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Klein AV, Roediger L, Bendau A, Viohl L, Ernst F, Helbig J, Kühne F, Petzold MB, Betzler F. Problem drinking among university students in Berlin. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2024; 72:1438-1449. [PMID: 35816733 DOI: 10.1080/07448481.2022.2080503] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/27/2021] [Revised: 05/02/2022] [Accepted: 05/16/2022] [Indexed: 06/15/2023]
Abstract
OBJECTIVE Problem-drinking among university students is common and poses serious health-related risks. Therefore, identifying and addressing associated factors is important. PARTICIPANTS AND METHODS A large cross-sectional online-survey with 12,914 university students from Berlin was conducted from November 2016 to August 2017. Relative-risk- and correlation-analysis was used to identify factors associated with problem-drinking and regular heavy-drinking. Independent t-tests compared impulsivity and personality traits, chi-square-tests compared drinking motives between risk- and non-risk-drinkers. RESULTS Male gender, tobacco-smoking, illegal substance use, impulsivity and various sociodemographic and psychosocial variables were significantly related to problem/heavy-drinking. Extraversion was a risk, conscientiousness and agreeableness were protective factors. Drinking-motives did not differ significantly between risk- and non-risk-drinkers. Generally, the main drinking-motives were to feel elated, relax and social purposes. CONCLUSION The identified markers and related problem behaviors may serve as a tool to enhance the identification of student subgroups at risk for problem/heavy-drinking, and hence improve targeted health-intervention-programs.
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Affiliation(s)
- Andreas V Klein
- Department of Psychiatry and Psychotherapy, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, Germany
- Department of Psychology, Clinical Psychology and Psychotherapy, University of Potsdam, Potsdam, Germany
| | - Lukas Roediger
- Department of Psychiatry and Psychotherapy, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, Germany
| | - Antonia Bendau
- Department of Psychiatry and Psychotherapy, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, Germany
- Department of Psychology, HMU Health and Medical University Potsdam, Potsdam, Germany
| | - Leonard Viohl
- Department of Psychiatry and Psychotherapy, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, Germany
| | - Felicitas Ernst
- Department of Psychiatry and Psychotherapy, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, Germany
| | - Jonas Helbig
- Department of Psychiatry and Psychotherapy, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, Germany
| | - Franziska Kühne
- Department of Psychology, Clinical Psychology and Psychotherapy, University of Potsdam, Potsdam, Germany
| | - Moritz Bruno Petzold
- Department of Psychiatry and Psychotherapy, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, Germany
| | - Felix Betzler
- Department of Psychiatry and Psychotherapy, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, Germany
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Gent EM, Bryan JW, Cleary MA, Clarke TI, Holmwood HD, Nassereddine RO, Salway C, Depla S, Statton S, Krecké J, Morgan CJ. Esketamine combined with a mindfulness-based intervention for individuals with alcohol problems. J Psychopharmacol 2024; 38:541-550. [PMID: 38863284 PMCID: PMC11179319 DOI: 10.1177/02698811241254834] [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: 06/13/2024]
Abstract
BACKGROUND Alcohol use disorder (AUD) is a major public health issue, posing harmful consequences for individuals and society. Recent advances in addiction research have highlighted the therapeutic potential of ketamine-assisted therapy for AUD. However, the exact mechanisms underlying its effectiveness remain unknown. AIMS This double-blind, pilot study aimed to investigate esketamine combined with mindfulness-based intervention (MBI) to examine whether esketamine enhances engagement in MBI for individuals with alcohol misuse problems and whether enhanced engagement has any impact on alcohol-related outcomes. METHODS In all, 28 individuals with alcohol problems were randomly assigned to receive sublingual esketamine hydrochloride (AWKN002: 115.1 mg) or vitamin C (placebo) in an oral thin film and took part in 2 weeks of daily MBI. Participants were assessed on various self-report measures, including mindfulness, engagement in MBI (physical and psychological), alcohol cravings and consumption. RESULTS Esketamine enhanced psychological engagement with a daily MBI, compared to placebo, and led to transient decreases in alcohol cravings. Esketamine also resulted in significantly greater mystical experiences and dissociative states compared to placebo. CONCLUSIONS The findings suggest that esketamine may improve treatment outcomes when combined with mindfulness-based therapies through its ability to increase engagement with meditative practice.
