
| | - Tessa Frohe
- Department of Health Education & Behavior, College of Health and Human Performance, University of Florida, Gainesville, Florida
- Department of Psychiatry & Behavioral Sciences, University of Washington, Seattle, Washington
| | - Andrea Vásquez Ferreiro
- Department of Health Education & Behavior, College of Health and Human Performance, University of Florida, Gainesville, Florida
| | - Stephanie S. O’Malley
- Department of Psychiatry, Yale School of Medicine, Connecticut Mental Health Center, New Haven, Connecticut
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Muniz FB, Kalina E, Patock-Peckham JA, Berberian S, Fulop B, Williams J, Leeman RF. A Test of the Self-Medication Hypothesis Using a Latent Measurement Model: Are Stress and Impaired Control over Alcohol Mediating Mechanisms of Parenting Styles on Heavy Episodic Drinking and Alcohol-Related Problems among University Students? Behav Sci (Basel) 2024; 14:384. [PMID: 38785875 PMCID: PMC11117968 DOI: 10.3390/bs14050384] [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] [Received: 02/27/2024] [Revised: 04/29/2024] [Accepted: 04/30/2024] [Indexed: 05/25/2024] Open
Abstract
INTRODUCTION The self-medication hypothesis (SMH) suggests that individuals consume alcohol to alleviate stressful emotions. Still, the underlying mechanisms between stress and heavy episodic drinking remain to be explored. Impaired control over drinking (IC) reflects a failure of self-regulation specific to the drinking context, with individuals exceeding self-prescribed limits. Parenting styles experienced during childhood have a lasting influence on the stress response, which may contribute to IC. METHOD We examined the indirect influences of parenting styles (e.g., permissive, authoritarian, and authoritative) on heavy episodic drinking and alcohol-related problems through the mediating mechanisms of stress and IC. We fit a latent measurement model with 938 (473 men; 465 women) university students, utilizing bootstrap confidence intervals, in Mplus 8.0. RESULTS Higher levels of authoritative parenting (mother and father) were indirectly linked to fewer alcohol-related problems and less heavy episodic drinking through less stress and IC. Maternal permissiveness was indirectly linked to more alcohol-related problems and heavy episodic drinking through more stress and, in turn, more IC. Impaired control appeared to be a mediator for stress and alcohol-related problems. CONCLUSIONS Maternal permissiveness contributes to the use of alcohol to alleviate stress. Thus, reducing stress may reduce problematic heavy drinking and alcohol problems among emerging adults with high IC who may also have experienced permissive parenting. Stress may exacerbate behavioral dysregulation of drinking within self-prescribed limits.
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Affiliation(s)
- Felix B. Muniz
- Department of Psychology, Arizona State University, Tempe, AZ 85287-1104, USA; (J.A.P.-P.); (S.B.)
| | - Elena Kalina
- Department of Health Education and Behavior, University of Florida, Gainesville, FL 32611, USA;
| | - Julie A. Patock-Peckham
- Department of Psychology, Arizona State University, Tempe, AZ 85287-1104, USA; (J.A.P.-P.); (S.B.)
| | - Sophia Berberian
- Department of Psychology, Arizona State University, Tempe, AZ 85287-1104, USA; (J.A.P.-P.); (S.B.)
| | - Brittney Fulop
- Department of Psychology, Arizona State University, Tempe, AZ 85287-1104, USA; (J.A.P.-P.); (S.B.)
