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Keller PS, Rawn KP, Dunsmore JC, Zvolensky M. Motivation to Abstain from Drinking as a Moderator of Associations Between Parent and Offspring Problem Drinking. Subst Use Misuse 2024:1-9. [PMID: 38835143 DOI: 10.1080/10826084.2024.2360107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/06/2024]
Abstract
OBJECTIVE Motivational processes are key factors in the development and maintenance of problem drinking and include motivation to drink as well as motivation to abstain from drinking. Although motivation to drink has been widely studied, little research has considered motivation to abstain from drinking. The current study addresses this gap in research by exploring the role of motivation to abstain from drinking based on dispositional risk, fear of negative consequences, religious and family constraints, and indifference to alcohol in associations between mother and father problem drinking and the problem drinking of college students. METHOD Data were collected from 337 U.S. college students (77.2% female, 86% White) who reported on their exposure to mother and father problem drinking, their own problem drinking, and their motivation to abstain from drinking for several reasons. RESULTS Findings supported the protective role of motivation to abstain from drinking based on fear of negative consequences of drinking. Persons exposed to parental problem drinking who had low motivation to abstain from alcohol based on dispositional risk were vulnerable to the intergenerational transmission of problem drinking. In addition, motivation to abstain from drinking based religious or family constraints was associated with lower problem drinking regardless of exposure to parental problem drinking. CONCLUSIONS Conviction-related motivation may be a powerful motivation to abstain from drinking, including among persons at risk due to parental problem drinking.
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Affiliation(s)
- Peggy S Keller
- Department of Psychology, University of Kentucky, Lexington, Kentucky, USA
| | - Kyle P Rawn
- Department of Psychology, University of Kentucky, Lexington, Kentucky, USA
| | - Julie C Dunsmore
- Department of Psychological, Health and Learning Sciences, University of Houston, Houston, Texas, USA
| | - Michael Zvolensky
- Department of Psychology, University of Houston, Houston, Texas, USA
- Department of Behavioral Science, The University of Texas Maryland Anderson Cancer Center Health institute, University of Houston, Houston, Texas, USA
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Muniz FB, Kalina E, Patock-Peckham JA, Berberian S, Fulop B, Williams J, Leeman RF. A Test of the Self-Medication Hypothesis Using a Latent Measurement Model: Are Stress and Impaired Control over Alcohol Mediating Mechanisms of Parenting Styles on Heavy Episodic Drinking and Alcohol-Related Problems among University Students? Behav Sci (Basel) 2024; 14:384. [PMID: 38785875 PMCID: PMC11117968 DOI: 10.3390/bs14050384] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2024] [Revised: 04/29/2024] [Accepted: 04/30/2024] [Indexed: 05/25/2024] Open
Abstract
INTRODUCTION The self-medication hypothesis (SMH) suggests that individuals consume alcohol to alleviate stressful emotions. Still, the underlying mechanisms between stress and heavy episodic drinking remain to be explored. Impaired control over drinking (IC) reflects a failure of self-regulation specific to the drinking context, with individuals exceeding self-prescribed limits. Parenting styles experienced during childhood have a lasting influence on the stress response, which may contribute to IC. METHOD We examined the indirect influences of parenting styles (e.g., permissive, authoritarian, and authoritative) on heavy episodic drinking and alcohol-related problems through the mediating mechanisms of stress and IC. We fit a latent measurement model with 938 (473 men; 465 women) university students, utilizing bootstrap confidence intervals, in Mplus 8.0. RESULTS Higher levels of authoritative parenting (mother and father) were indirectly linked to fewer alcohol-related problems and less heavy episodic drinking through less stress and IC. Maternal permissiveness was indirectly linked to more alcohol-related problems and heavy episodic drinking through more stress and, in turn, more IC. Impaired control appeared to be a mediator for stress and alcohol-related problems. CONCLUSIONS Maternal permissiveness contributes to the use of alcohol to alleviate stress. Thus, reducing stress may reduce problematic heavy drinking and alcohol problems among emerging adults with high IC who may also have experienced permissive parenting. Stress may exacerbate behavioral dysregulation of drinking within self-prescribed limits.
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Affiliation(s)
- Felix B. Muniz
- Department of Psychology, Arizona State University, Tempe, AZ 85287-1104, USA; (J.A.P.-P.); (S.B.)
| | - Elena Kalina
- Department of Health Education and Behavior, University of Florida, Gainesville, FL 32611, USA;
| | - Julie A. Patock-Peckham
- Department of Psychology, Arizona State University, Tempe, AZ 85287-1104, USA; (J.A.P.-P.); (S.B.)
| | - Sophia Berberian
- Department of Psychology, Arizona State University, Tempe, AZ 85287-1104, USA; (J.A.P.-P.); (S.B.)
| | - Brittney Fulop
- Department of Psychology, Arizona State University, Tempe, AZ 85287-1104, USA; (J.A.P.-P.); (S.B.)
