Test-retest reliability of retrospective self-reports in three populations of alcohol abusers

The reliability of alcohol abusers' retrospective self-reports was evaluated using a time-line follow-back interview technique. Independent groups of male subjects were interviewed in three different treatment settings (outpatient,n=12; inpatient,n=12; residential,n=12) on two separate occasions to assess the test-retest reliability of their self-reports of daily drinking and related events occurring 1 year prior to treatment. Correlational and scatterplot analyses generally showed a high correlation and low discrepancy between the two sets of interview responses for all groups. However, since some population differences were found in the reliability of reports for some variables, further research is needed to delineate the conditions under which reliable and valid retrospective self-reports can be obtained from different populations of alcohol abusers.This research was supported, in part, by Grant No. AA07072 from the National Institute on Alcohol Abuse and Alcoholism to Vanderbilt University.     

Reliability of alcohol abusers' self-reports of drinking behavior.

The test-retest reliability of alcohol abusers' self-reports of their daily drinking and daily drinking, alcohol-related incarcerations and their drinking problem history were highly reliable (r = +0.79 to +0.98). Limits on the generalizability of these finclings are discussed. ing dispositions for the 360-day period preceding admission to treatment. Results indicated that. over a 6-week test-retest interval, outpatient male alcohol abusers' self-reports of their daily drinking, alcohol-related incarcerations and their drinking problem history were highly reliable (r = +0.79 to +0.98). Limits on the generalizability of these finclings are discussed.     

Psychometric Evaluation of 5- and 7-Year-Old Children's Self-Reports of Conduct Problems

Past research suggests that young children are incapable of reporting information about their own behavior problems. To test this, we examined the validity and the usefulness of children's self-reports in the E-Risk Study, a nationally representative birth cohort of 2,232 children. We used the Berkeley Puppet Interview to obtain children's self-reports of conduct problems when they were 5-years old and the Dominic-R when they were 7-years old. We also collected information about the children and their families by interviewing mothers, sending questionnaires to teachers, and rating examiners' observations during home visits. Results indicate that when children's self-reports are gathered with structured and developmentally appropriate instruments, they are shown to be valid measures: conduct problems reported by the children themselves were associated with known correlates including individual characteristics (e.g., IQ), related behaviors (e.g., hyperactivity), and family variables (e.g., economic disadvantages). Observed correlations closely matched effect sizes reported in the literature using adults' reports of children's behavioral problems. In addition, children's self-reports can be useful: both measures distinguished children meeting DSM-IV criteria for research diagnoses of conduct disorder. Children's reports also contributed unique information not provided by adults. For research and clinical purposes, young children's self-reports can be viewed as a valuable complement to adults' ratings and observational measures of children's behavior problems.     

Social-Emotional Adjustment and Patterns of Alcohol Use among Young Adults

ABSTRACT Individual differences in social-emotional adjustment, jointly defined by levels of distress and self-restraint, were used to evaluate (a) patterns of alcohol use, (b) reasons for use, and (c) associated problems in two college samples of young adults (N= 287 and N= 215). As hypothesized, low self-restraint was associated with high levels of alcohol use, drinking to increase positive affect, and high levels of alcohol-related problems. Subjective distress was not related to levels of use; however, it was associated with drinking to escape negative moods and social discomfort and with excessive alcohol-related problems. Both high distress and low self-restraint predicted problem drinking beyond what could be accounted for by quantity or frequency of alcohol use or by peers' use. Within Weinberger and Schwartz's (1990) six-group typology, reactive individuals (high distress–low restraint) were especially likely to be problem drinkers, even when compared to groups with equivalent alcohol use. In a separate study, knowledgeable peers' reports validated the differences between reactive and repressive individuals, the two groups most likely to have inaccurate self-reports.     

Predicting 13-year-olds' drinking using parents' self-reported alcohol use and restrictiveness compared with offspring's perception

This study examined whether offspring's perception of parental frequency of alcohol use and restrictiveness towards offspring's alcohol use could be used as a substitute for parental self-reports. Offspring's perception were compared with parents' self-reported alcohol use and restrictiveness in ability to predict offspring's own alcohol use. Respondents were 924 offspring, 642 fathers and 729 mothers. Correlations between fathers' and mothers' self-reported frequency of drinking alcohol and offspring's reports of parental frequency of drinking alcohol ranged from 0.55 to 0.70. Fathers' and mothers' self-reported alccohl use and restrictiveness explained less than two per cent of the variance in their offspring's alcohol use in regression analyses, while offspring's perception of parental drinking frequency and restrictiveness exaplained about eight per cent of the variance in offspring's alcohol use. These results represent a challenge to studies of young adolescents which interpret offspring's reports of parents' alcohol use as a surrogate measure 'of parents' self-reported alcohol use.     

