1
|
Giberson ER, Olthuis JV, Connell EM. Investigating the Relation between Anxiety Sensitivity and Substance Use: What Are the Roles of Social Anxiety and Outcome Expectancies? Subst Use Misuse 2023; 58:1634-1642. [PMID: 37466359 DOI: 10.1080/10826084.2023.2236221] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 07/20/2023]
Abstract
Objective: Research on the association between anxiety sensitivity (AS) and substance use is mixed, with some studies showing a positive association and others showing no association. Other relevant variables, such as social anxiety and outcome expectancies, may help us understand how and for whom AS is linked to substance use. This study tested (a) the associations between AS and alcohol use, cannabis use, and drinking games and pregaming behaviors among young adults, and (b) the mediating role of social anxiety and moderating role of outcome expectancies in these associations. Method: Participants (N = 199, 69% women) were young adults (19 to 25 years) who completed a 30-minute online self-report questionnaire on their substance use. Results: Results revealed significant negative associations between AS and drinking game and pregaming participation. AS was not directly associated with other substance use outcomes. The association between AS and hazardous cannabis use was moderated by relaxation and tension reduction expectancies, but outcome expectancies did not moderate any of the other associations between AS and substance use outcomes. Social anxiety mediated the associations between AS and hazardous cannabis use and both drinking game and pregaming participation. Conclusions: Findings highlight the complex association between AS and different substance use outcomes. Outcome expectancies and social anxiety may help explain how AS is associated with hazardous cannabis use and drinking game/pregaming participation, respectively. More effective interventions can be developed by understanding the relation between AS and substance use.
Collapse
Affiliation(s)
- Emma R Giberson
- Department of Psychology, University of New Brunswick, Fredericton, New Brunswick, USA
| | - Janine V Olthuis
- Department of Psychology, University of New Brunswick, Fredericton, New Brunswick, USA
| | - Emma M Connell
- Department of Psychology, University of New Brunswick, Fredericton, New Brunswick, USA
| |
Collapse
|
2
|
Champion A, Oswald F, Pedersen CL. Forcible, Substance-facilitated, and Incapacitated Sexual Assault Among University Women: A Canadian Sample. JOURNAL OF INTERPERSONAL VIOLENCE 2022; 37:NP11198-NP11222. [PMID: 33541214 PMCID: PMC9251737 DOI: 10.1177/0886260521991297] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
This study examined the frequency of sexual assault experiences in a sample of university women to understand the conditions under which sexual assault occurs, and compare alcohol and drug consumption patterns on the likelihood of experiencing sexual victimization. While patterns of victimization have been examined in American contexts, research on contemporary Canadian contexts is scant at present. We found that roughly 58% of the 377 university women in our sample attending one of three large Western Canadian universities in British Columbia reported having been sexually assaulted. These women reported a total of 528 incidents of sexual assault, with 56% of these involving substance-related nonpenetrative sex acts; 312 incidents were substance-related and 216 involved forcible sexual assault. The likelihood of sexual assault victimization was the highest among participants who identified as a sexual minority, consumed marijuana, and reported greater severity of recent alcohol consumption. The present research aims to inform sexual assault prevention and education efforts to reduce occurrences of victimization.
Collapse
Affiliation(s)
| | - Flora Oswald
- Pennsylvania State University, State College, PA, USA
| | | |
Collapse
|
3
|
Social anxiety and drinking game behaviors among Australian university students. Addict Behav 2019; 88:43-47. [PMID: 30138776 DOI: 10.1016/j.addbeh.2018.08.007] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2017] [Revised: 08/06/2018] [Accepted: 08/07/2018] [Indexed: 11/20/2022]
Abstract
INTRODUCTION The relationship of social anxiety with alcohol use/problems has been examined among college student samples, but the relevance of findings to drinking game (DG) consumption/gaming consequences is not well understood due to a paucity of research. METHODS A cross-sectional sample of 224 Australian university students aged 18-25 years (Mage = 20.7 years; 63% female) was utilized for analysis. Participants completed an online questionnaire which included measures of social anxiety, DG consumption, DG consequences, and motives for playing drinking games. RESULTS Social anxiety was positively associated with DG consequences, but not DG consumption. However, after controlling for DG motives, social anxiety was no longer associated with DG consequences. Rather, an indirect effect of social anxiety on DG consequences via conformity DG motives was identified. CONCLUSIONS Our findings highlight the vulnerability of socially anxious students to experiencing greater drinking game consequences, but the importance of considering motives specific to playing DGs when examining these relationships.
