Evaluation of AUDIT Consumption Items New Adaptation to Improve the Screening of College Students Binge Drinking. / Evaluación de la adaptación de los ítems de consumo del AUDIT para mejor el cribado de Binge Drinking en universitarios.

The strong presence of Binge Drinking (BD) amongst university students, as well as the consequences associated with the same and the changes taking place over recent years regarding its conceptualization make it necessary to examine the usefulness of screening instruments used to detect this drinking pattern. This study examines the usefulness of a briefer adaptation of the AUDIT proposed by Cortés, Giménez, Motos, and Sancerni (2017a).College students self-administered the AUDIT, the revised items 2 and 3 (A2r and A3r), and completed a weekly self-report of their alcohol intake. BD was classified according to the amount consumed and the frequency of that consumption over the past six months. The AUDIT, AUDIT-C and items A2r+A3r (AR2I) were examined. The results obtained from a sample of 605 college students (18-21 years old/55.2% female) indicate that 449 meet the BD criteria. Items A2r and A3r, adapted to the most consensual definition of BD, were found to identify 98% of BD college students when using a cut-off point of ≥ 3 in females and ≥ 4 in males with optimum levels of sensitivity and specificity. The new adaptation, which includes fewer items, identifies BD college students more accurately. This confirms the need to adjust both consumption items from the model according to the pattern of consumption in college students to detect BD more precisely and as soon as possible.

La importante presencia del Binge Drinking (BD) entre estudiantes universitarios, junto con las consecuencias asociadas al mismo y los cambios experimentados en los últimos años en su conceptualización, hacen necesario revisar la utilidad de los instrumentos de cribado para detectar este patrón de consumo. Este estudio examina la utilidad de una adaptación del AUDIT propuesta por Cortés, Giménez, Motos y Sancerni (2017a).Una muestra de estudiantes universitarios cumplimentó el AUDIT, los ítems 2 y 3 revisados (A2r y A3r), y un autoinforme semanal de su consumo de alcohol. A partir de la cantidad máxima de alcohol consumido en una ocasión y de la frecuencia de dicho consumo en los últimos seis meses se clasificaron los jóvenes como BD o no-BD. Se examinaron las puntuaciones del AUDIT, AUDIT-C y de los ítems A2r+A3r (AR2I).Los resultados obtenidos con 605 universitarios (18-21 años/55,2% mujeres) indican que 449 cumplen criterios de BD. Los ítems A2r y A3r, adaptados a una definición más consensuada de BD, identifican el 98% de los estudiantes BD cuando se usa un punto de corte ≥ 3 en mujeres y ≥ 4 en varones, con valores óptimos de sensibilidad y especificidad.Esta adaptación realizada, que incluye menor número de ítems, identifica a los universitarios BD de manera más precisa. Se confirma la necesidad de ajustar ambos ítems de consumo de acuerdo al patrón de ingesta BD que realizan los estudiantes universitarios mejorando notablemente su detección y facilitando un abordaje temprano.

Predictors of weekly alcohol drinking and alcohol-related problems in binge-drinking undergraduates.

The important implications generated by binge drinking among university students justify the interest to determine which factors predict its occurrence. Specifically, this study aims to assess the role of personality and drinking onset in predicting weekly alcohol consumption, and the impact of the whole set of variables in predicting the number of consequences associated with consumption in undergraduates. Two hundred and thirteen freshmen who were intensive consumers (binge drinkers) from the University Complutense of Madrid were evaluated. All of them filled in a self-registration of consumption, the BIS-11, the NEO-FFI and the IECI consequences associated with intake. The hierarchical regression analysis shows that the drinking onset appears to be a relevant predictor variable in explaining weekly consumption and the number of consequences. The same can be said of the weekly consumption variable with regard to the number of consequences. In general, the influence of personality is quite limited. It is interesting to point out that responsibility and impulsivity, along with age, explain most of the weekly consumption behavior among males. With respect to the consequences of consumption, only impulsivity and neuroticism contribute to explain them, but with less strength than age and weekly consumption. Our results justify the need to plan tighter interventions and consider new predictors that help to explain further weekly consumption in women.