Collegiate heavy drinking prospectively predicts change in sensation seeking and impulsivity

Recent models of alcohol use in youth and young adulthood have incorporated personality change and maturation as causal factors underlying variability in developmental changes in heavy drinking. Whereas these models assume that personality affects alcohol use, the current prospective study tested the converse relation. That is, we tested whether, after accounting for the effect of traits on drinking, collegiate heavy drinking in turn predicted individual differences in change in alcohol-related aspects of personality. We also examined whether affiliation with heavy-drinking peers better accounted for this relation. Following a cohort of recent high school graduates (N=1,434) through the college years, we found evidence for transactional relations between heavy drinking and changes in impulsivity and sensation seeking. Both traits predicted increases in heavy drinking, but more important, heavy drinking predicted increases in sensation seeking and impulsivity. In final models, social influences did not underlie the effect of heavy drinking on increases in sensation seeking and impulsivity. The results of this investigation suggest that collegiate heavy drinking may negatively and pervasively impact a wide range of behaviors because of its effect on personality change.     

A beverage-specific measure of expectancies for malt liquor: development and initial testing

Malt liquor (ML) is a unique, high alcohol content beverage marketed to encourage heavy drinking. We developed the Malt Liquor Expectancy Questionnaire (MLEQ), a beverage-specific measure of alcohol expectancies, and examined its association with typical weekly ML use, typical weekly alcohol use, and alcohol problems. Forty positive and 40 negative expectancy items were administered to a sample of 639 young adults who regularly consumed ML. Exploratory and confirmatory factor analyses led to the development of the 30-item MLEQ. The MLEQ consists of two positive (i.e., Social Facilitation and Enjoyment, Enhanced Sexuality) and two negative factors (i.e., Aggression and Negative Consequences; Impairment and Physical Symptoms) that possess good internal consistency, test-retest reliability, and convergent validity. The psychometrically sound MLEQ contributes to the limited research on beverage-specific expectancies and heavy drinking.     

Life Satisfaction and Alcohol Consumption Among Young Adults at Social Gatherings

Although low life satisfaction is related to alcohol abuse among young adults, there is no clear evidence of a specific relationship between wellbeing indexes and alcohol consumption. Several studies have reported different nonlinear relationships. The role of other variables may explain the inconsistent relationships between life satisfaction and alcohol consumption. Concerning individual factors, people’s expectations regarding drinking alcohol (i.e., drinking motives) are considered the most proximal antecedents of alcohol use and may mediate the relationship between life satisfaction and drinking alcohol. Regarding relational factors, social relations are related to both wellbeing and alcohol consumption. The aim of the present study was to examine the relationships among life satisfaction, drinking motives, and alcohol consumption in a sample of young adults. The data were collected by means of a self-report questionnaire from a sample of 536 young adults (median age: 22 years). We tested a structural equation model, assuming the hypothesized relationships, simultaneously on males and females to investigate gender differences. The results showed the influence of social relations on life satisfaction, which in turn influenced participants’ expectations regarding drinking alcohol. Drinking motives were antecedents of alcohol use. Among women, low satisfaction increased coping expectation, which, in turn, increased alcohol consumption. The most dangerous expectation about drinking was that alcohol may enhance a person. Prevention campaigns should aim to deconstruct this idea.     

Binge drinking among young adults in Israel: application of the theory of planned behavior

Binge drinking is common among young people, and is an area of concern in many countries worldwide. Israel has seen a steady increase in binge drinking behaviors in recent years among youth and young adults. Using the Theory of Planned Behavior (TPB) as a guiding theoretical framework, this study examines whether attitudes, subjective norms, perceived behavioral control and intention to engage in binge drinking are correlated with individual participation in binge drinking among young adults aged 18–35 in Israel. Participants (n = 213) completed a cross-sectional survey that included measures of the TPB and binge drinking. Correlations between the TPB variables were conducted and multiple and logistic regression models were calculated to predict binge drinking intention and behavior. Findings show that 38% of the sample reported engaging in binge drinking activities in the past 30 days, and that TPB variables significantly predicted both intent to engage in binge drinking and the behavior itself (explaining 68 and 45% of the variance, respectively). These findings enable us to better understand some of the motivations young people may have for engaging in binge drinking. Results and implications for future education and prevention efforts, research and policy are therefore discussed within a social context.     