Collapse
|
4
|
Brown R, Murphy S. Alcohol and social connectedness for new residential university students: implications for alcohol harm reduction. JOURNAL OF FURTHER AND HIGHER EDUCATION 2018; 44:216-230. [PMID: 32406392 PMCID: PMC7194235 DOI: 10.1080/0309877x.2018.1527024] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/23/2018] [Accepted: 09/16/2018] [Indexed: 06/02/2023]
Abstract
Starting university is a significant life-event, commonly involving detachment from existing social networks and emotional stresses that increase risk of drop-out. The developmental need to form new peer relationships is prominent during this period and is correlated with successful adaptation. This study investigated the role of alcohol in the process of transition and peer group development for new students. Thematic analysis of semi-structured interviews is presented, conducted within a broader instrumental case study of campus approaches to alcohol policy and management. Twenty-three first-year students participated in interviews lasting between 45-60 minutes. Verbatim transcription was followed by within- and cross-case analysis. Drawing on social connectedness theory, we illustrate how pre-arrival concern over new peer relationships was subsequently reduced by drinking together. This reinforced participant perceptions of alcohol as beneficial for hastening development of social connections, in turn reducing anxiety and supporting successful transition. For non-/low-drinkers in the study, social connectedness without alcohol use was reported as more challenging. Alcohol was perceived as a readily-available, effective tool for hastening social connectedness, increasing student resistance to alcohol education messages provided at the start of term. Implications for addressing alcohol-related harms in students are discussed.
Collapse
Affiliation(s)
- Rachel Brown
- DECIPHer, Cardiff University, Cardiff, United Kingdom
| | - Simon Murphy
- DECIPHer, Cardiff University, Cardiff, United Kingdom
| |
Collapse
|
5
|
Loose T, Acier D. Drinking motives and alcohol consumption behaviors among young French people. Addict Behav 2017; 72:120-125. [PMID: 28395247 DOI: 10.1016/j.addbeh.2017.04.009] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2016] [Revised: 03/30/2017] [Accepted: 04/03/2017] [Indexed: 10/19/2022]
Abstract
INTRODUCTION Numerous studies suggest that social, enhancement, conformity and coping drinking motives each lead to unique behavioral patterns related to alcohol consumption. Recently it has been suggested to study specific coping motives that distinguish feelings of anxiety and depression. This study aims primarily to 1) psychometrically validate the recent five factor questionnaire of drinking motives among young French people, 2) explore differences in mean endorsements of motives across age and sex and 3) explore the concurrent validity of drinking motives by studying their associations with alcohol consumption behaviors. METHODS The French Modified Drinking Motives Questionnaire Revised and the Alcohol Use Disorders Identification Test were administered to 314 university students and 193 high school students. RESULTS The 5-factor model of drinking motives provided a good fit to the data and a better fit than the 4-factor model. Conformity motives were more strongly endorsed among high school students than among university students (d=0.26). Social motives were more endorsed by men than by women (d=0.47), as were enhancement motives (d=0.48). Our study suggests that each of the studied motives transcribes a specific set of drinking behaviors. CONCLUSIONS Researchers and practitioners could effectively use this conception of drinking motives in order to better understand and prevent problematic alcohol use among young people.
Collapse
|
6
|
Read JP. What's in a game? Future directions for the assessment and treatment of drinking games. THE AMERICAN JOURNAL OF DRUG AND ALCOHOL ABUSE 2015; 40:415-8. [PMID: 25192211 DOI: 10.3109/00952990.2014.957555] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
This conclusion reviews the critical issues raised by the papers in this Special Issue on Drinking Games, with an eye toward directions for future research and the development of palliative interventions. In particular, this conclusion highlights the significance of individual-level characteristics that are associated with drinking game risk, the social context in which these games take place, and methodological considerations for studying both the individual and the context as they unfold as part of drinking game practices. Given both the ubiquity of these games in North American college drinking life, and the substantial hazards with which these games are associated, interventions that may reduce harmful outcomes are needed but have not yet been developed. Issues relevant to the development of such interventions are considered.
Collapse
Affiliation(s)
- Jennifer P Read
- Department of Psychology, University at Buffalo, The State University of New York , Buffalo , New York, USA
| |
Collapse
|
7
|
Ray AE, Stapleton JL, Turrisi R, Mun EY. Drinking game play among first-year college student drinkers: an event-specific analysis of the risk for alcohol use and problems. THE AMERICAN JOURNAL OF DRUG AND ALCOHOL ABUSE 2015; 40:353-8. [PMID: 25192202 DOI: 10.3109/00952990.2014.930151] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
BACKGROUND College students who play drinking games (DGs) more frequently report higher levels of alcohol use and experience more alcohol-related harm. However, the extent to which they are at risk for increased consumption and harm as a result of DG play on a given event after accounting for their typical DG participation, and typical and event drinking, is unclear. OBJECTIVES We examined whether first-year students consumed more alcohol and were more likely to experience consequences on drinking occasions when they played DGs. METHODS Participants (n = 336) completed up to six web-based surveys following weekend drinking events in their first semester. Alcohol use, DG play, and consequences were reported for the Friday and Saturday prior to each survey. Typical DG tendencies were controlled in all models. Typical and event alcohol use were controlled in models predicting risk for consequences. RESULTS Participants consumed more alcohol on DG versus non-DG events. All students were more likely to experience blackout drinking consequences when they played DGs. Women were more likely to experience social-interpersonal consequences when they played DGs. CONCLUSION DG play is an event-specific risk factor for increased alcohol use among first-year students, regardless of individual DG play tendencies. Further, event DG play signals increased risk for blackout drinking consequences for all students, and social-interpersonal consequences for women, aside from the amount of alcohol consumed on those occasions as well as typical drinking behaviors. Prevention efforts to reduce high-risk drinking may be strengthened by highlighting both event- and person-specific risks of DG play.