| | - Jason Williams
- RTI International, Research Triangle Park, NC 27709, USA;
| | - Robert F. Leeman
- Bouvé College of Health Sciences, Northeastern University, Boston, MA 02115, USA;
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Li L, Liu Y, Chen Z, Ren S, He R, Liang Y, Tan Y, Shao X, Chen S, Kong X, Tang J, Chen X, Liao Y. Gender differences in alcohol drinking among adolescents: a school-based survey in China. BMJ Open 2024; 14:e080687. [PMID: 38553083 PMCID: PMC10982719 DOI: 10.1136/bmjopen-2023-080687] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/08/2023] [Accepted: 03/21/2024] [Indexed: 04/02/2024] Open
Abstract
BACKGROUND Alcohol drinking among adolescents is associated with their health development. However, the prevalence of alcohol drinking among adolescents in Southwestern China remains largely unexplored. This study aimed to investigate the prevalence of alcohol drinking, with a particular focus on gender differences, among primary and middle school students in Zigong, a city in Southwestern China. Additionally, we examined the association between alcohol consumption and demographic and family factors. METHODS A school-based cross-sectional survey was conducted in a city in Southwestern China, encompassing a total of 89 360 students from 132 different ordinary schools, including both primary and middle schools. Participants were recruited through cluster sampling. The Alcohol Use Disorders Identification Test Consumption was employed to assess alcohol consumption. Gender differences in the prevalence of alcohol drinkers across various schools and grades were analysed. Multivariable logistic regression analysis was used to investigate factors associated with hazardous drinking. RESULTS Out of the 89 360 participants, 19.0% reported alcohol drinking, with 2.1% classified as hazardous drinkers. There was a higher prevalence of alcohol drinking among boys compared with girls, as well as hazardous drinking. There were significant gender disparities in alcohol drinking observed across various schools and grade levels. A notable divergence between boys and girls was observed starting from grade 10, with a rising prevalence of hazardous drinking among boys and a decline among girls. Additionally, older age, male gender and being left-behind children were identified as risk factors for hazardous drinking, while belonging to a nuclear family and having parents who do not drink were protective factors against hazardous drinking. CONCLUSIONS Alcohol consumption is prevalent among Chinese adolescents, with some even classified as hazardous drinkers. These findings may offer valuable insights for policymakers and caregivers, guiding them in formulating appropriate interventions and support strategies.
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Affiliation(s)
- Ling Li
- Department of Psychiatry, Zhejiang University School of Medicine Sir Run Run Shaw Hospital, Hangzhou, Zhejiang, China
| | - Yi Liu
- Department of Psychiatry, Zhejiang University School of Medicine Sir Run Run Shaw Hospital, Hangzhou, Zhejiang, China
| | - Zhangming Chen
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China
| | - Silan Ren
- Department of Nursing, Sichuan Vocational College of Health and Rehabilitation, Zigong, Sichuan, China
| | - Ruini He
- Department of Psychiatry, Zigong Mental Health Center, Zigong, Sichuan, China
| | - Yudiao Liang
- Department of Psychiatry, Zigong Mental Health Center, Zigong, Sichuan, China
| | - Youguo Tan
- Department of Psychiatry, Zigong Mental Health Center, Zigong, Sichuan, China
| | - Xu Shao
- Department of Psychiatry, Zhejiang University School of Medicine Sir Run Run Shaw Hospital, Hangzhou, Zhejiang, China
| | - Shanshan Chen
- Department of Psychiatry, Zhejiang University School of Medicine Sir Run Run Shaw Hospital, Hangzhou, Zhejiang, China
| | - Xiangjuan Kong
- Department of Psychiatry, Daizhuang Hospital, Jining, Shandong, China
| | - Jinsong Tang
- Department of Psychiatry, Zhejiang University School of Medicine Sir Run Run Shaw Hospital, Hangzhou, Zhejiang, China
| | - Xiaogang Chen
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China
| | - Yanhui Liao
- Department of Psychiatry, Zhejiang University School of Medicine Sir Run Run Shaw Hospital, Hangzhou, Zhejiang, China
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Mynttinen MA, Mishina KE, Kangasniemi MK. Adolescents' Perceptions and Experiences of Their Responsibilities for Their Alcohol Use-A Group Interview Study. CHILDREN-BASEL 2021; 8:children8030214. [PMID: 33799621 PMCID: PMC7998918 DOI: 10.3390/children8030214] [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: 01/23/2021] [Revised: 02/15/2021] [Accepted: 03/09/2021] [Indexed: 11/27/2022]
Abstract
Young people often experiment with alcohol during adolescence, which is a period of their life that is characterized by increasing responsibility. Knowing how adolescents perceive responsibilities with regard to their alcohol use could prevent their alcohol consumption and help them to take responsibility for this aspect of their lives. This study describes adolescents’ perceptions and experiences of their responsibilities for alcohol use. We used a qualitative descriptive method that focused on 87 adolescents aged 14–16 years, from two schools. They took part in semi-structured interviews in 19 groups in Finland in 2017. The data were analyzed using inductive content analysis. The adolescents described alcohol as harmful, but tempting, and said that they were developing a sense of responsibility for their alcohol use. They were responsible for their own wellbeing, behaving responsibly if they drank and intervening in peers’ alcohol use. They talked about how their parents had unquestionable responsibilities to care about whether adolescents drank alcohol. Their parents’ responsibilities related to the guidance they gave, how strict they were and how they responded to adolescents using alcohol. Anonymous and intense support from authorities encouraged adolescents to learn to take responsibility. Identifying and focusing on their responsibilities could help adolescents to develop into healthy individuals and increase their awareness of the need to avoid alcohol. Parents may also need support to meet their responsibilities.
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Affiliation(s)
- Mari A. Mynttinen
- Department of Nursing Science, Faculty of Medicine, University of Turku, 20014 Turku, Finland; (M.A.M.); (M.K.K.)
| | - Kaisa E. Mishina
- Department of Nursing Science, Faculty of Medicine, University of Turku, 20014 Turku, Finland; (M.A.M.); (M.K.K.)
- Department of Child Psychiatry, Faculty of Medicine, University of Turku, 20014 Turku, Finland
- INVEST Research Flagship Center, University of Turku, 20014 Turku, Finland
- Correspondence: ; Tel.: +358-40-5338798
| | - Mari K. Kangasniemi
- Department of Nursing Science, Faculty of Medicine, University of Turku, 20014 Turku, Finland; (M.A.M.); (M.K.K.)
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