Learning from drinking experiences in college: A test of reciprocal determinism with drinking refusal self-efficacy

Examining the daily reciprocal relations between alcohol abstinence self-efficacy and drinking among non-treatment seeking individuals with alcohol use disorder (AUD)

Theoretical and empirical models of alcohol use and misuse indicate that abstinence self-efficacy (ASE) predicts improvements in treatment outcomes among individuals with alcohol use disorder (AUD). More recently, studies have begun examining daily fluctuations in ASE to better understand in-the-moment determinants of drinking behaviors. With the goal of assessing how ASE is implicated in maintenance (rather than changing) of hazardous drinking patterns, the current study examined daily reciprocal relations between ASE and drinking among individuals with AUD. Non-treatment seeking adults (n = 63) with AUD were recruited and completed daily surveys assessing ASE and drinking behaviors for 14 days. Data were analyzed using time-lagged multilevel modeling. Results indicated that both within- and between-person elevations in ASE predicted decreased likelihood of drinking, but only within-person ASE predicted fewer drinks consumed on drinking days. Previous-day drinking behavior was unrelated to next-day ASE; however, higher percentage of drinking days during the monitoring period (between-person) was associated with lower daily ASE. These results demonstrate that confidence in one's ability to abstain from drinking varies considerably across days, and that fluctuations may be implicated in daily drinking decisions. The lack of effect of previous-day drinking on ASE (combined with the significant effect of average drinking frequency) may suggest that sustained periods of reduced drinking or abstinence are necessary to impact ASE. This study points to ASE's role in the maintenance of daily drinking behavior among non-treatment-seeking individuals with AUD and reiterates the importance of self-efficacy in behavioral control and decision-making at the daily level.

Effectiveness of a self-help guide during a temporary alcohol abstinence challenge: a randomized controlled trial

BACKGROUND

The popularity of temporary abstinence challenges (TACs) concerning alcohol consumption is increasing. Support is found to be essential for participants to help them get through a challenge. This study aimed to evaluate the additional effect of a self-help guide, based on health behaviour theories and behaviour change techniques, on (i) successful completion of a TAC and (ii) changes in drinking refusal self-efficacy (DRSE), behavioural automaticity, craving, and alcohol consumption.

METHODS

A randomized controlled trial was performed (OSF registries: OSF.IO/B95VU). NoThanks participants received a questionnaire before the TAC (T0) and 8 months after the TAC (T1). Out of a subgroup of 1308 respondents who were interested in additional support, 652 were randomly assigned to receive the guide (experimental group), and 656 did not receive any additional support (control group). Logistic regressions and (generalized) linear mixed model analyses were used.

RESULTS

After 8 months, all participants showed a significant decrease in behavioural automaticity, craving, and alcohol consumption, irrespective of group assignment. No significant changes were observed in the DRSE. This degree of change over time in behavioural automaticity, craving, and alcohol consumption did not differ between the experimental and control group. Sensitivity analyses with participants in the experimental group, who differed in exposure to the guide, did not show differences either.

CONCLUSION

The self-help guide, and how it was designed, added no value to the TAC. Future research should focus on more bottom-up, customized support and explore what (different subgroups of) participants think they need as extra support during a TAC.

Modeling state- and trait-level associations between aggression, somatic symptoms, substance use, and distress tolerance

The current study examined the state- and trait-level associations of psychological and physical aggression to somatic symptoms, and alcohol and drug use and tested the influence of distress tolerance on these associations, while controlling for stress, sex, and minority status. A naturalistic observation was used to collect data with a sample of 245 college students at three time points with 2 weeks apart. Random-intercept cross-lagged panel models were used to disaggregate within-person effects (autoregressive and cross-lagged effects) from the between-person (latent trait-level) associations. The findings revealed that there were autoregressive effects of psychological aggression between Time 1 (T1) and Time 2 (T2) and of physical aggression between T1 and T2. There was a bidirectional association between psychological aggression and somatic symptoms at T2 and Time 3 (T3), in which T2 psychological aggression predicted T3 somatic symptoms and verse vera. T1 drug use predicted T2 physical aggression, which in turn predicted T3 somatic symptoms, indicating physical aggression being a mediator between earlier drug use and later somatic symptoms. Distress tolerance was negatively associated with psychological aggression and somatic symptoms, respectively, and such an influence did not differ across time occasions. The findings indicated the importance of incorporating physical health in the prevention and intervention of psychological aggression. Clinicians may also consider including psychological aggression in the screening of somatic symptoms or physical health. Empirical-supported therapy components for enhancing distress tolerance may help mitigate psychological aggression and somatic symptoms.

