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Murray GE, Palfai TP, Kratzer MPL, Maisto SA, Beckius BZ, Simons JS. Sexual Alcohol Expectancies, Alcohol Intoxication, and Sexual Behavior in MSM: An Experience Sampling Study. AIDS Behav 2024:10.1007/s10461-024-04495-9. [PMID: 39230616 DOI: 10.1007/s10461-024-04495-9] [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] [Accepted: 08/29/2024] [Indexed: 09/05/2024]
Abstract
Despite advances in prevention and treatment, the transmission of human immunodeficiency virus remains a significant problem in the United States, especially among men who have sex with men (MSM). Alcohol use can promote risky sexual decisions, and alcohol expectancies may influence the role of alcohol in decision making. The present secondary analysis tests the moderating role of sexual alcohol expectancies (SAEs) in the relation between daily alcohol intoxication and sexual behavior in a sample of 248 moderate- to heavy-drinking MSM. SAEs were assessed with the Sexual Alcohol Expectancies Questionnaire at baseline, followed by two 23-day bursts of ecological momentary assessment including self-initiated morning assessments of sexual behavior and the prior night's perceived intoxication, as well as nine daily random alcohol assessments. Multilevel modeling showed that SAEs moderated a curvilinear association between intoxication and anal intercourse with a condom such that the relation between daily intoxication and anal intercourse with a condom is a more pronounced inverted u-shape among individuals with strong SAEs, and this moderation effect was not seen for condomless anal intercourse (CAI). While SAEs do appear to influence the association between intoxication and sexual behavior in MSM, they do not appear to moderate the association between alcohol intoxication and CAI.
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Affiliation(s)
- Grace E Murray
- Department of Psychological and Brain Sciences, Boston University, Boston, MA, USA.
- Center for Anxiety and Related Disorders, 900 Commonwealth Avenue, Boston, MA, 02215, USA.
| | - Tibor P Palfai
- Department of Psychological and Brain Sciences, Boston University, Boston, MA, USA
| | - Maya P L Kratzer
- Department of Psychological and Brain Sciences, Boston University, Boston, MA, USA
| | - Stephen A Maisto
- Department of Psychology, Syracuse University, Syracuse, NY, USA
| | - Brooke Z Beckius
- Department of Psychology, University of South Dakota, Vermillion, SD, USA
| | - Jeffrey S Simons
- Department of Psychology, University of South Dakota, Vermillion, SD, USA
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Ke Y, Chai X. Understanding the Effect of External and Internal Assets on Hazardous/Harmful Drinking Among Chinese College Students: A Serial Mediation Model. HEALTH EDUCATION & BEHAVIOR 2024:10901981241255366. [PMID: 38798091 DOI: 10.1177/10901981241255366] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/29/2024]
Abstract
Hazardous/harmful drinking among college students is increasingly becoming a global health concern. Previous studies have mostly paid more attention to the prevalence and risk factors of alcohol use disorder based on the public health approach, and less is understood about psychological mechanisms and protective factors of problem drinking behavior. Grounded in the framework of developmental assets, this study explored the predictive effect of external assets (i.e., social connectedness) and internal assets (i.e., self-concept clarity and drinking refusal self-efficacy) on hazardous/harmful drinking among Chinese college students. Participants were 598 college students with a mean age of 19.41 (SD = 1.21) years. The results of structural equation modeling showed that social connectedness negatively predicted college students' hazardous/harmful drinking. Moreover, our path analyses revealed a serial mediation among these variables: students with high social connectedness tended to report high self-concept clarity, which in turn increased drinking refusal self-efficacy, and consequently decreased the level of hazardous/harmful drinking. This study revealed the mechanisms underlying how external and internal assets predict risky drinking among college students. These findings made significant contributions to prevention and precision interventions for college-aged youth with drinking problems.
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Affiliation(s)
- Yuye Ke
- Center of Health Administration and Development Studies, Hubei University of Medicine, Shiyan, China
- School of Nursing, Hubei University of Medicine, Shiyan, China
| | - Xiaoyun Chai
- Center of Health Administration and Development Studies, Hubei University of Medicine, Shiyan, China
- Department of Applied Psychology, Hubei University of Medicine, Shiyan, China
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Chan RHW, Dong D, Chong KC, Kim JH. Development and validation of a Chinese Drinking Expectancies Questionnaire for young adults: A Hong Kong study. Drug Alcohol Rev 2024; 43:233-244. [PMID: 37565305 DOI: 10.1111/dar.13733] [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: 01/24/2023] [Revised: 07/06/2023] [Accepted: 07/14/2023] [Indexed: 08/12/2023]
Abstract
INTRODUCTION Drinking expectancies, the perceived consequences of alcohol consumption, are noted to predict drinking behaviours. However, there is comparatively little research of drinking expectancies in non-Western populations. This study aimed to develop and validate a Chinese Drinking Expectancy Questionnaire (CDEQ-Adult) for Chinese young adults. METHODS Face and content validity were first assessed of items generated from literature review and previously conducted focus groups. Exploratory (EFA) and confirmatory factor analyses (CFA) were conducted with split-half samples from a random telephone survey that was conducted on Hong Kong Chinese adults between the ages of 18-34 (n = 675). The instrument's convergent validity and internal reliability were also examined. RESULTS The preliminary instrument items showed good content validity (Item Content Validity Index range: 0.8-1.0). The EFA yielded a 31-item, five-factor model consisting of five domains: Negative Consequences, Interpersonal Benefits, Increased Confidence, Health Benefits and Tension/Stress Reduction (variance explained 63.7%). The CFA revealed that the fit indices for the five-factor model using diagonal weighted least squares estimator were χ2 (256, N = 338) = 394.04, p < 0.001, comparative fit index 0.97, SRMR 0.07, RMSEA 0.06 (95% confidence interval 0.06, 0.08), suggesting a good fit of the model. The Cronbach's α coefficients were 0.94, 0.90, 0.86, 0.77 and 0.57, respectively for each of the five domains (n = 675). Significant associations with past month drinking behaviours and future drinking intentions give strong support for convergent validity. DISCUSSION AND CONCLUSIONS The CDEQ-Adult is a culturally relevant instrument for assessing drinking expectancies in Chinese young adults for use in future studies.
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Affiliation(s)
- Rufina H W Chan
- Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Shatin, Hong Kong SAR
| | - Dong Dong
- Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Shatin, Hong Kong SAR
| | - Ka-Chun Chong
- Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Shatin, Hong Kong SAR
| | - Jean H Kim
- Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Shatin, Hong Kong SAR
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Davidson L, Piatkowski T, Pocuca N, Hides L. Modelling the Relationship Between Environmental and Social Cognitive Determinants of Risky Drinking Among Emerging Adults. Int J Ment Health Addict 2022. [DOI: 10.1007/s11469-022-00978-9] [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: 12/03/2022] Open
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Nyman J, Tornivuori A, Salanterä S, Barroso T, Parisod H. Systematic review of digital interventions to support refusal self-efficacy in child and adolescent health promotion. Health Promot Int 2022; 37:6722695. [PMID: 36166268 DOI: 10.1093/heapro/daac085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Refusal self-efficacy protects against risky health behavior. Digital interventions have the potential to support self-efficacy due to the enactive experience provided by digital technologies. The aim of this systematic literature review was to evaluate the evidence of digital interventions to support refusal self-efficacy in child and adolescent health promotion. Following the Cochrane Collaboration guidelines, five electronic databases were searched from 2009 to 2020. The studies were assessed by two independent reviewers according to the eligibility criteria. Eligible studies were included in the review, assessed for risk of bias, synthesized narratively and assessed for evidence quality with the GRADE approach. Twenty-three studies, that examined 18 different interventions, were included in the review. The interventions included various digital elements as means to support the child and adolescent refusal self-efficacy (e.g. games, videos, feedback and activities for regulating feelings). The interventions improving refusal self-efficacy were more often used at home setting and addressed the four sources of self-efficacy with different digital elements regardless of intervention duration and intensity. Although the results on intervention effects varied and the evidence quality remained low, the overall evidence concerning these interventions was encouraging. Based on the subgroup analysis, the results were mainly encouraging among girls. When these interventions are implemented in health promotion, their benefits and weaknesses need to be considered comprehensively. The results provide information for designing and developing digital interventions to support child and adolescent refusal self-efficacy. Further research with larger sample sizes and more rigorous study designs is needed to strengthen the evidence of these interventions.
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Affiliation(s)
- Johanna Nyman
- Department of Nursing Science, FI-20014, University of Turku
| | - Anna Tornivuori
- Department of Nursing Science, FI-20014, University of Turku.,Turku University Hospital, Health Village, Turku, Finland
| | - Sanna Salanterä
- Department of Nursing Science, FI-20014, University of Turku.,Turku University Hospital, Turku, Finland
| | - Teresa Barroso
- Nursing School of Coimbra, Rua 5 de Outubro, Apartado 7001, 3046-851 Coimbra, Portugal
| | - Heidi Parisod
- Department of Nursing Science, FI-20014, University of Turku.,Nursing Research Foundation sr (NRF), Asemamiehenkatu 2, 00520 Helsinki, Finland
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Halvorson MA, Lengua LJ, Smith GT, King KM. Pathways of personality and learning risk for addictive behaviors: A systematic review of mediational research on the Acquired Preparedness model. J Pers 2022; 91:613-637. [PMID: 35900782 DOI: 10.1111/jopy.12761] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2021] [Revised: 07/08/2022] [Accepted: 07/25/2022] [Indexed: 11/29/2022]
Abstract
OBJECTIVE The Acquired Preparedness (AP) model proposes that impulsive personality traits predispose some individuals to learn certain behavior-outcome associations (expectancies), and that these expectancies in turn influence the escalation of risky behaviors. This theory has been applied to the development of behaviors such as drinking, drug use, gambling, and disordered eating. In the current study, we aimed to summarize empirical tests of this model over the 20 years since it was proposed. METHOD We used a descriptive approach to summarize tests of mediation across 50 studies involving n=21,715 total participants. RESULTS We observed a consistent effect of personality on expectancies (median effect size = .22), of expectancies on behavior (.24), and a small mediated effect (.05) of personality on behavior via expectancies. Impulsive traits that involve positive or negative affect showed the most consistent support for AP, as did positive expectancies. Most studies testing AP focused on alcohol, but research on other behaviors also showed support for AP. CONCLUSIONS The literature appears to support a small mediated effect consistent with the AP model. Future research should continue to clarify which AP pathways are most influential in explaining risky behaviors, and supplement correlational research with experimental and quasi-experimental designs.
