Alcohol drinking parties and consumption of alcohol and other drugs in youth

The main aim of this paper is to analyze the relationships of involvement in the "botellon" (meetings of youth in public places to drink, chat, etc.) with alcohol/other drug abuse and vandalism in young people. A school survey was performed in centres of Compulsory Secondary School (E.S.O.), high school, professional training and University education in Lugo, NW Spain. The sample (aged 12 to 30) was split into three groups according to alcohol use and botellon involvement; drug abuse, drug-related problems and vandalism were assessed in each group. Results indicate that regular botellon attendants display more problems with alcohol and other drugs, as well as higher involvement in vandalism; this relationship is stronger among young students. The increase in adolescent risk associated with the practice of the botellon is explained by peer group pressure to use drugs and the greater accessibility of alcohol/other drugs in these contexts.     

Factors affecting agreement between severely mentally ill alcohol abusers' and collaterals' reports of alcohol and other substance abuse.

This study examined subject-collateral reports of alcohol use among a sample of 167 dually diagnosed individuals seeking outpatient treatment at a community mental health clinic. All subjects met Diagnostic and Statistical Manual of Mental Disorders (4th ed.; American Psychiatric Association, 1994) criteria for a schizophrenia-spectrum or bipolar disorder and for alcohol abuse or dependence. Subjects were recruited within 2 weeks of treatment entry and completed measures of cognitive functioning, alcohol dependence severity, psychiatric symptoms, and quantity and frequency of substance use over the previous 60 days using the Timeline Follow-Back interview (L. C. Sobell & M. B. Sobell, 1996). They also provided a urine sample, which was screened for recent drug use. Collateral interviews were conducted by phone and included an assessment of the subject's alcohol and drug use over the same 60-day period. Collaterals also reported their confidence in the accuracy of their reports. Overall, the results indicated generally poor subject-collateral agreement. However, subject-collateral agreement appeared better for those individuals (n = 97) with negative urine drug screens. The most consistent predictor of subject-collateral discrepancy scores was subjects' recent drug use. Recommendations for enhancing the validity of self-reports of substance use in a severely mentally ill population are discussed.     

MMPI profiles of women in codependency treatment.

The Minnesota Multiphasic Personality Inventory (MMPI) profiles of 73 women presenting themselves for treatment of codependency in a 10-day residential setting were examined. Results suggest a significant amount of psychopathology to be present in this population. More than 50% of these individuals produced clinically significant elevations of five or more scales, and 38% produced elevations on six or more scales.     

Homeless women with children. The role of alcohol and other drug abuse.

For some women with children, alcohol and other drug use may be an important risk factor for homelessness because it may interfere with a woman's capacity to compete for scarce resources such as housing, employment, or services. The impact of various policy decisions on homeless women, their dependent children, and the family unit is considered, including women's right to privacy, criminalization of drug use, and scarcity of appropriate treatment programs for homeless women.     

Correspondence between psychological reports based on the Mini-Mult and the MMPI.

In order to assess the utility of the Mini-Mult with a university counseling center clientele, MMPI answer sheets of 10 students at the University of Miami Counseling Center were scored for both the MMPI and the Mini-Mult. Four judges completed psychological reports (Q-item questionnaires) based on the profiles. Correlations between judges' responses to MMPI and Mini-Mult profiles were calculated as an indication of the correspondence between the two tests. In addition, correlations between judges' responses to repeated presentations of MMPI profiles were calculated as an indication of the judges' reliability over time. The results do not support the use of the Mini-Mult with a university counseling center clientele.     

Compensatory and mimetic conditioned responses to effects of heroin in addicted persons

Study 1: The aim of this study was to analyze in persons detoxified of heroin, compensatory conditioned responses (CCRs) that are opposite to the unconditioned physiological, and subjective effects that are induced by this substance. The procedure consisted in presenting slides with images of neutral stimuli (NSs) and conditioned stimuli (CSs) of heroin to both non-addicted and detoxified addicted persons. The evaluated responses were heart rate (HR) and desire for heroin (DH). Study 2: The aim was to facilitate the emission of mimetic conditioned responses (MCRs) to the unconditioned physiological, and subjective effects of heroin in detoxified heroin addicts. Three different stimulus series were manipulated: SA, during which the participant remained alone; SB, administration of a needle prick given by the researcher; SC, performance of the "pump" ritual without drug by the participants. The responses measured were HR and DH. The results of both studies are considered, respectively, to be indicators of compensatory and mimetic conditioned responses.     