Collapse
|
8
|
Kenney SR, Napper LE, LaBrie JW. Social anxiety and drinking refusal self-efficacy moderate the relationship between drinking game participation and alcohol-related consequences. THE AMERICAN JOURNAL OF DRUG AND ALCOHOL ABUSE 2015; 40:388-94. [PMID: 25192207 DOI: 10.3109/00952990.2014.920849] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
BACKGROUND Participation in drinking games is associated with excessive drinking and alcohol risks. Despite the growing literature documenting the ubiquity and consequences of drinking games, limited research has examined the influence of psychosocial factors on the experience of negative consequences as the result of drinking game participation. OBJECTIVES The current event-level study examined the relationships among drinking game participation, social anxiety, drinking refusal self-efficacy (DRSE) and alcohol-related consequences in a sample of college students. METHODS Participants (n = 976) reported on their most recent drinking occasion in the past month in which they did not preparty. RESULTS After controlling for sex, age, and typical drinking, higher levels of social anxiety, lower levels of DRSE, and playing drinking games predicted greater alcohol-related consequences. Moreover, two-way interactions (Social Anxiety × Drinking Games, DRSE × Drinking Games) demonstrated that social anxiety and DRSE each moderated the relationship between drinking game participation and alcohol-related consequences. Participation in drinking games resulted in more alcohol problems for students with high social anxiety, but not low social anxiety. Students with low DRSE experienced high levels of consequences regardless of whether they participated in drinking games; however, drinking game participation was associated with more consequences for students confident in their ability to resist drinking. CONCLUSION Findings highlight the important role that social anxiety and DRSE play in drinking game-related risk, and hence provide valuable implications for screening at-risk students and designing targeted harm reduction interventions that address social anxiety and drink refusal in the context of drinking games.
Collapse
Affiliation(s)
- Shannon R Kenney
- Department of Psychology, Loyola Marymount University , Los Angeles, CA , USA
| | | | | |
Collapse
|
9
|
Neighbors C, Rodriguez LM, Rinker DV, DiBello AM, Young CM, Chen CH. Drinking games and contextual factors of 21st birthday drinking. THE AMERICAN JOURNAL OF DRUG AND ALCOHOL ABUSE 2014; 40:380-7. [DOI: 10.3109/00952990.2014.918623] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
|
10
|
Murugiah S, Scott J. Drinking games participation among female students at a regional Australian university. J Ethn Subst Abuse 2014; 13:139-57. [PMID: 24853363 DOI: 10.1080/15332640.2014.892462] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Participation in drinking games (DGs) by university students is often associated with heavy drinking and negative social and health impacts. Although research in Australia indicates that university students tend to drink at risky levels, there is paucity of literature on DGs among students, especially those residing at regional universities. This research examined drinking among female college students of white background. Eighteen female students participated in face-to-face in-depth interviews to describe their DG experiences. Most women played DGs for social and monetary reasons, with many drinking high volumes of alcohol during the game. Excessive drinking was linked with the type of beverage consumed. Despite knowing the health risks associated with DGs, there was a strong social imperative for these young women to play these games. Research and public health initiatives to better understand and address problematic drinking activities in rural and regional Australia have tended to ignore women and the dominant white populations whose heavy drinking has been largely restricted to private spheres.
Collapse
Affiliation(s)
- Sera Murugiah
- a Department of Preventive and Social Medicine , University of Otago , Dunedin , New Zealand
| | | |
Collapse
|
11
|
Hone LSE, Carter EC, McCullough ME. Drinking games as a venue for sexual competition. EVOLUTIONARY PSYCHOLOGY 2013; 11:889-906. [PMID: 24044902 PMCID: PMC10480808 DOI: 10.1177/147470491301100413] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2012] [Accepted: 06/14/2013] [Indexed: 10/12/2024] Open
Abstract
Based on sexual selection theory, we hypothesized that sex differences in mating effort and social competitiveness-and subsequent sex differences in sexual and competitive motivations for participating in drinking games-are responsible for the well-documented sex differences in college students' drinking game behaviors. Participants in a cross-sectional study were 351 women and 336 men aged 17 to 26. In a mediation model, we tested sex differences in mating effort, social competitiveness, sexual and competitive motivations for participating in drinking games, drinking game behaviors, and alcohol-related problems. Men participated in drinking games more frequently, consumed more alcohol while participating in drinking games, and experienced more problems associated with drinking. These sex differences appeared to be partially mediated by mating effort, social competitiveness, and sexual and competitive motivations for participating in drinking games. Drinking games are a major venue in which college students engage in heavy episodic drinking, which is a risk factor for college students' behavioral and health problems. Thus, the functional perspective we used to analyze them here may help to inform public health and university interventions and enable better identification of at-risk students.