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Affiliation(s)
| | | | | | - Kevin M King
- Department of Psychology, University of Washington
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Guldager JD, Kjær SL, Grittner U, Stock C. Efficacy of the Virtual Reality Intervention VR FestLab on Alcohol Refusal Self-Efficacy: A Cluster-Randomized Controlled Trial. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:3293. [PMID: 35328977 PMCID: PMC8955690 DOI: 10.3390/ijerph19063293] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/11/2022] [Revised: 03/03/2022] [Accepted: 03/08/2022] [Indexed: 02/04/2023]
Abstract
It is currently unknown whether a virtual social environment can support young people in building their skills to overcome peer pressure when offered alcohol. This study evaluated the efficacy of the newly developed virtual reality simulation game VR FestLab on the refusal self-efficacy regarding social pressures to drink of Danish male and female students aged 15-18. VR FestLab features a party setting where adolescents can "steer" their own party experience. Eleven schools were included in a cluster-randomized controlled trial and allocated to either the intervention (n = 181) or the active control group (n = 191). Students in intervention schools played VR FestLab, while those in the control group played the VR game Oculus Quest-First Steps. The primary outcome measure was the social pressure subscale of the drinking refusal self-efficacy scale (DRSEQ-RA). The intervention effects were measured immediately after the intervention/control session (T1) and after a 6-week follow-up (T2). Data were examined using linear mixed regression models. Our study did not demonstrate a significant effect of drinking refusal self-efficacy at T1. For all secondary outcomes, we observed no substantial differences between the intervention and control groups. This study provides new insights into the feasibility and effectiveness of an innovative virtual reality alcohol prevention tool. VR FestLab can be an innovative and promising contribution to complement existing school-based alcohol prevention, but more research is needed to improve its effectiveness.
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Affiliation(s)
- Julie Dalgaard Guldager
- Unit for Health Promotion Research, Department of Public Health, University of Southern Denmark, Degnevej 14, DK6705 Esbjerg, Denmark; (J.D.G.); (S.L.K.)
- Department of Physiotherapy, University College South Denmark, Degnevej 16, DK6705 Esbjerg, Denmark
| | - Satayesh Lavasani Kjær
- Unit for Health Promotion Research, Department of Public Health, University of Southern Denmark, Degnevej 14, DK6705 Esbjerg, Denmark; (J.D.G.); (S.L.K.)
| | - Ulrike Grittner
- Institute of Biometry and Clinical Epidemiology, Charité–Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Charitéplatz 1, 10117 Berlin, Germany;
| | - Christiane Stock
- Unit for Health Promotion Research, Department of Public Health, University of Southern Denmark, Degnevej 14, DK6705 Esbjerg, Denmark; (J.D.G.); (S.L.K.)
- Institute for Health and Nursing Science, Charité–Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Augustenburger Platz 1, 13353 Berlin, Germany
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Walsh BE, Williams CM, Zale EL. Expectancies for and Pleasure from Simultaneous Alcohol and E-Cigarette Use among Young Adults. Subst Use Misuse 2022; 57:2101-2109. [PMID: 36331140 DOI: 10.1080/10826084.2022.2136495] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Background: Young adults' use of alcohol and e-cigarettes are of public health concern, as they report among the highest prevalence for use of both substances. Many young adults use alcohol and e-cigarettes simultaneously (i.e., at the same time with overlapping effects) despite heightened risk for adverse effects. Objectives: This study assessed simultaneous use expectancies and changes in pleasure from e-cigarettes as a function of alcohol consumption and simultaneous use frequency. Participants (N = 408; Mage = 23.64 years; 52.7% female) recruited through Amazon MTurk completed measures of alcohol and e-cigarette use, and expectancies, pleasure and frequency of simultaneous use. Results: Separate linear regression models revealed that alcohol consumption was positively associated with expectancies for simultaneous use of e-cigarettes/alcohol and pleasure from simultaneous use (ps ≤ .015). As individuals engaged in simultaneous use more frequently, they also reported greater expectancies for, and increased pleasure from, simultaneous use (ps < .001). Conclusions/Importance: Expectancies for simultaneous use may be greatest among young adults who consume more alcohol and engage in simultaneous use more frequently. Increased pleasure from e-cigarettes while drinking suggests that positive reinforcement may be implicated in simultaneous use patterns. Future research should examine the role of pleasure in simultaneous use trajectories.
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Affiliation(s)
- Brendan E Walsh
- Department of Psychology, University of South Florida, Tampa, Florida, USA
| | - Callon M Williams
- Department of Psychology, Harpur College of Arts & Sciences, Binghamton University, Binghamton, New York, USA
| | - Emily L Zale
- Department of Psychology, Harpur College of Arts & Sciences, Binghamton University, Binghamton, New York, USA
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Shadur JM, Felton JW, Lejuez CW. Alcohol use and perceived drinking risk trajectories across adolescence: the role of alcohol expectancies. CURRENT PSYCHOLOGY 2021. [DOI: 10.1007/s12144-021-02178-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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10
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How Risk Signaling Influences Binge Drinking Impression Formation: An Evolutionary Experimental Approach. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18115803. [PMID: 34071401 PMCID: PMC8198235 DOI: 10.3390/ijerph18115803] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/08/2021] [Revised: 05/22/2021] [Accepted: 05/24/2021] [Indexed: 11/23/2022]
Abstract
Background. Evolutionary theory-driven alcohol prevention programs for adolescents are lacking. This study introduced a binge drinking impression formation paradigm to test whether emphasizing sexual dysfunction induced by alcohol abuse lowers positive attitudes and expectancies related to binge drinking when compared with cognitive or long-term health consequences. Method. In a between-subjects experiment, 269 French high school students (age, M = 15.94, SD = 0.93, 63.20% women) watched professional-quality videos emphasizing sexual impotence (n = 60), cognitive impairment (n = 72), or long-term effects (cancer, cardiovascular disease, n = 68) induced by alcohol and then had to evaluate a drinking scene. We predicted that the video on impotence would be the most impactful when compared with the other videos. Results. Results showed that women evaluated the target as less attractive after viewing the cognitive video compared with the video on impotence. Men were more willing to play sports against the target after viewing the cognitive video, compared with the video on impotence. Conclusions. These results showed that evolutionary meaning might shape impressions formed by participants depending on the context. This study calls for further replications using the same design and materials.
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Greene D, Hasking P, Boyes M. A comparison of the associations between alexithymia and both non-suicidal self-injury and risky drinking: The roles of explicit outcome expectancies and refusal self-efficacy. Stress Health 2021; 37:272-284. [PMID: 32991773 DOI: 10.1002/smi.2991] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/07/2020] [Revised: 09/10/2020] [Accepted: 09/25/2020] [Indexed: 01/18/2023]
Abstract
Both non-suicidal self-injury (NSSI) and risky drinking are positively associated with alexithymia, a personality trait characterized by difficulties appraising feelings and an externally orientated thinking style. Although researchers have studied the associations between alexithymia and both NSSI and risky drinking, the underlying factors of both associations are rarely compared. Using path analysis, we compared the mediating effects of behaviour-specific outcome expectancies and self-efficacy beliefs on the associations between alexithymia and both NSSI and risky drinking. A sample of 627 university students (76.10% female, Mage = 20.75, SD = 1.88) completed a battery of questionnaires. Alexithymia exhibited indirect effects on NSSI via affect regulation expectancies, pain expectancies, communication expectancies, and low self-efficacy to resist NSSI. Alexithymia exhibited indirect effects on risky drinking via expectations of increased confidence and negative consequences. However, the indirect effects differed depending on the valance of the emotion the individual had difficulties appraising. Our findings indicate that the underlying factors in the associations between alexithymia and both NSSI and risky drinking could differ. Where individuals who have difficulties appraising negative emotions may engage in NSSI to help regulate negative feelings, they may consume alcohol to gain more confidence in expressing their feelings. Clinical implications are discussed.
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Affiliation(s)
- Danyelle Greene
- School of Psychology, Curtin University, Perth, Western Australia, Australia
| | - Penelope Hasking
- School of Psychology, Curtin University, Perth, Western Australia, Australia
| | - Mark Boyes
- School of Psychology, Curtin University, Perth, Western Australia, Australia
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Greene D, Boyes M, Hasking P. Comparing the roles of behaviour-specific beliefs in the associations between alexithymia and both non-suicidal self-injury and risky drinking: A multi-method assessment of expectancies. JOURNAL OF AFFECTIVE DISORDERS REPORTS 2021. [DOI: 10.1016/j.jadr.2021.100115] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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13
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Montanaro EA, Magnan R. A latent profile analysis using the theory of planned behavior to predict alcohol use. Psychol Health 2021; 37:799-810. [PMID: 33775196 DOI: 10.1080/08870446.2021.1903462] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
OBJECTIVE The current study sought to identify subgroups of adult drinkers who differ in their level of association between alcohol-related Theory of Planned Behavior (TPB) constructs (attitudes, perceived norms, self-efficacy, and intentions), and explore if distinct subgroup profiles relate to alcohol use two weeks later. DESIGN Participants (N = 121) were recruited to participate in a two-week study about daily experiences with exercise and alcohol (Mage = 30.93; SDage = 9.88; 59.2% female; 71.1% Caucasian). MAIN OUTCOME MEASURES Alcohol attitudes, subjective norms, alcohol refusal self-efficacy, and intentions were used to create class membership. Behavioral outcomes included (1) drinking frequency, (2) drinking quantity, and (3) drinking to get drunk. RESULTS Two classes of drinkers were determined - Class 1 was categorized by moderate scores on all constructs, whereas Class 2 was categorized by moderate scores on attitudes and high scores on norms, alcohol refusal self-efficacy, and intentions. Class designation was associated with frequency, but not quantity of use. CONCLUSION The current study suggests that a minority of individuals who score moderately across all constructs should receive intervention efforts that focus on just those included in the TPB, while the vast majority may require additional constructs to be addressed.
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Affiliation(s)
- Erika A Montanaro
- Department of Psychological Sciences, University of North Carolina at Charlotte, Charlotte, NC, USA
| | - Renee Magnan
- Department of Psychology, Washington State University, Vancouver, WA, USA
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Lannoy S, Duka T, Carbia C, Billieux J, Fontesse S, Dormal V, Gierski F, López-Caneda E, Sullivan EV, Maurage P. Emotional processes in binge drinking: A systematic review and perspective. Clin Psychol Rev 2021; 84:101971. [PMID: 33497920 PMCID: PMC8275688 DOI: 10.1016/j.cpr.2021.101971] [Citation(s) in RCA: 36] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2020] [Revised: 12/10/2020] [Accepted: 01/08/2021] [Indexed: 12/24/2022]
Abstract
Binge drinking is a widespread alcohol consumption pattern commonly engaged by youth. Here, we present the first systematic review of emotional processes in relation to binge drinking. Capitalizing on a theoretical model describing three emotional processing steps (emotional appraisal/identification, emotional response, emotional regulation) and following PRISMA guidelines, we considered all identified human studies exploring emotional abilities among binge drinkers. A literature search was conducted in PubMed, Scopus, and PsychINFO, and a standardized methodological quality assessment was performed for each study. The main findings offered by the 43 studies included are: 1) regarding emotional appraisal/identification, binge drinking is related to heightened negative emotional states, including greater severity of depressive and anxiety symptoms, and have difficulties in recognizing emotional cues expressed by others; 2) regarding emotional response, binge drinkers exhibit diminished emotional response compared with non-binge drinkers; 3) regarding emotional regulation, no experimental data currently support impaired emotion regulation in binge drinking. Variability in the identification and measurement of binge drinking habits across studies limits conclusions. Nevertheless, current findings establish the relevance of emotional processes in binge drinking and set the stage for new research perspectives to identify the nature and extent of emotional impairments in the onset and maintenance of excessive alcohol use.
