Alcohol First Use and Attitudes Among Young Children

We describe the attitudes and first use of alcohol by children, grades 3-6, who participated in the Bogalusa Heart Study, 1993-94. Questionnaire data reflected that more than one-third of the children had experimented with alcohol at the time of the study. The dominant environmental factor in experimentation was family modeling, and the dominant personal factor was curiosity, regardless of race, gender, or grade. Most children believed that alcohol use can lead to accidents, that drinking has negative social consequences, and that alcohol use hurts only if done to excess. Indications are that young children generally have negative attitudes regarding alcohol use, and that public and family alcohol education efforts need to be more specific about deleterious effects of even low levels of alcohol use in the young.     

Exposure to negative emotional cues and alcohol cue reactivity with alcoholics: a preliminary investigation

Fifty-one male and female inpatient alcoholics received cue exposure treatment involving in vivo exposure to alcohol cues and imaginal exposure to individualized high-risk drinking situations involving negative emotional cues. At post-test, self-report measures of urge to drink alcohol and negative emotional states were obtained during an alcohol cue reactivity assessment. Contrary to our hypothesis, greater exposure to negative emotional cues during treatment was associated with greater urge and negative emotional responses at post-test. In addition, greater duration of exposure to negative emotional cues predicted greater attention to alcohol-related stimuli and thoughts about drinking during the post-test. Implications for future research in this area include extending the duration of exposure to negative emotional cues in order to establish the optimal exposure durations within which a majority of individuals achieve clinically significant reductions in their urge to drink alcohol.     

Cry analysis detects subclinical effects of prenatal alcohol exposure in newborn infants

The threshold, latency, and peak fundamental frequency (basic pitch) of crying were sensitive to the subclinical effects of prenatal alcohol exposure through the first month of postnatal life. Whereas infants with prenatal alcohol exposure showed a lower cry pitch and higher cry threshold at 2 days of age, higher pitched cries, typical of nervous system insult, were evident at 14 and 28 days. A longer latency was also evident at 14 days.     

I. V. Zavadskii and the beginnings of behavioral pharmacology: an historical note and translation.

I. V. Zavadskii, who worked in Pavlov's laboratory between 1907 and 1909, performed a study that has many of the characteristics of modern behavioral pharmacology. He studied the effects of alcohol, morphine, cocaine and caffeine on the conditioned salivary reflex. A translation of his paper and some brief comments on his life are presented.     

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.     

KNOWING WHEN TO SAY WHEN: A SIMPLE ASSESSMENT OF ALCOHOL IMPAIRMENT

The use of writing samples as indices of alcohol impairment was explored. Students at a campus fraternity party wrote a sentence and their signatures before and after consuming alcohol (in beer and mixed drinks). Later, undergraduate and graduate students attempted to discriminate between pre- and postparty handwriting samples. The average percentage of correct discriminations of entrance and exit writing samples was 83.7% for sentences and 67.5% for signatures, and the percentage of correct discriminations increased directly with the blood alcohol concentration of the partier who gave the writing sample. When a partier's blood alcohol concentration reached 0.15, all of the judges accurately discriminated 90% or more of the sentences, and 25 of the 28 judges correctly discriminated at least 80% of the signatures. All of the judges correctly discriminated at least 90% of the 18 sentences written by partiers with a blood alcohol concentration of 0.12 or more. Implications of these findings for reducing the risk of driving while intoxicated are discussed, as well as directions for follow-up research.     

Development of a drinking self-efficacy questionnaire

Self-efficacy has been postulated as a construct of central importance in the acquisition, maintenance, and treatment of addictive behavior. To date research has largely examined the role of outcome expectancies but literature on the relationship of self-efficacy and drinking is still unclear. This paper describes the development and psychometric properties of a Drinking Self-Efficacy Questionnaire (DSEQ). In Study I, 251 students were used to test the factor structure of the DSEQ. Factor analysis of the DSEQ showed three clear factors accounting for 60% of the common variance. These factors can be summarized as self-efficacy in situations characterized by social pressure, opportunistic drinking, and emotional relief. Study II used 138 people from a general community sample and discriminant analyses showed that the DSEQ has good discriminant validity. The findings suggest that the DSEQ has potential for use in research examining the role of drinking self-efficacy in problem drinkers.This paper was partly supported by grants from the NH&MRC to Dr. Oei.     