Las importantes implicaciones que genera el consumo intensivo de alcohol entre los jóvenes justifican el interés por determinar qué factores predicen su aparición. Concretamente, en este estudio se analiza el papel de la personalidad y edad de inicio en el consumo de alcohol en la predicción del consumo semanal de alcohol, y de todas estas variables en la predicción del número de consecuencias asociadas al consumo en jóvenes universitarios.Se evalúan 213 consumidores intensivos de primer curso de la Universidad Complutense de Madrid. Todos ellos cumplimentaron un autoregistro de consumo, el BIS-11, el NEO-FFI y el IECI de consecuencias asociadas a la ingesta.Los análisis de regresión de orden jerárquico muestran que la edad de inicio resulta ser una variable predictora relevante tanto en la explicación del consumo semanal como del número de consecuencias. Lo mismo puede decirse de la variable consumo semanal respecto a la del número de consecuencias.En líneas generales, el influjo de las variables de personalidad es bastante limitado. Tan sólo mencionar la responsabilidad e impulsividad, que junto con la edad, llegan a explicar gran parte de la conducta de consumo semanal entre varones. En lo que respecta a las consecuencias derivadas del consumo, sólo resultan explicativas, aunque en menor medida que la edad y el consumo semanal, la impulsividad y el neuroticismo.Esto justifica la necesidad de planificar intervenciones más ajustadas y de analizar nuevos predictores en el caso de las mujeres que permitan explicar en mayor medida su conducta de consumo semanal.

A short version of the Alcohol Consumption Consequences Evaluation Scale (ACCE10).

A brief version of the Alcohol Consumption Consequences Evaluation Scale (ACCE) [38] was developed to promptly detect possible risks related to alcohol consumption, such as Binge Drinking (BD), in university students. Using the "snowball" method, a sample of 595 students aged 18 to 20 (65.4% women) from the University of Valencia (Spain) was obtained during the 2019-2020 academic year. Items with the highest values of the discrimination parameter in the original version (ACCE) were selected and the Rasch model was applied. To verify the usefulness of this version, ROC analyses were conducted separately for men and women using the Audit score as the criterion. In the overall sample, the analysis had an area of 0.812 (SE = 0.018). In men, the area was 0.796 (SE = 0.032) and for women, it was 0.823 (SE = 0.021). In addition, a logistic regression analysis was performed, using a cut-off point of 3 based on the ROC analysis, to assess the utility of this version in classifying BD and non-BD. The odds ratio was 3.812 (p = 0.000), correctly classifying 89.2% of the young people and indicating that the probability of engaging in BD is 3.8 times higher for individuals obtaining more than 3 points on this scale. This result confirms the usefulness of this brief version (ACCE10) as a screening tool for early intervention, especially in clinical or university settings, since it allows young people to be situated within a range of severity according to their consumption patterns. Furthermore, it may help stop the progression of the addictive process, create awareness of the need for change, and facilitate access to the most suitable interventions.

Consequences, Motives, and Expectancies of Consumption as Predictors of Binge Drinking in University Women.

The increasing presence of women, especially university women, in risky alcohol consumption such as Binge Drinking (BD), which is associated with gender-specific biopsychosocial problems, makes it necessary to analyze the variables underlying BD in order to adjust possible interventions more in line with their reality. The motives and expectancies of this pattern of consumption, as well as the consequences derived from it, are some of the variables that are shown to have the greatest weight in the prediction of BD. In the present study we analyze, on the one hand, the performance of these variables among college women with alcohol use, and on the other hand, which of these variables allow us to classify BD. A total of 501 female university consumers of alcohol (mean age 19.02 years) were assessed. Specifically, they completed a self-report of alcohol consumption (77.1% engage in BD), the Expectancy Questionnaire (EQ), the Drinking Motives Questionnaire (DMQ-R) and the Alcohol Consumption Consequences Evaluation (ACCE). BD female students scored significantly higher on these instruments, except for compliance motives. The logistic regression analysis carried out to estimate the probability of performing BD using the social and conformity motives, the ACCE and positive expectancies correctly estimated (χ2 8 = 9.149, p < 0.33) 88.6% of the cases and explained 26.2% of the BD. Thus, young women with a level of consequences classified as high risk (>25 in ACCE) have a 3.55-fold increase in the probability of having BD, compared to women classified as low risk by the ACCE. On the other hand, women classified as moderate risk by the ACCE have a 4.77-fold increase in the probability of having BD. In the case of social motives and positive expectancies, their increase multiplies by 1.165 and 1.024, respectively, the probability of having BD. The results of this study highlight the importance of adapting preventive measures to the consequences experienced by BD university students, especially in relation to the social motives and positive expectancies that modulate decision-making when engaging in this pattern of consumption.

