1
|
Leary AV, Dvorak RD, Burr EK, De Leon AN, Klaver SJ, Lynch G, Toth E, Diaz MJ, Martin S. Effects of a Brief Safe Drinking Intervention on Depressive and Anxiety Symptomatology: Examining Potential Side Effects of Deviance Regulation Theory Interventions. JOURNAL OF DRUG EDUCATION 2024; 53:102-117. [PMID: 39119621 DOI: 10.1177/00472379241272587] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 08/10/2024]
Abstract
College students are at a heightened risk of experiencing depression and anxiety symptomatology and engaging in maladaptive alcohol use. Understanding how alcohol interventions impact emotional functioning is essential. One such intervention uses Deviance Regulation Theory (DRT), which posits that behavior can be modified using targeted messaging as a function of perceived norms. DRT has been shown to be effective at increasing responsible drinking behaviors and decreasing alcohol-related consequences. However, it is unclear if this intervention influences emotional functioning. The current examines the impact of a DRT intervention on emotional functioning. Participants (n = 147) were recruited from a large Southeastern university. The study included a screening phase, intervention, and six-week follow-up. Participants were randomly assigned to one of three conditions: a positive message condition about people who drink responsibly, a negative message condition about people who do not drink responsibly, and an active control condition. During the study, all participants reported on depression/anxiety symptoms, alcohol use, responsible drinking, and alcohol-related consequences. Mixed-effects regression was used to analyze the data. Results suggest an overall reduction of depressive and anxiety symptomatology in the intervention conditions but not in the control condition. In the positive condition, there was a decrease in depressive and anxiety symptomatology. The messaging was not moderated by normative beliefs. The negative condition also led to decreases in depression and anxiety symptomatology over time. In addition, perceived norms moderated the negative message in the first week after the intervention, an effect consistent with DRT. Prior research indicates this intervention is efficacious for the reduction of adverse alcohol outcomes; these data show that the intervention may also have positive effects on downstream mental health outcomes.
Collapse
Affiliation(s)
- Angelina V Leary
- Department of Psychology, University of Central Florida, 4111 Pictor Lane, Orlando, FL 32816, USA
| | - Robert D Dvorak
- Department of Psychology, University of Central Florida, 4111 Pictor Lane, Orlando, FL 32816, USA
| | - Emily K Burr
- Department of Psychology, University of Central Florida, 4111 Pictor Lane, Orlando, FL 32816, USA
| | - Ardhys N De Leon
- Department of Psychology, University of Central Florida, 4111 Pictor Lane, Orlando, FL 32816, USA
| | - Samantha J Klaver
- Department of Psychology, University of Central Florida, 4111 Pictor Lane, Orlando, FL 32816, USA
| | - Gabrielle Lynch
- Department of Psychology, University of Central Florida, 4111 Pictor Lane, Orlando, FL 32816, USA
| | - Ethan Toth
- Department of Psychology, University of Central Florida, 4111 Pictor Lane, Orlando, FL 32816, USA
| | - Michelle J Diaz
- Department of Psychology, University of Central Florida, 4111 Pictor Lane, Orlando, FL 32816, USA
| | - Sebastian Martin
- Department of Psychology, University of Central Florida, 4111 Pictor Lane, Orlando, FL 32816, USA
| |
Collapse
|
2
|
Gázquez Linares JJ, Barragán Martín AB, Molero Jurado MDM, Simón Márquez MDM, Pérez-Fuentes MDC, Martos Martínez Á, Del Pino Salvador RM. Perception of Parental Attitudes and Self-Efficacy in Refusing Alcohol Drinking and Smoking by Spanish Adolescents: A Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:808. [PMID: 36613129 PMCID: PMC9819710 DOI: 10.3390/ijerph20010808] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/18/2022] [Revised: 12/27/2022] [Accepted: 12/28/2022] [Indexed: 06/17/2023]
Abstract
Adolescents are particularly vulnerable to initiation of the use of substances harmful to health, and its increase is cause for concern. The objective of this study was to analyze the relationship between self-efficacy in refusing alcohol and the attitude of adolescents toward drugs and their perception of their parents' attitude toward refusal. The study was carried out in 2019 in a sample of 1287 students from 11 public high schools in the province of Almería (Spain). Students were aged 14 to 18 in their 3rd and 4th year of compulsory secondary education. The Drinking Refusal Self-Efficacy Questionnaire-Revised Adolescent version (DRSEQ-RA), Attitudes Toward Taking Drugs-Basic BIP Scale and the Parents' attitudes Toward Drug Use were administered. The results showed that family relationships seem to have a direct impact on adolescent patterns in smoking and drinking alcohol. However, a favorable attitude toward drugs is a risk factor for drinking alcohol and smoking tobacco. The self-efficacy dimension also acts as a protective factor against the probability of using alcohol or tobacco. The conclusions emphasized that communication within the family core can increase or decrease the risk of adolescents using substances harmful to health.