| | - Jason Williams
- RTI International, Research Triangle Park, NC 27709, USA;
| | - Robert F. Leeman
- Bouvé College of Health Sciences, Northeastern University, Boston, MA 02115, USA;
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Hannah Lee J, Suh H. Perfectionism and alcohol-related problems: The role of procrastination. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2024; 72:11-19. [PMID: 35044878 DOI: 10.1080/07448481.2021.2011734] [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: 11/16/2020] [Revised: 11/03/2021] [Accepted: 11/12/2021] [Indexed: 06/14/2023]
Abstract
OBJECTIVE College drinking is a significant individual and societal problem, and thus, identifying risk factors to alcohol-related problems has been an important line of inquiry. Adding to this rich literature, the current study examined whether perfectionism dimensions were associated with alcohol-related problems and whether a poor self-regulation process linked these associations. PARTICIPANTS A total of 410 university students completed measures pertaining to perfectionism, procrastination, and negative consequences of alcohol use. METHODS Parallel mediation models were tested. RESULTS There was support for an indirect effect in the association between perfectionistic concerns and alcohol-related problems through susceptibility to temptation but not through pure procrastination or irrational procrastination. Perfectionistic strivings dimension was not associated with alcohol-related problems and this relation was not mediated by any procrastination dimensions. CONCLUSIONS Building internal resources to better resist immediately gratifying yet long-run detrimental behavioral habits is important, especially so for highly self-critical students.
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Affiliation(s)
- J Hannah Lee
- Department of Psychology, Indiana University Northwest, Gary, Indiana, USA
| | - Hanna Suh
- Psychology and Child & Human Development Academic Group, National Institute of Education, Nanyang Technological University, Nanyang, Singapore
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Bitsoih J, Patock-Peckham JA, Canning JR, Ong A, Becerra A, Broussard M. Do Coping Motives and Perceived Impaired Control Mediate the Indirect Links from Childhood Trauma Facets to Alcohol-Related Problems? Behav Sci (Basel) 2023; 13:197. [PMID: 36975222 PMCID: PMC10044871 DOI: 10.3390/bs13030197] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2022] [Revised: 02/07/2023] [Accepted: 02/15/2023] [Indexed: 03/29/2023] Open
Abstract
INTRODUCTION The Self-Medication Hypothesis suggests that individuals drink to alleviate undesirable affective states. Behavioral Economics Theory states that individuals deprived of resources (i.e., physically neglected) consume more reinforcing substances when they are available than others. Childhood trauma may indirectly increase impaired control over alcohol (IC; drinking beyond one's own intentions) and thereby increase alcohol use and problems through the employment of coping-motives. METHOD A structural equation model that included sex as a covariate examined mediated paths with 612 university students. RESULTS Men were less likely to be emotionally abused and were more likely to use greater amounts of alcohol than women did. Physical neglect was directly linked to both more IC and alcohol use. Emotional and sexual abuse were directly linked to more coping motives. Both emotional and sexual abuse were indirectly linked to more alcohol use and its related problems through increased coping motives and IC. CONCLUSIONS Consistent with Behavioral Economics Theory, there was a direct link between physical neglect and IC. We also found partial support for the Self-Medication Hypothesis regarding the emotional and sexual abuse trauma dimensions; they indirectly contributed to alcohol use and its related problems via the mediating mechanisms of more coping motives and IC. Our findings suggest coping motives could be a therapeutic target for intervention among those sexually or emotionally abused.
