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1.
Subst Use Misuse ; : 1-10, 2024 Jun 03.
Artículo en Inglés | MEDLINE | ID: mdl-38831657

RESUMEN

Background: College students continue to report problematic alcohol use. To mitigate adverse outcomes, recent studies have employed harm reduction strategies known as Protective Behavioral Strategies (PBS). Deviance Regulation Theory (DRT), an impression management intervention, has been used to promote the use of PBS. DRT relies on impression management to modify behavior. This may be especially important for individuals with higher levels of trait narcissism. Method: College student drinkers (n = 132) were randomly assigned to receive a positive message about PBS users, a negative message about non-PBS users, or control. Participants reported on current PBS use norms, daily alcohol use, PBS use, and any alcohol-related problems experienced during the previous week for the next 10 weeks. Results: Data were analyzed using multilevel regression to examine PBS use across time by condition. When PBS norms were low, narcissism was strongly associated with lower rates of PBS use in the control group. If individuals received a positive or negative message, the association between narcissism and PBS use was diminished, among individuals with low PBS norms. There were no significant differences at mean or high levels of norms, indicating the messaging was only important for the highest risk group (i.e., those with low PBS norms). Discussion: The results of this study suggest that message framing may be effective at reducing the robust negative association between narcissism and PBS use for individuals with low PBS norms. Positive messages about individuals that use PBS may be one approach to mitigating problematic alcohol consumption in this at-risk group.

2.
Ethn Health ; : 1-25, 2024 May 07.
Artículo en Inglés | MEDLINE | ID: mdl-38714915

RESUMEN

OBJECTIVES: Hispanic/Latinx drinkers have been found to experience more adverse alcohol-related consequences than any other racial/ethnic group. Due to this, researchers have looked at the connection between drinking and cultural factors, alongside discrimination, to further analyze what sociocultural factors lead to negative outcomes when drinking. DESIGN: Researchers used a sample of Hispanic/Latinx young adult drinkers (n = 710) with an average age of 22.43 (SD = 6.69), recruited through social media and assessed on several factors, including protective behavioral strategies (PBS), alcohol use severity, bicultural self-efficacy, discrimination, acculturation, and enculturation. RESULTS: Utilizing an observed variable path analysis, results showed perceived discrimination to have a significant effect on all variables in the model (bicultural self-efficacy, acculturation, enculturation, PBS self-efficacy, PBS use, and alcohol use severity). Acculturation was positively associated with PBS self-efficacy, while enculturation was positively associated with PBS use. PBS self-efficacy was positively correlated with PBS use and negatively associated with alcohol use severity. There was a significant total indirect effect from perceived discrimination to alcohol use severity through various paths (i.e. PBS self-efficacy, acculturation, and bicultural self-efficacy), with the strongest path to occur through PBS self-efficacy. CONCLUSIONS: Findings showcase the risk and protective effects of various sociocultural factors on drinking behaviors among young adults. PBS self-efficacy was found to have robust protective effects against alcohol use severity. Future research should continue to investigate these sociocultural and behavioral factors in order to develop efforts to mitigate hazardous alcohol use among Hispanic/Latinx young adult drinkers.

3.
Exp Clin Psychopharmacol ; 32(1): 27-34, 2024 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-37384458

RESUMEN

The incentive-sensitization theory (IST) has emerged as a potentially useful theory in explaining substance addiction. IST postulates that the prolonged use of a substance can alter neural systems that are often involved in incentive motivation and reward processes, leading to an increased "sensitization" to the substance and associated stimuli. However, this increased sensitization is thought to mediate only the individual's craving of the substance (e.g., their "wanting"), not their enjoyment of the substance (e.g., their "liking"), a process that may involve unconscious implicit changes in cognitive networks linked to specific substances. Consequently, IST may better explain the real-world dissonance reported for individuals who want to accomplish long-term substance cessation but fail to do so, a phenomenon that is common in adolescent smokers. Thus, the present study aimed to examine the principles of IST in a sample of 154 adolescent ad libitum smokers (Mage = 16.57, SDage = 1.12, 61.14% male) utilizing ecological momentary assessment. Data were analyzed utilizing a multilevel structural equation model examining changes in positive affect (PA), negative affect (NA), and stress from Time 1 (T1) and Time 2 (T2) as a function of smoking and tested the influence of implicit cognition (specifically, implicit attitudes about smoking [Implicit Association Test (IAT)]) on these associations. Consistent with the principles of IST, results found a modest significant negative association between smoking status at T1 and PA at T2 (B = -0.11, p = .047). This association was further moderated by IAT (B = -0.19, p = .029) and was particularly potentiated at high levels of IAT (B = -0.44, p < .001), compared to low (B = -0.05, p = .663) or mean levels of IAT (B = -0.25, p = .004). Findings from this study provide additional support to the principles underlying IST and indicate that, in adolescents, smoking may result in thwarted PA indicative of a transition from "liking" toward "wanting," and this is especially pronounced among those with stronger implicit smoking cognitions. (PsycInfo Database Record (c) 2024 APA, all rights reserved).