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Affiliation(s)
- Emily M Gent
- Psychopharmacology and Addiction Research Centre, Haighton Research Centre, University of Exeter St Luke's Campus, Exeter, UK
| | - Joshua W Bryan
- Psychopharmacology and Addiction Research Centre, Haighton Research Centre, University of Exeter St Luke's Campus, Exeter, UK
| | - Maisy A Cleary
- Psychopharmacology and Addiction Research Centre, Haighton Research Centre, University of Exeter St Luke's Campus, Exeter, UK
| | - Tegan I Clarke
- Psychopharmacology and Addiction Research Centre, Haighton Research Centre, University of Exeter St Luke's Campus, Exeter, UK
| | - Harry D Holmwood
- Psychopharmacology and Addiction Research Centre, Haighton Research Centre, University of Exeter St Luke's Campus, Exeter, UK
| | - Rania O Nassereddine
- Psychopharmacology and Addiction Research Centre, Haighton Research Centre, University of Exeter St Luke's Campus, Exeter, UK
| | - Chris Salway
- Psychopharmacology and Addiction Research Centre, Haighton Research Centre, University of Exeter St Luke's Campus, Exeter, UK
| | - Simon Depla
- Psychopharmacology and Addiction Research Centre, Haighton Research Centre, University of Exeter St Luke's Campus, Exeter, UK
| | - Sarah Statton
- Psychopharmacology and Addiction Research Centre, Haighton Research Centre, University of Exeter St Luke's Campus, Exeter, UK
| | - Joy Krecké
- Psychopharmacology and Addiction Research Centre, Haighton Research Centre, University of Exeter St Luke's Campus, Exeter, UK
| | - Celia Ja Morgan
- Psychopharmacology and Addiction Research Centre, Haighton Research Centre, University of Exeter St Luke's Campus, Exeter, UK
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Van Dessel P, Cummins J, Wiers RW. ABC-training as a new intervention for hazardous alcohol drinking: Two proof-of-principle randomized pilot studies. Addiction 2023; 118:2141-2155. [PMID: 37349262 DOI: 10.1111/add.16271] [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] [Received: 06/28/2022] [Accepted: 05/18/2023] [Indexed: 06/24/2023]
Abstract
BACKGROUND AND AIMS ABC-training is a new intervention to encourage health behavior change that targets the automatic activation of adaptive beliefs (i.e. automatic inferences). The aim of this proof-of-principle study was to test the effectiveness of web-based ABC-training to change outcome expectancies of alcohol drinking in a sample of hazardous drinkers. DESIGN One exploratory and one confirmatory experiment with two between-subject conditions (online ABC- and control-training) and assessments at baseline and 1 week later (after three sessions of training). SETTING Participants recruited on Prolific Academic completed the web-based study. PARTICIPANTS Adults with self-reported hazardous alcohol drinking (Experiment 1: 193 adults, United Kingdom, age mean = 46.7 years; Experiment 2: 282 adults, different nationalities, age mean = 38.3 years). INTERVENTION AND COMPARATOR ABC-training involved completing an online task that required choosing personally relevant alternative behaviors to drinking alcohol in personally relevant antecedent contexts to attain personally important outcomes. Comparator was control-training, in which participants selected both the alternative behaviors and alcohol drinking an equal number of times. Training was completed at baseline, after 3 days and after 1 week. MEASUREMENTS Primary outcome was change in automatic and self-reported (negative/positive) outcome expectancies of alcohol drinking from baseline to after 1 week. Secondary outcomes were change in weekly alcohol consumption, self-efficacy, craving and motivation (and approach-alcohol associations in Experiment 1). Moderators were baseline outcome scores, motivation, age and alcohol dependency. FINDINGS Findings of this study are as follows: stronger increase in negative outcome expectancies after ABC- than control-training (Experiment 1: self-report, 95% confidence interval of difference scores (CIdiff ) = [0.04, Inf]; automatic, CIdiff = [0.01, Inf]; Experiment 2: self-report, CIdiff = [0.16, Inf]; automatic, CIdiff = [0.002, Inf]). Stronger reduction in self-reported positive outcome expectancies after ABC- than control-training (Experiment 1: CIdiff = [-Inf, -0.01]; Experiment 2: CIdiff = [-Inf, -0.21]) but mixed findings on automatic positive outcome expectancies (Experiment 1: CIdiff = [-Inf, 0.02]; Experiment 2: CIdiff = [-Inf, -0.001]). CONCLUSIONS ABC-training may change outcome expectancies of alcohol consumption, but testing of clinically relevant effects in other samples is warranted.