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Affiliation(s)
- Jai Bitsoih
- Department of Psychology, Arizona State University, Tempe, AZ 85287-1104, USA
| | | | - Jessica R. Canning
- Department of Psychology, University of Washington, Seattle, WA 98195-1525, USA
| | - Annie Ong
- Department of Psychology, Arizona State University, Tempe, AZ 85287-1104, USA
| | - Allison Becerra
- Department of Counseling, Loma Linda University, Loma Linda, CA 92350, USA
| | - Matthew Broussard
- Department of Psychology, Arizona State University, Tempe, AZ 85287-1104, USA
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Kalina E, Boyd-Frenkel K, Patock-Peckham JA, Schneidewent L, Broussard ML, Leeman RF. Does Relationship-Contingent Self-Esteem Play a Role in the Stress to Impaired Control Pathway to Alcohol-Related Problems in a College Student Sample? Behav Sci (Basel) 2023; 13:185. [PMID: 36829414 PMCID: PMC9952616 DOI: 10.3390/bs13020185] [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] [Received: 12/23/2022] [Revised: 02/13/2023] [Accepted: 02/14/2023] [Indexed: 02/22/2023] Open
Abstract
The Appraisal-Disruption Model (ADM) suggests that individuals use alcohol as a means of dampening negative self-talk. Relationship-contingent self-esteem (RCSE) emerges from validating one's self-esteem depending on one's romantic relationship(s) and is known to predict alcohol-related problems. We hypothesized that RCSE indirectly predicts drinking outcomes through the mediating mechanism(s) of stress and impaired control over alcohol (IC; drinking to excess beyond one's own intentions). We fit a multiple-group structural equation model with self-report survey data from 479 college students. We used a 20,000 bootstrap technique to examine possible mediated pathways. Consistent with evolutionary theory, our model was moderated by sex: more variance in alcohol-related problems was explained for women (R2 = 0.479) than for men (R2 = 0.280). RCSE was directly linked to more stress. Furthermore, higher levels of RCSE were indirectly linked to more IC through increased stress, and in turn, more heavy episodic drinking and alcohol-related problems for both men and women. Consistent with the ADM, those with higher levels of RCSE experienced more stress and, in turn, more IC and subsequent adverse alcohol outcomes. Thus, therapists targeting alcohol use disorders (AUDs) may wish to determine if their client's self-esteem changes dramatically based on their moment-to-moment appraisal of their intimate relationships.
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Affiliation(s)
- Elena Kalina
- Department of Health Education and Behavior, University of Florida, 1864 Stadium Rd., Gainesville, FL 32611, USA
| | | | - Julie A. Patock-Peckham
- Department of Psychology, Arizona State University, Psychology Building, Tempe, AZ 85287, USA
| | - Lauren Schneidewent
- Department of Psychology, Northern Arizona University, 1100 S Beaver St., Flagstaff, AZ 86011, USA
| | - Matthew L. Broussard
- Department of Psychology, Arizona State University, Psychology Building, Tempe, AZ 85287, USA
| | - Robert F. Leeman
- Department of Health Sciences, Bouvé College of Health Sciences, Northeastern University, Boston, MA 02115, USA
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Berberian S, Patock-Peckham JA, Guarino K, Gupta T, Sanabria F, Infurna F. Does loneliness before the age of twelve indirectly affect impaired control over drinking, alcohol use, and problems through perceived stress? Addict Behav Rep 2022; 16:100448. [PMID: 35875348 PMCID: PMC9301507 DOI: 10.1016/j.abrep.2022.100448] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2022] [Revised: 06/21/2022] [Accepted: 07/10/2022] [Indexed: 11/03/2022] Open
Abstract
Loneliness is the pain of feeling socially isolated from others (Russell et al., 1980). The Stress-Dampening Hypothesis (Marlatt, 1987; Sayette, 1993; Sher, 1987) posits that individuals drink to alleviate negative affect. To date, it has not been determined whether loneliness experienced as a child can indirectly influence at-risk patterns of alcohol use through the mediating mechanism of stress and impaired control. Impaired control over alcohol use (IC) is the difficulty adhering to one's own self-proscribed limits on drinking behaviors (Heather et al., 1993). Impaired control is an at-risk pattern of use that is particularly relevant to emerging adults. Methods: We examined the direct and indirect relationships between childhood loneliness, stress, IC, and alcohol-related problems with a structural equation model. In a college student sample, we utilized a (k = 20,000) bootstrap technique and a model indirect command in Mplus to examine potential mediational pathways. Cisgender sex was included as a covariate. Results: Loneliness was directly linked to stress as well as to alcohol-related problems. Higher levels of loneliness were indirectly linked to both more alcohol use and alcohol-related problems through more stress and in turn, more impaired control over drinking. Conclusions: The current study is consistent with the Stress Dampening Hypothesis (Marlatt, 1987; Sayette, 1993; Sher, 1987). Our findings suggest that therapeutic interventions combating loneliness in childhood may disrupt the stress-dampening pathway to dysregulated alcohol use in emerging adulthood.
