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.     

Typological Analysis of MMPI Personality Patterns of Drug Dependent Men

This study replicated Types I and II of Berzins, Ross, English and Haley's (1974) initial typological research with a drug dependent sample. In this research, Minnesota Multiphasic Personality Inventory (MMPI) profiles of 447 drug dependent men were submitted to Johnson's (1967) hierarchical clustering procedure. The hierarchical clustering procedure yielded nine small but clinically meaningful personality subtypes. These types were compared to Berzins's (Berzins et al.) profiles and categorized into three diagnostic classes: (a) character disorder, 42% of the sample; (b) neurotic characters, 35% of the sample; and (c) borderline disorder, 23% of the sample. The profiles were discussed with respect to the scale similarity and differences within the diagnostic class. The results were discussed, with implications for treatment and further research efforts with the drug dependent population.     

The Project Method of Teaching Psychology: A Rejoinder to Dr. Cason

Unlike word frequency counts—e.g., Thorndike and Lorge—or nonsense syllable norms, the total number of different words scaled in extant norms with free associations is limited, although some words were repeatedly scaled. In order to remedy this situation and broaden the word pool for future research, a new norm for 48 words was obtained by means of free associations in the present study (N = 58 men and women undergraduate students in psychology). Discrete normative free associations were procured for 10 words for the first time by the current norm. For the words previously scaled, whereas there were some noticeable differences, overall substantial consistency was observed between the present and earlier results. Further, a survey of previously available word association norms disclosed useful information and interesting trends in this field.     

Impact of Experimentally Induced Positive and Anxious Mood on Alcohol Expectancy Strength in Internally Motivated Drinkers

The effects of musically‐induced positive and anxious mood on explicit alcohol‐related cognitions (alcohol expectancy strength) in 47 undergraduate students who consume alcohol either to enhance positive mood states (for enhancement motives) or to cope with anxiety (for anxiety‐related coping motives) were investigated. Pre‐ and post‐mood induction, participants completed the emotional reward and emotional relief subscales of the Alcohol Craving Questionnaire – Now. The hypothesis that anxiety‐related coping motivated drinkers in the anxious mood condition (but not those in the positive mood condition) would exhibit increases in strength of explicit emotional relief alcohol expectancies after the mood induction was supported. An additional, unanticipated finding was that enhancement‐motivated drinkers in the anxious condition also showed significant increases in strength of explicit emotional relief (but not emotional reward) alcohol expectancies. The hypothesis that enhancement‐motivated (but not anxiety‐related coping motivated) participants would exhibit increases in explicit emotional reward expectancies following exposure to the positive mood induction procedure was not supported. Taken together with past research findings, the current results highlight the importance of distinguishing between subtypes of negative affect (i.e., anxious and depressed affect) in exploring the affective antecedents of explicit alcohol outcome expectancies.     

压力性生活事件对青少年烟酒使用的影响：基本心理需要和应对方式的链式中介作用

采用压力性生活事件量表、基本心理需要量表、特质应对方式问卷和烟酒使用问卷对867名青少年进行调查,考察了基本心理需要和积极应对方式、消极应对方式在压力性生活事件与烟酒使用关系中的链式中介效应。结果表明：（1）基本心理需要是压力性生活事件与青少年烟酒使用之间的中介变量;（2）积极应对方式、消极应对方式是基本心理需要与青少年烟酒使用之间的中介变量。因此,基本心理需要和积极应对方式、消极应对方式在压力性生活事件与青少年烟酒使用之间起链式中介作用。研究结论对青少年烟酒使用的预防和干预具有重要价值。     

Controlling anger in self-reported sober and alcohol intoxicated states: moderating effects of trait anger and alcohol consumption

Controlling anger in self-reported sober and alcohol intoxicated states: Moderating effects of trait anger and alcohol consumption. Scandinavian Journal of Psychology 52, 382-388. Retrospective self-reports about prior sober and alcohol intoxicated states were explored to reveal moderating effects of trait anger and alcohol consumption on anger control. The analyses were based on self-reports of trait anger and alcohol consumption as well as self-reports of the participants' typical levels of anger control in sober and alcohol intoxicated states in a population based sample of Finnish twins and their siblings (N = 4,852). The reported levels of anger control were lower regarding prior alcohol intoxicated states than sober states. A three-way interaction between alcohol consumption, trait anger and anger control was found. Whereas no interaction between alcohol consumption and trait anger was found in the self-reported sober state, there was an interactive effect of trait anger and alcohol consumption on anger control in the intoxicated state, indicating that the difference in anger control between those with high levels of alcohol consumption and those with low levels, was greater at higher levels of trait anger. Women had lower levels of anger control than men, but the relationship between trait anger, alcohol consumption and anger control was similar for both genders. In conclusion, the results showed that those with high levels of trait anger and alcohol consumption showed the lowest levels of anger control in self-reported alcohol intoxicated states, and indicate the importance of separating between anger control when sober and intoxicated since anger control seems to be differently related to at least trait anger and alcohol consumption in these states.     

Female intimate partner violence perpetration: stability and predictors of mutual and nonmutual aggression across the first year of college

Cross-sectional and longitudinal predictors of mutual and nonmutual intimate partner violence (IPV) perpetration were identified in a sample of female college freshmen (N = 499). Using female reports, couples were classified as to whether the relationship included no IPV, female-only IPV, or mutual IPV (male-only IPV was too rare to analyze). Mutual IPV was more common than asymmetrical IPV, and women in mutually violent relationships perpetrated more frequent acts of physical aggression than those in female-only violent relationships. In cross-sectional analyses of IPV in the first semester of college, only partner antisocial behavior and psychological aggression distinguished female-only IPV from no IPV; witnessing mother-to-father aggression, higher psychological aggression, more frequent partner marijuana use, partner antisocial behavior, and, surprisingly, higher relationship satisfaction, discriminated mutual IPV from no IPV. Contrary to hypothesis, first semester (T1) IPV did not predict having a new partner in the second semester (T2); however, women who reported more frequent heavy episodic drinking and lower relationship satisfaction at T1 were more likely to be in a different relationship at T2. Prospective prediction of T2 IPV category failed to support the hypothesis that female-only IPV would escalate to mutual IPV. The majority of couples with female-only IPV reported no IPV at T2. After accounting for T1 IPV, the only significant predictor of T2 IPV category was T1 psychological aggression, suggesting that this may be an appropriate target for IPV prevention efforts among college dating couples.     

Components of disinhibition (vs. constraint) differentially predict aggression and alcohol use

Disinhibition (vs. Constraint; DvC), which has been shown to represent a central aspect of the externalizing domain, consists of several correlated but distinguishable underlying traits, which may have different patterns of association with various externalizing indicators. In a sample of 18‐ to 19‐year old undergraduate students (N = 430; 71.1% female), we examined the specificity and generality of the association between lower order components of DvC and both aggression and alcohol use, externalizing‐related behavioural constructs that have well‐established links to DvC. All three components of DvC—including Disagreeableness, low Self‐Control and low Accomplishment—were associated independently with Reactive Aggression, but only Disagreeableness was correlated significantly with Proactive Aggression. Also, only low Self‐Control was associated with alcohol use. Thus, aggression was broadly associated with components of DvC—although much more strongly with the Disagreeableness domain—whereas alcohol use was specifically correlated with low Self‐Control. These results suggest that lower order components of DvC have distinct patterns of associations with externalizing‐related outcomes. Copyright © 2011 John Wiley & Sons, Ltd.