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Affiliation(s)
- Pieter Van Dessel
- Learning and Implicit Processes (LIP) Lab, Department of Experimental-Clinical and Health Psychology, Ghent University, Ghent, Belgium
| | - Jamie Cummins
- Learning and Implicit Processes (LIP) Lab, Department of Experimental-Clinical and Health Psychology, Ghent University, Ghent, Belgium
| | - Reinout W Wiers
- Addiction Development and Psychopathology (ADAPT) Laboratory, Department of Psychology and Center for Urban Mental Health, University of Amsterdam, Amsterdam, The Netherlands
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Butters A, Kersbergen I, Holmes J, Field M. Temporary abstinence challenges: What do we need to know? Drug Alcohol Rev 2023; 42:1087-1091. [PMID: 36808783 PMCID: PMC10947026 DOI: 10.1111/dar.13625] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2022] [Revised: 01/30/2023] [Accepted: 01/30/2023] [Indexed: 02/22/2023]
Abstract
Participation in temporary abstinence challenges (TAC) continues to increase with campaigns established in several countries. Temporarily abstaining from alcohol as part of such challenges is associated with ongoing benefits including reductions to alcohol consumption after the TAC. We identified three research priorities regarding TACs which are outlined in this paper. First, the role of temporary abstinence itself is unclear with post-TAC reductions in alcohol consumption still apparent among participants who do not remain fully abstinent throughout the challenge. It is necessary to establish to what degree temporary abstinence itself, rather than the combination of abstinence and the additional supports provided by TAC organisers (e.g., mobile applications, online support groups), contributes to changes in consumption after the TAC. Second, little is known about the psychological changes underlying these changes in alcohol consumption, with conflicting evidence as to whether increases in someone's belief in their ability to avoid drinking mediates the association between participation in a TAC and reductions in consumption afterwards. Other potential psychological and social mechanisms of change have been subjected to little, if any, scrutiny. Third, evidence of increased consumption post-TAC among a minority of participants indicates a need to establish for whom or in what circumstances participation in a TAC may result in unintended negative consequences. Focussing research in these areas would increase the confidence with which participation could be encouraged. It would also enable campaign messaging and additional supports to be prioritised and tailored to be as effective as possible in facilitating long-term change.
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Affiliation(s)
- Anna Butters
- Department of PsychologyUniversity of SheffieldSheffieldUK
| | - Inge Kersbergen
- School of Health and Related ResearchUniversity of SheffieldSheffieldUK
| | - John Holmes
- School of Health and Related ResearchUniversity of SheffieldSheffieldUK
| | - Matt Field
- Department of PsychologyUniversity of SheffieldSheffieldUK
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5
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Todd J, Downey J, Grafton B, MacLeod C. Attentional Bias to Alcohol Information: a Novel Dual-Probe Task. Int J Behav Med 2022; 29:820-826. [PMID: 35174454 DOI: 10.1007/s12529-022-10065-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/03/2022] [Indexed: 11/05/2022]
Abstract
BACKGROUND Even when motivated to consume less alcohol, attempts to do so are not always successful. Attentional bias to positive and negative alcohol-related information may play a role in shaping unintended drinking behaviour. The present exploratory study adapted a novel attentional bias task, to test whether selective attention to positive relative to negative information about alcohol consumption predicts mismatch between alcohol consumption intention and alcohol consumption behaviour. METHOD Thirty-five university students attempting to reduce their alcohol consumption participated in the study. Participants completed a novel attentional bias assessment task where two positive and negative audio-visual messages about alcohol consumption were simultaneously presented. At random intervals during these messages, two different probes were briefly and simultaneously presented, so that only one could be detected. Attention to positive vs. negative messages was inferred from the location of the probe recorded by the participant. Alcohol consumption in relation to participants' goals was measured using a real-time diary over the subsequent 7 days. RESULTS An attentional bias towards positive (relative to negative) messages about alcohol consumption predicted the degree to which participants consumed more alcohol than planned, but did not predict alcohol consumption itself. CONCLUSION This is the first study to our knowledge that has investigated the relationship between biased attention to alcohol-related information and variation in the success of intended reduction in alcohol consumption, and we suggest that it paves the way for further research into the role of attentional biases in health risk behaviours.