Binge Drinking: The Top 100 Cited Papers.

We conducted a review to analyze the 100 most-cited studies on binge drinking (BD) in the Web of Science (WoS) database to determine their current status and the aspects that require further attention. We carried out a retrospective bibliometric analysis in January 2021. The year of publication, authors, design, subject, journal, institution and lead author's country, as well as the definition of BD, were extracted from the articles. The data on the country, year, thematic category of the journals and their rank were obtained from the Institute for Scientific Information (ISI) Journal Citation Reports 2020. The number of citations was collected from the WoS, and the h index was collected from the Scopus database. The citation density and Bradford's law were calculated. The majority of the articles were empirical quantitative studies with a cross-sectional design published between 1992 and 2013 in 49 journals. There were 306 authors, mostly English-speaking and from the USA. The definitions used to describe BD are not homogeneous. The most-cited topics were the analysis of consequences, determinants and epidemiology. There is a need to unify the definitions of BD and base them on scientific evidence. The multidisciplinary nature of BD is not well reflected in each of the thematic areas discussed in this work.

Psychometric Properties of the "Alcohol Consumption Consequences Evaluation" (ACCE) Scale for Young Spanish University Students.

Instruments that evaluate alcohol use consequences among young people do not consider the intensive alcohol consumption pattern that is so characteristic during these ages. Some of these instruments are even ineffective in the Spanish population. Hence the interest in developing an instrument more adapted to the reality of our young people. A total of 601 university students (35.9% male and 64.1% female) from 18 to 20 years old were recruited. All of them answered a total of 77 items obtained from the review of both the scientific literature and the different scales used to measure consequences derived from alcohol consumption. In addition, they completed the AUDIT and the Timeline Followback for self-reported consumption. The data were analyzed using factor analysis and a two-parameter logistic model. ROC curve analysis was used to establish cut-off points for different risk levels of alcohol consumption distinguishing between genders. The final 43-item scale Alcohol Consumption Consequences Evaluation (ACCE) (Evaluación de Consecuencias derivadas del Consumo de Alcohol [ECCA]) shows adequate psychometric properties: α = 0.94; unidimensionality through exploratory factor analysis (EFA) (26.25% of explained variance) and confirmatory factor analysis (CFA) (RMSEA = 0.39; TLI and CFI > 0.90). In addition, ROC analyses, both at a global scale and distinguishing between genders, were able to characterize consumers with different levels of risk, obtaining areas under the curve between 0.82 and 0.88. A scale has been obtained that enables the establishment of cut-off points to distinguish between the consequences of low, moderate and high risk alcohol consumption. The clinical utility of the ACCE is highlighted by using one single instrument to perform the screening of a possible alcohol risk consumption as well as identifying the consequences that need to be worked on in the evaluated person's or group's intervention.

[Cognitive aspects of binge drinking]. / Aspectos cognitivos relacionados con la práctica del botellón.

This paper aims to explore causes of binge drinking in young people and the effects that they seek when they drink alcohol, based on age and alcohol intake. 4,083 questionnaires were administered to 1,361 university students and 2,722 adolescents at their educational institutions. The findings corresponding to those who reported practising binge drinking -2,917 subjects- are presented in the paper. Taking into account the regularity of the practice and the alcohol intake, cluster analysis differentiated two consumer types in each group: the radical type (21.2% university students-18.2% adolescents): 10-11 drinks 3 days a week and for more than 10 months a year; and the average type (78.7% university students-81.7% adolescents): 4-5 drinks twice a week and for 8-9 months. Drinking as a way of having fun (75.2%) and drinking for the sake of drinking (81.9%) are two of the main causes underlying binge drinking, economical reasons being secondary for adolescents As for the expected effects, the short-term positive aspects of moderate consumption (being more talkative, euphoric...) stand out. Adolescents also expect to improve some of their personal skills (more self-confidence...). These results corroborate and increase the information currently available and allow us to propose alternatives adapted to young people's real needs.

[Characteristics that define the 'botellón' phenomenon in university students and adolescents]. / Características que definen el fenómeno del botellón en universitarios y adolescentes.