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Affiliation(s)
- Séverine Lannoy
- Stanford University, Department of Psychiatry and Behavioral Sciences, Stanford, California, USA; Louvain Experimental Psychopathology research group (LEP), Psychological Sciences Research Institute, UCLouvain, Louvain-la-Neuve, Belgium.
| | - Theodora Duka
- Behavioral and Clinical Neuroscience, School of Psychology, University of Sussex, Brighton, UK; Sussex Addiction and Intervention Centre, University of Sussex, Brighton, UK
| | - Carina Carbia
- APC Microbiome Ireland, Biosciences Building, University College Cork, Cork, Ireland
| | - Joël Billieux
- Institute of Psychology, University of Lausanne, Lausanne, Switzerland
| | - Sullivan Fontesse
- Louvain Experimental Psychopathology research group (LEP), Psychological Sciences Research Institute, UCLouvain, Louvain-la-Neuve, Belgium
| | - Valérie Dormal
- Louvain Experimental Psychopathology research group (LEP), Psychological Sciences Research Institute, UCLouvain, Louvain-la-Neuve, Belgium
| | - Fabien Gierski
- Cognition Health and Society Laboratory (EA 6291), Université de Reims Champagne-Ardenne, Reims, France; Psychiatry and Addictology Departments, CHU de Reims & EPSM Marne, Reims, France
| | - Eduardo López-Caneda
- Psychological Neuroscience Laboratory, Research Center in Psychology (CIPsi), School of Psychology, University of Minho, Campus, Gualtar, Braga, Portugal
| | - Edith V Sullivan
- Stanford University, Department of Psychiatry and Behavioral Sciences, Stanford, California, USA
| | - Pierre Maurage
- Louvain Experimental Psychopathology research group (LEP), Psychological Sciences Research Institute, UCLouvain, Louvain-la-Neuve, Belgium.
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Jenzer T, Egerton GA, Read JP. Learning from drinking experiences in college: A test of reciprocal determinism with drinking refusal self-efficacy. PSYCHOLOGY OF ADDICTIVE BEHAVIORS 2021; 35:85-92. [PMID: 32658491 PMCID: PMC8171123 DOI: 10.1037/adb0000675] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Problematic drinking is common in college, with many students experiencing a range of detrimental alcohol-related consequences. An understanding of the etiological factors involved in the development and maintenance of this behavior is important, as it would inform intervention efforts. Drinking refusal self-efficacy (DRSE) plays a central role in drinking behavior. Social learning theory's principle of reciprocal determinism suggests that cognitions such as DRSE are not only learned over time from drinking experiences but also impact an individual's subsequent drinking behavior. To date, no study has tested reciprocal determinism in relation to DRSE. Accordingly, in the current study, we examined within-person reciprocal associations between DRSE and drinking experiences (alcohol use and related consequences) in college drinkers during the first year of college (n = 728). Data were drawn from a larger study of trauma, posttraumatic stress, and substance use in young adulthood. Data were analyzed using a random intercept cross-lagged panel model to disaggregate between-person and within-person effects. At the between-person level, DRSE was negatively associated with both alcohol use and alcohol-related consequences. Furthermore, DRSE exhibited significant negative prospective within-person associations with alcohol-related consequences but not with alcohol consumption. Both alcohol consumption and alcohol-related consequences exhibited significant negative prospective within-person associations with DRSE. As such, findings support reciprocal determinism between alcohol-related consequences and DRSE. These findings have several clinical implications, as they point to a risky learning process that could be targeted in treatment or in prevention programs. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
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Affiliation(s)
- Tiffany Jenzer
- Department of Psychology, State University of New York - University at Buffalo, State University of New York, Buffalo, NY 14260
| | - Gregory A. Egerton
- Department of Psychology, State University of New York - University at Buffalo, State University of New York, Buffalo, NY 14260
| | - Jennifer P. Read
- Department of Psychology, State University of New York - University at Buffalo, State University of New York, Buffalo, NY 14260
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Cooke R, Bailey O, Jennings J, Yuen C, Gardner B. Do preparatory behaviours predict alcohol consumption among UK university students? Br J Health Psychol 2020; 26:343-359. [PMID: 33111469 DOI: 10.1111/bjhp.12489] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2020] [Revised: 10/09/2020] [Indexed: 01/25/2023]
Abstract
OBJECTIVE This study explored whether the frequency and habitual nature of engagement in three behaviours that may serve as preparation for alcohol consumption on a night out with friends - that is, contacting friends to arrange a night out, buying alcohol, drinking alone at home before going out - predicted consumption on such nights. DESIGN Prospective correlational design. METHODS One hundred and twenty UK university students (68 female, 50 male, two non-binary, mean age = 20.78 years, SD = 1.52) completed a survey comprising intentions, habits, and frequency and habit for the three preparatory behaviours. One week later, a second survey measured the number of nights out with friends on which alcohol was drunk (i.e., drinking frequency) and the number on which four or more alcoholic drinks were consumed (i.e, excessive drinking). Regression models were run to predict drinking frequency and excessive drinking. RESULTS Drinking frequency was predicted only by frequency of contacting friends (B = .28, SE = .12, p = .02), and habitually drinking alone before going out (B = .20, SE = .09, p = .03). Excessive drinking was only predicted by alcohol consumption habit (B = .67, SE = .23, p = .003). CONCLUSIONS Preceding actions may influence the frequency of alcohol consumption on nights out, independently of intentions and habits relating to alcohol consumption. While interventions to reduce consumption quantity in a single session might focus on disrupting the habits that sustain drinking episodes, efforts to reduce alcohol consumption frequency on nights out might focus on disrupting behaviours that precede alcohol consumption.
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Affiliation(s)
- Richard Cooke
- Department of Psychology, Liverpool Centre for Alcohol Research, University of Liverpool, UK
| | | | | | - Chun Yuen
- Department of Psychology, King's College London, UK
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Creswell KG, Chung T, Skrzynski CJ, Bachrach RL, Jackson KM, Clark DB, Martin CS. Drinking beyond the binge threshold in a clinical sample of adolescents. Addiction 2020; 115:1472-1481. [PMID: 31984600 PMCID: PMC8071609 DOI: 10.1111/add.14979] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/22/2019] [Revised: 09/16/2019] [Accepted: 01/21/2020] [Indexed: 01/06/2023]
Abstract
BACKGROUND AND AIMS Nearly all the research conducted on high-intensity drinking has focused on college and school-based samples, with recent calls for research to understand this risky drinking pattern in non-school-based samples and across time. This study aimed to characterize predictors and consequences of non-binge drinking, age- and gender-adjusted binge drinking (level I) and drinking at levels representing two or more times (level II) and three or more times the level I binge threshold (level III) in a clinical sample of adolescents followed into young adulthood. DESIGN Cross-sectional associations between non-binge drinking, binge levels, and negative alcohol-related consequences were examined during adolescence; prospective analyses tested whether adolescent non-binge drinking and binge levels predicted alcohol use disorder (AUD) symptoms in young adulthood and whether changes in drinking motives over time were associated with binge levels in young adulthood. SETTING US clinical settings. PARTICIPANTS A total of 432 adolescents (aged 12-18 years) with alcohol-related problems followed into young adulthood (aged 19-25 years). MEASUREMENTS Life-time drinking history, Structured Clinical Interview for DSM AUDs, and Inventory of Drinking Situations. FINDINGS Results were generally consistent with a distinction between binge level I versus levels II-III on various negative alcohol-related consequences in adolescence (Ps < 0.05) that were maintained in young adulthood (Ps < 0.01). The maintenance of relatively high endorsement of enhancement and social motives over time was associated with binge levels II-III in young adulthood (Ps < 0.001); decreases in coping motives were associated with less risky drinking in adulthood (P = 0.003). CONCLUSIONS Among US adolescents with alcohol-related problems who were followed-up in young adulthood (aged 19-25 years), standard threshold binge drinking (five or more drinks per occasion; level I) was generally associated with fewer alcohol-related consequences and problem behaviors than binge drinking at two or more times (level II) or three or more times (level III) the standard binge threshold.
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Affiliation(s)
- Kasey G. Creswell
- Department of Psychology, Carnegie Mellon University, Pittsburgh, PA, USA
| | - Tammy Chung
- Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA
| | | | - Rachel L. Bachrach
- Center for Health Equity Research and Promotion, Mental Illness Research, Education and Clinical Center, VA Pittsburgh Healthcare System, Pittsburgh, PA, USA
| | - Kristina M. Jackson
- Center for Alcohol and Addiction Studies, Brown University, Providence, RI, USA
| | - Duncan B. Clark
- Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA
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Carlos M, Elena B, Teresa IM. Are Adherence to the Mediterranean Diet, Emotional Eating, Alcohol Intake, and Anxiety Related in University Students in Spain? Nutrients 2020; 12:E2224. [PMID: 32722507 PMCID: PMC7468871 DOI: 10.3390/nu12082224] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2020] [Revised: 07/18/2020] [Accepted: 07/23/2020] [Indexed: 12/15/2022] Open
Abstract
Research has suggested that university students are at risk from certain unhealthy habits, such as poor diet or alcohol abuse. At the same time, anxiety levels appear to be higher among university students, which may lead to high levels of emotional eating. The aim of this study was to analyze the degree of adherence to the Mediterranean diet (AMD), emotional eating, alcohol intake, and anxiety among Spanish university students, and the interrelationship of these variables. A total of 252 university students filled out the Mediterranean Diet Quality Index (KIDMED) questionnaire for Mediterranean diet adherence, an Alcohol Use Disorders Identification Test, a State-Trait Anxiety Inventory and the Emotional Eater Questionnaire. We analyzed descriptive data, a t-test and analysis of variance (ANOVA) for differences, a Pearson correlation, and multiple regression tests. Results showed low levels of AMD among university students (15.5%) and considerable levels of emotional eating (29%) and anxiety (23.6%). However, levels of alcohol dependence were low (2.4%). State-anxiety was a predictor of the emotional eater score and its subscales, and sex also was predictive of subscale guilt and the total score. However, AMD was predicted only by trait-anxiety. These models accounted for between 1.9% and 19%. The results suggest the need for the implementation of educational programs to promote healthy habits among university students at risk.