Asunto(s)
Motivación , Trastornos Relacionados con Sustancias , Humanos , Masculino , Adolescente , Femenino , Fumadores , Evaluación Ecológica Momentánea , Ansia
4.
Psychol Rep ; : 332941231216671, 2023 Nov 15.
Artículo en Inglés | MEDLINE | ID: mdl-37967570

RESUMEN

Objective: Suicidal ideation (SI) is highly prevalent among college students. Research has shown that college students are also more likely to experience low distress tolerance, affect lability, and experiential avoidance, which have been linked to SI. There is a critical need to examine the mechanisms that increase the risk of SI among college students. It is hypothesized that distress tolerance will be a strong predictor of SI, and affect lability as well as experiential avoidance will mediate this relationship. Participants and Methods: Participants (n = 820) from a Southeastern University completed an online survey, inquiring about demographic information, affect lability, SI, experiential avoidance, and distress tolerance. Data were analyzed utilizing structural equation modeling. Results: Distress tolerance was not directly related to SI. However, affect lability and experiential avoidance were found to mediate this relationship. Conclusions: Affect lability and experiential avoidance may be important predictors of SI among college students.

5.
Psychol Assess ; 35(7): 618-632, 2023 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-37227839

RESUMEN

Recent research shows a link between identity and behavior change. Despite the existence of several measures that assess components of drinking identity, no measures examine the idiosyncrasies of a "Responsible Drinking Identity," though responsible drinking is an aim of many alcohol-related interventions. The present study created a measure of responsible drinking identity, the Personal Assessment of Responsible Drinking Identity (PARDI). Two cross-sectional designs and a prospective follow-up were used to develop and assess the psychometric properties of the PARDI. Study 1 used a U.S. national sample of college students who endorsed alcohol use (n = 911) to conduct an Exploratory Factor Analysis. Study 2 consisted of college students from a Southeastern University (n = 1,096) and was used to conduct a Confirmatory Factor Analysis, as well as evaluate convergent, discriminant, concurrent, and incremental validity. A subsample from Study 2 was then assessed after 1 month (n = 194). The follow-up examined test-retest reliability and predictive validity. The PARDI consists of four identity-based factors that are indicative of responsible drinking. The measure had adequate validity across all domains and good test-retest reliability. The measure appears to predict future protective behaviorial strategies (safe drinking behaviors), which mediates the relationship between the PARDI and both future alcohol use and consequences, suggesting safe or responsible drinking identity may drive a key behavioral target of substance use interventions. The PARDI may offer a tool to aid in quantifying underlying constructs of identity and behavior change in substance use interventions. (PsycInfo Database Record (c) 2023 APA, all rights reserved).


Asunto(s)
Consumo de Alcohol en la Universidad , Trastornos Relacionados con Sustancias , Humanos , Reproducibilidad de los Resultados , Estudios Prospectivos , Estudios Transversales , Consumo de Bebidas Alcohólicas , Estudiantes , Universidades
6.
Psychiatry ; 86(1): 1-16, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-36240071