Reproductive life events and sexual functioning in women: case reports

Are reproductive life events in women associated with an increased risk of sexual dysfunction? Female sexual dysfunction effects up to 40% of women in the United States between 18 and 59 years of age. Sexual dysfunction may be accompanied by fluctuations in gonadal hormone secretion, making women more vulnerable to sexual symptoms, especially during times of reproductive life events. Reproductive life events, such as the use of birth control pills, various phases of the menstrual cycles, postpartum and lactation states, and perimenopause, are highly correlated with changes in sex steroids. As an understanding of the role of sex steroids on sexual functioning is elucidated, clinicians will be able to offer more specific and effective treatment options for women during various phases of reproductive life. Several case studies are presented to illustrate the unique clinical considerations that a clinician must consider when treating the biologic component of female sexual dysfunction.     

Factors related to young people's attitudes to the consumption of alcohol and other psychoactive substances

In this study we analyzed variables related to the consumption of alcohol and other psychoactive substances among young people, and to their attitudes towards experimentation. The sample was made up of 775 pupils aged 12 to 16 from four secondary schools in the Principality of Asturias (northern Spain). The results obtained confirm the multi-causal nature of these phenomena. The attitudes of young people towards substance use was found to be more favourable the lower the perception of risk, the more mistaken their beliefs and the more permissive their disposition to the use of alcohol and other illegal drug. Other determining factors are their relationship with peer groups that use drugs, antisocial behaviours and attention-seeking indications.     

Normalized demand for drugs and other reinforcers.

The concepts of behavioral economics have proven to be useful for understanding the environmental control of overall levels of responding for a variety of commodities, including reinforcement by drug self-administration. These general concepts have implications for the assessment of abuse liability and drug abuse intervention and the formulation of public policy on drug abuse. An essential requirement is the ability to compare the demand for different drugs directly in order to assess relative abuse liability, and to compare demand for the same drug under different environmental and biological interventions to assess their ability to reduce demand. Until now, such comparisons were hampered by the confounding effect of varying drug doses and potencies that prevent quantitative comparisons of demand elasticity--sensitivity of consumption and responding to the constraint of price (effort). In this paper we describe a procedure to normalize demand-curve analysis that permits dose- and potency-independent comparisons of demand across drugs. The procedure is shown to be effective for comparing drug demand within and across the drug classes. The technique permits a quantitative ordering of demand that is consistent with the peak levels of responding maintained by the drugs. The same technique is generalized for the comparison of other types of reinforcers under different biological conditions.     

Sex-role orientation and psychological adjustment: comparison of MMPI profiles among college women and housewives

Androgynous, masculine, feminine, and undifferentiated women, as determined by the Bern Sex Role Inventory, were compared on the three validity and ten clinical scales of the MMPI. Two samples of women were included: Female college students and a group of upper middle-class suburban housewives. No significant differences emerged in the housewife sample. Among college women, androgynous and masculine women did not differ in adjustment, and both groups were better adjusted (i.e., less depressed, anxious, tense, and less socially introverted) than the undifferentiated women. A cross-validation study with a comparable student sample essentially replicated the results of the first study. Rather than supporting Bem's (1974) hypothesis of better psychological adjustment in androgynous persons, results were interpreted as providing support for the notion that masculinity is associated with equally good adjustment as androgyny in college women.     

Alcohol-related expectancies reported by college women to a large dose of alcohol

A sample of 50 college women taking part in a previous study about expected effects of moderate doses of alcohol were contacted a second time. Of the original 50 subjects 47 now reported their expectancies for a large dose of alcohol both for themselves and for others by simply stating the three most probable effects in terms of behavior and emotion. They primarily expected themselves to become happy and others generally to misbehave. When answers were coded as positive or negative, subjects expected positive or negative effects both for themselves and others on the first choice. On the second and third choices, the proportion of negative expectancies increased significantly, especially for others. Results from the previous and the present study were compared, and it was concluded that subjects seem to have very few but dominant expectancies.     