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Affiliation(s)
- Marchena Carlos
- Faculty of Education and Psychology, Universidad Francisco de Vitoria, 28223 Madrid, Spain
| | - Bernabéu Elena
- Faculty of Education and Psychology, Universidad Francisco de Vitoria, 28223 Madrid, Spain
| | - Iglesias M. Teresa
- Faculty of Health Sciences, Universidad Francisco de Vitoria, 28223 Madrid, Spain
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Relationship between Alcohol Consumption and Drinking Refusal Self-Efficacy among University Students: The Roles of Sports Type and Gender. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17124251. [PMID: 32545921 PMCID: PMC7345831 DOI: 10.3390/ijerph17124251] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/25/2020] [Revised: 05/25/2020] [Accepted: 05/26/2020] [Indexed: 11/16/2022]
Abstract
The present study examines the relationship between drinking behaviour and drinking refusal self-efficacy among university students, with a focus on the influential roles of sports type and gender. A total of 354 students from Seoul National University of Science and Technology volunteered and participated in this study. The Korean Alcohol Use Disorders Identification Test (AUDIT-K), the Korean Drinking Refusal Self-Efficacy (DRSE) Questionnaire-Revised, and a questionnaire measuring participation in sports activities were administered to measure students’ alcohol drinking behaviours, refusal self-efficacy and sport-related activities, respectively. The data were analysed using descriptive statistics, two-way ANOVAs, correlation analysis, and regression analysis. The subdomains of DRSE had significant influences on binge drinking. Specifically, low DRSE in situations involving social pressure played a key role in predicting increased binge drinking. There was also a significant relationship between sports type and drinking behaviour, but only for male students. Those who participated in individual sports binge drank less than those who participated in team sports. Finally, gender differences were also revealed in drinking behaviour. Male students were more likely to binge drink compared to their female counterparts. This study offers a foundation for practical interventions to help control problematic drinking behaviour among university students.
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Cappelli C, Pike JR, Christodoulou G, Riggs NR, Warren CM, Pentz MA. The effect of sensation seeking on alcohol use among middle school students: a latent state-trait analysis. THE AMERICAN JOURNAL OF DRUG AND ALCOHOL ABUSE 2020; 46:316-324. [PMID: 31509018 PMCID: PMC7064400 DOI: 10.1080/00952990.2019.1660885] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/20/2019] [Accepted: 08/23/2019] [Indexed: 01/07/2023]
Abstract
BACKGROUND Sensation seeking has been implicated as a major risk factor for underage alcohol use, however little research into this personality trait has been conducted among children. OBJECTIVE The current study examined if sensation seeking presents as a state or trait in children, and if the state or trait predicted future alcohol use. METHODS A latent state-trait (LST) analysis was conducted among 552 individuals (54.3% female; age range 8-13; mean age 9.3) to determine the state or trait-based aspects of sensation seeking, and if this state or trait predicted future alcohol use. Sensation seeking behavior and lifetime alcohol use were assessed at four time points using two previously validated measures. RESULTS Between 49.4% and 95.3% of individual differences in sensation seeking could be attributed to a stable underlying sensation seeking trait. Further, logistic regression of the stable trait of sensation seeking predicted future alcohol use. A one unit increase in the latent trait increased the odds a student would try alcohol by 7.83 times (95% CI = 1.49-41.11, p = .015). Standardized regression coefficients revealed that an increase of one standard deviation in the latent trait of sensation seeking increased the odds of experimentation with alcohol by 1.29 times (95% CI = 1.11-1.49, p = .001). CONCLUSION Findings suggest sensation seeking presents as a stable trait during childhood, which can cause children to seek out a novel or exciting behaviors such as alcohol use. Future substance use interventions may need to account for the influence of the underlying trait.
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Affiliation(s)
- Christopher Cappelli
- Department of Preventive Medicine, Keck School of Medicine, University of Southern California, 2001 North Soto St. Los Angeles, CA 90089, USA
| | - James Russell Pike
- School of Community and Global Health, Claremont Graduate University, 675 West Foothill Blvd. Suite 210, Claremont, CA 91711, USA
| | - Georgia Christodoulou
- Department of Preventive Medicine, Keck School of Medicine, University of Southern California, 2001 North Soto St. Los Angeles, CA 90089, USA
| | - Nathaniel R. Riggs
- Department of Human Development and Family Studies, Colorado State University, Fort Collins, CO 80523, USA
| | - Christopher M. Warren
- Department of Preventive Medicine, Keck School of Medicine, University of Southern California, 2001 North Soto St. Los Angeles, CA 90089, USA
| | - Mary Ann Pentz
- Department of Preventive Medicine, Keck School of Medicine, University of Southern California, 2001 North Soto St. Los Angeles, CA 90089, USA
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Lannoy S, Billieux J, Poncin M, Maurage P. Corrigendum to "Binging at the campus: motivations and impulsivity influence binge drinking profiles in university students" [Psychiatry Research (2017) 146-154]. Psychiatry Res 2019; 282:112678. [PMID: 31778907 DOI: 10.1016/j.psychres.2019.112678] [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: 10/25/2022]
Affiliation(s)
- Séverine Lannoy
- Laboratory for Experimental Psychopathology, Psychological Science Research Institute, Université catholique de Louvain, Place C. Mercier, 10, B-1348 Louvain-la-Neuve, Louvain-la-Neuve, Belgium
| | - Joël Billieux
- Laboratory for Experimental Psychopathology, Psychological Science Research Institute, Université catholique de Louvain, Place C. Mercier, 10, B-1348 Louvain-la-Neuve, Louvain-la-Neuve, Belgium; Addictive and Compulsive Behaviours Lab (ACB-Lab), Institute for Health and Behaviour, University of Luxembourg, Esch-sur-Alzette, Luxembourg
| | - Marie Poncin
- Laboratory for Experimental Psychopathology, Psychological Science Research Institute, Université catholique de Louvain, Place C. Mercier, 10, B-1348 Louvain-la-Neuve, Louvain-la-Neuve, Belgium
| | - Pierre Maurage
- Laboratory for Experimental Psychopathology, Psychological Science Research Institute, Université catholique de Louvain, Place C. Mercier, 10, B-1348 Louvain-la-Neuve, Louvain-la-Neuve, Belgium.
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Melson AJ, O’Connor RC. Differentiating adults who think about self-harm from those who engage in self-harm: the role of volitional alcohol factors. BMC Psychiatry 2019; 19:319. [PMID: 31660913 PMCID: PMC6816185 DOI: 10.1186/s12888-019-2292-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/11/2019] [Accepted: 09/16/2019] [Indexed: 12/04/2022] Open
Abstract
BACKGROUND Self-harm, an act of self-poisoning or self-injury irrespective of motivation, is a major public health concern. Use of alcohol prior to or alongside acts of self-harm is common but little is known about the alcohol-related mechanisms of self-harm enaction. We utilised an ideation-to-action approach to clarify the extent to which volitional alcohol factors differentiated those who have thoughts of self-harm but do not act on them (self-harm ideation) and those who engage in self-harm (self-harm enaction). METHODS Cross-sectional analyses of the baseline phase of the Health Lifestyle and Wellbeing study: 1546 adults (1079 female; Mean age = 34 y; 92% White) resident in Scotland completed measures of demographics, lifetime self-harm, volitional alcohol factors and psychosocial factors. Multinomial logistic regression compared those with a history of self-harm thoughts ('ideation', n = 297), self-harm acts ('enaction', n = 346) and 'controls' (n = 897) to identify volitional alcohol factors associated with self-harm enaction. RESULTS Volitional alcohol factors differentiated those with a history of self-harm enaction from those with a history of self-harm ideation (as well as those with no history) in initial models adjusted for demographics and depressive symptoms: the self-harm enaction group reported stronger alcohol-related negative urgency (OR = 1.74, 95% CI 1.41-2.16, p < .001), more frequent heavy drinking (OR = 1.46, 95% CI 1.24-1.72, p < .001) and stronger expectancies that drinking alcohol leads to negative self-perceptions (OR = 1.33, 95% CI 1.03-1.72, p = 0.03) and markers of self-harm risk (OR = 1.64, 95% CI 1.18-2.30, p = 0.004). Alcohol-related negative urgency and heavy-drinking frequency continued to differentiate those in the self-harm enaction group from those in ideation group in multivariate models. Consistent with theoretical models positing phase-specific moderators of self-harm ideation and enaction, psychosocial factors (perceived stress, support, negative mood regulation expectancies) differentiated those with a history of self-harm ideation from those without but not those in the ideation and enaction groups. CONCLUSIONS Management of self-harm risk requires better understanding of alcohol-related mechanisms of self-harm enaction. Volitional alcohol factors may play a role in governing the translation of self-harm thoughts into self-harm acts.
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Affiliation(s)
- Ambrose J. Melson
- 0000 0001 2193 314Xgrid.8756.cSuicidal Behaviour Research Laboratory, Institute of Health & Wellbeing, University of Glasgow, Glasgow, UK
| | - Rory C. O’Connor
- 0000 0001 2193 314Xgrid.8756.cSuicidal Behaviour Research Laboratory, Institute of Health & Wellbeing, University of Glasgow, Glasgow, UK
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A comparison of implicit and explicit reward learning in low risk alcohol users versus people who binge drink and people with alcohol dependence. Addict Behav Rep 2019; 9:100178. [PMID: 31193786 PMCID: PMC6542748 DOI: 10.1016/j.abrep.2019.100178] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2018] [Accepted: 03/21/2019] [Indexed: 12/21/2022] Open
Abstract
Chronic alcohol use leads to specific neurobiological alterations in the dopaminergic brain reward system, which probably are leading to a reward deficiency syndrome in alcohol dependence. The purpose of our study was to examine the effects of such hypothesized neurobiological alterations on the behavioral level, and more precisely on the implicit and explicit reward learning. Alcohol users were classified as dependent drinkers (using the DSM-IV criteria), binge drinkers (using criteria of the USA National Institute on Alcohol Abuse and Alcoholism) or low-risk drinkers (following recommendations of the Scientific board of trustees of the German Health Ministry). The final sample (n = 94) consisted of 36 low-risk alcohol users, 37 binge drinkers and 21 abstinent alcohol dependent patients. Participants were administered a probabilistic implicit reward learning task and an explicit reward- and punishment-based trial-and-error-learning task. Alcohol dependent patients showed a lower performance in implicit and explicit reward learning than low risk drinkers. Binge drinkers learned less than low-risk drinkers in the implicit learning task. The results support the assumption that binge drinking and alcohol dependence are related to a chronic reward deficit. Binge drinking accompanied by implicit reward learning deficits could increase the risk for the development of an alcohol dependence. Alcohol dependent patients were impaired in implicit and explicit reward learning. Alcohol dependence may lead to implicit and explicit reward learning deficits. Binge drinkers learned less than low-risk drinkers in the implicit learning task. Binge drinking is related to implicit reward learning deficits.
