Positive alcohol expectancies partially mediate the relation between delinquent behavior and alcohol use: Generalizability across age, sex, and race in a cohort of 85,000 Iowa schoolchildren.

The extent to which positive alcohol expectancies mediated the association between delinquency and alcohol use, as well as whether age, sex, or race moderated this mediational relation, was examined in a population-based sample of Iowa schoolchildren (N = 85,301) from the 6th, 8th, and 11th grades. Positive alcohol expectancies were found to partially mediate the association between delinquency and alcohol use (alcohol use initiation, past-month drinking, and past-month binge drinking) across the full sample and in each age, sex, and racial subgroup. Evidence for moderated mediation was found for age and race but not for sex, which suggests that the magnitude of the relations among delinquency, positive alcohol expectancies, and alcohol involvement is different in younger versus older children and White, African American, Native American, Asian, and Hispanic youths but is similar in boys versus girls. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effects of social context and gender on drinking patterns of young adults.

The social context of alcohol use involves both motivational and situational factors that influence drinking behavior among young adults. In this study, a significant multivariate interaction involving gender and alcohol use intensity was found on 6 social context factors. Among women, the social context of Emotional Pain most clearly separated lower intensity from higher intensity drinkers, whereas for men, the clearest separating factor was the context of Social Facilitation. Higher intensity drinkers were more likely than lower intensity drinkers to use alcohol in these contexts. Significant interaction effects involving gender were not found for driving under the influence or riding with an impaired driver; however, significant main effects for these 2 factors were discovered. The implications of the findings for counseling alcohol-abusing young adults are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Neurocognitive deficits in alcoholics and social drinkers: a continuum?

Our research program has investigated neurocognitive deficits in sober alcoholics for several decades. We have shown that both male and female adult alcoholics--compared with peer nonalcoholic controls--have deficits on tests of learning, memory, abstracting, problem-solving, perceptual analysis and synthesis, speed of information processing, and efficiency. The deficits are equivalent to those found in patients with known brain dysfunction of a mild to moderate nature. Attempts to identify factors other than alcoholism to account for these differences have been unsuccessful. The deficits appear to remit slowly over 4 to 5 years. Relapse of recovering alcoholics is predicted by behavioral (e.g., depressive symptoms and neurocognitive performance) and biological measures (e.g., event-related potentials) obtained at the end of treatment. Results of recent studies support the hypothesis of a continuum of neurocognitive deficits ranging from the severe deficits found in Korsakoff patients to moderate deficits found in alcoholics and moderate to mild deficits in heavy social drinkers (more than 21 drinks/week). Individual differences in the presence and magnitude of neurocognitive deficits in social drinkers and alcoholics are hypothesized to be due, in part, to individual differences in vulnerability of the brain to alcohol or its metabolites' toxic effects.     

Patterns and correlates of initial and subsequent drug use among adolescents.

Studied survey data collected in 1978–1981 examining prior and current drug use in 8th, 10th, and 12th graders in Maryland public schools. A 6-variable model (legal drugs, cannabis, pills, psychedelics, cocaine, and heroin) was used to examine the sequential and cumulative nature of drug use in a sample of 2,036 students drawn from a total sample of 34,479 males and females. Guttman scaling, using current use data for both the original and a cross-validational sample, found a stable, sequential, and cumulative hierarchy of drug use in all grades. Regression analysis of psychosocial variables found that age at first use; frequency of use of marihuana, alcohol, and cigarettes; and amount of available spending money emerged as significant predictors of use, but with little difference in predictors between the 6 drug categories. For individuals who go on to hard drug use, the data indicate that initiation into the sequence begins with a legal substance such as alcohol or tobacco and proceeds through use of marihuana. The relationship between prevalence, as well as intensity of drug use, and several psychosocial variables (e.g., academic goals, grades, spending money) emphasizes the need for further causal modeling. (21 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The impact of continuing care adherence on environmental risks, substance use, and substance-related problems following adolescent residential treatment.

The effectiveness of adolescent treatment to reduce substance use has been demonstrated by a number of different literature reviews, yet longer term outcome studies have suggested that continued alcohol and other drug use is common. Participation in continuing care services and reductions in environmental risk factors (e.g., peer substance use or alcohol or drug use in the home) have both been found to be associated with improved posttreatment substance use. The authors conducted Path analysis to examine the experimental direct effect of the Assertive Continuing Care Protocol (S. H. Godley, M. D. Godley, & M. L. Dennis, 2001) on general continuing care adherence following residential treatment and the protocol's indirect effect (via general continuing care adherence) on social and environmental risk factors, as well as subsequent substance use and substance-related problems. Supporting previous findings, the final model indicates that greater adherence to continuing care is associated with reductions in environmental risk, which in turn is associated with reduced adolescent substance use and substance-related problems 9 months after discharge from residential treatment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Social environmental selection as a mediator of gender, ethnic, and personality effects on college student drinking.

