Motivational pathways to unique types of alcohol consequences.

Individuals consume alcohol for a variety of reasons (motives), and these reasons may be differentially associated with the types of drinking outcomes that result. The present study examined whether specific affect-relevant motivations for alcohol use (i.e., coping, enhancement) are associated with distinct types of consequences, and whether such associations occur directly, or only as a function of increased alcohol use. It was hypothesized that enhancement motives would be associated with distinct problem types only through alcohol use, whereas coping motives would be linked directly to hypothesized problem types. Regularly drinking undergraduates (N = 192, 93 female) completed self-report measures of drinking motives and alcohol involvement. Using structural equation modeling, we tested direct associations between coping motives and indirect associations between enhancement motives and eight unique alcohol problem domains: risky behaviors, blackout drinking, physiological dependence, academic/occupational problems, poor self-care, diminished self-perception, social/interpersonal problems, and impaired control. We observed direct effects of coping motives on three unique problem domains (academic/occupational problems, risky behaviors, and poor self-care). Both coping and enhancement motives were indirectly associated (through use) with several problem types. Unhypothesized associations between conformity motives and unique consequence types also were observed. Findings suggest specificity in the consequences experienced by individuals who drink to cope with negative affect versus to enhance positive affect, and may have intervention implications. Findings depict the coping motivated student as one who is struggling across multiple domains, regardless of levels of drinking. Such students may need to be prioritized for interventions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Contributions of positive and negative affect to adolescent substance use: Test of a bidimensional model in a longitudinal study.

Contributions of bidimensional affect measures to adolescent substance (tobacco, alcohol, and marijuana) use were measured. Participants (baseline N?=?1,702) were surveyed at age 12.4 years and followed longitudinally through age 15.4 years. Multiple regression indicated negative affect related to higher levels of substance use and positive affect related to lower levels of substance use. Buffer interactions indicated that the relationship of negative affect to substance use was reduced among persons with higher positive affect. Clustering analyses indicated 5 different patterns of affect over time; affect patterns were systematically related to change in substance use over time. Structural modeling analysis indicated that relationships of affect to substance use were mediated through coping motives. The findings are discussed with respect to resiliency research and affect-regulation models of substance use. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Relations between anxiety sensitivity, distress tolerance, and fear reactivity to bodily sensations to coping and conformity marijuana use motives among young adult marijuana users.

The present investigation examines anxiety sensitivity, distress tolerance, and fear reactivity to bodily sensations in relation to Coping and Conformity marijuana use motives among a sample of young adult marijuana users (n = 135; 46.7% women; Mage = 20.45, SD = 5.0). After controlling for current marijuana use frequency (past 30 days), daily cigarette smoking rate, average volume of alcohol used over the past year, negative affectivity, and other marijuana use motives, anxiety sensitivity was significantly and uniquely associated with Coping and Conformity motives for marijuana use. Distress tolerance evidenced significant and unique incremental relations to Coping motives, whereas fear reactivity to bodily sensations was unrelated to any marijuana use motive. These results provide novel information related to the role of emotional sensitivity and tolerance factors as they pertain to specific types of motives for marijuana use among young adults. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Validating a five-factor marijuana motives measure: Relations with use, problems, and alcohol motives.

This study adapted and extended M. L. Cooper's (1994) Drinking Motives Measure to examine marijuana motives among 299 college students. An exploratory factor analysis supported the hypothesized 5-factor marijuana motives model, resulting in enhancement, conformity, expansion, coping, and social motives. Analyses supported the internal consistency and concurrent validity of the 5 marijuana motives. Marijuana motives were significant predictors of marijuana use and added to the prediction of use-related problems above and beyond the contribution of lifetime use. Motives and gender interacted in predicting use and use-related problems. Parallel regression analyses revealed that marijuana and alcohol motives predicted comparable amounts of variance in use and use-related problems. However, different patterns of relations emerged across drugs, supporting the discriminant validity of the marijuana and alcohol motives. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A longitudinal analysis of drinking motives moderating the negative affect-drinking association among college students.

We examined among college students (N = 530; 276 women) the moderating effects of avoidance (coping) and appetitive (social-enhancement) drinking motives on the within-person associations between anxious and depressive affect and drinking frequency and quantity. Once per year for up to 4 years participants completed standard measures of drinking motives and retrospective reports of affect and drinking in the previous month. In addition, each year they completed a 30-day daily diary of affect and drinking. Results from models examining both the retrospective and aggregate daily data indicated that individuals with high compared with low social-enhancement motives showed stronger positive associations among changes in monthly negative affect and drinking frequency. Weak evidence was found for the predicted moderating effects of coping motives, although some results indicated that its effects were contingent on levels of social-enhancement motives. Our findings suggest that appetitive drinking motives might play an integral role in stress- and negative-affect related drinking among college students. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Alcohol abuse and dependence symptoms: A multidimensional model of common and specific etiology.