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Affiliation(s)
- Jemma Todd
- Clinical Psychology Unit, School of Psychology, University of Sydney, Sydney, NSW, Australia. .,School of Psychological Science, University of Western Australia, Perth, WA, Australia.
| | - Jasmine Downey
- School of Psychological Science, University of Western Australia, Perth, WA, Australia
| | - Ben Grafton
- School of Psychological Science, University of Western Australia, Perth, WA, Australia
| | - Colin MacLeod
- School of Psychological Science, University of Western Australia, Perth, WA, Australia
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6
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Watakakosol R, Suttiwan P, Ngamake ST, Raveepatarakul J, Wiwattanapantuwong J, Iamsupasit S, Tuicomepee A. Integration of the Theory of Planned Behavior and Transtheoretical Model of Change for Prediction of Intentions to Reduce or Stop Alcohol Use among Thai Adolescents. Subst Use Misuse 2021; 56:72-80. [PMID: 33106107 DOI: 10.1080/10826084.2020.1837168] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Alcohol use among Thai adolescents has been increasing over the past few decades, and efforts to control consumption by underaged youth have proven largely ineffective. Objectives: This study tested components of the Theory of Planned Behavior (TPB) and Readiness to Change, based on the Transtheoretical Model (TTM), to identify useful constructs for developing alcohol use interventions for youth. Methods: A sample of 825 Thai student drinkers (65% female), between the ages of 14 and 19, were recruited in Bangkok, Thailand. Hierarchical regression analyses were used to test components of the TPB and Readiness to Change as predictors of intention to reduce/stop alcohol use while controlling for age, gender and alcohol use. Results: The model accounted for 58% of the variance of intentions. The TPB components accounted for a significant increase in variance beyond that explained by age, gender and alcohol use, ΔR2 = .23, p < .001; Perceived Behavioral Control (PBC) was the strongest predictor (β =.41, p < .001), followed by Attitudes (β=.13, p < .001), and Subjective Norms (β =.09, p = .002). Readiness to Change composite scores (β=.54, p < .001) were added last and accounted for a further significant increase, ΔR2 = .24, p < .001. Conclusions: The findings suggest that interventions should assess Readiness to Change and utilize effective processes in facilitating change at each stage. Other suggestions are to improve participants' PBC and to further examine the role of specific social norms and attitudes regarding perceived benefits and disadvantages of alcohol use.