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Affiliation(s)
- S Berberian
- Arizona State University, Department of Psychology, Tempe, AZ 85287-1104, USA
| | - J A Patock-Peckham
- Arizona State University, Department of Psychology, Tempe, AZ 85287-1104, USA
| | - K Guarino
- Arizona State University, Department of Psychology, Tempe, AZ 85287-1104, USA
| | - T Gupta
- Arizona State University, Department of Psychology, Tempe, AZ 85287-1104, USA
| | - F Sanabria
- Arizona State University, Department of Psychology, Tempe, AZ 85287-1104, USA
| | - F Infurna
- Arizona State University, Department of Psychology, Tempe, AZ 85287-1104, USA
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Maurage P, Creupelandt C, Bollen Z, Pabst A, Fontesse S, Laniepce A, Douilliez C. Greater self-oriented and socially prescribed perfectionism in severe alcohol use disorder. Alcohol Clin Exp Res 2022; 46:1340-1347. [PMID: 35913501 DOI: 10.1111/acer.14878] [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: 12/23/2021] [Revised: 04/25/2022] [Accepted: 05/23/2022] [Indexed: 11/30/2022]
Abstract
BACKGROUND Perfectionistic individuals present exaggerated performance standards, generating a constant search for flawlessness and a high tendency to self-criticize. Dominant models distinguish three dimensions of perfectionism: namely, self-oriented, socially prescribed and other-oriented. Perfectionism constitutes a vulnerability factor for psychopathological disorders, but its role in severe alcohol use disorder (SAUD) remains unexplored. METHODS Sixty-five recently detoxified patients with SAUD and 65 matched controls completed a perfectionism questionnaire (the Hewitt Multidimensional Perfectionism Scale), together with measures of psychopathology. RESULTS SAUD was associated with greater self-oriented and socially prescribed perfectionism, with no group differences on other-oriented perfectionism. This differential pattern persisted when controlling for depression and anxiety levels, and there was no correlation with alcohol consumption. CONCLUSION This specific perfectionistic profile is consistent with those of previous studies showing lower self-evaluation (e.g., higher self-blame and reduced self-esteem) and impaired social cognition (e.g., unrealistic social standards and greater social isolation) in SAUD. In view of its potential role in the development and maintenance of SAUD, perfectionism may constitute a valuable treatment target in patients with this disorder.
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Affiliation(s)
- Pierre Maurage
- Louvain Experimental Psychopathology research group (LEP), Psychological Science Research Institute, UCLouvain, Louvain-la-Neuve, Belgium
| | - Coralie Creupelandt
- Louvain Experimental Psychopathology research group (LEP), Psychological Science Research Institute, UCLouvain, Louvain-la-Neuve, Belgium.,Univ. Lille, Lille, France
| | - Zoé Bollen
- Louvain Experimental Psychopathology research group (LEP), Psychological Science Research Institute, UCLouvain, Louvain-la-Neuve, Belgium
| | - Arthur Pabst
- Louvain Experimental Psychopathology research group (LEP), Psychological Science Research Institute, UCLouvain, Louvain-la-Neuve, Belgium
| | - Sullivan Fontesse
- Louvain Experimental Psychopathology research group (LEP), Psychological Science Research Institute, UCLouvain, Louvain-la-Neuve, Belgium.,Univ. Lille, Lille, France
| | - Alice Laniepce
- Louvain Experimental Psychopathology research group (LEP), Psychological Science Research Institute, UCLouvain, Louvain-la-Neuve, Belgium.,Normandie Univ, UNIROUEN, CRFDP (EA 7475), Rouen, France
| | - Céline Douilliez
- Louvain Experimental Psychopathology research group (LEP), Psychological Science Research Institute, UCLouvain, Louvain-la-Neuve, Belgium
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Rassaby M, Cassiello-Robbins C, Sauer-Zavala S. When perfect is never good enough: The predictive role of discrepancy on anxiety, time spent on academic tasks, and psychological well-being in university students. PERSONALITY AND INDIVIDUAL DIFFERENCES 2021. [DOI: 10.1016/j.paid.2020.110305] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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