This study tested a theoretical model hypothesizing differential pathways from 5 predictors to alcohol abuse and dependence symptoms. The participants were college students (N = 2,270) surveyed on 2 occasions in a 6-month prospective design. Social norms, perceived utility of alcohol use, and family history of alcohol problems were indirectly associated with Time 2 abuse and dependence symptoms through influencing level of alcohol consumption. Poor behavioral control had a direct effect on alcohol abuse but not on dependence symptoms at Time 2, whereas affective lability exhibited a direct prospective effect on alcohol dependence but not on abuse symptoms. A multigroup analysis showed that high levels of poor control increased the strength of paths from both consumption level and affective lability to abuse symptoms. Implications for prevention of alcohol problems among college students are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Life stress, physiological and subjective indexes of negative emotionality, and coping reasons for drinking: Is there evidence for a self-medication model of alcohol use?

Alcohol use is often viewed as means of coping with distress, but support for this model has been inconsistent. The author examined stress and negative emotionality and their interaction as predictors of drinking motives in a sample of college drinkers. Both physiological and self-reported reactivity to a mood induction, and self-reported trait negative affect, were assessed. High stress was associated with coping motives, particularly among individuals who exhibited electrodermal reactivity to the mood induction. Respiratory sinus arrhythmia (RSA) reactivity was associated with coping motives. Electrodermal and RSA reactivity and stress were unrelated to enhancement and social motives. Self-reported mood reactivity and trait negative affect were not associated with any of the drinking motives. These findings offer some support for the self-medication model of alcohol use. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Coping-anxiety and coping-depression motives predict different daily mood-drinking relationships.

Individuals with different drinking motives show distinctive patterns of alcohol use and problems. Drinking to cope, or endorsing strong coping motives for alcohol use, has been shown to be particularly hazardous. It is important to determine the unique triggers associated with coping drinking. One limitation of past research has been the failure to contend with the complexities inherent in coping motives. Using the Modified Drinking Motives Questionnaire–Revised (Grant, Stewart, O’Connor, Blackwell, & Conrod, 2007), which separates coping-anxiety and coping-depression motives, we investigated whether these motives moderated relationships between daily mood and subsequent drinking (statistically controlling for sex, baseline anxious and depressive symptomatology, initial alcohol problems, and additional drinking motives). College students (N = 146) provided daily reports of mood and alcohol consumption online for 3 weeks. Multilevel modeling analyses revealed that, as hypothesized, stronger initial coping-depression motives predicted higher daily depressed mood-alcohol consumption slopes. Also consistent with expectation, stronger initial coping-anxiety motives predicted higher anxious mood-alcohol consumption slopes. We discuss how this identification of the unique mood triggers associated with each type of coping drinking motive can provide the basis for targeted interventions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Motivational pathways to alcohol use and abuse among Black and White adolescents.

Using data from a biracial community sample of adolescents, the present study examined trajectories of alcohol use and abuse over a 15-year period, from adolescence into young adulthood, as well as the extent to which these trajectories were differentially predicted by coping and enhancement motives for alcohol use among the 2 groups. Coping and enhancement motivations (M. L. Cooper, 1994) refer to the strategic use of alcohol to regulate negative and positive emotions, respectively. Results showed that Black and White youth follow distinct alcohol trajectories from adolescence into young adulthood and that these trajectories are differentially rooted in the regulation of negative and positive emotions. Among Black drinkers, coping motives assessed in adolescence more strongly forecast differences in alcohol involvement into their early 30s, whereas enhancement motives more strongly forecast differences among White drinkers. Results of the present study suggest that different models may be needed to account for drinking behavior among Blacks and Whites and that different approaches may prove maximally effective in reducing heavy or problem drinking among the 2 groups. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Personality disorder symptoms, drinking motives, and alcohol use and consequences: Cross-sectional and prospective mediation.

Research shows high comorbidity between Cluster B personality disorders (PDs) and alcohol use disorders (AUDs). Studies on personality traits and alcohol use have identified coping and enhancement drinking motives as mediators in the relations among impulsivity, affective instability, and alcohol use. To the extent that PDs reflect extreme expression of these traits, drinking motives should mediate the relation between PD symptoms and alcohol involvement. This was tested using path models estimating the extent to which coping and enhancement drinking motives mediated the relation between Cluster B symptom counts and alcohol use and problems both concurrently and at a 5-year follow-up. Three hundred fifty-two adults participated in a multiwave study of risk for alcoholism (average age = 29 years at Wave 1). Enhancement motives mediated (a) the cross-sectional relation between Cluster B symptoms and drinking quantity/frequency, heavy drinking, total drinking consequences, dependence features, and AUD diagnosis and (b) the prospective relation to AUDs. Although coping motives mediated the relation between Cluster B symptoms and drinking consequences and dependence features cross-sectionally, prospective effects were limited to indirect effects through Time 1. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The role of drug use in a conceptual model of intimate partner violence in men and women arrested for domestic violence.