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Affiliation(s)
| | - Panrapee Suttiwan
- Faculty of Psychology, Chulalongkorn University, Bangkok, Thailand.,LIFE Di Center, Chulalongkorn University, Bangkok, Thailand
| | - Sakkaphat T Ngamake
- Faculty of Psychology, Chulalongkorn University, Bangkok, Thailand.,LIFE Di Center, Chulalongkorn University, Bangkok, Thailand
| | - Jirapattara Raveepatarakul
- Faculty of Psychology, Chulalongkorn University, Bangkok, Thailand.,LIFE Di Center, Chulalongkorn University, Bangkok, Thailand
| | | | - Sompoch Iamsupasit
- Faculty of Psychology, Chulalongkorn University, Bangkok, Thailand.,Department of Buddhist Psychology, Mahachulalongkornrajavidyalaya University, Bangkok, Thailand
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Hayaki J, Anderson BJ, Herman DS, Moitra E, Pinkston MM, Kim HN, Stein MD. Motivation to Quit Drinking in Individuals Coinfected with HIV and Hepatitis C. AIDS Behav 2020; 24:1709-1716. [PMID: 31642998 DOI: 10.1007/s10461-019-02709-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Alcohol consumption is common among individuals coinfected with HIV and hepatitis C (HCV) despite the uniquely harmful effects in this population. Limited research has examined factors that could influence drinking reduction or cessation among HIV/HCV coinfected persons; this study investigates motivation to quit. Participants were 110 alcohol-consuming HIV/HCV coinfected patients recruited from medical clinics. Participants self-reported 90-day drinking frequency and intensity; alcohol-related problems; reasons to quit drinking; reasons to drink; and motivation to quit drinking. Participants consumed alcohol on 54.1 (± 26.9) of the past 90 days. In a multivariate model that controlled for demographic variables, motivation to quit drinking was directly associated with alcohol-related problems (βy·x = 0.35, p = .007) and reasons to quit drinking (βy·x = 0.23, p = .021), and inversely associated with drinking for enhancement (βy·x = - 0.36, p = .004). This study identified several factors associated with motivation to quit drinking in a sample of alcohol-consuming HIV/HCV patients.
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8
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Ward J, Elison-Davies S, Davies G, Dugdale S, Jones A. Clinical and demographic patient characteristics, alcohol treatment goal preference and goal attainment during computer-assisted therapy with Breaking Free Online. JOURNAL OF SUBSTANCE USE 2019. [DOI: 10.1080/14659891.2019.1651915] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
Affiliation(s)
- Jonathan Ward
- Breaking Free Group, Manchester Science Park, Manchester, UK
| | | | - Glyn Davies
- Breaking Free Group, Manchester Science Park, Manchester, UK
| | | | - Andrew Jones
- Centre for Epidemiology, University of Manchester, Manchester, UK
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Puddephatt JA, Leightley D, Palmer L, Jones N, Mahmoodi T, Drummond C, Rona RJ, Fear NT, Field M, Goodwin L. A Qualitative Evaluation of the Acceptability of a Tailored Smartphone Alcohol Intervention for a Military Population: Information About Drinking for Ex-Serving Personnel (InDEx) App. JMIR Mhealth Uhealth 2019; 7:e12267. [PMID: 31127726 PMCID: PMC6555114 DOI: 10.2196/12267] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2018] [Revised: 03/05/2019] [Accepted: 03/30/2019] [Indexed: 02/06/2023] Open
Abstract
Background Alcohol consumption in the UK Armed Forces is higher than in the general population, and this pattern continues after leaving the service. Smartphone apps may be useful to increase ex-serving personnel’s awareness of their alcohol consumption, support self-monitoring, and prompt a change in behavior. Objective The study aimed to explore the acceptability of Information about Drinking in Ex-serving personnel (InDEx), a tailored smartphone app, combined with personalized short message service (SMS) text messaging designed to target ex-serving personnel who meet the criteria for hazardous alcohol use. Methods The InDEx intervention included 4 key modules: (1) assessment and normative feedback, (2) self-monitoring and feedback, (3) goal setting and review, and (4) personalized SMS text messaging. A semistructured telephone interview study was conducted with ex-serving personnel after using the app for a 28-day period. Interviews were used to explore the acceptability of app modules and its functionality and the perceived changes in participant’s drinking. Interview transcripts were analyzed using inductive thematic analysis. Results Overall, 94% (29/31) participants who used InDEx agreed to take part in a telephone interview. Overall, 4 themes were identified: Credibility, Meeting their needs, Simplicity, and Helpful for ex-serving personnel. The importance of credibility, functionality, and meeting the individual needs of ex-serving personnel was emphasized. Acceptability and engagement with specific modules of the app and text messages were influenced by the following: (1) if they felt it provided credible information, (2) whether the content was appropriately personalized to them, (3) the ease of use, and (4) beliefs about their own drinking behaviors. Participants recommended that the app would be most suitable for personnel about to leave the Armed Forces. Conclusions InDEx was an acceptable smartphone app for ex-serving personnel for monitoring alcohol consumption and in providing meaningful feedback to the individual. Pages that met the participant’s interests and provided real time personalized, credible feedback on their drinking and text messages tailored to participant’s interactions with the app were particularly favored.
