‘Drinking is our modern way of bonding’: Young people’s beliefs about interventions to encourage moderate drinking

Efforts to discourage excessive alcohol use among young people can only be effective if the target audience is exposed to, attends to, and comprehends key messages. The aim of this study was to examine age and sex differences in drinking motives to better inform development of targeted interventions to reduce alcohol-related harm. Thirty individual interviews and 12 group interviews were conducted with English 13–25?year olds. Interviewees gave multiple motivations for drinking – especially those related to image and reputation, and played down the health implications of heavy drinking. Negative aspects of drinking – caring for drunk friends, being cared for when drunk and suffering through hangovers with friends – were considered to offer opportunities for closer interpersonal bonding than other social activities. Respondents distanced themselves from ‘problem’ drinkers, but disapproved of others’ problematic drinking or antisocial behaviour. Narrative messages demonstrating the social consequences of excessive consumption were preferred to single, static messages emphasising risk or harm. Interviewees noted that interventions must use an engaging tone or pitch: they considered many campaigns to be patronising or preaching. A lack of consensus between age and sex groups highlighted a need for multifaceted, multi-modal approaches that utilise mobile technologies and new media.     

The Performance of the AUDIT-C and the Examination of Risks Associated With Postdeployment Alcohol Misuse in Air Force Medical Service Personnel

This study assessed the performance of the Alcohol Use Disorder Identification Test-Consumption (AUDIT-C) in diagnosing a postdeployment alcohol disorder in a cohort of Air Force Medical Services personnel (N = 13,353). The prevalence of alcohol disorders in this population of previously deployed military healthcare personnel was 1.26% based on medical record data. Assessing the AUDIT-C as a screening tool, the following characteristics were found: sensitivity was 23.81%, specificity was 91.48%, positive predictive value was 3.44%, and negative predictive value was 98.95%. The positive and negative likelihood ratios were 2.80 and 0.83, respectively. Classification accuracy of the AUDIT-C was improved by accounting for officer status and female gender. The area under the receiver operating characteristic curve was 0.69 for the multivariable model, indicating poor to fair classification accuracy. However, this model was significantly improved over the univariate model. Thus, taking rank and gender into account when conducting screening may improve the utility of the AUDIT-C.     

Executive functioning deficits in preschool children with Fetal Alcohol Spectrum Disorders

Executive function (EF) deficit is a hallmark of Fetal Alcohol Spectrum Disorders (FASD), but the vast majority of available evidence comes from school-age children and adolescents. Very little is known about EF during the critical developmental period prior to 6 years of age in FASD. We evaluated EF in 39 children with FASD (3.0–5.5 years) and a comparison group of 50 age-matched, nonexposed controls. Measures included the EF Scale for Early Childhood and a Delay of Gratification task. Compared to age-matched controls, preschool children with FASD had impairments on the EF Scale and showed more impulsivity on the Delay of Gratification task. To confirm the EF Scale finding, FASD group performance was compared to a separate normative dataset (N = 1,400). Those with FASD performed below normal (M = –0.57, SD = 0.92). Within the FASD group, IQ was correlated with the EF Scale (partial r = .60, p = .001) and Delay of Gratification (partial r = .58, p = .005). EF Scale performance did not differ significantly across levels of FASD severity (fetal alcohol syndrome [FAS], partial FAS, or alcohol-related neurobehavioral disorder [ARND]). However, compared to normative data, those with FAS had the largest deficits (M = –0.91 SD from the mean, SE = 0.23), followed by partial FAS (M = –0.66 SD from the mean, SE = 0.26), then ARND (M = –0.36 SD from the mean, SE = 0.20). These novel data show that EF deficits manifest well before the age of 6 years in children with FASD, that they occur across the spectrum, and that EF may be most impaired in children with more severe forms of FASD and/or lower IQs.     

Self-Reported Use of Alcohol,Marijuana, and Hard Drugs and Aggression: A Structural Equation Modeling Analysis of an Internet Survey of Long-Term Marijuana Users

In the largest study to date investigating aggressive behavior among long-time adult concomitant marijuana and alcohol users, respondents completed an Internet survey on substance use and aggressive behavior. Aggressive acts following alcohol consumption were more frequent than aggressive acts following marijuana consumption. Structural equation modeling demonstrated that there was no relationship between marijuana and aggression once recent alcohol use, hard drug history, gender, and age were taken into account. Alcohol use and history of hard drug use were associated with increased aggression. It also appears that increased aggression among males is partially mediated by alcohol use. This model fit the data better than plausible alternative models. Although the sample characteristics limit the generalizability of these findings, our data suggest that marijuana use does not lead to aggressive behavior in adults, even among frequent, long-time users.     