In a previous study, alcohol problems in perpetrators and their partners contributed directly and indirectly to intimate partner violence (IPV), even after including other correlates of violence in the model (G. L. Stuart et al., 2006). The present study extends these findings by examining the role of illicit drug use. We recruited 271 men and 135 women arrested for IPV and used structural equation modeling to examine the data. Results showed that drug use, as reported by the perpetrators, was a stronger predictor of IPV than were alcohol problems in perpetrators and their partners. Arrested males' marijuana use and stimulant use (i.e., cocaine and amphetamines) were associated with perpetration of IPV, and their report of their female partners' stimulant use was associated with her violence perpetration. In arrested women, specific substances used did not predict violence perpetration beyond other model variables; however, female perpetrators' report of male partners' stimulant use predicted male psychological and physical aggression, after controlling for other variables. These results provide further evidence that drug problems by both partners may be important in the evolution of aggression. Implications for batterer intervention programs are discussed. (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)     

Pilot test of Project CHOICE: A voluntary afterschool intervention for middle school youth.

The current study reports findings from a pilot evaluation of a voluntary alcohol and marijuana intervention for young teens. Students at 2 middle schools completed 4 surveys over 2 years. During Year 2, an intervention, Project CHOICE (PC), was implemented at 1 school and was voluntarily attended by 13% of adolescents. Participants ranged from 10 to 15 years of age and were approximately 45% male, 45% White, 30% Latino, and 15% of mixed ethnic origin. Outcomes included assessments of self use and perceptions of friends' and schoolmates' past-month use of alcohol and marijuana. Analyses that compared PC participants (n=64) with a matched control sample of students (n=264) revealed that PC participants reported lower rates of alcohol use and lower perceptions of friends' marijuana use and of schoolmates' use of these substances. Random-effects growth models indicated that self use and perceptions of friends' use of alcohol and marijuana increased more sharply among control school students (n=178) relative to students from the PC school (n=270), regardless of participation. Results suggest that a brief voluntary intervention attended by a small proportion of students can impact both individual and schoolwide substance-related outcomes. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Academic and social motives and drinking behavior.

This longitudinal study of 1,447 first-time college students tested separate time-varying covariate models of the relations between academic and social motives/behaviors and alcohol use and related problems from senior year of high school through the end of the second year in college. Structural equation models identified small but significant inverse relations between academic motives/behaviors and alcohol use across all time points, with relations of somewhat larger magnitude between academic motives/behaviors and alcohol-related problems across all semesters other than senior year in high school. At all time points, there were much larger positive relations between social motives/behaviors and alcohol use across all semesters, with smaller but significant relations between social motives/behaviors and alcohol-related problems. Multi-group models found considerable consistency in the relations between motives/behaviors and alcohol-related outcomes across gender, race/ethnicity, and family history of alcohol problems, although academic motives/behaviors played a stronger protective role for women, and social motives were a more robust risk factor for Caucasian and Latino students and individuals with a positive family history of alcohol problems. Implications for alcohol prevention efforts among college students are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Drinking and desired self-images: Path models of self-image goals, coping motives, heavy-episodic drinking, and alcohol problems.

Coping motives for drinking initiate alcohol-related problems. Interpersonal goals, which powerfully influence affect, could provide a starting point for this relation. Here we tested effects of self-image goals (which aim to construct and defend desired self-views) and compassionate goals (which aim to support others) on heavy-episodic drinking and alcohol-related problems. Undergraduate drinkers (N=258) completed measures of self-image and compassionate goals in academics and friendships, coping and enhancement drinking motives, heavy-episodic drinking, and alcohol-related problems in a cross-sectional design. As predicted, self-image goals, but not compassionate goals, positively related to alcohol-related problems. Path models showed that self-image goals relate to coping motives, but not enhancement motives; coping motives then relate to heavy-episodic drinking, which in turn relate to alcohol-related problems. Self-image goals remained a significant predictor in the final model, which accounted for 34% of the variance in alcohol-related problems. These findings indicate that self-image goals contribute to alcohol-related problems in college students both independently and through coping motives. Interventions can center on reducing self-image goals and their attendant negative affect. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Examining the role of drinking motives in college student alcohol use and problems.