Structural equation modeling was used to test the mediational role of social environmental selection on alcohol use in cross-sectional samples of 447 students from a rural state university and 421 students from an urban private university. Results showed that male gender, White ethnicity, and sensation seeking were uniquely associated with greater alcohol use. Mediational analyses indicated that socioenvironmental factors (i.e., Greek involvement, friends' approval of drinking/getting drunk) were positively associated with alcohol use and significantly accounted for parts of the effects of ethnicity and sensation seeking, but not gender, on alcohol use. Results suggest that White students and those high on sensation seeking may drink more heavily in college, in part because they select social environments in which alcohol use is encouraged. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Expectancies as mediators of the effects of social influences and alcohol knowledge on adolescent alcohol use: A prospective analysis.

Three-year panel data from 789 students in 8th grade and path-analytic techniques were used to test a model positing that social reinforcement expectancies mediate the effects of perceived friends' alcohol use, friends' alcohol attitudes, and knowledge of near-term health effects and alcohol prevalence on both contemporaneous and subsequent alcohol involvement. Evidence of mediation was obtained with both cross-sectional and longitudinal findings. Perceived peer norms had a direct effect on alcohol use, and knowledge of normative alcohol use had a unique long-term protective influence on later alcohol use. Findings are discussed in terms of a 2-pronged prevention model that (a) integrates principles of social learning theory with expectancy-based, cognitive-behavioral change and (b) emphasizes dissemination of age-appropriate alcohol information in programs that aim to reduce alcohol use. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Social competence promotion with inner-city and suburban young adolescents: Effects on social adjustment and alcohol use.

Assessed the impact of school-based social competence training on skills, social adjustment, and self-reported substance use of 282 6th and 7th graders. Training emphasized broad-based competence promotion in conjunction with domain-specific application to substance abuse prevention. The 20-session program comprised 6 units: stress management, self-esteem, problem solving, substances and health information, assertiveness, and social networks. Findings indicated positive training effects on Ss' skills in handling interpersonal problems and coping with anxiety. Teacher ratings revealed improvements in Ss' constructive conflict resolution with peers, impulse control, and popularity. Self-report ratings indicated gains in problem-solving efficacy. Results suggest some preventive impact on self-reported substance use intentions and excessive alcohol use. In general, the program was found to be beneficial for both inner-city and suburban students. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The ethical problems of the open label extension study

OBJECTIVE: Comorbidity between anxiety and substance use disorders was examined. The hypothesis was tested that social phobics may report greater problem alcohol use (if alcohol is used to manage social anxiety) while problem use of sedative-hypnotics may be greater in people with panic (who may be over-prescribed anxiolytics because they repeatedly seek medical assistance). METHOD: Self-reported lifetime rates of drug and alcohol problems were assessed with the computerised Diagnostic Interview Schedule-Revised. Subjects were 146 consecutive patients treated for panic disorder (with and without agoraphobia) and social phobia at the Clinical Research Unit for Anxiety Disorders. RESULTS: High prevalences of alcohol problems (three times that expected) and problem use of sedative hypnotics (eight times that expected) were found in all diagnoses. Social phobics exhibited comparatively high rates of problem alcohol use, but no diagnostic specific differences in problem sedative-hypnotic use were found. CONCLUSION: Routine screening for drug and alcohol problems is necessary for patients with anxiety disorders.     

Psychiatric comorbidity with problematic alcohol use in high school students

OBJECTIVE: To delineate the degree to which various levels of problematic alcohol use are associated with psychiatric disorders in adolescents. METHOD: The lifetime occurrence of psychiatric disorders was examined in a community sample of 1,507 older adolescents (aged 14 through 18 years) who were categorized according to their alcohol use (i.e., abstainers, experimenters, social drinkers, problem drinkers, and abuse/dependence group). RESULTS: Increased alcohol use was associated with the increased lifetime occurrence of depressive disorders, disruptive behavior disorders, drug use disorders, and daily tobacco use. There was a trend for increased alcohol use in girls to be associated with anxiety disorders. More than 80% of adolescents with alcohol abuse/dependence had some other form of psychopathology. Alcohol disorders, in general, followed rather than preceded the onset of other psychiatric disorders. Comorbidity was associated with an earlier age of alcohol disorder onset and with greater likelihood of mental health treatment utilization. CONCLUSIONS: Rates of psychiatric comorbidity with problematic alcohol use in adolescents are striking and represent an important therapeutic challenge.     