Collapse
Affiliation(s)
- Liana S. E. Hone
- Department of Psychology, University of Miami, Coral Gables, FL, USA
| | - Evan C. Carter
- Department of Psychology, University of Miami, Coral Gables, FL, USA
| | | |
Collapse
|
12
|
LaBrie JW, Ehret PJ, Hummer JF. Are they all the same? An exploratory, categorical analysis of drinking game types. Addict Behav 2013; 38:2133-9. [PMID: 23435275 DOI: 10.1016/j.addbeh.2012.12.002] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2012] [Revised: 10/18/2012] [Accepted: 12/02/2012] [Indexed: 10/27/2022]
Abstract
Drinking games have become a ubiquitous part of the college student drinking culture and are associated with drinking to intoxication and increased alcohol consequences. Contemporary research commonly considers drinking games holistically, with little to no consideration to the different drinking game types. The current study describes the creation of a novel DG categorization scheme and reports differences between DG categories. Participants were 3421 college students (58% female) who completed online surveys. Based on participant responses, 100 distinct drinking games were identified and defined. Two student focus groups were conducted in which drinking game definitions and rules were verified by students. Drinking games were then categorized into five mutually exclusive categories: Targeted and Skill games, Communal games, Chance games, Extreme Consumption games, and Even Competition games. Finally, the frequency of games played in each category and typical player profiles were reported. Differences in peak drinks and frequency of specific alcohol consequences were documented according to game categories. The findings provide a novel drinking game categorization scheme and an exploratory analysis of basic differences between game categories.
Collapse
|
13
|
Zullig KJ, Young M, Hussain M. Distinguishing Between Positive and Negative Social Bonding in Problem Drinking among College Students. AMERICAN JOURNAL OF HEALTH EDUCATION 2010. [DOI: 10.1080/19325037.2010.10599132] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Keith J. Zullig
- a Department of Community Medicine , West Virginia University, School of Medicine , Morgantown , WV , 26506
| | - Michael Young
- b Research and Faculty Affairs , New Mexico State University, College of Health & Social Services , Las Cruces , NM , 88003
| | - Mohammad Hussain
- c Department of Health Science , New Mexico State University , Las Cruces , NM , 88003
| |
Collapse
|
14
|
Ham LS, Zamboanga BL, Olthuis JV, Casner HG, Bui N. No fear, just relax and play: social anxiety, alcohol expectancies, and drinking games among college students. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2010; 58:473-479. [PMID: 20304759 DOI: 10.1080/07448480903540531] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
OBJECTIVE The authors examined the association between social anxiety and drinking game (DG) involvement as well as the moderating role of social anxiety-relevant alcohol outcome expectancies (AOE) in social anxiety and DG involvement among college students. PARTICIPANTS Participants were 715 students (74.8% women, Mage = 19.46, SD = 1.22) from 8 US colleges. METHODS Data were collected via self-report survey from Fall 2005 to Spring 2007. RESULTS Tension Reduction and Liquid Courage AOE moderated the association between social anxiety and DG participation. Tension Reduction AOE and DG participation were positively related among those with high social anxiety, but were associated negatively for those with low social anxiety. Liquid Courage AOE were associated with increased DG participation for those with low social anxiety, but not for those with high social anxiety. CONCLUSIONS Findings suggest that social anxiety acts as a protective or a risk factor for DG participation among college students, depending upon AOE.
Collapse
Affiliation(s)
- Lindsay S Ham
- Department of Psychology, University of Arkansas, Fayetteville, Arkansas 72701, USA.
| | | | | | | | | |
Collapse
|
15
|
|
16
|
An examination of prepartying and drinking game playing during high school and their impact on alcohol-related risk upon entrance into college. J Youth Adolesc 2009; 39:999-1011. [PMID: 19904593 DOI: 10.1007/s10964-009-9473-1] [Citation(s) in RCA: 65] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2009] [Accepted: 10/26/2009] [Indexed: 10/20/2022]
Abstract
Prepartying and drinking game playing are associated with excessive alcohol consumption and alcohol-related negative consequences in college populations; however, research exploring the prevalence of these high risk drinking contexts among high school students, and how such engagement may impact both high school and subsequent college drinking risk, is lacking. The current study, which is the first study to assess prepartying during high school, examined how engaging in either prepartying or drinking game playing during high school was associated with risky high school drinking as well as alcohol use and consequences during the transitional first month of college. The study involved 477 first-year college students, the majority of whom were 18 years old (94%), female (66%), and Caucasian (59%). Prepartying was found to be highly prevalent in high school (45%). Further, students who prepartied or played drinking games during high school drank significantly more in high school than students who did not engage in these high risk activities. Finally, prepartying and game playing during high school were associated with greater collegiate alcohol consumption (controlling for high school drinking) and consequences (controlling for both high school and college drinking). This study establishes prepartying and drinking games as common high risk activities among both high school and incoming first-year college students, and addresses implications for prevention and targeted interventions.