Collapse
Affiliation(s)
- José Jesús Gázquez Linares
- Department of Psychology, University of Almería, 04120 Almería, Spain
- Department of Psychology, Universidad Autónoma de Chile, Providencia 7500912, Chile
| | | | | | | | | | | | | |
Collapse
|
3
|
Gómez Plata M, Laghi F, Zammuto M, Pastorelli C. Refusal self-efficacy and alcohol-related behaviours in community samples: a systematic review and meta-analysis. CURRENT PSYCHOLOGY 2022. [DOI: 10.1007/s12144-022-03954-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
|
4
|
Quiroga-Sánchez E, García AG, Arias-Ramos N, Liébana-Presa C, Marques-Sánchez P, Gomes L. Descriptive Study of Friendship Networks in Adolescents and Their Relationship with Self-Efficacy and Alcohol Consumption Using Social Network Analysis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:11527. [PMID: 36141795 PMCID: PMC9517672 DOI: 10.3390/ijerph191811527] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/28/2022] [Revised: 09/03/2022] [Accepted: 09/06/2022] [Indexed: 06/16/2023]
Abstract
Alcohol is a widely used legal drug. Self-efficacy takes on great importance in an adolescent's development. Levels of self-efficacy can contribute to the decision-making process of the adolescent. In this phase, a group of friends becomes increasingly important. Alcohol is present in different social aspects. Adolescents use alcohol as a social facilitator or as part of the development of their autonomy. The purpose of this study is to describe and analyze the structure of the friendship network, self-efficacy, and alcohol consumption in adolescents. METHODS We used an online platform with validated self-reported questionnaires to collect the data. The sample consisted of 195 adolescents aged between 16 and 18, from different educational centers in Bierzo (Spain). RESULTS It was found that 43.6% of the adolescents in our research were high-risk consumers. Significant differences were obtained in terms of self-efficacy and different network metrics. These networks were represented by considering the levels of alcohol consumption. In the friendship network, we observed how the central adolescents presented higher levels of self-efficacy and lower alcohol consumption. CONCLUSIONS Self-efficacy is established as a predictor of coping and not consuming alcohol and adolescence as a crucial moment to implement prevention strategies. Social Network Analysis is a useful tool that provides an image of the context in which adolescents find themselves.