This paper presents some of the main parameters in the behaviour pattern of young people in their binge drinking practices, seeking to improve the somewhat inaccurate view emerging from field studies. A total of 4083 questionnaires were administered to young people in Valencia aged 14-25 during the academic year 2005/2006, from a random sample of schools and other educational institutions. The survey was conducted in the institutions themselves and participation was anonymous and voluntary. The findings confirm a progressive reduction in the age at which this practice begins, 13 having been the starting age for those adolescents who are currently 14 years old. Likewise, the results contradict the assertion that binge drinking is practised mainly by boys, as it is found to an equal extent in either sex. The European trend towards radicalisation of consumption is also confirmed: a considerable increase in the use of drinks with high alcohol content regardless of age and gender, resulting in mean blood alcohol levels of 1.5 gr. twice a week on average for more than 6 months a year. All of this is commonly combined with a misleading perception of the effects of alcohol consumption, the positive aspects being overestimated. These results underline the need to design selective or even indicated prevention programmes for approximately 20% of the most extreme cases, with a view to overcoming the current constraints of universal prevention. Nor should interventions overlook the issue of parental permissiveness--reflected in aspects such as early age of onset of binge-drinking or lack of controls on the time young people come home after partying.

Revision of AUDIT Consumption Items to Improve the Screening of Youth Binge Drinking.

This study analyzes the appropriateness of an improved version of one of the most frequently used instruments for the screening of high-risk alcohol consumption. This adaptation was created in accordance with certain limitations recognized by other researchers and in an attempt to adjust the content and scales of some items to a more consensual definition of binge drinking. After revising items 2 and 3, the areas under the ROC curves of the AUDIT and of different abbreviated versions were calculated. A total of 906 minors (468 females) between the ages of 15 and 17 were evaluated. Stratified sampling was conducted on a population of high school students in the city of Valencia (Spain). One school was randomly chosen from each of the city's 16 school districts. Information was collected on sociodemographic aspects, consumption patterns and the AUDIT containing the improved items. The percentage of underage BD reached 36%, regardless of gender or age. BD groups have been differentiated by different intensity levels, both in males and females. Upon comparing the effectiveness of the distinct versions of the AUDIT, it is recommended that researchers and clinics use the combination of the revised items 2 and 3 to ensure a more precise identification of underage BD. A cut-off point of 5 for this test would permit identification of 94% of the underage BD and would notably reduce false positives.

Different versions of the Alcohol Use Disorders Identification Test (AUDIT) as screening instruments for underage binge drinking.

BACKGROUND: The changes experienced in recent years in the conceptualization of binge drinking (BD) make it necessary to revise the usefulness of the existing instruments for its detection among minors. The AUDIT and its abbreviated versions have shown their utility in different populations and consumption ranges, but there has been little research into their use in the detection of BD among adolescents. This study tests the capacity of the AUDIT, AUDIT-C and AUDIT-3 to identify BD adolescents, indicating the optimal cut-off points for each sex. METHODS: High school students self-administered the AUDIT and completed a weekly self-report of their alcohol intake. BD is classified into different groups according to parameters like the quantity consumed and its frequency in the past six months, adjusting the cut-off points for each case. RESULTS: The results obtained with a sample of 634 adolescents (15-17 years old/52.2% female) indicate that cut-off points of 4 on the AUDIT and 3 on the AUDIT-C show the best fit. Dividing the sample by sexes, the AUDIT and the AUDIT-C would detect BD males with scores of 5 and 4, respectively (with the AUDIT-C being more sensitive), and BD females with a score of 3 on both (the more sensitive being the AUDIT). CONCLUSIONS: All three versions are adequate to classify BD adolescents but none of them made it possible to safely differentiate binge drinkers with different consumption intensities.

Evaluación de la adaptación de los ítems de consumo del AUDIT para mejor el cribado de Binge Drinking en universitarios / Evaluation of AUDIT Consumption Items New Adaptation to Improve the Screening of College Students Binge Drinking

