WHEN WOMEN IMBIBE

The present research examines how alcohol, or even the illusion of imbibing alcohol, affects women's perceived self-efficacy for avoiding HIV. Women ( N = 82) were randomly assigned to one of four conditions in a 2 (alcohol or no alcohol) X 2 (expect alcohol or not) balanced placebo design. After consuming alcoholic or nonalcoholic beverages, participants assessed their self-efficacy for HIV risk prevention. Both alcohol consumption and alcohol expectancy increased women's confidence that they could detect whether a potential partner was HIV positive simply by interacting with the potential partner.     

Moral approval of aggression and sex role identity in officer trainees,conscientious objectors to military service,and in a female reference group

The Moral Approval of Aggression Inventory (MAAI) and Bem's Sex Role Inventory (BSRI) were administered to three experimental groups: officer trainees ( = OTs, n = 48), conscientious objectors to military service ( = COs, n = 35), and to a group of women of comparable age (n = 32). Aggression was mostly approved of among OTs and the least among COs, the women scoring in the middle somewhat closer to OTs. Differences in choice of sex role identity emerged, so that OTs often chose a masculine sex role, while for COs, the choice of an androgynous role was the most frequent one. Women chose feminine and androgynous roles with equal frequency. Moral approval of aggression could not be explained on the basis of sex role identification. The strongest determinator of moral approval of aggression was the choice of refusal to engage in military service.     

Prediction of drug and alcohol abuse in hospitalized adolescents: comparisons by gender and substance type

The authors examined psychosocial correlates of drug and alcohol abuse in 462 hospitalized adolescents, and the extent to which these associations may be affected by gender or by substance type. Participants completed a battery of psychometrically-sound, self-report measures of psychological functioning, environmental stress, drug abuse, and alcohol abuse. Four multiple regression analyses were conducted to determine the joint and independent predictors of drug abuse and alcohol abuse, for males and for females. Multiple regression analysis revealed that seven variables--age, depression, impulsivity, low self-esteem, delinquent predisposition, low peer insecurity, and history of child abuse--jointly predicted both drug and alcohol abuse, for both males and females. However, several differences were found with respect to which variables made independent contributions to the predictive models--with only delinquent predisposition making a significant independent contribution for all four conditions. We found distinct patterns of psychosocial predictor variables for drug and alcohol abuse, as well as distinct patterns for males and females. These results may reflect differing risk factors for drug abuse and alcohol abuse in adolescent psychiatric patients--and differing risk factors for males and females. Such differences have potential implications for prevention and treatment.     

自控摄入小剂量酒精影响熟练驾驶行为的实验研究

一个小样本受试者内设计实验,受试者在实验允许的酒精剂量范围内自由选择摄入量。实验安排饮酒前,酒后３０分钟、１１０分钟和１７０分钟四个测试阶段,分别检验受试者在模拟驾驶和实际驾驶两项任务中的认知行为。酒后３０分钟实际驾驶的技能与其他三个测试期相比存在有意义的差别显著性;模拟测试任务中酒后对红、黄两种信号灯的认知反应时之间呈现显著性差别,酒后１１０分钟对黄色信号灯的反应明显延迟。研究提示：受试对酒精感受性的估计是不可靠的,小剂量酒精也能对驾驶行为构成伤害。     

An experimental examination of the effects of alcohol consumption and exposure to misleading postevent information on remembering a hypothetical rape scenario

We experimentally examined the effects of alcohol consumption and exposure to misleading postevent information on memory for a hypothetical interactive rape scenario. We used a 2 beverage (alcohol vs. tonic water) × 2 expectancy (told alcohol vs. told tonic) factorial design. Participants (N = 80) were randomly assigned to conditions. They consumed alcohol (mean blood alcohol content = 0.06%) or tonic water before engaging in the scenario. Alcohol expectancy was controlled by telling participants they were consuming alcohol or tonic water alone, irrespective of the actual beverage they were consuming. Approximately a week later, participants were exposed to a misleading postevent narrative and then recalled the scenario and took a recognition test. Participants who were told that they had consumed alcohol rather than tonic reported fewer correct details, but they were no more likely to report incorrect or misleading information. The confidence–accuracy relationship for control and misled items was similar across groups, and there was some evidence that metacognitive discrimination was better for participants who were told that they had consumed alcohol compared with those told they had tonic water. Implications for interviewing rape victims are discussed.     