A motivational model of alcohol involvement (M. L. Cooper, M. R. Frone, M. Russell, & P. Mudar, 1995) was replicated and extended by incorporating social antecedents and motives and by testing this model cross-sectionally and longitudinally in a sample of college students. Participants (N = 388) completed a questionnaire battery assessing alcohol use and problems, alcohol expectancies, sensation seeking, negative affect, social influences, and drinking motives. Associations among psychosocial antecedents, drinking motives, and alcohol involvement differed from those found by M. L. Cooper et al. (1995). These findings point to the importance of social influences and of positive reinforcement motives but not to the centrality of drinking motives in this population. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Role of impulsivity in the relationship between depression and alcohol problems among emerging adult college drinkers.

Depression is common among college students and higher levels of depression are associated with greater alcohol-related problems. However, depression is frequently not found to be directly associated with more alcohol use. This study examined whether various aspects of impulsivity (negative urgency, lack of premeditation, lack of perseverance, sensation seeking, and delay discounting) and drinking to cope with negative affect help to account for the relationship between depression and alcohol problems among emerging adult college drinkers who reported at least a minimal level of depressive symptoms. In this cross-sectional study, 143 emerging adult (between 18 and 25 years old) female (69.9%, n = 100) and male (30.1%, n = 43) college drinkers with at least minimal depressive symptoms completed measures of depression, alcohol use and problems, drinking to cope, and impulsivity. A multiple mediation analysis revealed that only negative urgency and drinking to cope partially mediated the depression-alcohol problems relationship. Moderated mediation analyses revealed that impulsivity-related constructs did not significantly interact with drinking to cope to increase alcohol problems. It appears that alcohol use is particularly problematic for students with elevated depression, and this is partly attributable to depression's association with negative urgency, in addition to its association with drinking to cope. Our findings suggest that students who suffer from depression may engage in problematic drinking behavior in part because negative affect is detrimental to their short-term impulse control and decision making, independent of maladaptive attempts to regulate affect through drinking to cope. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Do changes in drinking motives mediate the relation between personality change and “maturing out” of problem drinking?

Recent research has indicated that developmental changes in the personality traits of neuroticism and impulsivity correlate with changes in problem drinking during emerging and young adulthood. However, it remains unclear what potential mechanisms, or mediators, could account for these associations. Drinking motives, particularly drinking to regulate negative affect (drinking to cope) and to get “high” or “drunk” (drinking for enhancement), have been posited to mediate the relationship between personality and drinking problems. Recent work indicates that changes in drinking motives parallel changes in alcohol involvement from adolescence to young adulthood. The present study examined changes in drinking motives (i.e., coping and enhancement) as potential mediators of the relation between changes in personality (impulsivity and neuroticism) with changes in alcohol problems in emerging and young adulthood. Analyses were based on data collected from a cohort of college students (N = 489) at varying risk for alcohol use disorders from ages 18 to 35. Parallel process latent growth modeling indicated that change in coping (but not enhancement) motives specifically mediated the relation between changes in neuroticism and alcohol problems as well as the relation between changes in impulsivity and alcohol problems. Findings suggest that change in coping motives is an important mechanism in the relation between personality change and the “maturing out” of problematic alcohol involvement. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Coping strategies, drinking motives, and stressful life events among middle adolescents: Associations with emotional and behavioral problems and with academic functioning.

A sample of 733 middle adolescents was used to study interrelations among coping strategies, drinking motives, stressful life events (major, daily positive, and daily negative), emotional and behavioral problems, and academic functioning. A main-effects (vs. stress-buffering) model was supported. Some predictors (e.g., task-oriented coping, major stressful events) were general in their predictive relations to the outcome variables, whereas others were highly specific (e.g., emotion-focused coping predicting depressed affect). Overall, the predictors accounted for 22-53% of the variance in regression equations. Positive daily events predicted higher levels of alcohol use, alcohol problems, and delinquent activity, as well as higher academic performance and lower levels of depressed affect. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Young-adult malt liquor drinkers: Prediction of alcohol problems and marijuana use.

Malt liquor (ML) is a cheap, high alcohol content beverage that is marketed to appeal to young adults. Findings from the few published studies of ML use suggest that it may be associated with excessive drinking, alcohol problems, and the use of illicit drugs. The authors conducted separate hierarchical multiple regressions to examine the role of ML use and psychosocial variables (e.g., personality, ML motives) in alcohol-related problems and marijuana use. Demographic characteristics served as controls. The sample consisted of 639 (456 men, 183 women) young adults (M = 22.9 years, SD = 4.2) who regularly (≥40 oz/week) consumed ML. ML use significantly and positively predicted alcohol problems, ML-specific problems, and marijuana use, above and beyond their associations with typical alcohol use. Marijuana was the illicit drug of choice, and 46% reported concurrent use of marijuana and ML. Those who concurrently used ML and marijuana began drinking at a younger age and reported more substance use (particularly marijuana) and more alcohol-related problems than did nonconcurrent users. These results suggest that ML use may represent a risk for alcohol problems and marijuana use. (PsycINFO Database Record (c) 2010 APA, all rights reserved)