Cognitive aspects of binge drinking

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.     

Variables associated with adolescent alcohol use: a multiethnic comparison

The authors examined the influence of sociodemographic variables on the frequency and intensity of alcohol use among a nationally representative sample of Black, Hispanic, and White adolescents who had participated in the 1991 National Household Survey on Drug Abuse (U.S. Department of Health and Human Services, 1993). The sample consisted of 8,756 U.S. adolescents aged 12 to 18 years. The authors found that (a) approximately 19% of the respondents had used alcohol in the last 30 days: (b) among the respondents who had used alcohol, 21% had consumed 1 or more drinks per drinking episode; and (c) there were important similarities as well as important differences in variables that promoted alcohol use among Black. Hispanic, and White adolescents.     

Variables Associated With Adolescent Alcohol Use: A Multiethnic Comparison

Abstract

The authors examined the influence of sociodemographic variables on the frequency and intensity of alcohol use among a nationally representative sample of Black, Hispanic, and White adolescents who had participated in the 1991 National Household Survey on Drug Abuse (U.S. Department of Health and Human Services, 1993). The sample consisted of 8,756 U.S. adolescents aged 12 to 18 years. The authors found that (a) approximately 19% of the respondents had used alcohol in the last 30 days; (b) among the respondents who had used alcohol, 21% had consumed 1 or more drinks per drinking episode; and (c) there were important similarities as well as important differences in variables that promoted alcohol use among Black, Hispanic, and White adolescents.     

21st birthday drinking and associated physical consequences and behavioral risks

Twenty-first birthday celebrations often involve dangerously high levels of alcohol consumption, yet little is known about risk factors for excessive drinking on this occasion. Participants (N = 150) from a larger prospective study who consumed at least one drink during their celebration completed questionnaires and semistructured interviews about their 21st birthday within four days after the event. Assessments were designed to characterize 21st birthday alcohol use, adjusted for alcohol content, as well as situational/contextual factors (e.g., celebration location, peer influence) that contribute to event-level drinking. Participants reported an average of 10.85 drinks (9.76 adjusted drinks), with experienced drinkers consuming significantly more than relatively na?ve drinkers who had no previous binge or drunken episodes. Men consumed more drinks, whereas age of first drunken episode and heavier drinking during the 3-months preceding the 21st birthday predicted higher estimated blood alcohol concentrations (eBACs) on the 21st birthday. Celebrating in bars and engaging in birthday-specific drinking traditions (free drinks at bars) explained additional variance in 21st birthday eBACs. Both physical consequences (e.g., blacking out or having a hangover) and behavioral risks (e.g., sexually provocative behaviors) were prevalent and were predicted by higher eBACs. Together these findings indicate that 21st birthday celebrations are associated with heavy drinking and a variety of physical consequences and behavioral risks.     

An operant treatment procedure for alcoholics

For many years total abstinence was regarded as the appropriate criterion for the successful treatment of alcoholism. It is suggested that given societal norms for social consumption of alcohol, plus the social reinforcers which maintain beverage alcohol ingestion, social drinking may serve as a realistic treatment goal. The efficacy of a social drinking criterion was clearly demonstrated by Bigelow et al. (1972). Chronic alcoholic in-patients were placed in a choice situation in which they earned the opportunity to participate in an ‘enriched’ environment contingent upon either moderate drinking or abstinence. Subjects overwhelmingly chose the moderate drinking alternative. Results also suggested that moderate drinking is more reinforcing than abstinence for alcoholics. Further support for the moderate drinking concept was rendered by Mills, Sobel and Schaeffer (1971) in a study which made electric shock contingent on gulping drinks, ordering straight alcoholic drinks and ordering and consuming more than three drinks. Time-out (Cohen et al., 1971), positive reinforcement (Cohen et al., 1971) and social contracting procedures (Miller, 1972) have been effectively employed to reduce drinking behavior from maladaptive to adaptive frequencies.