The Role of Filipino Occupational Therapists in Substance Addiction and Rehabilitation: A Q-Methodology

More than the shortage of manpower, occupational therapists (OTs) in substance addiction and rehabilitation (SAR) practice have remained underused and misunderstood in the Philippines. This study aimed to identify the role of Filipino OTs in people with SUD based on the perspectives of OTs, mental health professionals, and former service users and carers in the community. Using Q-Methodology (QM), this research revealed a tripartite role for Filipino OTs in SAR: (a) “Promoter of occupational participation,” (b) “Collaborator to enhance participation and well-being,” and (c) “Facilitator of environmental supports for occupational participation.”     

Behavioral Health Competence: An Exploration of Army Reserve Occupational Therapists

In this study the behavioral health competence of Army Reserve occupational therapists (OTs) was examined by the authors through electronic survey to determine current levels of competence and highlight pre-deployment training needs. Results indicated that while Army Reserve OTs report high levels of behavioral health competence, many questions regarding diagnosis, assessment, evaluation, treatment planning, intervention, and progress arose throughout deployment. OTs often relied on skills from Level II fieldwork education and entry-level didactic education for competency. Perceived competencies may be compromised by curriculum changes in entry-level education, available fieldwork settings, and a lack of adequate training currently available prior to deployment.     

Alcohol and Drug Abuse in Men Who Sustain Intimate Partner Violence

Extensive work has documented an association between sustaining intimate partner violence (IPV) and alcohol/drug abuse among women, yet little research has documented the same association in men, even though men comprise 25–50% of all IPV victims in a given year. This study investigates the associations among sustaining IPV and alcohol/drug abuse among both a clinical and community sample of men. The clinical sample is comprised of 302 men who sustained intimate terrorism—a form of IPV that is characterized by much violence and controlling behavior—from their female partners and sought help. The community sample is composed of 520 men, 16% of whom sustained common couple violence, a lower level of more minor reciprocal IPV. Analyses showed that among both groups of men who sustained IPV, the prevalence and frequency of alcohol/drug abuse was significantly higher than in men who did not sustain IPV. However, a dose–response relationship between sustaining IPV and alcohol/drug abuse was found only among men in the community sample. Path modeling showed that, for the community sample, the best fitting models were ones that showed that the alcohol/drug abuse predicted IPV victimization, an association that was fully mediated by their use of IPV. Aggr. Behav. 38:31‐46, 2012. © 2011 Wiley Periodicals, Inc.     

Peer Substance Use and Homelessness Predicting Substance Abuse from Adolescence Through Early Adulthood

Adolescents who experience homelessness are at higher risk for abusing substances, and for being exposed to substance-using peers. The current study used a longitudinal design to track substance abuse, affiliation with substance-using peers, and episodes of homelessness among a sample of 223 adolescents who were housed at the baseline data collection and 148 adolescents who were housed at baseline. Participants were interviewed at six waves over 6.5 years, covering an age range from 13 to 25. Many participants experienced a recurrence of homelessness during follow-up, with 64.6 % of the baseline homeless group and 22.6 % of the baseline housed group reporting an additional episode of homelessness. Both alcohol abuse and other drug abuse symptoms showed an increase in adolescence followed by slowing in early adulthood. Recent homelessness and friend alcohol use predicted alcohol abuse symptoms, and the strength of the influence of friend use decreased over time. Recent homelessness and friend drug use predicted other drug abuse symptoms. Duration of the initial episode of adolescent homelessness showed no influence on substance abuse over time, or the effects of other predictors, highlighting the importance of conceptualizing the experience of homelessness as a recent stressor rather than an enduring personal characteristic.     

Alcohol intoxication and self-aggressive behavior

Nonexperimental field studies have demonstrated an association between alcohol intoxication and self-aggressive behaviors across the spectrum of lethality. Although these results are suggestive, it is not yet known whether alcohol intoxication is causally related to self-aggression. The authors therefore experimentally examined the effects of alcohol intoxication (mean blood alcohol concentration of .10) on a behavioral measure of self-aggression in men (N = 40). After consuming either an alcohol or a placebo drink, participants were provided the opportunity to self-administer shock during a task disguised as a reaction-time game, with self-aggression defined by the intensity of shock chosen. Half of the participants observed a self-aggressive model (a potential moderator of alcohol-related self-aggression). Independent alcohol and model effects were found, with alcohol accounting for over 30% of the self-aggression variance.     