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Tavolacci MP, Berthon Q, Cerasuolo D, Dechelotte P, Ladner J, Baguet A. Does binge drinking between the age of 18 and 25 years predict alcohol dependence in adulthood? A retrospective case-control study in France. BMJ Open 2019; 9:e026375. [PMID: 31061035 PMCID: PMC6501952 DOI: 10.1136/bmjopen-2018-026375] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
OBJECTIVE A retrospective case-control study was conducted to evaluate whether frequent binge drinking between the age of 18 and 25 years was a risk factor for alcohol dependence in adulthood. SETTING The Department of Addictive Medicine and the Clinical Investigation Center of a university hospital in France. PARTICIPANTS Cases were alcohol-dependent patients between 25 and 45 years and diagnosed by a psychiatrist. Consecutive patients referred to the Department of Addictive Medicine of a university hospital between 1 January 2017 and 31 December 2017 for alcohol dependence were included in the study. Controls were non-alcohol-dependent adults, defined according to an Alcohol Use Disorders Identification Test score of less than 8, and were matched on age and sex with cases. Data on sociodemographics, behaviour and alcohol consumption were retrospectively collected for three life periods: before the age of 18 years; between the age of 18 and 25 years; and between the age of 25 and 45 years. Frequency of binge drinking between 18 and 25 years was categorised as frequent if more than twice a month, occasional if once a month and never if no binge drinking. RESULTS 166 adults between 25 and 45 years were included: 83 were alcohol-dependent and 83 were non-alcohol-dependent. The mean age was 34.6 years (SD: 5.1). Frequent binge drinking between 18 and 25 years occurred in 75.9% of cases and 41.0% of controls (p<0.0001). After multivariate analysis, frequent binge drinking between 18 and 25 years was a risk factor for alcohol dependence between 25 and 45 years: adjusted OR=2.83, 95% CI 1.10 to 7.25. CONCLUSIONS Frequent binge drinking between 18 and 25 years appears to be a risk factor for alcohol dependence in adulthood. Prevention measures for binge drinking during preadulthood, especially frequent binge drinking, should be implemented to prevent acute consequences as injury and death and long-term consequences as alcohol dependence. TRIAL REGISTRATION NUMBER NCT03204214; Results.
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Affiliation(s)
- Marie-Pierre Tavolacci
- CIC 1404 and INSERM 1073, Rouen University Hospital and Rouen Normandy University, Rouen, France
| | - Quentin Berthon
- Department of Addictology, Rouen University Hospital, Rouen, France
| | - Damiano Cerasuolo
- Clinical Investigation Center 1404, Rouen University Hospital, Rouen, France
| | - Pierre Dechelotte
- Department of Nutrition and INSERM 1073, Rouen University Hospital and Rouen Normandy University, Rouen, France
| | - Joel Ladner
- Department of Epidemiology and Health Promotion and INSERM 1073, Rouen University Hospital and Rouen Normandy University, Rouen, France
| | - Alexandre Baguet
- Department of Addictology and INSERM 1073, Rouen University Hospital and Rouen Normandy University, Rouen, France
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Walther CAP, Pedersen SL, Gnagy E, Pelham WE, Molina BSG. Specificity of expectancies prospectively predicting alcohol and marijuana use in adulthood in the Pittsburgh ADHD longitudinal study. PSYCHOLOGY OF ADDICTIVE BEHAVIORS 2019; 33:117-127. [PMID: 30640503 PMCID: PMC6405311 DOI: 10.1037/adb0000439] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Alcohol and marijuana use expectancies are presumed to be drug-specific, but prospective study of this assumption is lacking. In addition, these associations may operate differently for adults with attention-deficit/hyperactivity disorder (ADHD) histories, as expectancies have been found to be less associated with alcohol and marijuana use among this population. The first aim of the present study was to investigate whether associations between alcohol and marijuana expectancies and substance use were specific to the substances they assess. The second aim was to determine whether these associations differed as a function of ADHD history. Participants (N = 491; 281 ADHD, 210 non-ADHD) were young adults followed longitudinally between ages 21 to 23 and 29 as part of the Pittsburgh ADHD Longitudinal Study (PALS). Autoregressive models were estimated separately for positive and negative expectancies for frequency of alcohol and marijuana use and compared between ADHD groups. Although there were exceptions, results generally support the specificity of associations between outcome expectancies and respective substance use both concurrently and prospectively, but this specificity was primarily present for those without a history of ADHD. These findings suggest that young adults perceive and respond distinctly to the effects of alcohol and marijuana, but a history of ADHD may interfere with this process. These findings also extend our prior cross-sectional findings that expectancies are less associated with alcohol and marijuana use for individuals with ADHD histories. Additional research examining implicit cognitions is needed to further examine risk for substance use among those with ADHD histories. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
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Affiliation(s)
| | | | - Elizabeth Gnagy
- Center for Children and Families, Florida International University
| | - William E Pelham
- Center for Children and Families and Department of Psychology, Florida International University
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Ghiţă A, Teixidor L, Monras M, Ortega L, Mondon S, Gual A, Paredes SM, Villares Urgell L, Porras-García B, Ferrer-García M, Gutiérrez-Maldonado J. Identifying Triggers of Alcohol Craving to Develop Effective Virtual Environments for Cue Exposure Therapy. Front Psychol 2019; 10:74. [PMID: 30761042 PMCID: PMC6361736 DOI: 10.3389/fpsyg.2019.00074] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2018] [Accepted: 01/10/2019] [Indexed: 12/13/2022] Open
Abstract
Background: Many studies have indicated that alcohol craving is a core mechanism in the acquisition, maintenance, and precipitation of relapse in alcohol use disorder (AUD). A common treatment approach in AUD is cue exposure therapy (CET). New technologies like virtual reality (VR) have the potential to enhance the effectiveness of CET by creating realistic scenarios in naturalistic environments. In this study, we aimed to determine relevant triggers of alcohol craving in patients with AUD. Methods: We enrolled 75 outpatients diagnosed with AUD according to the DSM-5 criteria Participants completed the Alcohol Use Disorder Identification Test and a self-administered questionnaire to assess alcohol craving. The variables included in the craving questionnaire were as follows: presence of others, situations, time of the day, day of the week, mood, and type of alcoholic beverage. Results: Greater levels of alcohol craving were seen in many situations, including being at a party, in a restaurant, in a bar or pub, and at home. Drinking alone and drinking with two or more friends were equally associated with higher levels of craving. Drinking at night and drinking at weekends also emerged as triggers for alcohol craving. Emotional states like anxiety or tension, sadness, stress, frustration, or irritability were highly associated with urges to drink alcohol. The alcoholic drinks most highly associated with increased levels of craving were beer, wine, and whisky. Gender and age implications were discussed. Conclusion: This study is part of a larger project aiming to develop and validate CET based on VR technology for patients with AUD who are resistant to classical treatment. The identified triggers have been used to develop relevant VR environments for CET, and further research is ongoing to implement our findings.
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Affiliation(s)
- Alexandra Ghiţă
- Department of Clinical Psychology and Psychobiology, University of Barcelona, Barcelona, Spain
| | - Lidia Teixidor
- Addictive Behaviors Unit, Hospital Clinic of Barcelona, Barcelona, Spain
| | - Miquel Monras
- Addictive Behaviors Unit, Hospital Clinic of Barcelona, Barcelona, Spain
| | - Lluisa Ortega
- Addictive Behaviors Unit, Hospital Clinic of Barcelona, Barcelona, Spain
| | - Silvia Mondon
- Addictive Behaviors Unit, Hospital Clinic of Barcelona, Barcelona, Spain
| | - Antoni Gual
- Addictive Behaviors Unit, Hospital Clinic of Barcelona, Barcelona, Spain
| | - Sofia Miranda Paredes
- Department of Clinical Psychology and Psychobiology, University of Barcelona, Barcelona, Spain
| | - Laura Villares Urgell
- Department of Clinical Psychology and Psychobiology, University of Barcelona, Barcelona, Spain
| | - Bruno Porras-García
- Department of Clinical Psychology and Psychobiology, University of Barcelona, Barcelona, Spain
| | - Marta Ferrer-García
- Department of Clinical Psychology and Psychobiology, University of Barcelona, Barcelona, Spain
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Scully KA, Mohn RS, Madson MB. Psychometric evaluation of the drinking refusal self-efficacy scale - revised with college students in the United States. Addict Behav 2018; 85:100-106. [PMID: 29883855 DOI: 10.1016/j.addbeh.2018.05.032] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2018] [Revised: 05/02/2018] [Accepted: 05/30/2018] [Indexed: 10/14/2022]
Abstract
Drinking refusal self-efficacy has recently emerged as a potential factor related to reduced alcohol consumption and alcohol-related negative consequences in college students. The Drinking Refusal Self-Efficacy Questionnaire-Revised (DRSEQ-R) has been commonly used to assess for drinking refusal self-efficacy. However, psychometric evaluation of the measure with college students from the United States is needed to enhance its research and clinical utility. The goal of the present study was to confirm the factor structure of the DRSEQ-R with a sample of traditional aged college students from the United States as well as assess the measurement invariance of the factor structure across sex and race and the measure's convergent validity with other common alcohol use measures. Traditional age college students (n = 1683, 73% women; 63% White, non-Hispanic) completed measures of drink refusal self-efficacy, protective behavioral strategies, weekly alcohol use, hazardous drinking, and alcohol-related negative consequences. Using exploratory factor analysis and multi-group confirmatory factor analyses, a three-factor structure was identified, but, unlike the DRSEQ-R, one item loaded onto the opportunistic relief factor instead of the social pressure factor. The proposed model registered more reliable internal consistencies across the subscales, was invariant across sex and race, and demonstrated acceptable convergent validity with other commonly used alcohol measures. The proposed model for the DRSE-R may be a more psychometrically sound way to assess for drinking refusal self-efficacy among college students in the United States. Implications, limitations, and future research directions are discussed.