Incorporating social anxiety into a model of college problem drinking: Replication and extension.

Although research has found an association between social anxiety and alcohol use in noncollege samples, results have been mixed for college samples. College students face many novel social situations in which they may drink to reduce social anxiety. In the current study, the authors tested a model of college problem drinking, incorporating social anxiety and related psychosocial variables among 228 undergraduate volunteers. According to structural equation modeling (SEM) results, social anxiety was unrelated to alcohol use and was negatively related to drinking consequences. Perceived drinking norms mediated the social anxiety-alcohol use relation and was the variable most strongly associated with problem drinking. College students appear to be unique with respect to drinking and social anxiety. Although the notion of social anxiety alone as a risk factor for problem drinking was unsupported, additional research is necessary to determine whether there is a subset of socially anxious students who have high drinking norms and are in need of intervention. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Pregaming in high school students: Relevance to risky drinking practices, alcohol cognitions, and the social drinking context.

Pregaming is the practice of consuming alcohol prior to going out to a social event. Although pregaming has begun to receive research attention in the college setting, very little is known about this risky drinking behavior in high school students. As pregaming has health implications for both students who are college bound and those who are not, we examined the prevalence of this behavior in a sample of high school students who reported current alcohol use and completed pregaming measures (n = 233). The present study examined the associations of gender, age, alcohol expectancies, motivations for drinking (e.g., social, enhancement, and coping), and engagement in other risky drinking practices (i.e., general hazardous use and drinking game participation) with pregaming. Results indicate that pregaming was significantly associated with being older, being a male, having high levels of hazardous alcohol use, and participating in drinking games frequently. Pregaming also occurred most often before parties and sporting events and it was associated positively with frequency of attendance at parties where alcohol is available, the tendency to use alcohol at these parties, and the amount of alcohol consumed at these parties. We discuss the findings in the context of pregaming research that has been conducted with college students, and make suggestions regarding prevention and intervention efforts focused on this risky drinking practice. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Specifying the relations between affect and heavy alcohol use among young adults.

Current reformulations of the tension reduction hypothesis posit that only a subset of vulnerable individuals are at risk for drinking in response to negative affect. To further specify this model, this study examined the types of mood and social contexts under which affect and alcohol use are associated. Participants were 74 college students who completed repeated assessments of mood, alcohol use, friendship quality, and social support. A complex pattern of findings supported the moderating influences of gender, friendship factors, and the timing of behavior (i.e., weekends vs. weekdays) on the relation between affect and alcohol use. Young adults with less intimate and supportive friendships, as compared with their peers, showed risk for greater drinking following relative elevations in sadness and hostility. Such drinking episodes, in turn, predicted subsequent elevations in these same negative moods the following week. Gender differences in such a cyclical pattern of affect and alcohol use were found to vary across differing emotional experiences. Recommendations for a more refined theory of affect and alcohol use are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Associations of substance use problems with intimate partner violence for at-risk men in long-term relationships.

Associations of substance use problems in men--defined as a man's meeting at least 1 criterion of dependence on each of a number of substances by his mid-20s--with their perpetration of intimate partner violence (IPV) were examined in an at-risk community sample of 150 men in long-term relationships from their late adolescence to their late 20s. Men who had a problem with substances other than sedatives (especially cannabis and hallucinogens) committed more IPV than did men without such problems. Most of the men who had a problem with marijuana also had an alcohol problem, which explains why alcohol was found to have only an indirect association with IPV. The failure of previous alcohol-use studies to control for co-occurrence of alcohol and marijuana problems may explain the discrepancy with conclusions from past research that alcohol problems contribute directly to the perpetration of IPV. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Implicit measures of association in psychopathology research.