Collapse
Affiliation(s)
- Enedina Quiroga-Sánchez
- SALBIS Research Group, Faculty of Health Sciences, Ponferrada Campus, University of León, 24401 Ponferrada, Spain
| | - Alberto González García
- Department of Nursing and Physiotherapy, Faculty of Health Sciences, Vegazana Campus, 24071 Ponferrada, Spain
| | - Natalia Arias-Ramos
- SALBIS Research Group, Faculty of Health Sciences, Ponferrada Campus, University of León, 24401 Ponferrada, Spain
| | - Cristina Liébana-Presa
- SALBIS Research Group, Faculty of Health Sciences, Ponferrada Campus, University of León, 24401 Ponferrada, Spain
| | - Pilar Marques-Sánchez
- SALBIS Research Group, Faculty of Health Sciences, Ponferrada Campus, University of León, 24401 Ponferrada, Spain
| | - Lisa Gomes
- School of Nursing, Minho University, 4704-553 Braga, Portugal
| |
Collapse
|
5
|
Development of an individualized procedure to induce reward-related impulsivity and evaluating its impact on drinking control. Addict Behav 2022; 133:107378. [PMID: 35644056 DOI: 10.1016/j.addbeh.2022.107378] [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: 10/30/2021] [Revised: 04/14/2022] [Accepted: 05/20/2022] [Indexed: 11/23/2022]
Abstract
High impulsivity predisposes young adults to engage in hazardous alcohol use. Experimental research has shown that reward-related impulsivity is causally-related to heavier drinking. Correlational studies suggest that positive alcohol outcome expectancies mediate this effect, but causation has yet to be established. This study sought to clarify this relationship by: 1) developing a new, individualized procedure for inducing reward-related impulsivity with high generalizability; 2) experimentally manipulating positive alcohol expectancies to determine its mechanistic role in reward-related impulsivity risk for drinking. Eighty-seven young adults (67% female; Mage = 19.19, SD = 2.01) received either a covert manipulation to reduce positive alcohol expectancies (n = 43) or control (n = 44) after being administered the Individualized Reward-Seeking Induction Schedule (IRIS). The primary outcome was self-reported confidence in the ability to refuse alcohol in cued situations (drinking refusal self-efficacy). Results showed that IRIS increased reward-related impulsivity (p < .001, drm = 0.48) and reduced drinking refusal self-efficacy (p = .029, η2P = .055, ωp2 = .043). Experimentally diminishing positive alcohol expectancies had a marginal effect on the reward-seeking induction when controlling for covariates (p = .057, η2P = .044). Findings provide preliminary validation of IRIS as a new methodology for investigating the causal role of reward-related impulsivity in alcohol-related cognition and youth drinking.
Collapse
|
6
|
Li G, Chen Y, Le TM, Zhornitsky S, Wang W, Dhingra I, Zhang S, Tang X, Li CSR. Perceived friendship and binge drinking in young adults: A study of the Human Connectome Project data. Drug Alcohol Depend 2021; 224:108731. [PMID: 33915512 PMCID: PMC8641247 DOI: 10.1016/j.drugalcdep.2021.108731] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/07/2021] [Revised: 02/26/2021] [Accepted: 03/19/2021] [Indexed: 11/17/2022]
Abstract
BACKGROUND Peer influences figure prominently in young adult binge drinking. Women have trended to show a level of alcohol use on par with men during the last decades. It would be of interest to investigate the neural processes of social cognition that may underlie binge drinking and the potential sex differences. METHODS Here, we examined the data of the Human Connectome Project where we identified a total of 175 binge drinkers (125 men) and 285 non-binge drinkers (97 men) performing a social cognition task during brain imaging. We analyzed the imaging data with published routines and evaluated the results at a corrected threshold. RESULTS Both male and female binge relative to non-binge drinkers showed higher perceived friendship. Binge relative to non-binge drinkers demonstrated diminished activations in the anterior medial orbitofrontal cortex (amOFC) during perception of social vs. random interaction, with a more prominent effect size in women. Further, whole-brain regression identified activity of the right posterior insula (rPI) in negative correlation with perceived friendship score in non-binge drinking women. Post-hoc analyses showed significant correlation of rPI activity with perceived friendship, amOFC activity, and a summary measure of alcohol use severity identified by principal component analysis, across all subjects. Mediation and path analysis demonstrated a significant model: amOFC activity → rPI activity → perceived friendship → severity of alcohol use. CONCLUSIONS These findings support peer influences on binge drinking and suggest neural correlates that may relate altered social cognitive processing to alcohol misuse in young adults.