La importante presencia del Binge Drinking (BD) entre estudiantes universitarios, junto con las consecuencias asociadas al mismo y los cambios experimentados en los últimos años en su conceptualización, hacen necesario revisar la utilidad de los instrumentos de cribado para detectar este patrón de consumo. Este estudio examina la utilidad de una adaptación del AUDIT propuesta por Cortés, Giménez, Motos y Sancerni (2017a). Una muestra de estudiantes universitarios cumplimentó el AUDIT, los ítems 2 y 3 revisados (A2r y A3r), y un autoinforme semanal de su consumo de alcohol. A partir de la cantidad máxima de alcohol consumido en una ocasión y de la frecuencia de dicho consumo en los últimos seis meses se clasificaron los jóvenes como BD o no-BD. Se examinaron las puntuaciones del AUDIT, AUDIT-C y de los ítems A2r+A3r (AR2I). Los resultados obtenidos con 605 universitarios (18-21 años/55,2% mujeres) indican que 449 cumplen criterios de BD. Los ítems A2r y A3r, adaptados a una definición más consensuada de BD, identifican el 98% de los estudiantes BD cuando se usa un punto de corte ≥ 3 en mujeres y ≥ 4 en varones, con valores óptimos de sensibilidad y especificidad. Esta adaptación realizada, que incluye menor número de ítems, identifica a los universitarios BD de manera más precisa. Se confirma la necesidad de ajustar ambos ítems de consumo de acuerdo al patrón de ingesta BD que realizan los estudiantes universitarios mejorando notablemente su detección y facilitando un abordaje temprano

The strong presence of Binge Drinking (BD) amongst university students, as well as the consequences associated with the same and the changes taking place over recent years regarding its conceptualization make it necessary to examine the usefulness of screening instruments used to detect this drinking pattern. This study examines the usefulness of a briefer adaptation of the AUDIT proposed by Cortés, Giménez, Motos, and Sancerni (2017a). College students self-administered the AUDIT, the revised items 2 and 3 (A2r and A3r), and completed a weekly self-report of their alcohol intake. BD was classified according to the amount consumed and the frequency of that consumption over the past six months. The AUDIT, AUDIT-C and items A2r+A3r (AR2I) were examined. The results obtained from a sample of 605 college students (18- 21 years old/55.2% female) indicate that 449 meet the BD criteria. Items A2r and A3r, adapted to the most consensual definition of BD, were found to identify 98% of BD college students when using a cut-off point of ≥ 3 in females and ≥ 4 in males with optimum levels of sensitivity and specificity. The new adaptation, which includes fewer items, identifies BD college students more accurately. This confirms the need to adjust both consumption items from the model according to the pattern of consumption in college students to detect BD more precisely and as soon as possible

The utility of the alcohol use disorders identification test (Audit) for the analysis of binge drinking in university students / Utilidad del Alcohol Use Disorders Identification Test (AUDIT) en el análisis del binge drinking en estudiantes universitarios

BACKGROUND: The increasingly precise conceptualization of Binge Drinking (BD), along with the rising incidence of this pattern of intake amongst young people, make it necessary to review the usefulness of instruments used to detect it. Little evidence exists regarding effectiveness of the AUDIT, AUDIT-C and AUDIT-3 in the detection of BD. This study evaluates their utility in a sample of university students, revealing the most appropriate cut-off points for each sex. METHODS: All students self-administered the AUDIT and completed a self-report of their alcohol consumption. A Two-step cluster analysis differentiated 5 groups of BD in terms of: the quantity consumed, the frequency of BD over the past six months and gender. A ROC curve adjusted cut-off points for each case. RESULTS: 862 university students (18-19 years-old/59.5% female), 424 (49.2%) from Valencia and 438 (50.8%) from Madrid, had cut-off points of 4 in AUDIT and 3 in AUDIT-C as a better fit. In all cases, the best classifier was AUDIT-C. Neither version properly classifies students with varying degrees of BD. CONCLUSIONS: All versions differentiate BD from non-BD, but none are able to differentiate between types of BD

ANTECEDENTES: la operacionalización cada vez más precisa del Binge Drinking (BD), unido a su elevada prevalencia entre los jóvenes, hace necesario revisar la utilidad de los instrumentos utilizados para detectarlo. Existe poca evidencia de la eficacia del AU-DIT y AUDIT-C en la detección del BD. Este artículo evalúa su utilidad en una muestra de universitarios, identificando los puntos de corte más adecuados, en función del sexo. MÉTODO: se cumplimentó el AUDIT y un autoregistro de consumo de alcohol. Un análisis de conglomerados en dos fases diferenció 5 grupos de BD en función de: cantidad consumida, frecuencia de realización en los últimos seis meses y género. Con curvas ROC se ajustaron los puntos de corte para cada caso. RESULTADOS: 862 universitarios (18-19 años/59,5% mujeres), 424 (49,2%) de Valencia y 438 (50,8%) de Madrid obtuvieron puntos de corte de 4 en AUDIT y 3 en AUDIT-C como mejor ajuste. En todos los casos el mejor clasificador de BD fue el AUDIT-C. Ninguna versión clasifica adecuadamente a estudiantes con diferente intensidad de BD. CONCLUSIONES: ambas versiones diferencian BD de noBD, pero ninguna de ellas permite distinguir entre tipos de BD