Childhood and Offense-Related Trauma in Young People Imprisoned in England and Wales for Murder and Other Acts of Serious Violence: A Descriptive Study

This study describes the prevalence of traumatic childhood experiences and the extent of trauma-related symptomatology in a group of incarcerated young men within the Young People’s prison estate in England. Semistructured interviews using the Trauma History Interview, the Intrusions and Ruminations Interview, and the Impact of Events Scale–Revised were conducted with 34 young men aged 15 to 17 years who had either murdered or committed serious violence and were serving indeterminate or long-term sentences. Many of the young men had experienced high levels of childhood trauma, and some were still experiencing trauma related to the committal of their offenses approximately 18 months after their offenses had been committed. This is an important finding in relation to the prevalence of unrecognized and untreated traumatized young prisoners.     

Religiosity and forgiveness among first-married and remarried adults

The current study examined the relationship between religiosity and forgiveness among first-married and remarried adults. Seven hundred and eighty-seven married adults from the Flanders region in Belgium completed the Enright Forgiveness Inventory and a four-item Religiosity Scale measuring forgiveness and religiosity, respectively. The results indicated that religiosity positively correlated (p?=?0.0001, r?=?0.15) with forgiveness. There was a significant difference between the religiosity of the first-married and the remarried adults (p?=?0.0001 (two-tailed) d?=?0.61). In an analysis by gender, the women showed a statistically significantly higher religiosity than did men (p?=?0.00005 (one-tailed) d?=?0.28). Among the demographic variables, age (r?=?0.26), number of children (r?=?0.35), and number of years in marriage (r?=?0.34) showed a statistically significant (p?=?0.0001) positive correlation with religiosity. The basic purpose of this study was to inform clinicians of the value of forgiveness and religiosity in therapeutic interventions.     

Alcohol Use in Three Different Inner Cities in South Africa: AUDIT-C and CAGE

The aim of the present study was to describe the frequency of risky drinking among a general urban population survey (n=1379) in South Africa with the help of (Alcohol Use Disorders Identification Test) AUDIT-C scores, CAGE (Cut down, Annoyed, Guilty, Eye-opener) scores and compare the scores with calculated risky drinking in terms of weekly alcohol consumption or heavy episodic drinking. Results indicate 44.4% for men and 25.4% for women as hazardous or harmful drinkers and using the CAGE 44.7% (55% among men and 35.5% among women). AUDIT-C and CAGE cases were more likely to be women than men and were also more likely among Coloureds and Whites than Black Africans and Indians or Asians. This study showed a greater sensitivity of AUDIT to CAGE.     

Women’s spiritually mediated stories about recovery from Alcohol Use Disorder: A brief report

This study explored women’s lived recovery experiences from alcohol use disorder (AUD) facilitated by Alcoholics Anonymous (AA). The women (n?=?10; age range 30–62 years; married?=?6) completed life story interviews regarding their recovery from AUD with AA participation. Discourse analysis of the interview data yielded themes to suggest the women characterise their recovery as spiritual growth, a healing process with reliance of a higher authority, renewed purpose of life, and actively engaging rehabilitation. Spirituality appears a key resource in women’s AUD recovery.     

Brief Intervention of Alcohol Problems in Sub-Saharan Africa: A Review

The purpose of this review was to identify and assess studies that have described and quantified brief interventions of alcohol problems in sub-Saharan Africa. PubMed, Google scholar, CAB Abstracts and article references were searched to identify studies published in English between 1980 and 2009. Twenty-one eligible studies were described in detail and information on study characteristics extracted. All of the identified studies were conducted either in east or southern Africa and varied substantially in terms of study design, population and alcohol use definitions. Overall, brief intervention of alcohol problems in health care settings showed positive results but were difficult to integrate into routine practice. Brief interventions (ranging from a few to 12 sessions) in school settings showed mixed results. In individual or group format in community settings, brief interventions combined with HIV risk reduction counselling showed promising short term results. The findings of this review of sub-Saharan African research strongly support the possible impact of brief interventions of alcohol problems in various settings.     

Longitudinal Predictors of Alcohol‐Related Harms During the Transition to Adulthood

While a range of factors have been found to increase the likelihood of alcohol‐related harms among young people, little is known about their relative importance. This article aimed to identify the risks for alcohol‐related harms at an age when alcohol use and problems tend to peak in Australia (19–20 years). A wide range of concurrent and antecedent factors from multiple domains were examined using path analysis, including individual characteristics, family environment, and externalising and internalising problems. The sample comprised of 941 individuals from the Australian Temperament Project, a large longitudinal community‐based study. The path model controlled for current risky drinking and revealed a number of variables that were significant longitudinal predictors of alcohol‐related harms within each of the domains, including adolescent antisocial behaviour and drinking behaviour, low agreeableness, impulsivity, and paternal drinking levels. The potential for developmental prevention approaches to reduce alcohol‐related harms by targeting externalising behaviour problems, interpersonal influences, and individual characteristics is discussed.