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Smart R, Osilla KC, Jonsson L, Paddock SM. Differences in alcohol cognitions, consumption, and consequences among first-time DUI offenders who co-use alcohol and marijuana. Drug Alcohol Depend 2018; 191:187-194. [PMID: 30130715 PMCID: PMC6309328 DOI: 10.1016/j.drugalcdep.2018.07.005] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/29/2018] [Revised: 06/04/2018] [Accepted: 07/09/2018] [Indexed: 01/22/2023]
Abstract
BACKGROUND A significant portion of alcohol-related DUI offenders engage in co-use of alcohol and marijuana (AM). Given expanding marijuana legalization and the impaired driving risks associated with co-use, it is of increased importance to understand how characteristics of AM co-users compare to those who use alcohol only (AO) in order to inform DUI interventions and prevent recidivism. METHODS Participants were 277 first-time DUI offenders enrolled in a first-time DUI offender program across three locations. Using well-established measures, we evaluated differences in alcohol-related cognitions (positive expectancies and self-efficacy), frequency and quantity of alcohol consumption, and alcohol-related consequences between AO users and AM co-users by running a series of multivariate generalized linear models. RESULTS Compared to AO users, AM co-users reported lower self-efficacy to achieve abstinence and avoid DUI. Differences in abstinence self-efficacy largely explain higher relative rates of average and peak drinking quantity and higher odds of binge drinking among AM co-user. Despite lower self-efficacy and higher drinking quantity, there were no significant differences between AM and AO-users on alcohol-related consequences and past month reports of drinking and driving. CONCLUSIONS Our results provide preliminary evidence that DUI offenders who co-use alcohol and marijuana have higher alcohol use and lower self-efficacy than AO-users, and long-term consequences for this group should be monitored in future research. DUI programs may screen and identify co-users and consider tailoring their interventions to build self-efficacy to address the risks associated with AM co-use uniquely.
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Affiliation(s)
- Rosanna Smart
- RAND Corporation, 1776 Main Street, PO Box 2138, Santa Monica, CA 90407-2138, United States.
| | - Karen Chan Osilla
- RAND Corporation, 1776 Main Street, PO Box 2138, Santa Monica, CA 90407-2138, United States
| | - Lisa Jonsson
- RAND Corporation, 1776 Main Street, PO Box 2138, Santa Monica, CA 90407-2138, United States
| | - Susan M Paddock
- RAND Corporation, 1776 Main Street, PO Box 2138, Santa Monica, CA 90407-2138, United States
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Pompili S, Laghi F. Drunkorexia: Disordered eating behaviors and risky alcohol consumption among adolescents. J Health Psychol 2018; 25:2222-2232. [PMID: 30073869 DOI: 10.1177/1359105318791229] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
The first goal of our study was to examine the differences on disordered eating and alcohol consumption among heavy, occasional restrictors, and non-restrictors in a sample of 823 adolescents. The second goal was to analyze the relation of drunkorexia between unhealthy eating and alcohol use. Our results showed that heavy restrictors reported more eating disorder symptoms and alcohol use than occasional restrictors and non-restrictors. Similarly, occasional restrictors showed more unhealthy eating and drinking behaviors than non-restrictors. Both disordered eating and alcohol use were significant predictors of drunkorexia, supporting the argument of drunkorexia as an overlapping of dysfunctional eating and drinking patterns.
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Caudwell KM, Mullan BA, Hagger MS. Testing an Online, Theory-Based Intervention to Reduce Pre-drinking Alcohol Consumption and Alcohol-Related Harm in Undergraduates: a Randomized Controlled Trial. Int J Behav Med 2018; 25:592-604. [DOI: 10.1007/s12529-018-9736-x] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Wagenaar C, Florence M, Adams S, Savahl S. Factors influencing the relationship between alcohol consumption and risky sexual behaviour among young people: A systematic review. COGENT PSYCHOLOGY 2018. [DOI: 10.1080/23311908.2018.1483049] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022] Open
Affiliation(s)
- Cassandra Wagenaar
- Department of Psychology, University of the Western Cape, Cape Town, South Africa
| | - Maria Florence
- Department of Psychology, University of the Western Cape, Cape Town, South Africa
| | - Sabirah Adams
- Department of Psychology, University of the Western Cape, Cape Town, South Africa
| | - Shazly Savahl
- Department of Psychology, University of the Western Cape, Cape Town, South Africa
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Gonzalez VM, Skewes MC. Association of belief in the "firewater myth" with strategies to avoid alcohol consequences among American Indian and Alaska Native college students who drink. PSYCHOLOGY OF ADDICTIVE BEHAVIORS 2018; 32:401-409. [PMID: 29723011 PMCID: PMC6013377 DOI: 10.1037/adb0000367] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Belief in an American Indian/Alaska Native (AI/AN) specific biological vulnerability (BV) to alcohol problems (aka the "firewater myth") is associated with worse alcohol outcomes among AI/AN college students who drink, despite also being associated with greater attempts to reduce drinking. The current study examined how belief in a BV may have affected how 157 AI/AN college students who drink (a) attempted to moderate their alcohol use and avoid alcohol-related problems using abstinence-based and harm reduction strategies, and (b) attitudes toward these strategies as a means of addressing alcohol problems. Contrary to our hypotheses, belief in a BV was not found to be associated with use of harm reduction strategies or with how effective students believed these strategies to be. However, greater belief in a BV was associated with lower self-efficacy for the use of harm reduction strategies among more frequent heavy episodic drinkers. This is concerning, as the use of harm reduction strategies was associated with less frequent heavy episodic drinking in this sample. In contrast, belief in a BV was positively associated with the use of abstinence-based strategies and with how effective these strategies were perceived to be. However, for individuals with average or greater belief in a BV, abstinence-based strategies were associated with greater alcohol consequences. The results suggest that for AI/AN students who drink, belief in a BV may be influencing the strategies used to moderate alcohol use and avoid alcohol-related harm, as well as attitudes toward these strategies, in ways that do not appear helpful. (PsycINFO Database Record
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Moure-Rodriguez L, Carbia C, Lopez-Caneda E, Corral Varela M, Cadaveira F, Caamaño-Isorna F. Trends in alcohol use among young people according to the pattern of consumption on starting university: A 9-year follow-up study. PLoS One 2018; 13:e0193741. [PMID: 29630657 PMCID: PMC5890966 DOI: 10.1371/journal.pone.0193741] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2017] [Accepted: 02/18/2018] [Indexed: 12/26/2022] Open
Abstract
AIM To identify differences in Risky Consumption (RC) and Binge drinking (BD) trends in students who already followed these patterns of alcohol consumption on starting university and those who did not, and also to try to understand what leads students to engage in these types of behaviour at university. MATERIAL AND METHODS Cohort study among university students in Spain (n = 1382). BD and RC were measured with the Alcohol Use Disorders Identification Test at ages 18, 20, 22, 24 and 27 years. Multilevel logistic regression for repeated measures was used to calculate the adjusted Odds Ratios (ORs). RESULTS The prevalence rates of RC and BD were lower throughout the study in students who did not follow these patterns of consumption at age 18. For RC and BD, the differences at age 27 years, expressed as percentage points (pp), were respectively 24 pp and 15 pp in women and 29 pp and 25 pp in men. Early age of onset of alcohol use increased the risk of engaging in RC and BD patterns at university, for men (OR = 2.91 & 2.80) and women (OR = 8.14 & 5.53). The same was observed in students living away from the parental home for BD (OR = 3.43 for men & 1.77 for women). Only women were influenced by having positive expectancies for engaging in RC (OR = 1.82) and BD (OR = 1.96). CONCLUSIONS The prevalence rates of both RC and BD at age 27 years were much higher among university students who already followed these patterns of consumption at age 18 years, with the differences being proportionally higher among women. Focusing on the age of onset of alcohol consumption and hindering access to alcohol by minors should be priority objectives aimed at preventing students from engaging in these patterns of alcohol consumption at university.
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Affiliation(s)
- Lucía Moure-Rodriguez
- CIBER de Epidemiología y Salud Pública (CIBERESP), Department of Public Health, Universidade de Santiago de Compostela, Santiago de Compostela, Spain
| | - Carina Carbia
- Department of Clinical Psychology and Psychobiology, Universidade de Santiago de Compostela, Santiago de Compostela, Spain
- * E-mail:
| | - Eduardo Lopez-Caneda
- Department of Clinical Psychology and Psychobiology, Universidade de Santiago de Compostela, Santiago de Compostela, Spain
- Neuropsychophysiology Lab, Research Center on Psychology, School of Psychology, University of Minho, Braga, Portugal
| | - Montserrat Corral Varela
- Department of Clinical Psychology and Psychobiology, Universidade de Santiago de Compostela, Santiago de Compostela, Spain
| | - Fernando Cadaveira
- Department of Clinical Psychology and Psychobiology, Universidade de Santiago de Compostela, Santiago de Compostela, Spain
| | - Francisco Caamaño-Isorna
- CIBER de Epidemiología y Salud Pública (CIBERESP), Department of Public Health, Universidade de Santiago de Compostela, Santiago de Compostela, Spain
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Ding L, Newman IM, Buhs ES, Shell DF. Influence of Peer Pressure and Self-Efficacy for Alcohol Self-Regulation on Chinese University Physical Education Students’ Drinking Behaviors. ACTA ACUST UNITED AC 2018. [DOI: 10.4236/ape.2018.81006] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Davies LEM, Kuipers MAG, Junger M, Kunst AE. The role of self-control and cognitive functioning in educational inequalities in adolescent smoking and binge drinking. BMC Public Health 2017; 17:714. [PMID: 28915912 PMCID: PMC5603096 DOI: 10.1186/s12889-017-4753-2] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2016] [Accepted: 09/12/2017] [Indexed: 02/08/2023] Open
Abstract
Background Large differences in substance use between educational levels originate at a young age, but there is limited evidence explaining these inequalities. The aim of this study was to test whether a) smoking and binge drinking are associated with lower levels of self-control and cognitive functioning, and b) associations between educational track and smoking and binge drinking, respectively, are attenuated after controlling for self-control and cognitive functioning. Methods This study used cross-sectional survey data of 15 to 20-year-olds (N = 191) from low, middle, and high educational tracks. We measured regular binge drinking and regular smoking (more than once a month), cognitive functioning (cognitive ability, reaction time and memory span), and self-control. Logistic regression models were used to assess the associations between educational track and smoking and binge drinking controlled for age, gender and social disadvantage, and for self-control and cognitive functioning. Results According to models that controlled for age, gender and social disadvantage only, respondents in the low educational track were more likely to drink heavily (OR = 3.25, 95% CI = 1.48–7.17) and smoke (OR = 5.74, 95% CI = 2.31–14.29) than adolescents in the high educational track. The association between educational track and binge drinking was hardly reduced after adjustment for self-control and cognitive ability (OR = 2.88, 95% CI = 1.09–7.62). Adjustment for self-control and cognitive functioning, especially cognitive ability, weakened the association between education and smoking (OR = 3.40, 95% CI = 1.11–10.37). However, inequalities in smoking remained significant and substantial. Conclusions In this study population, pre-existing variations between adolescents in terms of self-control and cognitive functioning played a minor role in educational inequalities in smoking, but not in binge drinking.