Personality traits and alcohol consumption in a sample of non-alcoholic women

Many studies have shown the importance of personality traits as factors related to alcohol use and misuse. The relationship between personality traits and alcohol consumption was studied in a sample of 149 non-alcoholic women using the Karolinska Scales of Personality (KSP) and the Eysenck Personality Questionnaire-Revised (EPQ-R). The results showed positive correlations between alcohol consumption and disinhibitory personality traits (sensation seeking, impulsivity, psychopathy, nonconformity) and dimensions (psychoticism and extraversion). Sensation seeking combined with impulsivity were the strongest predictors of alcohol consumption. Anxiety-related traits and neuroticism were not related to alcohol frequency/amount of alcohol use.     

Clinical issues in the assessment of adolescent alcohol and other drug use

Clinicians working with adolescents are routinely faced with the issue that alcohol and other drug (AOD) involvement may be part of the clinical picture either as a primary problem or a contributing factor to other problems or disorders. Fortunately, assessment research in this area has produced several behaviorally oriented and psychometrically sound tools from which to choose for problem identification, referral and treatment of youth suspected of AOD abuse. The aim of this paper is to provide an overview of several issues related to the clinical utility of such assessment tools.     

Body region dissatisfaction predicts attention to body regions on other women

The proliferation of “idealized” (i.e., very thin and attractive) women in the media has contributed to increasing rates of body dissatisfaction among women. However, it remains relatively unknown how women attend to these images: does dissatisfaction predict greater or lesser attention to these body regions on others? Fifty healthy women (mean age = 21.8 years) viewed images of idealized and plus-size models; an eye-tracker recorded visual attention. Participants also completed measures of satisfaction for specific body regions, which were then used as predictors of visual attention to these regions on models. Consistent with an avoidance-type process, lower levels of satisfaction with the two regions of greatest reported concern (mid, lower torso) predicted less attention to these regions; greater satisfaction predicted more attention to these regions. While this visual attention bias may aid in preserving self-esteem when viewing idealized others, it may preclude the opportunity for comparisons that could improve self-esteem.     

Question-induced cognitive biases in reports of dietary intake by college men and women

In two experiments, investigated how variations in questionnaire structure influence respondents' reports of two aspects of dietary intake--the frequency with which various food items are eaten and the sizes of the portions that are eaten. In Experiment 1, approximately 400 subjects, prior to making a frequency judgment, were asked to think either about a specific occasion or about all the occasions on which they had eaten a particular food. The thoughts that preceded the frequency judgment influenced that judgment: Thinking of the range of occasions on which a food is consumed resulted in higher frequency estimates than thinking only of the most recent occasion. In Experiment 2, the same subjects made judgments about their typical portion sizes of several foods relative to described standards. For only one of eight foods were estimates properly and significantly affected by differences among the described standards. These results suggest that respondents are not particularly sensitive to portion-size definitions. We consider the implications of these phenomena for the development of a general theory of the cognitive processes that subserve health-survey responding.     

Nightmare frequency versus nightmare distress: relations to psychopathology and cognitive style.

The hypotheses that psychopathology is related to nightmare distress but not nightmare frequency and that cognitive style is related to nightmare frequency were examined. The sample consisted of 85 subjects (58 women and 27 men) who completed several measures: a sleep and dream inventory, Symptom Check List-90-R, Fear Survey Schedule-II, Beck Depression Inventory, an abbreviated version of the Harvard Group Scale of Hypnotic Susceptibility, Vividness of Visual Imagery, an absorption scale, a social desirability scale, and the Boundaries Questionnaire. The results strongly support the first hypothesis but only slightly the second. Such findings underscore the need to differentiate nightmare frequency from suffering (waking distress associated with nightmares) and suggest that although frequency may be related to an intensification of dreaming process, suffering is related to waking emotional adjustment.