The present study attempts to extend treatment with a controlled drinking outcome to out-patient alcoholics     

The relationship between self-efficacy,readiness to change,and AUDIT risk levels in a sample of active duty emergency department patients

The purpose of this study was to test the relationship between self-efficacy, readiness to change, and Alcohol Use Disorders Identification Test (AUDIT) risk levels in a sample of active duty drinkers who were seeking care in a military emergency department. Civilian health educators screened participants for alcohol use with the AUDIT and collected sociodemographic, service, and drinking-related cognitions data from active duty patients admitted to an emergency department. A total of 787 active duty military personnel participated in the study. Almost half (48%) drank at least once a week and 32% reported consuming five or more alcoholic drinks during a typical drinking episode. One in five participants reported heavy episodic drinking weekly to almost daily. Results of a multinomial logistic regression model showed that active duty service members with a self-reported diagnosis of posttraumatic stress disorder since joining the military were more likely to be an at-risk or high/severe risk drinker relative to a low risk drinker. Higher controlled drinking self-efficacy was associated with a decrease in the odds of being either an at-risk or high/severe risk drinker. Increased readiness to reduce drinking was associated with an increase in the odds of being either an at risk or high/severe risk drinker. The results of this research suggest self-efficacy to control one’s heavy drinking as well as readiness to change may be important factors to consider when designing alcohol education programs within the military.     

High risk drinking and college students' self-perceptions

The present study examined the relationship between high risk drinking and college students' self-perceptions. High risk drinking was defined as the consumption of four or more drinks in a row for women and five or more drinks in a row for men during a single sitting (within the last year). Historical trends regarding college-age drinking indicate that 44% of college students fit the criteria for high risk drinking at least once over the past year. A survey was administered to 210 college students (52 men and 158 women) between 18 and 22 years of age (M = 20.9, SD = 1.3) to assess their use of alcohol and their self-perceptions. Students' self-perceptions were measured with four subscales from the Neemann-Harter Self-perception Profile for College Students. Students either volunteered to participate in this study outside of class or were solicited during class. It was predicted that students' self-perceptions would differ significantly depending upon their alcohol consumption, i.e., 17.1% were Abstainers, 25.2% were Nonproblem Drinkers, and 57.6% were High Risk Drinkers. Analysis gave significant difference on Global Self-worth between students who abstained and those who were High Risk Drinkers. However, students' perceptions of Scholastic Competence, Intellectual Ability, and Social Acceptance did not differ significantly for the alcohol consumption groups. In addition to high risk drinking, a number of other variables were associated with self-perceptions, such as high school alcohol use, low high school GPA, and students' reported academic involvement. These relations are discussed.     

Heavy episodic drinking: determining the predictive utility of five or more drinks.

Although the heavy episodic drinking (HED) measure of 5+ drinks (sometimes 4+ for women) is used extensively, there is no empirical basis for the designation of 5 drinks as the threshold (vs. another threshold that may perform equally). The present study sought to determine the threshold for HED that maximally predicts proximal and distal adverse-drinking-related outcomes. Participants included 115 young adults (57% female; 96% Caucasian) who partook in an 8-week Internet survey that assessed daily drinking as well as next-day hangover; 10 months later, adverse outcomes (problem drinking, alcohol-related problems, maximum number of drinks, and drug use) were surveyed. Thresholds were computed, with a range from 1+ drinks to 15+ drinks, and outcomes were predicted from each threshold. Findings for hangover measures showed relatively good convergence across multiple indicators, with greatest prediction occurring at a threshold of 10+ drinks per occasion. Different thresholds were observed for long-term outcomes, with higher thresholds indicative of outcomes with greater severity. Although alternatives to HED, such as subjective effects and blood alcohol concentration, can indicate risky drinking, a threshold measure of HED may have advantages in terms of prevention and of intervention efforts.     