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Affiliation(s)
- Lisa E M Davies
- Department of Public Health, Academic Medical Center - University of Amsterdam, P.O. Box 22660, 1100 DD, Amsterdam, The Netherlands
| | - Mirte A G Kuipers
- Department of Public Health, Academic Medical Center - University of Amsterdam, P.O. Box 22660, 1100 DD, Amsterdam, The Netherlands.
| | - Marianne Junger
- Department Industrial Engineering and Business Information Systems (IEBIS), University of Twente, P.O. Box 217, 7500 AE, Enschede, The Netherlands
| | - Anton E Kunst
- Department of Public Health, Academic Medical Center - University of Amsterdam, P.O. Box 22660, 1100 DD, Amsterdam, The Netherlands
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Rafferty E, Bonner WIA, Code J, McBride K, Andkhoie M, Tikoo R, McClean S, Dell C, Szafron M, Farag M. Factors influencing risky single occasion drinking in Canada and policy implications. Arch Public Health 2017; 75:22. [PMID: 28515907 PMCID: PMC5430596 DOI: 10.1186/s13690-017-0190-z] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2017] [Accepted: 03/26/2017] [Indexed: 11/29/2022] Open
Abstract
BACKGROUND Misuse of alcohol, including single risky occasion drinking (RSOD) is associated with a number of health, social and economic consequences. While research demonstrates that many factors contribute to individuals' drinking practices, little is known about risk factors that contribute to RSOD in the Canadian population. The objectives of this study are to examine the patterns of RSOD in Canada, to identify factors associated with RSOD, and to explore policy implications. METHODS The Canadian Community Health Survey (CCHS) 2009-2010 annual component was used to conduct all the analyses in this paper. We used two models: (1) a binary logistic regression model, and (2) a multinomial logistic regression model, to identify factors that were significantly associated with our dependent variables, RSOD engagement and frequency of RSOD, respectively. RESULTS Daily smokers were 6.20 times more likely to engage in frequent RSOD than those who never smoke. Males were 4.69 times more likely to engage in risky RSOD. We also found significant associations between the frequency of RSOD and Province/Territory of residence, income and education, marital status and perceived health status. Finally, stress was associated with engaging in infrequent RSOD. CONCLUSIONS Our finding associating daily smoking with risk alcohol intake specifically suggests the possibility of combining public health interventions for both. The study findings also indicate that education is a protective factor, further supporting the role of education as a major determinant of health. The significant provincial variation we found also point to the need to study this issue further and understand the links between provincial level policies and RSOD.
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Affiliation(s)
- Ellen Rafferty
- School of Public Health, University of Saskatchewan, 104 Clinic Place, Saskatoon, SK S7N 2Z4 Canada
| | | | - Jillian Code
- School of Public Health, University of Saskatchewan, 104 Clinic Place, Saskatoon, SK S7N 2Z4 Canada
| | - Keely McBride
- School of Public Health, University of Saskatchewan, 104 Clinic Place, Saskatoon, SK S7N 2Z4 Canada
| | - Mustafa Andkhoie
- School of Public Health, University of Saskatchewan, 104 Clinic Place, Saskatoon, SK S7N 2Z4 Canada
| | - Richa Tikoo
- School of Public Health, University of Saskatchewan, 104 Clinic Place, Saskatoon, SK S7N 2Z4 Canada
| | - Stephanie McClean
- School of Public Health, University of Saskatchewan, 104 Clinic Place, Saskatoon, SK S7N 2Z4 Canada
| | - Colleen Dell
- Department of Sociology, University of Saskatchewan, 1019 - 9 Campus Drive, Saskatoon, SK S7N 5A5 Canada
| | - Michael Szafron
- School of Public Health, University of Saskatchewan, 104 Clinic Place, Saskatoon, SK S7N 2Z4 Canada
| | - Marwa Farag
- School of Public Health, University of Saskatchewan, 104 Clinic Place, Saskatoon, SK S7N 2Z4 Canada
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Lannoy S, Billieux J, Poncin M, Maurage P. Binging at the campus: Motivations and impulsivity influence binge drinking profiles in university students. Psychiatry Res 2017; 250:146-154. [PMID: 28161610 DOI: 10.1016/j.psychres.2017.01.068] [Citation(s) in RCA: 39] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/15/2016] [Revised: 12/16/2016] [Accepted: 01/24/2017] [Indexed: 12/14/2022]
Abstract
This study explored the involvement of two key psychological factors, drinking motives and impulsivity traits, in binge drinking. On the basis of a large screening phase (N=4424), 867 binge drinkers were selected and were first compared with 924 non-binge drinkers. Then, a cluster analysis was performed, focusing on the binge drinker sample, to explore the respective involvement of four drinking motives (DMQ-R model) and four impulsivity facets (UPPS model) in this habit. Centrally, the cluster analysis identified three clusters of binge drinkers presenting distinct psychological characteristics and alcohol consumption patterns: emotional, recreational, and hazardous binge drinkers. Hazardous binge drinkers were characterized by strong drinking motives but moderate impulsivity. Binge drinking should thus no more be considered as a unitary drinking pattern but rather as a habit encompassing a variety of psychological profiles. Moreover, risky drinking habits in young people might be mainly related to disproportionate drinking motives. Future studies should thus consider binge drinking heterogeneity, and prevention programs focusing on drinking motivations should be developed.
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Affiliation(s)
- Séverine Lannoy
- Laboratory for Experimental Psychopathology, Psychological Science Research Institute, Université catholique de Louvain, Place C. Mercier, 10, B-1348 Louvain-la-Neuve, Louvain-la-Neuve, Belgium.
| | - Joël Billieux
- Laboratory for Experimental Psychopathology, Psychological Science Research Institute, Université catholique de Louvain, Place C. Mercier, 10, B-1348 Louvain-la-Neuve, Louvain-la-Neuve, Belgium; Institute for Health and Behavior, Integrative Research Unit on Social and Individual Development (INSIDE), University of Luxembourg, Esch-sur-Alzette, Luxembourg.
| | - Marie Poncin
- Laboratory for Experimental Psychopathology, Psychological Science Research Institute, Université catholique de Louvain, Place C. Mercier, 10, B-1348 Louvain-la-Neuve, Louvain-la-Neuve, Belgium.
| | - Pierre Maurage
- Laboratory for Experimental Psychopathology, Psychological Science Research Institute, Université catholique de Louvain, Place C. Mercier, 10, B-1348 Louvain-la-Neuve, Louvain-la-Neuve, Belgium.
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Soo Mi Jang. The Association of Depression, Coping Motives and Drinking Problems among College Students: Testing the Self-Medication Hypothesis. ACTA ACUST UNITED AC 2017. [DOI: 10.15709/hswr.2017.37.1.5] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Otoo FE, Gyebi B, Wireko-Gyebi S. Associated factors of alcohol and alcoholism among tertiary students. JOURNAL OF SUBSTANCE USE 2017. [DOI: 10.3109/14659891.2016.1140236] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Affiliation(s)
- Felix Elvis Otoo
- Department of Hospitality and Tourism Management, Christ Apostolic University College, Kumasi, Ghana
| | - Barbara Gyebi
- Department of Hospitality and Tourism Management, Christ Apostolic University College, Kumasi, Ghana
| | - Sampson Wireko-Gyebi
- Department of Hospitality and Tourism Management, Christ Apostolic University College, Kumasi, Ghana
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Gonzalez VM, Skewes MC. Association of the firewater myth with drinking behavior among American Indian and Alaska Native college students. PSYCHOLOGY OF ADDICTIVE BEHAVIORS 2016; 30:838-849. [PMID: 27736147 PMCID: PMC5222774 DOI: 10.1037/adb0000226] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
The firewater myth (FM) is the notion that American Indians and Alaska Natives (AI/ANs) are more susceptible to the effects of alcohol and vulnerable to alcohol problems due to biological or genetic differences. Believing that one is vulnerable to problems with alcohol may have negative effects on expectancies and drinking behavior among AI/ANs who drink; however, the association of belief in the FM with alcohol outcomes has not previously been examined. In this study we examined the factor structure of a revised version of the Firewater Myth Scale (FMS; LaMarr, 2003) and the association of belief in the FM with alcohol use, consequences, attitudes, and expectancies with 159 AI/AN college students who drink. On average, participants "slightly agreed" with the FM and scores were normally distributed. There were significant small to moderate positive associations between believing that AI/ANs have a biological vulnerability to problems with alcohol (i.e., the FM) and drinks consumed per week, frequency of heavy episodic drinking, and alcohol consequences, as well as belief in a disease model of "alcoholism," attempts to control drinking, guilt over drinking small amounts of alcohol, both positive and negative alcohol expectancies, temptation to drink heavily, and lack of self-efficacy to drink moderately. Although this is only an initial examination of potential consequences of belief in the FM for AI/AN students who drink, the results suggest that this belief may be harmful and have negative effects on attempts to moderate drinking. (PsycINFO Database Record
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Alcohol misuse in emerging adulthood: Association of dopamine and serotonin receptor genes with impulsivity-related cognition. Addict Behav 2016; 63:29-36. [PMID: 27399274 DOI: 10.1016/j.addbeh.2016.05.008] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2016] [Revised: 03/29/2016] [Accepted: 05/05/2016] [Indexed: 12/25/2022]
Abstract
Impulsivity predicts alcohol misuse and risk for alcohol use disorder. Cognition mediates much of this association. Genes also account for a large amount of variance in alcohol misuse, with dopamine and serotonin receptor genes of particular interest, because of their role in motivated behavior. The precise psychological mechanisms through which such genes confer risk is unclear. Trait impulsivity conveys risk for alcohol misuse by influencing two distinct domains of cognition: beliefs about the reinforcing effects of alcohol consumption (positive alcohol expectancy) and the perceived ability to resist it (drinking refusal self-efficacy). This study investigated the effect of the dopamine-related polymorphism in the DRD2/ANKK1 gene (rs1800497) and a serotonin-related polymorphism in the HTR2A gene (rs6313) on associations between impulsivity, cognition, and alcohol misuse in 120 emerging adults (18-21years). HTR2A predicted lower positive alcohol expectancy, higher refusal self-efficacy, and lower alcohol misuse. However, neither polymorphism moderated the linkages between impulsivity, cognition, and alcohol misuse. This is the first report of an association between HTR2A and alcohol-related cognition. Theoretically-driven biopsychosocial models have potential to elucidate the specific cognitive mechanisms through which distal risk factors like genes and temperament affect alcohol misuse in emerging adulthood.