Substance use patterns of young offenders and violent crime

The use of alcohol is a significant predictor of the involvement of young offenders in violent crime. This study found that in a sample of 300 incarcerated juveniles in New South Wales, more than 70% admitted to violent crime. Detainees from an Aboriginal or Torres Strait Islander culture were less likely than other detainees to be involved in violent crime. The substances most associated with violent crime were alcohol, followed by cocaine. However, when the likelihood that the young person has initiated violence as a response to alcohol or other substances is introduced into the equation, the direct effects for alcohol and cocaine predicting engagement in violent crime disappear. The Goldstein hypothesis that the effects of a substance directly facilitate violence, thereby accounting for the relationship between substances of use and violent crime, was supported. Aggr. Behav. 29:414–422, 2003. © 2003 Wiley‐Liss, Inc.     

Substance use/abuse as a predictor to illegal and violent behavior: A review of the relevant literature

The preponderance of the research evidence supports the conclusion that abuse of certain types of illicit drugs, separately from the abuse of alcohol, predisposes to subsequent violent behavior. The relationship of cocaine/crack to violent crime has been established more clearly for users of crack in inner city areas than it has for those who are users of other forms of cocaine in the general population.In regard to any race/ethnic or socioeconomic factors in the relationships between substance use/abuse and violent behavior, most clearly established is that a higher proportion of young Black males, compared to other race/ethnic groups, are actively involved in dealing cocaine/crack in some inner city poverty areas.As for gender differences, the research evidence indicates that alcohol abuse as a predictor to and a precipitant of violent behavior, is more clearly established for males than for females. Drug abuse, as distinct from alcohol abuse, has been found to predict subsequent violent behavior, for females as well as for males. “Co-morbidity,” the combination of substance use with and psychopathology, appears more likely to predict for females to later violent behavior. Psychopathology and mental health problems are less likely to predict occurrence of either violent or criminal behavior in the future than are either alcohol abuse or drug abuse.     

Substance use/abuse as a predictor to illegal and violent behavior: A review of the relevant literature

The preponderance of the research evidence supports the conclusion that abuse of certain types of illicit drugs, separately from the abuse of alcohol, predisposes to subsequent violent behavior. The relationship of cocaine/crack to violent crime has been established more clearly for users of crack in inner city areas than it has for those who are users of other forms of cocaine in the general population.In regard to any race/ethnic or socioeconomic factors in the relationships between substance use/abuse and violent behavior, most clearly established is that a higher proportion of young Black males, compared to other race/ethnic groups, are actively involved in dealing cocaine/crack in some inner city poverty areas.As for gender differences, the research evidence indicates that alcohol abuse as a predictor to and a precipitant of violent behavior, is more clearly established for males than for females. Drug abuse, as distinct from alcohol abuse, has been found to predict subsequent violent behavior, for females as well as for males. “Co-morbidity,” the combination of substance use with and psychopathology, appears more likely to predict for females to later violent behavior. Psychopathology and mental health problems are less likely to predict occurrence of either violent or criminal behavior in the future than are either alcohol abuse or drug abuse.     

Codependency: An Empirical Study from a Systemic Perspective

To empirically investigate the construct validity of codependency, differences between young adults on a measure of codependency on theoretically relevant variables were examined. Compared with individuals who scored low on codependency, those who obtained high scores reported significantly more family of origin difficulties and parental mental health problems, problematic intimate relationships including relationships with chemically dependent partners, and personal psychological problems including compulsivity. Contrary to prevailing theoretical predictions the high codependency group did not contain more individuals whose parents had alcohol or drug abuse problems, or a higher level of childhood physical or sexual abuse. These results suggest that co-dependency is one aspect of wider multigenerational family systems problems which are not unique to families where drug and alcohol abuse or physical and sexual abuse are major concerns.     