RESUMEN

Objective: Alcohol use continues to be prevalent and problematic among young adult samples. Protective behavioral strategies (PBS), which are harm reduction strategies utilized while drinking, have been linked to decreased alcohol use and subsequent alcohol-related problems. An individual's likelihood of adopting PBS and other health behaviors, according to The Health Belief Model (HBM), is dependent on perceived susceptibility to and severity of adverse health outcomes, as well as perceived benefits and barriers related to implementing those behaviors. The present study examined whether the perceived effectiveness of PBS in the context of the HBM leads to an increase in PBS use. Method: The analytic sample (n =694 college students, Mage =20.21, SD =4.37, 63.26% female, 72.05% Caucasian) self-reported demographics, weekly alcohol consumption (i.e., frequency, intensity, and quantity), alcohol-related problems, use of PBS, and perceived effectiveness of PBS use. A latent variable model was used to test the effect of perceived PBS effectiveness on PBS use, alcohol consumption, and alcohol-related problems. Results: Perceived PBS effectiveness was associated with a higher likelihood of using PBS subtypes (Manner of Drinking, Stopping/Limiting Drinking, and Serious Harm Reduction), which in turn was associated with reductions in alcohol consumption and problems. Conclusions: These findings suggest that increasing perceptions of PBS effectiveness may lead to more PBS use, decreased alcohol consumption, and fewer alcohol-related problems. Future research could implement longitudinal methodology to assess attempts to increase perceived effectiveness of PBS use and potentially establish a causal link between these perceptions, PBS use, and alcohol-related outcomes.


Asunto(s)
Consumo de Bebidas Alcohólicas , Trastornos Relacionados con Alcohol , Adulto Joven , Humanos , Femenino , Adulto , Masculino , Consumo de Bebidas Alcohólicas/epidemiología , Etanol , Reducción del Daño , Autoinforme , Modelo de Creencias sobre la Salud
7.
Appetite ; 180: 106322, 2023 01 01.
Artículo en Inglés | MEDLINE | ID: mdl-36208692

RESUMEN

Loss-of-control eating (LOCE, the subjective inability to refrain from eating or cease eating), is highly mood-driven. Mood-related eating motives and eating expectancies have been identified as contributors to binge eating. However, little is known about how these factors relate to LOCE, much less their relationship with daily-level LOCE. This study assessed the impact of trait eating expectancies and daily eating motives on the relationship between daily affective states and LOCE. United States adults (n = 109) reporting recent LOCE participated in a ten-day diary study, completing two surveys per day regarding eating behaviors, mood, and motives. Data were analyzed at the within- and between-subject levels utilizing a Bayesian approach to examine pathways from mood to LOCE, mediated by eating motives and accounting for a moderating impact of baseline eating expectancies on the path leg between mood and motives. Negative mood was associated with LOCE at both the within- and between-subjects level by way of coping motives, and directly at the within-subjects level. Negative affect (NA) reduction expectancies did not moderate the indirect pathway. Positive mood was only associated with LOCE at the within-subjects level, via pleasure motives. This relationship was potentiated via reward expectancies. Therefore, although negative mood appears be a robust predictor of LOCE regardless of trait NA reduction expectancies, positive mood appears to have a specific set of conditions under which individuals are at increased likelihood of LOCE at the within-subjects level. These findings suggest that eating expectancies and motives for eating may be meaningful targets in LOCE interventions.


Asunto(s)
Afecto , Humanos , Teorema de Bayes
8.
Alcohol Clin Exp Res ; 46(8): 1580-1591, 2022 08.
Artículo en Inglés | MEDLINE | ID: mdl-36029302

RESUMEN

BACKGROUND: Attentional bias (AB) has been linked to alcohol use, mood, and alcohol craving, with key differences across different types of mood and biological sex. However, further exploration of the role of AB across these alcohol variables is needed. The current study examined the relationship between mood and AB as predictors of alcohol craving using ecological momentary assessment (EMA). Exploratory analysis examined these effects as a function of biological sex. METHODS: Participants (n = 69) from a Midwestern University carried a mobile device for 15 days and provided ratings of momentary mood (positive mood, anxious mood, and sad mood), alcohol craving, and AB. Data were analyzed using a two-level multilevel regression model, with associations between craving, mood, and AB examined at both the momentary and between-subjects levels. RESULTS: Across assessments, positive and negative moods were positively associated with momentary craving, with AB found to operate differently between men and women. At the within-subjects level, increases in positive mood among men strengthened the AB-craving association, while women showed stronger AB-craving associations when positive mood decreased. At the between-subjects level, trait-like sadness led to positive AB-craving associations for men, however, this was the opposite for women. Similarly, AB-craving associations were positive and robust for men with trait-like positive mood but again the opposite was observed for women. CONCLUSIONS: The findings highlight the importance and nuances of biological sex in the context of mood, AB, and craving. Interventions targeting AB and/or emotion regulation may yield different outcomes for men and women.