Edad de inicio en el consumo, motivos y cantidad de alcohol en la determinación de consecuencias en consumidores intensivos universitarios / Age of Onset, Motives and Amount of Alcohol Consumed in the Determination of Consequences in College Binge Drinkers

Las implicaciones clínicas y sociales derivadas del consumo intensivo de alcohol (CIA) en universitarios motivan la necesidad de analizar los factores que favorecen su aparición. Este estudio evalúa cómo influye la cantidad de alcohol ingerido, la edad de inicio en el consumo de esta sustancia y los motivos asociados a esta conducta en la presencia de un mayor o menor número de consecuencias psicosociales. 312 estudiantes de primero de la Universidad de Valencia que realizan CIA cumplimentaron el instrumento IECI (Cortés et al., 2012): autoregistro de consumo, motivos asociados a esta ingesta y consecuencias psicosociales derivadas. Se confirman resultados de investigaciones precedentes. Ambos sexos duplican los gramos de alcohol que definen un CIA. Aparecen diferencias en los efectos esperados en función del sexo, así como en la edad de inicio en el consumo y en el número de consecuencias experimentadas. Los análisis de regresión de orden jerárquico muestran la importancia de la edad de inicio y los motivos, por encima de los gramos consumidos, para dar cuenta del deterioro psicosocial generado por la ingesta. Esto apoya la necesidad de atender a la combinación de variables en la explicación y posterior intervención para paliar las consecuencias derivadas del CIA.

Drinking onset, motives and alcohol use in the prediction of alcohol-related problems in undergraduate binge drinkers. The clinical and social implications derived from binge drinking (BD) in university students cause the need to analyze the factors which contribute to its appearance. This research assesses the influence of the amount of alcohol consumed, drinking onset and the motives associated with this behaviour in the presence of a greater or least number of psychological consequences. 312 first year university students at Valencia University performing BD completed the IECI instrument (Cortés et al., 2012): self report about consumption, associated motives to their consumption and the psychosocial consequences. Results are confirmed by previous research. Both sexes double the grams of alcohol which define a BD. Differences appear in the expected outcome depending on the sex as well as the age at which they drinking onset and the number of experienced consequences. The hierarchical regression analysis shows the importance of the drinking onset and the motives, above the quantity of consumed grams, in order to report the psychosocial impairment generated by the intake. This supports the need to comply with the combination of variables in the explanation and subsequent intervention to alleviate the consequences of the BD.

Predictores del consumo semanal de alcohol y sus consecuencias asociadas en universitarios consumidores intensivos de alcohol / Predictors of weekly alcohol drinking and alcohol-related problems in binge-drinking undergraduates

Las importantes implicaciones que genera el consumo intensivo de alcohol entre los jóvenes justifican el interés por determinar qué factores predicen su aparición. Concretamente, en este estudio se analiza el papel de la personalidad y edad de inicio en el consumo de alcohol en la predicción del consumo semanal de alcohol, y de todas estas variables en la predicción del número de consecuencias asociadas al consumo en jóvenes universitarios.Se evalúan 213 consumidores intensivos de primer curso de la Universidad Complutense de Madrid. Todos ellos cumplimentaron un autoregistro de consumo, el BIS-11, el NEO-FFI y el IECI de consecuencias asociadas a la ingesta. Los análisis de regresión de orden jerárquico muestran que la edad de inicio resulta ser una variable predictora relevante tanto en la explicación del consumo semanal como del número de consecuencias. Lo mismo puede decirse de la variable consumo semanal respecto a la del número de consecuencias.En líneas generales, el influjo de las variables de personalidad es bastante limitado. Tan sólo mencionar la responsabilidad e impulsividad, que junto con la edad, llegan a explicar gran parte de la conducta de consumo semanal entre varones. En lo que respecta a las consecuencias derivadas del consumo, sólo resultan explicativas, aunque en menor medida que la edad y el consumo semanal, la impulsividad y el neuroticismo. Esto justifica la necesidad de planificar intervenciones más ajustadas y de analizar nuevos predictores en el caso de las mujeres que permitan explicar en mayor medida su conducta de consumo semanal