Congruence couple therapy for alcohol use and gambling disorders with comorbidities (part I): Outcomes from a randomized controlled trial

A nonblinded randomized trial was conducted at two Canadian provincial outpatient addiction clinics that tested the effectiveness of a systemic congruence couple therapy (CCT) versus individual-based treatment-as-usual (TAU) on nine clinical outcomes: (1) primary outcomes—alcohol use and gambling, psychiatric symptoms, and couple adjustment; (2) secondary outcomes—emotion regulation, substance use, depression, post-traumatic stress symptoms, and life stress. Data of primary clients and partners (N = 46) were analyzed longitudinally across baseline, posttreatment (5 months), and follow-up (8 months). Alcohol use disorder (95%) and gambling disorder (5%) were in the severe range at baseline, and co-addiction was 27%. Psychiatric comorbidity was 100%, and 18% of couples were jointly addicted. Between-group comparison favored CCT in primary outcomes with medium-to-large effect sizes (Cohen's h = 0.74–1.44). Secondary outcomes were also significantly stronger for CCT (Cohen's h = 0.27–1.53). Within-group, for all primary outcomes, a significant proportion of symptomatic CCT clients and partners improved, converging with ANOVA results of large effect sizes (0.14–0.29). All secondary outcomes improved significantly in CCT with large effect sizes (0.14–0.50). TAU showed significant within-group improvement in alcohol use, other substance use, and life stress with large effect sizes (0.16–0.40). Primary clients and partners made largely equivalent improvement within CCT and within TAU. Results were triangulated with clients' satisfaction ratings and counselors' reports. Overall, significant within-group effects were detected for CCT both clinically and statistically and between-group difference favored CCT. Future trials are required to validate these promising findings.     

同伴排斥与青少年早期饮酒行为:同伴侵害和不良同伴的中介效应

采用同伴提名、同伴侵害问卷、不良同伴问卷和饮酒行为问卷调查广东地区4所普通初级中学1386名7年级学生,考察了同伴排斥与青少年早期饮酒行为的关系,以及同伴侵害和结交不良同伴在其中的链式中介效应。结果发现:(1)同伴排斥、同伴侵害和结交不良同伴均与青少年早期的饮酒行为呈显著正相关;(2)同伴侵害和结交不良同伴在同伴排斥影响青少年早期饮酒行为过程中的链式中介效应显著,即同伴排斥通过增加同伴侵害,从而提高结交不良同伴的风险,进而增加青少年早期的饮酒行为;(3)在控制同伴侵害和结交不良同伴后,同伴排斥对青少年早期的饮酒行为仍存在显著预测作用。     

EEG Biofeedback for Addictive Disorders—The State of the Art in 2004

This paper reviews studies of brainwave biofeedback as a therapeutic technique for substance use disorder. This modality is attractive as a medication free, neurophysiologic, and self actualizing treatment for a substance based, brain impaired and self-defeating disorder. Three approaches are described and the literature for each reviewed. Alpha–theta occipital feedback was originally employed to facilitate autosuggestion in hypnagogic states to augment standard therapy approaches in substance abuse treatment programs and appears most suited for chronic treatment resistant alcoholics. Beta augmentation feedback in conjunction with alpha/theta feedback has been employed in mixed substance abuse and stimulant abuse with good results. Individualized brainwave biofeedback based on correcting EEG abnormalities, or based on addressing comorbid conditions is a third approach that has been described, and may be most appropriate where confounding comorbid conditions are present. Although effectiveness in certain hard to treat populations (conventional treatment resistant alcoholics, crack cocaine addicts, cognitively impaired substance abusers) is promising, better-designed controlled studies are needed.