Asunto(s)
Sesgo Atencional , Ansia , Afecto/fisiología , Consumo de Bebidas Alcohólicas/psicología , Ansia/fisiología , Evaluación Ecológica Momentánea , Etanol , Femenino , Humanos , Masculino , Conducta Sexual
9.
J Am Coll Health ; : 1-10, 2022 Apr 15.
Artículo en Inglés | MEDLINE | ID: mdl-35427457

RESUMEN

Objective: Research shows that alcohol use is linked to suicidal ideation (SI), while depression is strongly associated with SI. Protective behavioral strategies (PBS) are safe drinking strategies. PBS are broadly protective across alcohol-related problems; however, it is unclear if these effects extend to those at risk for SI. We hypothesized that alcohol use and depressive symptoms would be risk factors for SI, and that these factors would moderate the effects of PBS. PBS was hypothesized to be protective for individuals with elevated depressive symptoms and alcohol use. Participants: College student drinkers (n = 990; M age = 19.97, SD = 3.75) from a Southeastern University. Methods: Participants completed an online survey inquiring about demographics, depressive symptoms, SI, alcohol use, and PBS use. Results: Depressive symptoms were associated with an increased likelihood of SI; however, alcohol use was not. PBS were most protective for individuals with high levels of alcohol use and/or depressive symptoms. Conclusions: PBS may be protective for heavier drinkers who are at heightened risk for SI.

10.
Addict Behav ; 131: 107338, 2022 08.
Artículo en Inglés | MEDLINE | ID: mdl-35472696

RESUMEN

Prevention programs may have contributed to modest declines in alcohol use among college students in recent years, but negative consequences continue to be pervasive. First year college students (FYCS) are particularly vulnerable, and there is clearly a need for more effective methods to reduce risk. Meta-analyses focused on expectancy challenge (EC) have found this approach to be effective, but "experiential" EC that includes a drinking exercise is not suitable for most FYCS, many of whom are underage. A non-experiential alternative, the Expectancy Challenge Alcohol Literacy Curriculum (ECALC), is practical for widespread implementation. ECALC has been effective with mandated students and members of fraternities, and in the present study, we focused on evaluating effects with FYCS. In a group randomized trial, 48 class sections of a course designed for FYCS received either ECALC or an attention-matched control presentation. ECALC was associated with significant changes on six expectancy subscales of the Comprehensive Effects of Alcohol Scale (CEOA). Structural equation modeling was used to examine the mediated effects of the intervention on alcohol-related harms via alcohol expectancies. There were significant indirect effects from condition to alcohol use (IND = -0.04, p <.001) and alcohol harms (IND = -0.07, p <.001). This model accounted for 54% of the variance in alcohol use and 46% of the variance in alcohol-related harms. These findings suggest ECALC is an effective, single session group-delivered program that can be incorporated into classroom curricula.


Asunto(s)
Consumo de Alcohol en la Universidad , Consumo de Bebidas Alcohólicas , Consumo de Bebidas Alcohólicas/prevención & control , Curriculum , Etanol , Humanos , Alfabetización , Estudiantes , Universidades
11.
Psychiatry ; 85(3): 293-307, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35349398