The important implications generated by binge drinking among university students justify the interest to determine which factors predict its occurrence. Specifically, this study aims to assess the role of personality and drinking onset in predicting weekly alcohol consumption, and the impact of the whole set of variables in predicting the number of consequences associated with consumption in undergraduates. Two hundred and thirteen freshmen who were intensive consumers (binge drinkers) from the University Complutense of Madrid were evaluated. All of them filled in a self-registration of consumption, the BIS-11, the NEO-FFI and the IECI consequences associated with intake. The hierarchical regression analysis shows that the drinking onset appears to be a relevant predictor variable in explaining weekly consumption and the number of consequences. The same can be said of the weekly consumption variable with regard to the number of consequences. In general, the influence of personality is quite limited. It is interesting to point out that responsibility and impulsivity, along with age, explain most of the weekly consumption behavior among males. With respect to the consequences of consumption, only impulsivity and neuroticism contribute to explain them, but with less strength than age and weekly consumption. Our results justify the need to plan tighter interventions and consider new predictors that help to explain further weekly consumption in women

Importancia de las expectativas en la relación entre impulsividad y consumo intensivo de alcohol en universitarios / The importance of expectations in the relationship between impulsivity and binge drinking among university students

El consumo intensivo de alcohol (CIA) en universitarios tiene importantes implicaciones clínicas y sociales que motivan la necesidad de indagar sobre los factores que favorecen su aparición y consolidación. Concretamente, este estudio evalúa el papel de la impulsividad y las expectativas asociadas al consumo, así como la posible mediación de las expectativas en la relación entre impulsividad y CIA. 303 estudiantes de primer curso de la Universidad Complutense de Madrid que realizan CIA cumplimentaron un autoregistro de consumo, una escala de expectativas asociadas a esta ingesta (IECI, 2012) y la escala BIS-11 de impulsividad. En todos los casos, tanto varones como mujeres, duplican los gramos de alcohol que definen un CIA, así como la frecuencia de realización de esta conducta a partir de la cual se incrementa la probabilidad de aparición de consecuencias negativas. No se encuentran diferencias entre varones y mujeres en las expectativas asociadas al CIA, ni en la impulsividad total. Los análisis de regresión de orden jerárquico muestran que las expectativas no moderan la relación entre impulsividad y consumo. Las dos variables influyen de manera independiente en el consumo (gramos de alcohol ingeridos y frecuencia de realización de la ingesta), siendo mayor el peso de las expectativas en ambos sexos, pero resultando significativo el aporte de la impulsividad sólo entre los varones. Esto justifica la necesidad de planificar intervenciones que contemplen la modificación de estas expectativas, incluyendo en el caso de los varones aspectos relacionados con la impulsividad

Alcohol intensive consumption (AIC) in university students has important clinical and social implications that motivate the need to look into the factors that favor its apparition and consolidation. More concretely, this study assesses the role of impulsivity and the associated expectations about consumption, as well as the possible mediation of expectations in the relationship between impulsivity and AIC. Three hundred and three students in the first year at the University Complutense of Madrid that carry out AIC kept a self-record of their consumption, a scale of expectations associated to the ingestion (IECI, 2012), and the BIS-11 scale of impulsiveness. In all cases, both men and women, doubles the grams of alcohol that define an AIC, as well as the frequency in the execution of this behaviour, which increases the probability that these negative consequences come about. No differences were found between men’s and women’s expectations associated to AIC, nor in their total impulsivity scores. The hierarchy regression analysis shows that expectations do not moderate the relationship between impulsivity and consumption. Both variables influence the independent mode of consumption (grams of ingested alcohol and frequency of ingestion), with a higher weight on expectations from both, men and women, but being significant the input of impulsivity only among males. This justifies the need to plan interventions that address the modification of these expectations, including, in the case of males, the aspects related to impulsivity

Tipologías de consumidores de alcohol dentro de la práctica del botellón en tres ciudades españolas / Different typologies of alcohol consumers in the practice of «botellon» in three Spanish cities