Implicit and Explicit Attitudes to Alcohol in Alcohol Dependent and Non-Alcohol Dependent Samples

Measures of implicit and explicit attitudes to alcohol have been used to predict drinking behavior. Early studies with the bipolar Implicit Association Test (IAT) indicated that heavy drinkers hold negative implicit attitudes to alcohol. More recent studies using the unipolar IAT have found that positive implicit attitudes to alcohol are associated with drinking behavior in samples of university students. The present study is the first to use a unipolar single target IAT to assess positive alcohol-related attitudes in two samples with alcohol dependency compared to a non-alcohol dependent control group. A group of recently detoxed alcohol dependent adults entering a treatment program (n?=?22), a group of alcohol dependent adults who had been in treatment for 3 months (n?=?22), and a group of age matched adults who had no history of alcohol dependence (n?=?22) were compared on a positive unipolar single target IAT and an explicit attitude measure. Results indicated that alcohol dependent participants showed stronger positive implicit attitudes, and stronger negative explicit associations compared to non-alcohol dependent participants, but there were no differences between the two groups with alcohol dependency. The findings are discussed in terms of the role of the IAT as an assessment tool for those undertaking treatment for alcohol problems and the implications for targeting unconscious attitudes to alcohol in a clinical setting.     

The role of representational volatility in recognizing pre- and postchange objects

Theories relating attention to change blindness (CB) imply that representations of objects in the focus of attention are stable and coherent. However, CB occurs for objects in the focus of attention. Here, we explore this apparent contradiction and the possibility that changes can be detected without having a complete and stable representation of the prechange object. The first experiment required observers to recognize a prechange object and a postchange object after viewing arrays of various sizes in which the prechange object was replaced by the postchange object after a brief delay. Results indicated that the representation of the prechange object was strong enough to cue a change but not strong enough to support accurate recognition. The remaining experiments demonstrated that the representation of the prechange object is volatile in that a shift in the display or the presence of a postchange object can disrupt the representation. These findings add to current theories of attention and representations by showing that attention may result in volatile representations that can support change detection without supporting accurate recognition.     

How have people who have stopped or reduced their alcohol consumption incorporated this into their social rituals?

Objective: Limiting alcohol consumption is beneficial for health, but can be challenging given the role alcohol plays in the rituals of many social occasions. We examined how people who stopped or reduced their alcohol consumption incorporated this change within their social rituals.

Design: We conducted 16 semi-structured one-on-one interviews with adults aged 25–65 years, who lived in Australia and had stopped or significantly reduced their alcohol consumption in the previous year.

Results: Through thematic analysis, we identified four approaches to adapting drinking rituals: replacing alcohol with other drinks, replacing drinking with other social activities, changing the meaning of drinking rituals and replacing drinking occasions with activities that achieve different goals. These approaches varied in the extent to which they reflected a low or high change in the meanings and/or behaviours attached to the ritual. Approaches involving little change, such as using alternative drinks, were more readily accepted by participants’ social companions than approaches involving more substantial changes such as replacing drinking with activities achieving different goals.

Conclusions: Considering both the role and meaning alcohol carries in social interactions, and how else these might be achieved, may assist people to stop or reduce their drinking, without sacrificing their social lives.     

State Patty's Day: College Student Drinking and Local Crime Increased on a Student-constructed Holiday

College student alcohol consumption is a major concern, and is known to increase during the celebration of special events. This study examined a student-constructed holiday, State Patty's Day, at a university with a dominant drinking culture using three sources of data - coded data from Facebook groups, daily web surveys from first-year students (N= 227, 51% male, age 18 to 20; 27.3% Hispanic/Latino; of non-Hispanic/Latino, 26.9% of sample European American/White, 19.4% Asian American/Hawaiian/Pacific Islander, 15.9% African American/Black, 10.6% more than one race), and criminal offense data from police records. Results indicated that messages about State Patty's Day on Facebook focused on drinking and social aspects of the holiday, such as the social context of drinking, a sense of belonging to a larger community, and the social norms of drinking. These messages were rarely about consequences and rarely negative. On State Patty's Day, 51% of students consumed alcohol, compared to 29% across other sampled weekend days. Students consumed more drinks (M = 8.2 [SD = 5.3] drinks per State Patty's Day drinker) and were more likely to engage in heavy drinking on State Patty's Day, after controlling for gender, drinking motives, and weekend, demonstrating the event-specific spike in heavy drinking associated with this holiday. The impact of this student-constructed holiday went beyond individual drinking behavior; alcohol-specific and other crime also peaked on State Patty's Day and the day after. Event-specific prevention strategies may be particularly important in addressing these spontaneous, quickly-constructed, and dynamic events.     