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Affiliation(s)
- Jo-Anne Puddephatt
- Department of Psychological Sciences, Institute of Life and Human Sciences, University of Liverpool, Liverpool, United Kingdom
| | - Daniel Leightley
- King's Centre for Military Health Research, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom
| | - Laura Palmer
- King's Centre for Military Health Research, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom
| | - Norman Jones
- Academic Department of Military Mental Health, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom
| | - Toktam Mahmoodi
- Department of Informatics, King's College London, London, United Kingdom
| | - Colin Drummond
- Addictions Department, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom.,South London and Maudsley NHS Foundation Trust, London, United Kingdom
| | - Roberto J Rona
- King's Centre for Military Health Research, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom
| | - Nicola T Fear
- King's Centre for Military Health Research, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom.,Academic Department of Military Mental Health, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom
| | - Matt Field
- Department of Psychology, University of Sheffield, Sheffield, United Kingdom
| | - Laura Goodwin
- Department of Psychological Sciences, Institute of Life and Human Sciences, University of Liverpool, Liverpool, United Kingdom
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Davies EL, Maier LJ, Winstock AR, Ferris JA. Intention to reduce drinking alcohol and preferred sources of support: An international cross-sectional study. J Subst Abuse Treat 2019; 99:80-87. [DOI: 10.1016/j.jsat.2019.01.011] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2018] [Revised: 11/23/2018] [Accepted: 01/14/2019] [Indexed: 12/11/2022]
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Raggatt M, Wright C, Dietze P, Pennay A, Caluzzi G, Lim M. Correlates of Reduced Alcohol Consumption among a Sample of Young Australians. Alcohol Alcohol 2019; 54:525-531. [PMID: 31250879 DOI: 10.1093/alcalc/agz057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2019] [Revised: 05/22/2019] [Accepted: 06/19/2019] [Indexed: 11/14/2022] Open
Abstract
AIMS Population data suggest that a significant proportion of young drinkers are reducing or ceasing their alcohol use; however, there is a lack of information about the characteristics of young people who do so. Our study aimed to determine characteristics associated with self-reported attempted and successful alcohol reduction and cessation among young people in Victoria, Australia. METHODS Data are from a cross-sectional online survey with young people aged 15-29 years living in Victoria, Australia. Participants who reported consuming alcohol in the past 12 months were included in the analysis (N = 1,162). RESULTS Alcohol drinking cessation in the past 12 months was reported by 3.8% (n = 44) and reduced alcohol consumption was reported by 32.1% (n = 371) of participants. Characteristics associated with trying to reduce or cease alcohol consumption were older age, being born overseas, drinking at hazardous levels, experiencing alcohol-related harms and interest in health content on social media. Characteristics associated with successful alcohol reduction or cessation were being born overseas and experiencing alcohol-related harm, while being a member of a religious group was negatively associated. CONCLUSIONS Recent reduction in alcohol consumption was common among young people in this study. Recent reduction in alcohol consumption was common among young people in this study. A combination of factors appear to be correlated with recent attempts to reduce drinking young people including socio-demographic characteristics, religiosity, drinking practices and experience of harm, and interest in health.