RESUMEN

Objective: The most common conceptualization of psychopathy is a two-factor model of primary psychopathy and secondary psychopathy. Primary psychopathy consists of interpersonally abusive behavior, and callousness. Secondary psychopathy includes impulsive and risky decision making. Past research has found that psychopathy is related to negative outcomes, including increased alcohol consumption and problems, and is inversely related to harm reduction behaviors. Protective behavioral strategies (PBS), behaviors designed to reduce alcohol consumption and associated problems, may mediate the relationship between psychopathy and alcohol pathology. The current study examined the relationship between psychopathy, each subtype of PBS use (serious harm reduction (SHR), manner of drinking (MD) and stopping/limiting drinking (SLD)), alcohol consumption, and alcohol problems.Method: Participants were n = 967 (61.22% female) college students. Participants completed measures assessing psychopathy, PBS use, alcohol consumption, and alcohol problems. A path analysis was conducted to examine the relationships between psychopathy, subtypes of PBS, and alcohol consumption and problems.Results: Results indicated an inverse relationship between primary psychopathy and both SHR PBS and MD PBS, while secondary psychopathy was inversely associated with all three PBS subtypes. SHR PBS was inversely associated with alcohol problems while MD PBS was inversely associated with alcohol consumption.Conclusion: These findings suggest specific PBS subtypes mediate the relationship between primary and secondary psychopathy and alcohol consumption and problems. It may be clinically pertinent to consider targeting PBS use, such as with motivational interviewing, when working with patients exhibiting psychopathy traits. Future research should consider these findings when examining alcohol use.


Asunto(s)
Trastornos Relacionados con Alcohol , Estudiantes , Consumo de Bebidas Alcohólicas/epidemiología , Trastornos Relacionados con Alcohol/epidemiología , Femenino , Reducción del Daño , Humanos , Masculino , Universidades
12.
Psychol Rep ; 125(5): 2384-2399, 2022 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-34080886

RESUMEN

BACKGROUND: Psychopathy has been an increasing area of clinical and personality research and is associated with numerous problematic outcomes, including pathological gambling, though this area of research is limited. The most common conceptualization of psychopathy is a two-factor model of primary and secondary psychopathy, with primary psychopathy comprising more interpersonal traits and secondary psychopathy encompassing more antisocial behaviors. Previous research has linked psychopathy to greater urgency and lower utilization of harm reduction strategies. OBJECTIVES: The current study examines the relationship between primary psychopathy, secondary psychopathy, and problematic gambling, as well as the possible mechanisms of these relationships. METHOD: College student gamblers (n = 308) completed surveys on psychopathy, impulsivity, protective behavioral strategies regarding gambling, and possible gambling problems. RESULTS: Primary psychopathy was inversely related to gambling protective behavioral strategies (PBS) and secondary psychopathy was positively associated with higher levels of urgency. Secondary psychopathy, via urgency, was a strong predictor of whether an individual will experience gambling problems, while primary psychopathy via PBS better predicts the number of gambling problems one experiences. CONCLUSION: This study extends an overall under-researched area of gambling and personality and highlights the importance of delineating different factors of psychopathy regarding problematic gambling outcomes.


Asunto(s)
Juego de Azar , Trastorno de Personalidad Antisocial , Humanos , Conducta Impulsiva , Personalidad , Estudiantes
13.
Psychol Addict Behav ; 36(6): 619-634, 2022 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-34591518

RESUMEN

OBJECTIVE: First-time-in-college (FTIC) students are relatively inexperienced with alcohol and have pressure to assimilate to new norms, and, therefore, are at a heightened risk of alcohol-related consequences. The present study investigates the use of a brief deviance regulation theory (DRT) intervention to increase the use of protective behavioral strategies (PBS) among FTIC students. METHOD: Participation took place completely online. Participants were first-year college students (n = 147, Mage = 18.11, 77.68% female) at a large southwest U.S. university. Participants were randomly assigned one of three conditions: (a) a positive message about individuals who use PBS, (b) a negative message about individuals who do not use PBS, or (c) an assessment-only control group. Participants then completed weekly assessments for 5 weeks, examining alcohol use and consequences, PBS use, and perceived PBS norms. Contrasting previous research, the present study investigated weekly effects of the intervention. In addition, norm type (quantity vs. frequency) was examined as moderators of intervention messaging. RESULTS: Across conditions, both quantity and frequency norms increased over time. The positive message produced immediate and lasting effects on SLD PBS among those with higher (+ 1 SD) frequency norms. The intervention effects for the negative message, using the quantity norm, grew across time on all PBS. CONCLUSIONS: These results provide initial support for the use of a DRT prevention program for FTIC students. Negative messages may promote long-term PBS use, while positive messages may be most effective in addressing immediate and lasting changes in the use of alcohol protective strategies. (PsycInfo Database Record (c) 2022 APA, all rights reserved).