Cognitions associated with recovery from alcohol dependence1

The present study examined the cognitive factors uniquely associated with the status of alcohol dependence recovery, assessing Korean patients who were recovered (n = 57), having been alcohol‐abstinent for 4 months or more after treatment, and who were nonrecovered (n = 213), being still in treatment. Compared with the nonrecovered group, the recovered group reported lower levels of denial of drinking problems and rationalization of drinking (two dimensions of specific beliefs that facilitate alcohol use), dysfunctional attitudes, depressed mood, and emotion‐focused coping. The recovered group also showed higher levels of alcohol abstinence self‐efficacy and problem‐focused coping. Both denial and alcohol abstinence self‐efficacy were uniquely associated with alcohol dependence recovery, when we controlled for the other relevant predictors, whereas neither dysfunctional attitudes nor rationalization were so associated. These findings could be useful in refining psychological interventions facilitating the recovery of alcohol‐dependent patients.     

Do college students drink more than their non-college-attending peers? Evidence from a population-based longitudinal female twin study

The association of college attendance with alcohol use and alcohol use disorders was examined in a population-based young adult female twin sample identified from a systematic search of birth records. College-attending women consumed a larger overall volume of alcohol than did their non-college-attending peers, but they were not more likely to be diagnosed with an alcohol use disorder. Significant associations between college attendance and alcohol involvement were probed using 3 different complementary research designs: multivariate cross-sectional analyses, longitudinal analyses of the precollege and college years, and cotwin-control analyses of twin pairs discordant for attending college. Although demographic and lifestyle characteristics accounted for most or all of the association between college attendance and alcohol involvement, there was 1 aspect of drinking behavior, occasionally consuming large quantities of alcohol, that remained significantly associated with college attendance even after controlling for these characteristics or for genetic and family background factors. These results are consistent with the conclusion that some aspect of the college experience may be an important environmental risk factor for this pattern of drinking among young adults.     

Gender Differences in Drinking Motivations and Outcomes

To investigate gender differences in the dynaijiics of alcohol use, we gathered self-report data from male and female college students. Results of our experiment showed that dominance power motivations were correlated with negative drinking outcomes for both men and women; assertiveness power motivations were associated with negative outcomes only for women. For both sexes, a higher proportion of positive social motivations was associated with fewer negative drinking outcomes. We expect that, in addition to the more traditionally defined needs for dominance power shown to be important for drinking among men, women may use alcohol in relation to needs for assertiveness and self-expression.     

An Examination of the Mediational Effects of Cognitive and Attitudinal Factors of a Parent Intervention to Reduce College Drinking

As part of a parent intervention to reduce heavy-drinking, college freshmen were assessed for their attitudes toward drinking and reasonable alternatives to drinking on the weekends, as well as cognitive variables underlying attitudinal variables. Intervention parents received a handbook the summer prior to college entrance with information about college drinking and best practices for parent-teen communication. Results revealed that the association between intervention condition and drinking outcomes was mediated by attitudes favorable to drinking and reasonable alternatives to drinking, as well as beliefs about alcohol related behavior. This parent program was shown to be efficacious for changing high-risk drinking in college. Findings are discussed regarding the further development of college drinking prevention programs involving parents.     

Gender differences in drinking motivations and outcomes.

To investigate gender differences in the dynamics of alcohol use, we gathered self-reported data from male and female college students. Results of our experiment showed that dominance power motivations were correlated with negative drinking outcomes for both men and women; assertiveness power motivations were associated with negative outcomes only for women. For both sexes, a higher proportion of positive social motivations was associated with fewer negative drinking outcomes. We expect that, in addition to the more traditionally defined needs for dominance power shown to be important for drinking among men, women may use alcohol in relation to needs for assertiveness and self-expression.     

The test-retest reliability of the Form 90-DWI: an instrument for assessing intoxicated driving.