A multiple mediation model of trait worry and hazardous drinking among treatment-seeking smokers: the roles of coping and conformity drinking motives

ABSTRACT

Alcohol use is associated with poorer smoking cessation-related outcomes, and smokers with elevated levels of worry experience greater smoking cessation problems. Yet, little is known about the explanatory mechanisms that may underlie the relationship between trait worry and hazardous drinking among smokers. Therefore, this study explored the explanatory roles of coping and conformity drinking motives in the relationship between trait worry and hazardous drinking outcomes including alcohol consumption, alcohol problems, maximum number of drinks, and the number of prior alcohol quit attempts among treatment-seeking smokers. Participants included 377 treatment-seeking smokers who consumed at least one alcoholic drink in the last year (48% female; 86.2% Caucasian; M _age = 34.83 years, SD = 13.38). Results showed a significant indirect effect of trait worry through coping-related drinking motives in relation to alcohol consumption, alcohol problems, maximum number of drinks, and number of prior drinking quit attempts. These findings were evident after controlling for gender, cigarette dependence, and current psychopathology. These findings suggest that coping drinking motives are one mechanism that may explain the relation between trait worry and hazardous drinking outcomes among treatment-seeking smokers.     

Behavior therapy for drug abuse: A controlled treatment outcome study

82 Ss were studied in a comparative evaluation of a behavioral vs supportive treatment for illegal drug use. Behavioral treatment included stimulus control, urge control, contracting/family support and competing response procedures for an average of 19 sessions. 37% of Ss in the behavioral condition were drug-free at 2 months, 54% at 6 months, and 65% at 12 months vs 20 ± 6% for the alternative treatment during all 12 months. The behavioral treatment was more effective across sex, age, educational level, marital status and type of drug (hard-drugs, cocaine, and marijuana). Greater improvement for this condition was also noted on measures of employment/school attendance, family relationships, depression, institutionalization and alcohol use.     

A cultural adaptation of motivational interviewing to address heavy drinking among Hispanics

Although the need for cultural adaptations is often noted in addiction research, there are few templates to guide the process. The rationale for a social contextual framework to culturally adapt motivational interviewing for an immigrant heavy drinking Latino population in the U.S. Northeast is presented. The aim of the pilot study was to obtain data on acceptability of this approach. Participant responses to the adaptation were examined qualitatively and quantitatively in a preliminary study. Participants recruited from the community met criteria for risky drinking (men, ≥5 drinks/occasion or ≥14 drinks/week; women, ≥4 drinks/occasion or ≥7 drinks/week). Participants (n = 25) who completed baseline assessments and a culturally adapted brief motivational interview (CAMI) were asked to complete a qualitative exit interview to give feedback on their interview experience. Participants reported being highly engaged with treatment (M = 3.58 on a scale of 1-4, SD = .50), and felt very satisfied with treatment (M = 3.58 on a scale of 1-4, SD = .93). Nearly all (95%) reported that understanding their culture was important to understanding their drinking behavior. Results support the acceptability and relevance of this adaptation from participants' perspectives.     

Drinking not thinking: A prospective study of personality traits and drinking motives on alcohol consumption across the first year of university

The aim of this 3-wave prospective study was to test impulsivity-related and anxiety-related traits and drinking motives as predictors of alcohol consumption during Orientation Week (O-Week), and the first six months of university life in on-campus college residents. Students from two residential colleges (N = 255, 34.5% female) completed surveys of drinking frequency and quantity for the week prior to university entry, during O-Week, 3 and 6 months later. A brief personality screen for impulsivity, sensation-seeking, anxiety sensitivity and hopelessness was administered along with measures of drinking motives and alcohol consumption. Using moderated mediation analyses and multilevel modeling, impulsivity was found to be the best predictor of drinking variability at O-Week with enhancement motives mediating the effect. This mediated effect was moderated by gender with the indirect effect only occurring for women. Impulsivity was also predictive of drinking change over 6 months, with high impulsive students maintaining heavier levels of drinking (even when controlling for gender). The findings of this study further supports impulsivity as a consistent predictor of student alcohol misuse, even in environments with strong pro-drinking cultures.     