Studies obtaining implicit measures of associations in Diagnostic and Statistical Manual of Mental Disorders (4th ed., Text Revision; American Psychiatric Association, 2000) Axis I psychopathology are organized into three categories: (a) studies comparing groups having a disorder with controls, (b) experimental validity studies, and (c) incremental and predictive validity studies. In the first category, implicit measures of disorder-relevant associations were consistent with explicit beliefs for some disorders (e.g., specific phobia), but for other disorders evidence was either mixed (e.g., panic disorder) or inconsistent with explicit beliefs (e.g., pain disorder). For substance use disorders and overeating, expected positive and unexpected negative associations with craved substances were found consistently. Contrary to expectation, implicit measures of self-esteem were consistently positive for patients with depressive disorder, social phobia, and body dysmorphic disorder. In the second category, short-term manipulations of disorder-relevant states generally affected implicit measures as expected. Therapeutic interventions affected implicit measures for one type of specific phobia, social phobia, and panic disorder, but not for alcohol use disorders or obesity. In the third category, implicit measures had predictive value for certain psychopathological behaviors, sometimes moderated by the availability of cognitive resources (e.g., for alcohol and food, only when cognitive resources were limited). The strengths of implicit measures include (a) converging evidence for dysfunctional beliefs regarding certain disorders and consistent new insights for other disorders and (b) prediction of some psychopathological behaviors that explicit measures cannot explain. Weaknesses include (a) that findings were inconsistent for some disorders, raising doubts about the validity of the measures, and (b) that understanding of the concept “implicit” is incomplete. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Close friend and group influence on adolescent cigarette smoking and alcohol use.

The relative influence of adolescents' closest friends and their friendship group on their cigarette smoking and alcohol use was investigated in a short-term, longitudinal study of 1,028 students in the 6th, 8th and 10th grades in 2 school systems. The amount of influence over the school year was modest in magnitude and came from the closest friend for initiation of cigarette and alcohol use. Only the friendship group use predicted transition into current cigarette use, whereas only the close friend use predicted transition into current alcohol use. Both group and close friends independently contributed to the prediction of adolescents' drinking to intoxication. No difference in the amount of influence, was found between stable and unstable close friendships or friendship groups; neither grade nor gender of the adolescents related to the amount of influence. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Drink and Be Merry? Gender, Life Satisfaction, and Alcohol Consumption Among College Students.

This study examined the impact of alcohol use and alcohol-related problems on several domains of life satisfaction (LS) in a sample of 353 college students. Alcohol use was associated with lower general satisfaction and anticipated future satisfaction among women. Female abstainers reported higher general and anticipated future satisfaction than did female heavy drinkers. Female students' alcohol use was unrelated to their academic, family, dating, or social satisfaction. Drinking among men showed a positive, curvilinear relation to social satisfaction but was unrelated to other domains of LS. Alcohol-related problems were associated with decreased LS among both men and women. These findings suggest that alcohol use by young adults is associated with both positive and negative outcomes that may be gender specific. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Age-related changes in reasons for using alcohol and marijuana from ages 18 to 30 in a national sample.

This study used up to seven waves of data from 32 consecutive cohorts of participants in the national longitudinal Monitoring the Future study to model changes in self-reported reasons for using alcohol and marijuana by age (18 to 30), gender, and recent substance use. The majority of stated reasons for use decreased in prevalence across young adulthood (e.g., social/recreational and coping with negative affect reasons); exceptions included age-related increases in using to relax (alcohol and marijuana), to sleep (alcohol), because it tastes good (alcohol), and to get high (marijuana). Women were more likely than men to report drinking for reasons involving distress (i.e., to get away from problems), while men were more likely than women to endorse all other reasons. Greater substance use at age 18 was associated with greater likelihood of all reasons except to experiment and to fit in. A better understanding of developmental changes in reasons for use is important for understanding normative changes in substance use behaviors and for informing intervention efforts involving underlying reasons for use. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

How are social support effects mediated? A test with parental support and adolescent substance use.

This research tested how the effect of parental emotional and instrumental support on substance (tobacco, alcohol, and marijuana) use in adolescents is mediated. Data were from a sample of 1,702 adolescents surveyed between the 7th and 9th grades. Parental support was inversely related to substance use, and stress-buffering interactions were found at all assessment points. Structural modeling analyses indicated the effect of support was mediated through more behavioral coping and academic competence and less tolerance for deviance and behavioral undercontrol; these mediators were related to negative life events and deviant peer affiliations. Multiple-group analyses suggested buffering effects occurred because high support reduced the effect of risk factors and increased the effect of protective factors. Implications for the theory of social support effects and resilience mechanisms are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Childhood conscientiousness and longevity: Health behaviors and cause of death.

Previous research showed that conscientiousness (social dependability) in childhood predicted longevity in an archival prospective cohort study of bright children first studied by Terman in the 1920s (H. S. Friedman et al., see record 1993-40908-001). Possible behavioral mechanisms for this robust association are now examined by gathering cause of death information and by considering the possible mediating influences of drinking alcohol, smoking, and overeating. Survival analyses (N?=?1,215) suggest that the protective effect of conscientiousness is not primarily due to accident avoidance and cannot be mostly explained by abstinence from unhealthy substance intake. Conscientiousness may have more wide-ranging effects on health-relevant activities. (PsycINFO Database Record (c) 2010 APA, all rights reserved)