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Affiliation(s)
| | - Cassandra Wright
- Burnet Institute, Melbourne, Australia.,School of Public Health and Preventative Medicine, Monash University, Melbourne, Australia.,Centre for Alcohol Policy Research, La Trobe University, Melbourne, Australia
| | - Paul Dietze
- Burnet Institute, Melbourne, Australia.,School of Public Health and Preventative Medicine, Monash University, Melbourne, Australia
| | - Amy Pennay
- Centre for Alcohol Policy Research, La Trobe University, Melbourne, Australia
| | - Gabriel Caluzzi
- Centre for Alcohol Policy Research, La Trobe University, Melbourne, Australia
| | - Megan Lim
- Burnet Institute, Melbourne, Australia.,School of Public Health and Preventative Medicine, Monash University, Melbourne, Australia.,Melbourne School of Population and Global Health, University of Melbourne, Parkville, Australia
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12
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de Vocht F, Brown J, Beard E, West R, Michie S, Campbell R, Hickman M. Motivation to reduce alcohol consumption and subsequent attempts at reduction and changes in consumption in increasing and higher-risk drinkers in England: a prospective population survey. Addiction 2018; 113:817-827. [PMID: 29368391 PMCID: PMC5947299 DOI: 10.1111/add.14132] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/13/2017] [Revised: 09/18/2017] [Accepted: 12/01/2017] [Indexed: 01/06/2023]
Abstract
AIMS To assess how far motivation to reduce alcohol consumption in increasing and higher-risk drinkers in England predicts self-reported attempts to reduce alcohol consumption and changes in alcohol intake during the following 6 months. METHODS This study used self-reported data from 2928 higher-risk drinkers in the Alcohol Toolkit Study (ATS): a series of monthly cross-sectional household surveys of adults aged 16+ years of age in England. Alcohol consumption was measured in an initial survey and in a 6-month telephone follow-up interview using the Alcohol Use Disorders Identification Test (AUDIT)-C questionnaire. Motivation was measured in the initial survey using the Motivation to Reduce Alcohol Consumption (MRAC) scale. Attempts to reduce alcohol consumption during the past 6 months were recorded at follow-up. Data were analysed using repeated-measures difference-in-differences and logistic regression models. RESULTS Participants with higher initial motivation to reduce alcohol consumption were more likely to report that they had made an attempt to reduce consumption at follow-up [adjusted odds ratio (ORadj ) = 2.39, 95% confidence interval (CI) = 1.75-3.29]. There was an overall reduction in alcohol consumption between initial survey and follow-up (ORadj = 0.72, 95% CI = 0.65-0.79), but there was insufficient evidence of an additional effect of motivation to reduce consumption on subsequent changes in alcohol consumption, with the difference-in-differences effect instead suggesting an average increase (ORadj = 1.37, 95% CI = 1.00-1.88). CONCLUSIONS Increasing and higher-risk drinkers in England who report greater motivation to reduce their consumption are more likely to report making an attempt to reduce during the next 6 months, but this may not be associated with a reduction in alcohol consumption.
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Affiliation(s)
- Frank de Vocht
- NIHR School for Public Health Research (SPHR)Newcastle upon TyneUK
- Population Health Sciences, Bristol Medical SchoolUniversity of BristolBristolUK
| | - Jamie Brown
- NIHR School for Public Health Research (SPHR)Newcastle upon TyneUK
- Department of Clinical, Educational and Health PsychologyUniversity College LondonLondonUK
- Department of Behavioural Science and HealthUniversity College LondonLondonUK
| | - Emma Beard
- NIHR School for Public Health Research (SPHR)Newcastle upon TyneUK
- Department of Clinical, Educational and Health PsychologyUniversity College LondonLondonUK
- Department of Behavioural Science and HealthUniversity College LondonLondonUK
| | - Robert West
- Department of Behavioural Science and HealthUniversity College LondonLondonUK
| | - Susan Michie
- NIHR School for Public Health Research (SPHR)Newcastle upon TyneUK
- Department of Clinical, Educational and Health PsychologyUniversity College LondonLondonUK
| | - Rona Campbell
- NIHR School for Public Health Research (SPHR)Newcastle upon TyneUK
- Population Health Sciences, Bristol Medical SchoolUniversity of BristolBristolUK
| | - Matthew Hickman
- NIHR School for Public Health Research (SPHR)Newcastle upon TyneUK
- Population Health Sciences, Bristol Medical SchoolUniversity of BristolBristolUK
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