En este trabajo se entrevistó a 6.009 jóvenes que practican botellón (14-25 años) en tres ciudades de la Comunidad Valenciana, realizando un muestreo estratificado de centros de Secundaria, Bachiller, CF y Universidad. Se efectuó un análisis de conglomerados en dos fases con cada muestra con dos objetivos: identificar tipologías de consumidores de alcohol en el botellón y realizar una validación cruzada de la solución obtenida. Las variables consideradas en los análisis fueron: sexo, grupo de edad (universitarios: U; estudiantes Secundaria: ES), realización o no de episodios intensivos de consumo, años practicando botellón y gramos de alcohol ingeridos. Los resultados muestran evidencia de validez de la estructura obtenida para los jóvenes que realizan episodios intensivos de consumo de alcohol, ya que aparece una estructura de cuatro grupos en las tres muestras (varones U, varones ES, mujeres U, mujeres ES), siendo siempre los varones quienes más consumen. Además, los ES consumen iguales cantidades de hol que los U, aunque llevan menos años consumiendo. Por su parte, entre los jóvenes que no realizan episodios intensivos de consumo de alcohol se observa cierta variabilidad en la estructura, siendo manifiesta la tendencia de las mujeres a igualar su consumo con el de los varones(AU)

In this work, 6,009 youngsters (14-25 years old) who practice the «botellon» were interviewed in three cities of the Valencian Community. After a stratified sampling among college and noncollege students, a two-step cluster analysis was carried out for each sample with two aims: to identify different types of alcohol consumers in the practice of the «botellon» and to carry out a crossed validation of the results obtained. The variables included in the analysis were the following: gender, age group (university students: U; adolescent students: ES), performance of intensive episodes of consumption (yes/no), number of years practicing the «botellon» and grams of alcohol ingested. The results show the validity of the structure obtained for youngsters, revealing intensive episodes of alcohol consumption, as a four-group structure appeared in all three samples (male U, male ES, female U, female ES), in which men were always at the top of alcohol ingestion. Furthermore, ES consumed the same amount of alcohol as U, even though they had been consuming for less time. However, the youngsters who did not report intensive episodes of alcohol consumption showed some structure variability, with a tendency among women to match men’s levels of alcohol consumption(AU)

Aspectos cognitivos relacionados con la práctica del botellón / Cognitive aspects of binge drinking

El presente estudio analiza los motivos de los jóvenes para realizar botellón y consumir alcohol en el mismo, y los efectos que esperan tras este consumo, en función de la edad e ingesta realizada. Se elaboró una encuesta que cumplimentaron 4.083 jóvenes (1.361 universitarios-2.722 adolescentes) en sus centros docentes, presentándose datos de los 2.917 que hacen botellón. Un análisis de conglomerados, en función de la regularidad de la conducta y la cantidad de alcohol consumida, muestra dos tipos de consumidores en cada grupo: radicales (21.2% universitarios-18.2% adolescentes): ingieren 10-11 consumiciones, 3 días a la semana y más de 10 meses al año, y medios (78.7% universitarios-81.7% adolescentes): 4-5 consumiciones, 2 veces por semana y durante 8-9 meses. La diversión (75.2%) y el consumo en sí mismo (81.9%) figuran entre los motivos principales por los que realizan botellón, ocupando la economía un lugar secundario entre adolescentes. Entre los efectos esperados destacan los aspectos positivos a corto plazo derivados del consumo moderado (más hablador, euforia…), siendo los adolescentes quienes además esperan mejorar algunas de sus habilidades personales (mayor confianza en sí mismos...). Estos resultados permiten corroborar y ampliar la información disponible y plantear alternativas ajustadas a las necesidades reales de los jóvenes (AU)

This paper aims to explore causes of binge drinking in young people and the effects that they seek when they drink alcohol, based on age and alcohol intake. 4,083 questionnaires were administered to 1,361 university students and 2,722 adolescents at their educational institutions. The findings corresponding to those who reported practising binge drinking -2,917 subjects- are presented in the paper. Taking into account the regularity of the practice and the alcohol intake, cluster analysis differentiated two consumer types in each group: the radical type (21.2% university students-18.2% adolescents): 10-11 drinks 3 days a week and for more than 10 months a year; and the average type (78.7% university students-81.7% adolescents): 4-5 drinks twice a week and for 8-9 months. Drinking as a way of having fun (75.2%) and drinking for the sake of drinking (81.9%) are two of the main causes underlying binge drinking, economical reasons being secondary for adolescents As for the expected effects, the short-term positive aspects of moderate consumption (being more talkative, euphoric…) stand out. Adolescents also expect to improve some of their personal skills (more self-confidence…). These results corroborate and increase the information currently available and allow us to propose alternatives adapted to young people’s real needs (AU)