Collapse
|
17
|
Polizzotto MN, Saw MM, Tjhung I, Chua EH, Stockwell TR. Fluid skills: drinking games and alcohol consumption among Australian university students. Drug Alcohol Rev 2009; 26:469-75. [PMID: 17701509 DOI: 10.1080/09595230701494374] [Citation(s) in RCA: 47] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
The objective of this study was to assess participation in drinking games among Australian university students; to determine the range of games played, their context and participant motivations; and to analyse the impact of games on alcohol consumption and its adverse consequences. We used a cross-sectional survey incorporating structured interviews and a self-administered questionnaire with students between 18 and 25 years of age at the University of Western Australia. This was a qualitative assessment of drinking game typology and contexts and participant motivation. Quantitative outcomes were rate and frequency of participation in drinking games; amount and rate of alcohol consumption during games; incidence of adverse outcomes following participation. Twenty-seven interview responses and 256 questionnaire responses were analysed for qualitative and quantitative outcomes, respectively. The qualitative analysis enabled categorisation of drinking games by skill and competitive nature, with varying influence on hazardous drinking. Common reported motivations for play included boredom, social pressure and social unease. The associated heavy drinking and possible hazards were well recognised but did not affect the decision to play. In the quantitative arm, most drinkers (74%) reported having participated in a drinking game. Game players reported playing an average of four drinking games in the previous 6 months. An average of six standard drinks was consumed during the most recent game. Pressure to participate from others was reported by 60% of game participants, while 50% reported that they had placed pressure on others to participate. Half (51%) reported an adverse outcome following participation. Loss of consciousness due to drinking was experienced or witnessed by 89% of game players, of whom 63% reported that the person was put to bed, while 54% reported that the person was watched. Participation in drinking games was common, and plays an important social role in this group. Drinking games were associated commonly with binge drinking and adverse outcomes. Future harm minimisation strategies targeting this group should address the particular risks of these games.
Collapse
Affiliation(s)
- Mark N Polizzotto
- Department of Medicine, St Vincent's Hospital, Melbourne, Australia.
| | | | | | | | | |
Collapse
|
18
|
Alcohol Expectancies, Pregaming, Drinking Games, and Hazardous Alcohol Use in a Multiethnic Sample of College Students. COGNITIVE THERAPY AND RESEARCH 2009. [DOI: 10.1007/s10608-009-9234-1] [Citation(s) in RCA: 64] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
19
|
Testa M, Livingston JA. Alcohol consumption and women's vulnerability to sexual victimization: can reducing women's drinking prevent rape? Subst Use Misuse 2009; 44:1349-76. [PMID: 19938922 PMCID: PMC2784921 DOI: 10.1080/10826080902961468] [Citation(s) in RCA: 152] [Impact Index Per Article: 10.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
Before effective prevention interventions can be developed, it is necessary to identify the mechanisms that contribute to the targeted negative outcomes. A review of the literature on women's substance use and sexual victimization points to women's heavy episodic drinking as a proximal risk factor, particularly among college samples. At least half of sexual victimization incidents involve alcohol use and the majority of rapes of college women occur when the victim is too intoxicated to resist ("incapacitated rape"). Despite the importance of women's heavy episodic drinking as being a risk factor, existing rape prevention programs have rarely addressed women's alcohol use and have shown little success in reducing rates of sexual victimization. We argue that given the strength of the association between heavy episodic drinking and sexual victimization among young women, prevention programs targeting drinking may prove more efficacious than programs targeting sexual vulnerability. Applications of existing drinking prevention strategies to reducing women's sexual victimization are discussed.
Collapse
Affiliation(s)
- Maria Testa
- Research Institute on Addictions, University at Buffalo, Buffalo, New York 14203, USA.
| | | |
Collapse
|
20
|
Pedersen ER, LaBrie JW. Normative misperceptions of drinking among college students: a look at the specific contexts of prepartying and drinking games. J Stud Alcohol Drugs 2008; 69:406-11. [PMID: 18432383 DOI: 10.15288/jsad.2008.69.406] [Citation(s) in RCA: 50] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
OBJECTIVE In the collegiate context, misperceptions of student drinking norms are among the most salient predictors of heavy drinking. Despite overall overestimations of peer alcohol use, misperceptions of context-specific behaviors have been infrequently studied. The present study examines students' perceptions of the high-risk behaviors of prepartying and drinking games and investigates the relationship between perceived and actual behaviors. METHOD A sample of 524 college students completed an online assessment of actual and perceived alcohol use related to prepartying and drinking games. Quantity and frequency of overall drinking, prepartying, and drinking games were assessed for perceptions of all students at the university, as well as for male and female students separately. Questions also assessed participants' overall drinking, prepartying, and drinking game behaviors. RESULTS Participants significantly overestimated the prepartying and drinking game behaviors of all students, male students, and female students at their university. For men, perceptions of same-sex prepartying quantity and drinking game frequency and quantity were associated with actual behavior. For women, perceptions of both same-sex and other-sex prepartying quantity were associated with actual behavior. CONCLUSIONS These findings provide preliminary support for the association between context-specific perceived norms and actual prepartying and drinking game behaviors. Addressing these same-sex and opposite-sex norms during interventions may help students reduce their own engagement in these risky behaviors.
Collapse
Affiliation(s)
- Eric R Pedersen
- Department of Psychology, Loyola Marymount University, 1 LMU Drive, Suite 4700, Los Angeles, California 90045, USA
| | | |
Collapse
|
21
|
Borsari B, Murphy JG, Barnett NP. Predictors of alcohol use during the first year of college: implications for prevention. Addict Behav 2007; 32:2062-86. [PMID: 17321059 PMCID: PMC2614076 DOI: 10.1016/j.addbeh.2007.01.017] [Citation(s) in RCA: 278] [Impact Index Per Article: 16.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2006] [Revised: 12/28/2006] [Accepted: 01/15/2007] [Indexed: 11/20/2022]
Abstract
The first year of college is a unique transition period, in which the student establishes a college identity and social network. Alcohol use is often part of this process, and many first-year college students develop a pattern of heavy drinking that puts them at risk for adverse consequences during their college years and into young adulthood. To better understand the development of risky alcohol use during this transition, we reviewed the literature on influences on college drinking and identified moderators and mediators that were particularly relevant for first-year alcohol use. As the transition from high school to college presents a unique opportunity for intervention, we discuss how these moderators and mediators can inform alcohol abuse prevention programs. We also identify approaches aimed at changing the culture of alcohol use on campus. Limitations of the reviewed research are highlighted in the context of promising directions for future research.