Reduced alcohol use increases drink-refusal self-efficacy: Evidence from a contingency management study for DWI arrestees

BACKGROUND

Several therapies and interventions to reduce drinking first target drink-refusal self-efficacy (DRSE) to influence drinking behavior. While higher self-efficacy scores are correlated with better outcomes, it is unclear that increased self-efficacy is the causative step leading to improved outcomes. Instead, this correlation may result from reduced drinking that increased self-efficacy. The current study sought to understand how changes in drinking behavior can influence DRSE.

METHODS

Data were from 211 driving while intoxicated (DWI) arrestees participating in an 8-week contingency management (CM) study to reduce drinking. Some of participants were mandated by the courts to wear transdermal alcohol monitoring devices (Mandated group) and some were not mandated (Non Mandated group). All wore a transdermal alcohol monitor during the 8-week study and were randomized to CM or a Control condition stratified by the mandate group. Participants completed weekly assessments of DRSE. Group-based trajectory-modeling identified three drinking behavior trajectory groups.

RESULTS

While there were no differences in baseline DRSE between the three trajectory groups, participants in the low- and moderate-frequency drinking behavior groups significantly increased DRSE across the study.

CONCLUSION

The present study indicates that being able to maintain abstinence or reduce heavy drinking may increase DRSE.

The Effect of Parent Phubbing on Chinese Adolescents’ Smartphone Addiction During COVID-19 Pandemic: Testing a Moderated Mediation Model

Purpose

COVID-19 has affected the health and well-being of tens of millions of people and contributed to smartphone addiction. The prior studies found several characteristics that influenced smartphone addiction, but little research was undertaken on the epidemic. This study aims to test a moderated mediation model of smartphone addiction.

Methods

Three classes in each grade from grade 7 through grade 9 at random were recruited in the target junior high schools. A total of 931 Chinese adolescents (M_age=13.54 years, SD_age =1.08) completed valid questionnaires via online surveys from February 5–19, 2021.

Results

Parent phubbing had a positive effect on smartphone addiction. Boredom proneness played a mediating role in this relationship. Additionally, refusal self-efficacy moderated the effect of parent phubbing on smartphone addiction. Refusal self-efficacy moderated the effect of boredom proneness on smartphone addiction.

Conclusion

Findings of this study shed light on a correlation between parent phubbing and smartphone addiction. Moreover, this study emphasizes the value of intervening in adolescents’ boredom proneness and increasing the ability of refusal self-efficacy to prevent and intervene in the context of COVID-19.

Peer Phubbing and Chinese College Students' Smartphone Addiction During COVID-19 Pandemic: The Mediating Role of Boredom Proneness and the Moderating Role of Refusal Self-Efficacy

PURPOSE

COVID-19 has had a huge impact on the physical behavior and mental health of people. Long-term and strict isolation policies are widely used to ensure social distancing, which may cause excessive smartphone use and increase the risk of smartphone addiction. Previous researchers have identified that some factors that affect smartphone addiction, but there was little research conducted during COVID-19 pandemic. The present study aims to examine the effect of peer phubbing on smartphone addiction, how boredom proneness may mediate this effect, and lastly how refusal self-efficacy may moderate the indirect and direct pathways during COVID-19 pandemic.

METHODS

A total of 1396 college students (mean age=20.48, SD=1.08) were surveyed and completed four scales (Peer Phubbing Scale, Refusal Self-efficacy Scale, Smartphone Addiction Index Scale, Boredom Proneness Scale). The statistical analyses were conducted by SPSS 22.0 and SPSS PROCESS macro.

RESULTS

This study found that peer phubbing was positively associated with smartphone addiction. Boredom proneness mediated the effect of peer phubbing and smartphone addiction. Furthermore, refusal self-efficacy moderated the relationship between peer phubbing and smartphone addiction as well as boredom proneness and smartphone addiction. Specifically, peer phubbing had a greater impact on smartphone addiction for college students with higher levels of refusal self-efficacy, and the boredom proneness on smartphone addiction was stronger for college students with low levels of refusal self-efficacy.

CONCLUSION

This study is important in investigating how peer phubbing is related to the smartphone addiction of Chinese college students during COVID-19 pandemic. The results suggest that college students' boredom proneness and refusal self-efficacy may be prime targets for prevention and intervention programs. Thus, this study explored "how" and "when" peer phubbing may enhance college students' smartphone addiction during COVID-19 pandemic.