Alcohol Use During Pregnancy: An Application of the Theory of Planned Behavior1

The objective of this research was to apply the theory of planned behavior (TPB; Ajzen, 1988, 1991 ) to alcohol use during pregnancy. Of the pregnant women (N = 130) who participated in the study, over one third reported consuming alcohol (34.8%), and the greatest proportion were drinking 2 to 4 times per month (16.4%). Binary logistic regression was conducted, and the full TPB model was able to distinguish between drinkers and abstainers, explaining 57.1% to 77.1% of the variance in drinking behavior. The TPB provides insight into reasons behind the behavior and can be usefully applied, both as a screening tool to identify pregnant women drinking during pregnancy and as an avenue for intervention work.     

Occupational Therapy Shared Decision Making in Adolescent Mental Health

Shared decision making (SDM) shares values of client-centered practice; however, a few studies exist that explore experiences of occupational therapists (OTs) working in adolescent mental health. This study aims to better understand SDM in adolescent mental health using the Canadian Model of Client-Centered Enablement. A qualitative study included interviews (n = 6) and analysis using an inductive approach. The role of the OT, client factors, therapeutic relationship, and nature of the decision were identified as influencing the process and outcome of SDM. The study helps better understand SDM in practice, the need for specialized education for OTs and has identified future research areas.     

Single versus Multi-Type Maltreatment

Abstract

The purpose of the present study was to identify the long-term impacts of different types of child abuse and to assess differential effects of single versus multi-type maltreatment. Three hundred and eighty-four college students completed measures of child abuse history (neglect, emotional, physical, and sexual abuse), depression, suicidality, self-esteem, sexual behavior, drug and alcohol use, and delinquent behavior. The results demonstrate the high rates of co-occurrence of different types of abuse, with few differential effects identified. Rather, all types of abuse were associated with symptoms. Experiencing multiple types of abuse was associated with greater symptoms than experiencing no abuse or a single type of abuse. The results highlight the importance of considering all types of abuse when studying child maltreatment.     

Effects of alcohol on variability-contingent reinforcement in human subjects

Subjects responded under LAG-5 reinforcement conditions after consuming alcohol in table wine (0.4 g/kg ethanol). For reinforcement (points), a four-response sequence from two buttons was required which differed from the previous five sequences of four responses. In addition, some subjects responded under restricted conditions in which sequences were limited to those of moving a cursor within a 3 x 3 matrix, while other subjects had no such restrictions. Also some subjects worked alone while others were accompanied by an experimenter. Analysis showed that compared to controls, men in the unrestricted condition who received alcohol showed increased uncertainty in responding while comparable women receiving alcohol showed a decrease in uncertainty of responding. The results are discussed in terms of previous work on alcohol and behavioral variability.     

Alcohol dependence,beliefs and the priming effect

Twenty hospitalized alcoholics served as their own controls in a study which sought to compare psychophysiological and cognitive factors as mediating influences on the priming effect of alcohol. Ten subjects were independently assessed by a psychiatrist as being severely dependent on alcohol and ten as mildly or moderately alcohol dependent. Physiological, behavioural and subjective indices of the motivation to drink alcohol were employed 15 and 60 min after subjects had consumed beverages on four separate occasions corresponding to four priming conditions. These priming drinks contained either 60 ml vodka in heavy dilution or just tonic water, and in each of these conditions subjects were either led to believe that the beverages contained alcohol or they had no alcohol. The severely-dependent group displayed a degree of concordance between the indices of motivation to drink, and the levels of these tended to be significantly higher than in the less-dependent subjects. The results suggest that severely alcohol-dependent subjects were more disposed to drink 60 min after consuming alcoholic drinks than after soft drinks, regardless of whether they believed that the priming drinks had contained alcohol. Cognitive factors assumed greater importance for the drinking behaviour of less-dependent subjects, although there was evidence of discordance across behavioural, physiological and subjective measures for this group.     

The Differentially Discriminating Properties of Alcohol Expectancies for Female and Male Drinkers

Alcohol expectancies are the anticipated outcomes of consuming alcohol. In this study, a variety of alcohol expectancies were found to discriminate between problem- and non-problem-drinking college students. In addition, the author discovered that the expectancy profile that distinguished female problem drinkers from female nonproblem drinkers was relatively distinct from the profile that separated these types of drinkers among men. The alcohol expectancy with the strongest discriminating value among the women was “arousal and power,” whereas for the men it was “physical and social pleasure.” The author discusses the implications of these findings for counseling problem-drinking women and men.