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Romo-Avilés N, Marcos-Marcos J, Tarragona-Camacho A, Gil-García E, Marquina-Márquez A. “I like to be different from how I normally am”: Heavy alcohol consumption among female Spanish adolescents and the unsettling of traditional gender norms. DRUGS: EDUCATION, PREVENTION AND POLICY 2016. [DOI: 10.1080/09687637.2016.1259390] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Nuria Romo-Avilés
- Department of Social Anthropology, University of Granada, Granada, Spain,
| | - Jorge Marcos-Marcos
- Institute for Women’s and Gender Studies, University of Granada, Granada, Spain,
| | - Alicia Tarragona-Camacho
- Department of Nursing, Facultad de Ciencias de la Salud, Parque Tecnológico de la Salud, University of Granada, Granada, Spain,
| | | | - Alfonso Marquina-Márquez
- Applied Sociocultural Studies Research Group, Department of Social Anthropology, University of Granada, Granada, Spain
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Passini S. Getting High as Part of a “Bad” Reputation: Social Reputation and Binge Drinking. JOURNAL OF CHILD & ADOLESCENT SUBSTANCE ABUSE 2016. [DOI: 10.1080/1067828x.2016.1237916] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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White HR, Anderson KG, Ray AE, Mun EY. Do drinking motives distinguish extreme drinking college students from their peers? Addict Behav 2016; 60:213-8. [PMID: 27163187 DOI: 10.1016/j.addbeh.2016.04.011] [Citation(s) in RCA: 56] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2016] [Revised: 04/18/2016] [Accepted: 04/19/2016] [Indexed: 12/14/2022]
Abstract
OBJECTIVE The literature highlights the need to move beyond the traditional heavy episodic ("binge") drinking criteria when trying to identify at-risk college drinkers. Thus, recent attention has focused on more extreme levels of drinking. This study examines whether drinking motives can distinguish college student extreme drinkers from lighter drinkers. METHOD We used data from 3518 college student current drinkers (63.4% women) who participated in eight different studies at five different college campuses across the United States; a subsample of these students was followed up at 6months post-baseline. At baseline and follow-up, drinkers were divided into three groups: nonbinge drinkers (<4 drinks for women and 5 for men on their maximum drinking occasion), binge drinkers (4-7 drinks for women; 5-9 for men), and extreme drinkers (8+ for women and 10+ for men). RESULTS At baseline, extreme drinkers, compared to nonbinge and binge drinkers, reported greater social, enhancement, and coping motives, as well as greater quantity and frequency of drinking per week and more alcohol-related problems. Those who were not extreme drinkers at baseline and later became extreme drinkers at follow-up reported significantly greater increases in social and enhancement motives, compared to those who remained nonextreme drinkers. Those who were extreme drinkers at baseline and reduced their drinking 6months later, compared to those who remained extreme drinkers, reported greater reductions in enhancement and coping motives. CONCLUSIONS Focusing on drinking motives might be an efficacious target for preventive intervention programs to reduce extreme drinking among college students.
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Gatta M, Spoto A, Colombo E, Penzo M, Battistella PA. The Dysfunction of Emotional Expression as a Related Factor for Alcohol Misuse in Young Adolescents. JOURNAL OF CHILD & ADOLESCENT SUBSTANCE ABUSE 2016. [DOI: 10.1080/1067828x.2016.1184599] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
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Biolcati R, Passini S, Mancini G. "I cannot stand the boredom." Binge drinking expectancies in adolescence. Addict Behav Rep 2016; 3:70-76. [PMID: 29532002 PMCID: PMC5845945 DOI: 10.1016/j.abrep.2016.05.001] [Citation(s) in RCA: 48] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2016] [Revised: 04/29/2016] [Accepted: 05/05/2016] [Indexed: 02/03/2023] Open
Abstract
INTRODUCTION The main aim of this study is to improve our knowledge on binge drinking behavior in adolescents. In particular, we tested a model of predictors of binge drinking focusing on boredom proneness; we also examined the predictive and mediating role of drinking expectancies on binge drinking. METHODS A questionnaire designed to assess current drinking behavior, such as binge drinking, drinking expectancies and boredom proneness, was administered to 721 Italian adolescents (61% females) aged between 13 and 19 years (M = 15.98, SD = 1.61). RESULTS Structural equation modeling confirmed the evidence on drinking expectancies as predicted by boredom proneness and as predictive of adolescents' binge drinking. Interestingly, disinhibition and relief from pain seem to play a more important mediating role between boredom and alcohol outcome. Conversely, no mediation was found for interpersonal and social confidence expectancies on binge drinking. CONCLUSIONS In general, the results suggest that preventative interventions on alcohol misuse should focus on personality traits and underlying drinking expectancies.
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Affiliation(s)
- Roberta Biolcati
- Department of Education Sciences, University of Bologna, Via Filippo Re 6, Bologna 40126, Italy
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The road to drink is paved with high intentions: Expectancies, refusal self-efficacy, and intentions among heavy drinking college students. Alcohol 2016; 50:65-71. [PMID: 26810041 DOI: 10.1016/j.alcohol.2015.11.004] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2014] [Revised: 11/16/2015] [Accepted: 11/16/2015] [Indexed: 11/23/2022]
Abstract
The present study examined the effects of drinking intentions (DI) on alcohol expectancies (AE) and drink refusal self-efficacy (DRSE) in regard to alcohol consumption among heavy drinking undergraduates. Research shows that DRSE buffers against drinking (Young, Hasking, Oei, & Loveday, 2007) and interacts with AE to predict alcohol consumption (Oei & Burrow, 2000). Studies further show that DI is predicted by DRSE (Norman, 2011) and AE (Fleming, Thorson, & Atkin, 2004). However, additional research is needed to understand DI's influence on both DRSE and AE among heavy college drinkers. This research included 344 heavy drinking college students (mean age = 23.06 years, SD = 5.61, 74.71% female) from a large southern university who completed study material as part of a larger intervention. Findings showed that DI, DRSE, and AE interacted with respect to heavy drinking such that DRSE was negatively associated with alcohol consumption, particularly among those low in positive AE and high in negative AE. This relationship was stronger among individuals low in DI relative to those high in DI. DI seems to be an important factor influencing heavy drinking among undergraduate students. Present findings further support DI's associations with heavy drinking, regardless of an individual's DRSE or AE. Implications of this research suggest that it may be beneficial for interventions to target specific aspects of AE, including anxious drinking.
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Zinkiewicz L, Smith G, Burn M, Litherland S, Wells S, Graham K, Miller P. Aggression-related alcohol expectancies and barroom aggression among construction tradespeople. Drug Alcohol Rev 2015; 35:549-56. [DOI: 10.1111/dar.12360] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2015] [Revised: 09/30/2015] [Accepted: 10/04/2015] [Indexed: 11/30/2022]
Affiliation(s)
| | - Georgia Smith
- School of Psychology; Deakin University; Geelong Australia
| | - Michele Burn
- School of Psychology; Deakin University; Geelong Australia
| | | | - Samantha Wells
- School of Psychology; Deakin University; Geelong Australia
- Department of Social and Epidemiological Research; Centre for Addiction and Mental Health; Toronto Canada
- Dalla Lana School of Public Health; University of Toronto; Toronto Canada
- Department of Psychology; Western University; London Canada
- Department of Epidemiology and Biostatistics; Western University; London Canada
| | - Kathryn Graham
- School of Psychology; Deakin University; Geelong Australia
- Department of Social and Epidemiological Research; Centre for Addiction and Mental Health; Toronto Canada
- Dalla Lana School of Public Health; University of Toronto; Toronto Canada
- Department of Psychology; Western University; London Canada
- National Drug Research Institute; Curtin University of Technology; Perth Australia
| | - Peter Miller
- School of Psychology; Deakin University; Geelong Australia
- Department of Social and Epidemiological Research; Centre for Addiction and Mental Health; Toronto Canada
- National Drug Research Institute; Curtin University of Technology; Perth Australia
- National Addiction Centre, Maudsley Hospital/Institute of Psychiatry; King's College London; London UK
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Ewing BA, Tucker JS, Miles JN, Shih RA, Kulesza M, Pedersen ER, D’Amico EJ. Early Substance Use and Subsequent DUI in Adolescents. Pediatrics 2015; 136:868-75. [PMID: 26438702 PMCID: PMC4943221 DOI: 10.1542/peds.2015-1143] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 08/04/2015] [Indexed: 11/24/2022] Open
Abstract
OBJECTIVE Little is known about risk factors in early adolescence that lead to driving under the influence (DUI) and riding with a drinking driver (RWDD). In a diverse group of adolescents, we longitudinally explored the influence of alcohol and marijuana (AM) use, AM beliefs, and peer and family factors (including familism) on DUI/RWDD in high school. METHODS We conducted 3 surveys 2 years apart of 1189 students recruited from 16 middle schools in Southern California. We used multivariable models to evaluate the effects of AM use, AM beliefs, and peer and family factors at ages 12 and 14 on DUI/RWDD at age 16. RESULTS At age 12, adolescents with more positive beliefs about marijuana (odds ratio [OR] = 1.63, 95% confidence interval [CI]: 1.20-2.20) and more ability to resist marijuana offers (OR = 1.89, 95% CI: 1.22-2.92) had significantly higher risk of DUI/RWDD 4 years later. At age 14, youth with more past month alcohol use (OR = 2.10, 95% CI: 1.07-4.11), positive beliefs about marijuana (OR = 1.67, 95% CI: 1.31-2.13), exposure to peer AM use (alcohol: OR = 1.01, 95% CI: 1.00-1.02; marijuana: OR = 2.41, 95% CI: 1.28-4.53), and family marijuana use (OR = 1.54, 95% CI: 1.12-2.11) had higher risk of DUI/RWDD at age 16. CONCLUSIONS Findings indicate a need to target adolescents as young as sixth grade at multiple levels to help prevent DUI/RWDD in high school. Given recent changes in legislation in several states, research should begin to focus on the distinction between DUI/RWDD of AM.
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Affiliation(s)
- Brett A. Ewing
- RAND Corporation, Santa Monica, California; and,Address correspondence to Brett A. Ewing, MS, RAND Corporation, 1776 Main St, Santa Monica, CA 90407-2138. E-mail:
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50
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Wahesh E, Lewis TF, Wyrick DL, Ackerman TA. Perceived Norms, Outcome Expectancies, and Collegiate Drinking: Examining the Mediating Role of Drinking Motives. JOURNAL OF ADDICTIONS & OFFENDER COUNSELING 2015. [DOI: 10.1002/jaoc.12005] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Affiliation(s)
- Edward Wahesh
- Department of Education and Counseling; Villanova University
| | - Todd F. Lewis
- Department of Counseling and Educational Development; University of North Carolina at Greensboro
- Now at Counselor Education Department; North Dakota State University
| | - David L. Wyrick
- Department of Public Health Education; University of North Carolina at Greensboro
| | - Terry A. Ackerman
- Department of Educational Research Methodology; University of North Carolina at Greensboro
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