Asunto(s)
Consumo de Alcohol en la Universidad , Consumo de Bebidas Alcohólicas/prevención & control , Etanol , Femenino , Humanos , Masculino , Estudiantes , Universidades
14.
Exp Clin Psychopharmacol ; 29(3): 236-250, 2021 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-34264735

RESUMEN

Harm reduction is a framework that places substance use on a spectrum from total abstinence to continued controlled use. Protective behavioral strategies (PBS) are a set of individually implemented harm reduction strategies that have shown to reduce the rate of use and severity of consequences from risky behaviors. Previous research has shown that PBS use effectively reduces negative consequences. The present study provides an overview of the literature on PBS measures for various risk behaviors, and common interventions used in conjunction with PBS. Of the articles reviewed, 15 validated PBS measures were found and eight distinct categories of PBS interventions. The 15 measures reviewed included risk factors such as alcohol use/consequences (n = 8), dating and sexual behaviors (n = 4), gambling (n = 1), cannabis (n = 1), and condom use (n = 1). A survey of the literature produced eight distinct categories of interventions with varying degrees of effectiveness: (a) Brief Motivational Interventions, (b) Personalized Normative Feedback, (c) PBS Skills Training, (d) PBS Instruction, (e) Deviance Regulation Theory Interventions, (f) Behavioral Economic Based Interventions, (g) Counterfactual Thinking and (h) Episodic Future Thinking. Findings from the present study corroborate the notion that PBS effectively reduce negative consequences associated with behaviors, such as negative alcohol-related consequences, harmful cannabis use, and adverse sexual outcomes. Research on interventions targeting PBS is lacking in areas outside of alcohol use. Within alcohol use, the utility of interventions varies widely. Understanding the reason for this discrepancy is an important area for future research. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Asunto(s)
Alcoholismo/prevención & control , Juego de Azar/prevención & control , Reducción del Daño , Abuso de Marihuana/prevención & control , Sexo Inseguro/prevención & control , Adulto , Humanos , Masculino , Factores de Riesgo
15.
Alcohol Clin Exp Res ; 44(12): 2598-2610, 2020 12.
Artículo en Inglés | MEDLINE | ID: mdl-33206419

RESUMEN

BACKGROUND: Alcohol misuse continues to be a significant public health problem. Understanding the factors that may contribute to the harmful progression in drinking is an important aspect of public health. Previous research has shown that affect regulation is associated with problematic alcohol use. Additionally, emotion instability has been found as a predictor of alcohol-related problems and may be linked to reinforcement mechanisms. METHODS: The current study examined positive mood, negative mood, and mood instability in real time across drinking and nondrinking days utilizing ecological momentary assessment (EMA). Current drinkers (n = 74) were recruited for a 21-day EMA study. Participants completed up to 10 random assessments of positive mood, negative mood, and alcohol use per day. Mood instability was assessed as the squared difference in current mood from mood in the previous assessment. Data were analyzed using piecewise multilevel regression to examine mood trajectories across drinking and nondrinking days. RESULTS: Positive emotion across the day was higher on drinking days than nondrinking days and continued to increase after drinking initiation. In contrast, negative emotion across the day was lower on drinking days than nondrinking days and continued to decrease after drinking initiation. Emotional functioning was stable across the day on nondrinking days. However, on drinking days there was a steady increase in emotional instability leading up to drinking initiation, followed by a rapid stabilization after initiation. CONCLUSIONS: This study highlights the potentially reinforcing impact of alcohol via emotional stability. Overall, these findings highlight the importance of mood dynamics when examining the reinforcing effects of alcohol consumption.


Asunto(s)
Abstinencia de Alcohol/psicología , Consumo de Bebidas Alcohólicas/psicología , Emociones/efectos de los fármacos , Adolescente , Adulto , Afecto/efectos de los fármacos , Femenino , Humanos , Masculino , Adulto Joven
16.
Exp Clin Psychopharmacol ; 28(6): 622-631, 2020 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-31961165