Collapse
Affiliation(s)
- Brian Borsari
- Brown University, Center for Alcohol and Addiction Studies, Box G-BH, Providence, RI 02912, United States.
| | | | | |
Collapse
|
22
|
Pedersen ER, LaBrie J. Drinking game participation among college students: gender and ethnic implications. Addict Behav 2006; 31:2105-15. [PMID: 16600523 PMCID: PMC4254752 DOI: 10.1016/j.addbeh.2006.02.003] [Citation(s) in RCA: 53] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2005] [Revised: 01/18/2006] [Accepted: 02/17/2006] [Indexed: 11/23/2022]
Abstract
Participation in drinking games by college students has recently sparked research attention. While previous research indicates that women play drinking games at lower frequencies than men, the current study reveals that college women may be playing games at rates similar to college men. In a sample of 105 coed college students, participants completed a 3-month Timeline Followback recording every drinking event and quantity consumed. They then were prompted to identify which drinking events involved drinking games and how much alcohol was consumed during game playing. Both men and women engaged in drinking games at similar rates and consumed more drinks on game playing days than on non-game drinking days. However, drinking game participation was related to alcohol-related consequences in women only. Further, while Caucasian participants played drinking games more often than non-Caucasian participants, an association between game participation and alcohol-related consequences emerged in non-Caucasian participants.
Collapse
Affiliation(s)
| | - Joseph LaBrie
- Corresponding author: Tel.: +1 310 338 5238; fax: +1 801 469 3189
| |
Collapse
|
23
|
Abstract
Few studies have examined college students' reasons for not drinking, and no studies have addressed their reasons for not playing drinking games. This study developed measures of both constructs using a sample of 147 college students. Principal components analysis identified six Reasons for Not Drinking factors and five Reasons for Not Playing Drinking Games factors. Internal consistency and intercorrelations of the factors were examined. The factors correlated in theoretically meaningful directions with measures of alcohol consumption, alcohol outcome expectancies, reasons for drinking, self-esteem, and personality. Research findings are discussed in regards to their relevance to prevention and treatment strategies among the college population.
Collapse
Affiliation(s)
- Thomas J Johnson
- Department of Psychology, Center for the Study of Health, Religion, and Spirituality, Indiana State University, Terre Haute, Indiana 47809, USA.
| | | |
Collapse
|
24
|
Abbey A, Zawacki T, Buck PO, Clinton AM, McAuslan P. Sexual assault and alcohol consumption: what do we know about their relationship and what types of research are still needed? AGGRESSION AND VIOLENT BEHAVIOR 2004; 9:271-303. [PMID: 26500424 PMCID: PMC4616254 DOI: 10.1016/s1359-1789(03)00011-9] [Citation(s) in RCA: 242] [Impact Index Per Article: 12.1] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/18/2023]
Abstract
Approximately half of all sexual assaults are associated with either the perpetrator's alcohol consumption, the victim's alcohol consumption, or both. Although the emphasis of this review is on alcohol-involved sexual assaults, their unique aspects can only be evaluated by comparing them to other types of sexual assault. Theoretical perspectives on sexual assault that focus on characteristics of the perpetrator, the victim, and the situation are described. A number of personality traits, attitudes, and past experiences have been systematically linked to sexual assault perpetration, including beliefs about alcohol and heavy drinking. In contrast, only a few experiences have been significantly related to sexual assault victimization, including childhood sexual abuse and heavy drinking. There is support for both psychological and pharmacological mechanisms linking alcohol and sexual assault. Beliefs about alcohol's effects reinforce stereotypes about gender roles and can exacerbate their influence on perpetrators' actions. Alcohol's effects on cognitive and motor skills also contribute to sexual assault through their effects on perpetrators' and victims' ability to process and react to each other's verbal and nonverbal behavior. Limitations with existing research and methodological challenges associated with conducting research on this topic are described. Suggestions are made for future research which can inform prevention and treatment programs.