Although driving while intoxicated (DWI) is a pervasive problem, reliable measures of this behavior have been elusive. In the present study, the Form 90, a widely utilized alcohol and substance use instrument, was adapted for measurement of DWI and related behaviors. Levels of reliability for the adapted instrument, the Form 90-DWI, were tested among a university sample of 60 undergraduate students who had consumed alcohol during the past 90 days. The authors administered the instrument once during an intake interview and again, 7-30 days later, to determine levels of test-retest reliability. Overall, the Form 90-DWI demonstrated high levels of reliability for many general drinking and DWI behaviors. Levels of reliability were lower for riding with an intoxicated driver and for variables involving several behavioral conjunctions, such as seat belt use and the presence of passengers when driving with a blood alcohol concentration above .08. Overall, the Form 90-DWI shows promise as a reliable measure of DWI behavior in research on treatment outcome and prevention.     

Predictors of College Students' Alcohol Consumption: Implications for Student Education

Understanding why young adults consume alcohol the way they do can lead to more effective educational programming for promotion of students' personal health and safety. The authors examined the predictive role of expectations about alcohol, perceived peer norms of consumption, awareness of rules, and individual self-efficacy in conjunction with demographic variables for male and female college students' weekly alcohol consumption. The sample of 4,960 students analyzed here is 10 to 20 times larger and more nationally representative than the samples used in similar studies. The authors used a general linear model; 41% of the men's variance and 33% of the women's variance in self-reported weekly alcohol consumption were explained by the set of predictors. In descending order of variance accounted for in male and female students' self-reported weekly alcohol consumption, perceived gender-specific norms of consumption, expectations about the effects of alcohol, and the importance of drinking in high school were significant predictors for both men and women. The salience of psychological variables for young adults' consumption of alcohol underscores the importance of recognizing individual predictors of behavior in the broader ecological context in which those behaviors are performed.     

Predictors of college students' alcohol consumption: implications for student education

Understanding why young adults consume alcohol the way they do can lead to more effective educational programming for promotion of students' personal health and safety. The authors examined the predictive role of expectations about alcohol, perceived peer norms of consumption, awareness of rules, and individual self-efficacy in conjunction with demographic variables for male and female college students' weekly alcohol consumption. The sample of 4,960 students analyzed here is 10 to 20 times larger and more nationally representative than the samples used in similar studies. The authors used a general linear model; 41% of the men's variance and 33% of the women's variance in self-reported weekly alcohol consumption were explained by the set of predictors. In descending order of variance accounted for in male and female students' self-reported weekly alcohol consumption, perceived gender-specific norms of consumption, expectations about the effects of alcohol, and the importance of drinking in high school were significant predictors for both men and women. The salience of psychological variables for young adults' consumption of alcohol underscores the importance of recognizing individual predictors of behavior in the broader ecological context in which those behaviors are performed.     

The Influence of Observed Alcohol Consumption on Perceptions of Initiation of Sexual Activity in a College Dating Situation

Corcoran and Bell (1990) found differences between men and women's expectancies for the likelihood of sexual intercourse on a first date depending on how much the other had to drink. The present study examined the subjects' perceptions of likelihood of male and female initiation of sexual intercourse in a story in which the drinking of male or female characters was varied. Subjects read a story of a first date in which one character. either the male or female, consumed a couple of cocktails. The other character either "also had a couple of cocktails.""drank soft drinks," or "became slightly intoxicated." A manipulation check showed that the subjects were responding to story variables in their ratings of characters intoxication. Men were perceived to be more likely than women to initiate intercourse across all drinking conditions, although results indicate that all subjects believed that sexual activity was more likely to be initiated when story characters consumed alcohol rather than soft drinks. These results further demonstrated that this expectancy for initiation of sex appears to be triggered by the presence of alcohol and did not significantly increase for a higher dose of alcohol. More research is necessary to clarify the role of alcohol in sexuality among adolescents and young adults.     

Perception of sexual intent: The role of gender,alcohol consumption,and rape supportive attitudes

This study examined the effects of participant's gender, participant's rape supportive attitudes, and target's alcohol consumption on participant's perceptions of target's sexual intent. Female and male college students read vignettes in which a young woman and man who were socializing consumed either alcoholic or nonalcoholic beverages. At the studied university, approximately 86% of undergraduates were Caucasian, 8% were African American, 3% were Asian, and 3% had other ethnic backgrounds. As hypothesized, men perceived female targets as behaving more sexually than did women, especially men high in rape myth acceptance. Male and female targets' alcohol consumption interacted, such that when both individuals were drinking alcohol they were perceived as being most sexual and their drinking was viewed as most appropriate. The rape myth acceptance and alcohol findings are discussed in terms of their implications for sexual assault and substance abuse prevention programming.Many thanks to Mary Jo Smith for assistance with data management and analyses. ARBOR staff provided assistance with data coding.