Perceptions of Postdrinking Female Sexuality: Effects of Gender,Beverage Choice,and Drink Payment1

To examine the postulate that the drinking woman is viewed differently than her nondrinking counterpart, two experiments were conducted. In Study 1, 174 subjects completed an alcohol expectancy questionnaire that was modified to assess expected alcohol effects on another person: young man or young woman. The woman was perceived as being more sexual after drinking than was the man. These perceptions were also influenced by expected alcohol dosage, subjects' gender, and drinking experience. In Study 2, 176 subjects read a vignette depicting a woman having drinks with a man. To manipulate the stimulus woman's consumption and the drink payment arrangement, 8 versions of the vignette were employed: The woman was described as drinking cola or alcohol (beer, wine or whiskey) and as paying for her own drinks or allowing the man to “pick up the tab”. Subjects rated the drinking woman as significantly more aggressive, impaired, sexually available, and as significantly more likely to engage in foreplay and intercourse. Perceptions of her sexual disinhibition and likelihood of sex play were significantly enhanced if the man bought the drinks. Compared to their own perceptions of her, subjects estimated that her date would see her as significantly more disinhibited and socially skilled and as less impaired. The alcohol-drinking woman was also seen as less attractive than her cola-drinking counterpart. Practical implications regarding stereotypes about cross-gender drinking situations and theoretical implications regarding alcohol expectancy research are discussed.     

Factors related to reductions in alcohol consumption among college students: The role of religious involvement

College students most at risk for engaging in binge drinking are members of Greek organizations and athletic teams (Grenier, Borskey, & Folse, 1998; Wechsler, Dowdall, Davenport, & Castillo, 1995). Membership in religious organizations may moderate binge drinking (O'Hare, 1990). One hundred thirty-nine college students completed the Core Alcohol and Drug Survey (Presley, Meilman, & Lyerla, 1994), the Group Identification Scale (Hinkle, Taylor, Fox-Cardamone, & Crook, 1989), and the ‘Age-Universal’ I-E - 12 (Maltby, 1999). The results indicate that gender is related to average number of drinks per week. Membership in low alcohol consumption organizations was related to decreases in the frequency of alcohol usage within the previous year, which indicates that decreasing alcohol consumption may be more effective by promoting low alcohol consumption organizations.     

Factors related to reductions in alcohol consumption among college students: The role of religious involvement

College students most at risk for engaging in binge drinking are members of Greek organizations and athletic teams (Grenier, Borskey, & Folse, 1998; Wechsler, Dowdall, Davenport, & Castillo, 1995). Membership in religious organizations may moderate binge drinking (O'Hare, 1990). One hundred thirty-nine college students completed the Core Alcohol and Drug Survey (Presley, Meilman, & Lyerla, 1994), the Group Identification Scale (Hinkle, Taylor, Fox-Cardamone, & Crook, 1989), and the ‘Age-Universal’ I-E - 12 (Maltby, 1999). The results indicate that gender is related to average number of drinks per week. Membership in low alcohol consumption organizations was related to decreases in the frequency of alcohol usage within the previous year, which indicates that decreasing alcohol consumption may be more effective by promoting low alcohol consumption organizations.     

Alcohol Use,Problem Drinking and Health Risk Factors Among South African Youths

The aim of this study was to assess the prevalence and associated factors of problem drinking among South African youth (18–24 years). A cross-sectional population-based household survey was conducted using a multi-stage stratified cluster sampling approach. The total sample included 3123 participants (age range 18–24 years, 45.4% women) from four of nine provinces in South Africa. Results indicate that current alcohol was relatively more common among male (40.7%) than female youths (21.3%). Similarly, hazardous or harmful drinking was more prevalent among males (24.3%) than among women (12.9%). In multivariable analyses among men and women high on sexually permissiveness had hazardous or harmful alcohol use. Lifestyle including high peer pressure, and spending more nights away in a week were associated with hazardous or harmful alcohol use.