Collapse
Affiliation(s)
- Antonia Abbey
- Department of Community Medicine, Wayne State University, 4201 St. Antoine, Detroit, MI 48201, USA
| | - Tina Zawacki
- Department of Community Medicine, Wayne State University, 4201 St. Antoine, Detroit, MI 48201, USA
- Department of Psychology, Wayne State University, Detroit, MI, USA
| | - Philip O. Buck
- Department of Community Medicine, Wayne State University, 4201 St. Antoine, Detroit, MI 48201, USA
- Department of Psychology, Wayne State University, Detroit, MI, USA
| | - A. Monique Clinton
- Department of Community Medicine, Wayne State University, 4201 St. Antoine, Detroit, MI 48201, USA
- Department of Psychology, Wayne State University, Detroit, MI, USA
| | - Pam McAuslan
- Department of Behavioral Sciences, University of Michigan-Dearborn, Dearborn, MI, USA
| |
Collapse
|
25
|
Johnson TJ, Sheets VL. Measuring College Students' Motives for Playing Drinking Games. PSYCHOLOGY OF ADDICTIVE BEHAVIORS 2004; 18:91-9. [PMID: 15238050 DOI: 10.1037/0893-164x.18.2.91] [Citation(s) in RCA: 53] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Students may choose to play drinking games not only for reasons related to alcohol consumption but also because of incentives related to other aspects of play (competition, fun, interpersonal dominance, etc.). College students (120 men and 167 women) completed measures of motives for playing (based on T. J. Johnson, S. Hamilton, & V. L. Sheets, 1999) and consequences of playing drinking games. Exploratory principal-components analysis identified 8 reasons for playing. Men and women differed in their endorsement of the factors. Motives for play directly predicted consequences of play independently of alcohol consumption. Specific motives predicted specific types of consequences. In multiple regression analyses, Conformity motives were negatively related to consequences and may represent a form of protective motive.
Collapse
Affiliation(s)
- Thomas J Johnson
- Department of Psychology and Center for the Study of Health, Religion, & Spirituality, Indiana State University, Terre Haute 47809, USA.
| | | |
Collapse
|
26
|
Abstract
Problem drinking during the college years is a significant public health concern. The goal of the current review was to examine the primary psychosocial factors that predict problem drinking in college students. Variables examined included demographic variables, personality, drinking history, alcohol expectancies, drinking motives, stress and coping, activity involvement, and peer and family influence. Evidence from studies of college drinking indicated that the variables associated with college drinking seem to vary at levels dealing with one's personality and coping mechanisms, one's thought processes about drinking, and the environment. It seems that expectancies and drinking motives may serve as explanations for the pathways from certain personality types (i.e., sensation seeking and neurotic) to problem drinking in the college setting. Factors that predicted future drinking problems after college were also examined. Overall, it seems that interventions and prevention programs would need to reach college students at all three levels--the environment, individual personality traits, and cognitive processes. Future research should address the limitations in the previous research as well as test comprehensive models of college drinking.
Collapse
Affiliation(s)
- Lindsay S Ham
- Department of Psychology, University of Nebraska-Lincoln, Lincoln, NE 68588-0308, USA
| | | |
Collapse
|
27
|
Borsari B, Bergen-Cico D, Carey KB. Self-reported drinking-game participation of incoming college students. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2003; 51:149-54. [PMID: 12735390 PMCID: PMC2726648 DOI: 10.1080/07448480309596343] [Citation(s) in RCA: 81] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
Abstract
Drinking games are associated with excess alcohol use and alcohol-related problems, yet it is unclear whether they are unique to the college environment or whether students come to college familiar with such games. The authors queried 1,252 students attending voluntary summer orientation programs about their experiences with drinking games. A majority (63%) indicated they had played drinking games and viewed them as a means to get drunk quickly and to socialize, control others, or get someone else drunk. Logistic regression analyses revealed that familiarity with drinking situations was associated with a greater likelihood of playing drinking games. Students who reported drinking more frequently and consuming greater quantities of alcohol than others, having lifetime marijuana use, and initiating alcohol consumption between the ages of 14 and 16 years were significantly more likely to have participated in drinking games. These findings demonstrate the importance of considering students' participation in drinking games when campus officials address alcohol use.
Collapse
Affiliation(s)
- Brian Borsari
- Department of Psychology, Syracuse University, Syracuse, New York 13244-2340, USA.
| | | | | |
Collapse
|
28
|
Abbey A. Alcohol-related sexual assault: a common problem among college students. JOURNAL OF STUDIES ON ALCOHOL. SUPPLEMENT 2002:118-28. [PMID: 12022717 PMCID: PMC4484270 DOI: 10.15288/jsas.2002.s14.118] [Citation(s) in RCA: 431] [Impact Index Per Article: 19.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
OBJECTIVE This article summarizes research on the role of alcohol in college students' sexual assault experiences. Sexual assault is extremely common among college students. At least half of these sexual assaults involve alcohol consumption by the perpetrator, the victim or both. METHOD Two research literatures were reviewed: the sexual assault literature and the literature that examines alcohol's effects on aggressive and sexual behavior. RESULTS Research suggests that alcohol consumption by the perpetrator and/or the victim increases the likelihood of acquaintance sexual assault occurring through multiple pathways. Alcohol's psychological, cognitive and motor effects contribute to sexual assault. CONCLUSIONS Although existing research addresses some important questions, there are many gaps. Methodological limitations of past research are noted, and suggestions are made for future research. In addition, recommendations are made for college prevention programs and policy initiatives.