RESUMEN

Alcohol expectancies have been linked to the development of alcohol pathology. Research has shown college drinkers can be classified into unique drinking profiles that vary by use and related problems. The current study examines paths of alcohol expectancy activation as a function of drinking profile. College student drinkers (n = 1,226; 60.77% female) completed assessments of alcohol involvement and alcohol expectancies. Latent profile analysis (LPA) was used to classify drinking profiles. Multidimensional scaling (MDS) techniques were then applied to examine differences in the likely activation of alcohol expectancies as a function of drinking profile. LPA identified 6 classes of college student drinkers: light drinkers with minor problems, moderate drinkers with mild problems, moderate drinkers with severe problems, heavy drinkers with mild problems, heavy drinkers with severe problems, and heavy drinkers with physical dependence. MDS was used to develop a hypothetical memory network of alcohol expectancies. Preference mapping was then used to plot paths of expectancy activation through the hypothetical memory network for each drinking profile. Light drinkers showed expectancy activation along a prosocial-antisocial dimension. As use patterns became increasingly pathological, paths of activation shifted toward arousal-sedation. The shift in activation paths from prosocial-antisocial to arousal-sedation was driven more by alcohol-related pathology than by consumption. This suggests that individuals high in arousal-sedation expectancies may be at an increased risk for more severe alcohol pathology. Further, individuals high in arousal-sedation expectancies may benefit most from programs that restructure expectancy pathways away from arousal-sedation. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Asunto(s)
Consumo de Alcohol en la Universidad , Estudiantes/psicología , Adolescente , Adulto , Femenino , Humanos , Masculino , Memoria , Adulto Joven
17.
Exp Clin Psychopharmacol ; 28(1): 6-12, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-31008642

RESUMEN

Regretted sexual experiences are reported at higher rates among sexually active female college students than by their male counterparts. Moreover, alcohol is involved in approximately one third of regretted sex experienced by college students. Previous research has shown that students who implement protective behavioral strategies (PBS) while drinking are able to reduce alcohol-related negative consequences, including regretted sex. In order to compare differences in associations among alcohol use, PBS, and regretted sex, the current study examined these associations as a function of gender. Results were analyzed for each of the 3 subtypes of PBS: Manner of Drinking (MD); Stopping/Limiting Drinking (SLD) and Serious Harm Reduction (SHR). The current study included 371 college students (64.15% female) from a moderate-sized Midwest university. Participants completed a series of online surveys that assessed drinking habits, alcohol-related consequences (i.e., regretted sex), and PBS use. A multigroup path analysis found that alcohol use was positively associated with regretted sex, however, 2 of the 3 PBS subtypes (MD and SLD) were negatively associated with alcohol use. The third PBS subtype (SHR) yielded a direct negative relationship with regretted sex for women, but not for men. Lastly, the interaction of SHR and alcohol use was significantly associated with regretted sex, which was moderated by gender. These results suggest an among PBS use, decreased alcohol use, and fewer instances of regretted sex. Further examination of the differences in relationships among PBS subtypes, alcohol use, and regretted sex for men and women is warranted. (PsycINFO Database Record (c) 2020 APA, all rights reserved).


Asunto(s)
Adaptación Psicológica , Consumo de Alcohol en la Universidad/psicología , Emociones , Conducta Sexual/psicología , Adolescente , Adulto , Consumo de Bebidas Alcohólicas , Femenino , Reducción del Daño , Humanos , Masculino , Estudiantes/estadística & datos numéricos , Encuestas y Cuestionarios , Universidades , Adulto Joven
18.
J Abnorm Psychol ; 128(8): 813-822, 2019 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-31657596

RESUMEN

Between-subjects literature has established that trait-like negative mood predicts coping motives, which predict alcohol-related problems and that trait-like positive mood predicts mood enhancement motives, which then predict alcohol consumption. However, there is considerable within-person variation in drinking motives, and the relationship between mood, motives, and alcohol outcomes must be more closely examined at a daily level. The current study used ecological momentary assessment (EMA) to measure mood, motives, alcohol use, and alcohol consequences in 101 college drinkers over a 15-day period. At the between-subjects level, positive mood predicted enhancement motives, which in turn predicted alcohol consumption and consequences. Negative mood predicted coping motives, which were associated with only alcohol-related consequences. At the within-subjects level, daily anxious and depressed mood were associated with endorsing coping motives, but coping motives were not associated with alcohol consumption or problems. Positive mood was associated with enhancement motives, which was associated with both daily alcohol consumption and problems. These results corroborate previous findings that enhancement motives are most predictive of outcomes in the college population and highlight the importance of considering within-subject variance in drinking motives. The relationships between mood, motives, and alcohol outcomes differ when examined as between-subjects versus within-subject constructs. (PsycINFO Database Record (c) 2019 APA, all rights reserved).