Collapse
Affiliation(s)
- Guangfei Li
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT, United States; Department of Biomedical Engineering, School of Life Sciences, Beijing Institute of Technology, Beijing, China
| | - Yu Chen
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT, United States
| | - Thang M Le
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT, United States
| | - Simon Zhornitsky
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT, United States
| | - Wuyi Wang
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT, United States
| | - Isha Dhingra
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT, United States
| | - Sheng Zhang
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT, United States
| | - Xiaoying Tang
- Department of Biomedical Engineering, School of Life Sciences, Beijing Institute of Technology, Beijing, China.
| | - Chiang-Shan R Li
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT, United States; Department of Neuroscience, Yale University School of Medicine, New Haven, CT, United States; Interdepartmental Neuroscience Program, Yale University School of Medicine, New Haven, CT, United States.
| |
Collapse
|
7
|
Impact of Alcohol on Occupational Health and Safety in the Construction Industry at Workplaces with Scaffoldings. APPLIED SCIENCES-BASEL 2020. [DOI: 10.3390/app10196690] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
The value, care, and customs of workers are essential in terms of occupational health and safety. The abuse of alcohol is widely regarded as a serious threat to the lives, health, and safety of employees. The aim of the research was to identify the main problems that are associated with alcohol abuse and consumption at work among employees in the construction industry, with particular emphasis on workstations where work is carried out on construction scaffoldings. Data for the analysis were obtained from two different sources. The first one was post-accident documentation on occupational accidents. The second one was surveys collected during the research project. This study confirmed that excessive and disproportionate alcohol consumption can be the cause of an accident, and consequently death at workplaces with scaffolding. Of 219 accident reports, 17.4% indicated alcohol as a contributing factor. Analysis of accident documentations shows that in cases where alcohol was indicated as a contributing factor in an accident, the alcohol was consumed during the workday. The results obtained on the basis of the conducted research were able to constitute a justification for the directions of preventive actions carried out in order to reduce the number of occupational accidents in the construction industry caused by alcohol.
Collapse
|
8
|
Kang Y, Hur Y. Psychometric evaluation of drinking refusal self-efficacy questionnaire-shortened revised adolescent in Laos. J Ethn Subst Abuse 2020; 21:997-1009. [PMID: 32915099 DOI: 10.1080/15332640.2020.1815115] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
This study evaluated the psychometric properties of Lao version of Drinking Refusal Self-Efficacy Questionnaire-Shortened Revised Adolescent (L-DRSEQ-SRA). A total of 406 Laotian adolescents from six lower secondary schools, were randomly selected for the evaluation of the following psychometric properties. The original factor model was confirmed via confirmatory factor analysis in Lao adolescents, the convergent and discriminant validity were found appropriate. The mean score of L-DRSEQ-SRA in the non-drinking group was significantly higher than in the drinking group. The L-DRSEQ-SRA showed acceptable internal consistency and test-retest reliability. The psychometric characteristics of the L-DRSEQ-SRA were established throughout this study.
Collapse
Affiliation(s)
| | - Yujin Hur
- Ewha Womans University, Seoul, Korea
| |
Collapse
|
9
|
We Need to Delay the Age of Onset of Alcohol Consumption. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17082739. [PMID: 32316106 PMCID: PMC7215939 DOI: 10.3390/ijerph17082739] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/13/2020] [Accepted: 04/15/2020] [Indexed: 12/16/2022]
Abstract
In recent years, new consumption patterns, such as binge drinking, have increased among young people and have not always been recognized as problematic either by health personnel or by society in general, as they are intensive episodes, interspersed with no consumption periods. Although the prevalence of alcohol use disorders in the adult population continues to be higher in men than in women, these gender differences in relation to alcohol consumption are barely observed in adolescents between 14 and 18. Therefore, we are witnessing a change in the pattern of consumption, from regular to episodic, and an attenuation of gender differences. New patterns of alcohol consumption have not only been associated with an increased risk of alcohol use disorders in adult life, but also with neurocognitive involvement in youth. Understanding the risk and resilience factors of alcoholism or problematic drinking patterns will not only allow us to identify the most vulnerable group, but also to guide prevention programs towards protective factors; the skills that contribute to the natural abandonment of the pattern. Knowing the variables involved in the trajectories of abandonment and dependency would contribute to personalizing the interventions and increasing their efficacy and success—a lower relapse rate—, reducing the economic and socio-sanitary costs associated with alcohol dependency, as well as improving the health and well-being, family relations, work and social status of alcohol-dependent people.
Collapse
|