Collapse
Affiliation(s)
- Antonia Abbey
- Department of Community Medicine, Wayne State University, Detroit, Michigan 48201, USA
| |
Collapse
|
29
|
Abstract
Previous research has noted that drinking game participation is associated with increased risk of negative alcohol-related consequences. The current study examined the reasons that students give for how drinking games end and/or why students elect to quit playing. Both men and women identified other people quitting and deciding that they have had enough to drink as the most important single item reasons for quitting play. Principal components analysis using a list of 20 reasons identified six factors, four of which contained overlapping items: Conformity/Boredom; Interpersonal Competition; Sexual Contact; Excessive Consumption; Interpersonal Conflict; and External Circumstances. The factors correlated in a theoretically meaningful fashion with measures of alcohol consumption and consequences and personality. Conformity/Boredom reasons and External Circumstances reasons were least associated with negative alcohol-related consequences. Many students apparently play until they get too drunk or too sick to continue. Understanding how games end may offer clues to designing skills training or other prevention interventions to reduce harm associated with drinking games.
Collapse
Affiliation(s)
- Thomas J Johnson
- Psychology Department, Indiana State University, Terre Haute 47809, USA.
| |
Collapse
|
30
|
Johnson TJ, Cropsey KL. Sensation seeking and drinking game participation in heavy-drinking college students. Addict Behav 2000; 25:109-16. [PMID: 10708325 DOI: 10.1016/s0306-4603(98)00118-x] [Citation(s) in RCA: 41] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Previous research has identified differences between heavy-drinking students who play drinking games and those who do not. Johnson, Wendel, and Hamilton (1998) suggested that heavy-drinking players may correspond to Cloninger's (1987) Type II alcoholic and that heavy-drinking nonplayers resemble Type I. The current study predicted that (a) sensation seeking would be associated with greater frequency of play and greater frequency of negative consequences from play and that (b) heavy-drinking students who play drinking games would be higher in sensation seeking than heavy-drinking students who do not play. A sample of 172 female and 84 male college students completed the Sensation Seeking Scale Form V, questions about quantity and frequency of alcohol consumption, and questions regarding drinking game participation. Higher levels of sensation seeking predicted greater frequency of play even after controlling for overall quantity and frequency of consumption. Sensation seeking was also related to specific motives for play. Men who were higher in sensation seeking experienced more negative alcohol-related consequences as a result of play. In women, but not in men. heavy-drinking players were higher in sensation seeking than heavy-nondrinking nonplayers. The results of the current study do not clearly support Cloninger's model, but they are consistent with other research concerning the role of sensation seeking and risk taking in contributing to negative alcohol-related consequences. Personality style likely interacts with social norms and contextual factors in influencing drinking game participation and consequences of play.
Collapse
Affiliation(s)
- T J Johnson
- Department of Psychology, Indiana State University, Terre Haute 47809, USA.
| | | |
Collapse
|
31
|
Adams CE, Nagoshi CT. Changes Over One Semester in Drinking Game Playing and Alcohol Use and Problems in a College Student Sample. Subst Abus 1999; 20:97-106. [PMID: 12511824 DOI: 10.1080/08897079909511398] [Citation(s) in RCA: 36] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
One-hundred ninety-five alcohol-using college students completed a questionnaire in early September, at the beginning of the fall semester, then completed a follow-up questionnaire in mid-November, near the end of the semester. The questionnaires included items on levels of alcohol use, the Eysenck I.7 measure of impulsiveness and venturesomeness, alcohol expectancies, perceived norms for alcohol use, reasons for drinking, and aspects of drinking game playing. As predicted, those students who were 18 years of age and younger, nearly all of them 1st-year students, significantly increased their levels of alcohol use during their first semester in college. While increases in reasons for drinking were significantly predictive of increased alcohol use and problems in first-year and older students, increases in expectancies of alcohol effects and in frequencies of drinking game playing were significantly predictive of increases in alcohol use and problems only for first-year students. The present results provide further evidence of the importance of drinking games in the socialization of college students into problematic alcohol use.
Collapse
Affiliation(s)
- Celeste E. Adams
- Department of Psychology, Arizona State University, Tempe, Arizona 85287-1104. Present address: Department of Counseling Psychology, University of Kentucky
| | | |
Collapse
|
32
|
Johnson TJ, Hamilton S, Sheets VL. College students' self-reported reasons for playing drinking games. Addict Behav 1999; 24:279-86. [PMID: 10336109 DOI: 10.1016/s0306-4603(98)00047-1] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Two samples of college students who engage in drinking games completed questions about their drinking behavior, a set of items concerning their reasons for playing drinking games, and various self-report measures of personality. Principal components analysis using the first sample yielded four factors: Relaxation & Disinhibition, Fun & Celebration, Conformity, and Sexual Manipulation. A similar factor structure was also obtained in the second sample. In both samples, Fun & Celebration and Sexual Manipulation reasons were most strongly predictive of frequency of play and quantity of alcohol consumed while playing. In men, Sexual Manipulation reasons for play predicted frequency of taking sexual advantage of others during play. Endorsement of Conformity and Relaxation & Disinhibition reasons were associated with high social anxiety and low assertiveness. Reasons for play predicted consumption, both in drinking-game situations and overall, even after removing variance due to general reasons for drinking. Psychometric properties of the current measure are less than ideal, but the constructs identified appear to have important implications for prevention. Assessment of self-reported reasons for drinking in specific situations may be a generally useful strategy.
Collapse
Affiliation(s)
- T J Johnson
- Department of Psychology, Indiana State University, Terre Haute 47809, USA.
| | | | | |
Collapse
|