Asunto(s)
Afecto/fisiología , Consumo de Alcohol en la Universidad/psicología , Trastornos Relacionados con Alcohol/fisiopatología , Trastornos Relacionados con Alcohol/psicología , Relaciones Interpersonales , Motivación/fisiología , Adolescente , Adulto , Evaluación Ecológica Momentánea , Femenino , Humanos , Masculino , Estudiantes/psicología , Universidades , Adulto Joven
19.
J Consult Clin Psychol ; 86(12): 1061-1075, 2018 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-30507231

RESUMEN

OBJECTIVE: Normative feedback remains an effective approach to reducing alcohol use among college students. However, this approach is difficult to extend to protective behavioral strategies (PBS), which are proximal to alcohol-related problems. Deviance regulation theory (DRT) is a social psychology theory that posits individuals engage in behaviors to standout out in positive ways or avoid standing out in negative ways. The current study tests a DRT-based randomized control trial. METHOD: College student drinkers (n = 130) reported on PBS norm frequency, alcohol use, and PBS use. They were then randomly assigned to receive a positive message about PBS users, a negative message about non-PBS users, or a control. They reported on weekly PBS use, alcohol use, and alcohol problems for 10 weeks. RESULTS: Consistent with DRT, there were immediate postintervention effects on PBS use for individuals who believed PBS was uncommon and who also received a positive message. This remained stable across time. There was significant growth in PBS use among individuals who received a negative message and who believed PBS use was common. The intervention was not directly associated with alcohol use or problems. However, PBS use was associated with average alcohol use and lower weekly and global alcohol problems. CONCLUSIONS: This study shows that a DRT intervention may increase PBS use. This may translate into lower alcohol use and fewer alcohol-related problems. The results also identify conditions under which positive and negative messages are indicated. (PsycINFO Database Record (c) 2018 APA, all rights reserved).


Asunto(s)
Consumo de Alcohol en la Universidad/psicología , Trastornos Relacionados con Alcohol/prevención & control , Trastornos Relacionados con Alcohol/psicología , Conducta Social , Adolescente , Adulto , Femenino , Humanos , Masculino , Estudiantes/psicología , Estados Unidos , Universidades , Adulto Joven
20.
Exp Clin Psychopharmacol ; 26(4): 377-390, 2018 08.
Artículo en Inglés | MEDLINE | ID: mdl-29985019

RESUMEN

Several theories posit problematic alcohol use develops through mechanisms of positive and negative reinforcement. However, the literature on these mechanisms remains inconsistent. This may be due to a number of issues including a failure to disaggregate negative mood or a failure to account for mood functioning (i.e., stability in mood). Alternatively, there may be differences in typical postdrinking/evening mood on drinking and nondrinking days, however, this has yet to be fully explored. We examined multiple indices of distinct mood states prior to and after typical drinking onset times on drinking and nondrinking days using ecological momentary assessment. College student drinkers (n = 102) carried personal data devices for 15 days. They reported on mood and alcohol use several times per day. Tonic positive mood was higher on drinking days than nondrinking days prior to typical drinking initiation. After typical drinking times, positive mood was higher on drinking days than nondrinking days. Similarly, negative moods (anxiety, stress, anger, and stress instability) indicated a pattern of lower levels relative to both predrinking mood on drinking days, and matched mood time-points on nondrinking days; though, not all of these differences were statistically different. Results suggest positive and negative reinforcing mechanisms may be at play-though the negative reinforcement effects may manifest through subjectively "better" mood on drinking versus nondrinking days. (PsycINFO Database Record


Asunto(s)
Afecto/fisiología , Abstinencia de Alcohol/psicología , Consumo de Alcohol en la Universidad/psicología , Refuerzo en Psicología , Estrés Psicológico/psicología , Estudiantes/psicología , Adolescente , Adulto , Abstinencia de Alcohol/tendencias , Ira/fisiología , Ansiedad/diagnóstico , Ansiedad/psicología , Femenino , Humanos , Masculino , Estrés Psicológico/diagnóstico , Universidades/tendencias , Adulto Joven
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