The Links Between Social Anxiety Disorder,Insomnia Symptoms,and Alcohol Use Disorders: Findings From a Large Sample of Adolescents in the United States

Social anxiety disorder (SAD) is associated with increased risk of developing an alcohol use disorder (AUD). Most of the current literature has focused on the role of acute stress responding in this relation; however, both SAD and AUDs also are linked to insomnia symptoms (i.e., difficulty falling or staying asleep). As adolescence is a sensitive period for the onset of these disorders, the present study examined if insomnia symptoms might partially account for the SAD-AUD link in a large sample of adolescents. Data from the National Comorbidity Survey–Adolescent Supplement were examined. Participants (N = 10,140) completed interviews to assess past 12-month SAD and AUD diagnostic status as well as insomnia symptoms. Analyses tested whether insomnia symptoms accounted for a significant proportion of the SAD-AUD relation. Results indicated that insomnia symptoms were positively related to both SAD and AUD status, and the relation between SAD and AUD status was significantly reduced when insomnia symptoms were included in the model. Findings remained significant after controlling for the effects of age, gender, posttraumatic stress disorder, major depressive disorder, and other drug dependence status. Experimental examination and intensive longitudinal assessment of these relationships are needed before strong conclusions can be inferred about causality and temporal relationships. The current findings do indicate insomnia may be an important indirect and stigma-free treatment target to address in prevention and treatment efforts for SAD, AUDs, and their co-occurrence.     

Testing the properties of the triarchic model of psychopathy in a community sample: Self‐reported trait aggression and drug consumption associations

The triarchic model of psychopathy encompasses different conceptions of psychopathic personality characterized by three phenotypic components: boldness, disinhibition, and meanness. Psychopathy is a complex construct at both emotional and behavioral level. The aim of this study was to determine the core elements of psychopathic personality in a community sample and analyze the relation between these elements and other personality traits such as aggression, and certain specific behavioral manifestations such as substance use. The study sample comprised 1,159 participants aged between 17 and 74 years, who were administered the Triarchic Psychopathy Questionnaire, the Impulsive‐Premeditated Aggression Scale, and the Aggression Questionnaire. The results show that the constructs of meanness and disinhibition are more highly associated with different forms of both impulsive and premeditated aggression. Furthermore, men scored higher on all three components of the triarchic model compared to women. Finally, higher substance use (tobacco and drugs) was associated with higher scores in meanness, boldness, and disinhibition. These findings demonstrate the importance of assessing psychopathy in a community sample, and the detection of possible risk factors for the disorder.     

Alcohol intoxicated witnesses' interpretation of social behavior in intimate partner violence

Alcohol intoxication affects social information processing, though research is scarce regarding how alcohol affected eyewitnesses' perception of social interaction within an applied forensic context. In the present study, the effects of alcohol intoxication on eyewitnesses' perception of interaction in intimate partner violence (IPV) were investigated. The participants (n = 152) were randomized to an experimental (alcohol) or control group (juice). After consumption, they viewed a filmed IPV scenario where both interacting parties were confrontational. Afterwards, they rated the involved parties' behavior. Several behaviors were perceived in a similar manner by intoxicated and sober participants, but intoxicated participants perceived both parties' attacking behaviors and some of the man's prosocial behaviors differently than sober participants. Hence, alcohol affected some, but not all, kinds of social behaviors investigated in the present study. This would be of interest to legal praxis and to future studies on intoxicated witnesses to interpersonal violence.     

A meta‐analysis of the effects of acute alcohol intoxication on witness recall

There is widespread belief in the legal system that alcohol impairs witness testimony. Nevertheless, most laboratory studies examining the effects of alcohol on witness testimony suggest that alcohol may affect the number of correct but not incorrect details recalled. However, it is difficult to draw conclusions because sample sizes, testing paradigms, and recall measures vary between individual studies. We conducted a meta‐analysis to address this issue. We found alcohol intoxication had a significant and moderate sized effect on the number of correct details recalled (g = 0.40). The effect of alcohol on the number of incorrect details recalled was not significant. Further, the effect of alcohol on the recall of correct details was significantly moderated by multiple factors like intoxication level, the retention interval length between encoding and recall, and the types of questions asked (i.e., free recall vs. cued recall). We discuss the applied implications of the results.     

Binge drinking and violence against dating partners: the mediating effect of antisocial traits and behaviors in a multinational perspective

Research has consistently shown a link between alcohol use and partner violence (PV). Little is known concerning the strength of this association across cultures and genders, and few have assessed possible mediators. This study assesses the link between binge drinking and PV among 7,921 college students in 38 sites around the world, and investigates the mediating role of antisocial traits and behaviors (ASTB). A significant association was found between binge drinking and PV, the strength of which differed by site but not by gender. ASTB fully mediated this association. The mean level of binge drinking at each site did not significantly influence the strength of the association between binge drinking and PV.     

Negative Emotions and Alcohol Use Initiation in High-Risk Boys: The Moderating Effect of Good Inhibitory Control

Studies on the relation between negative affect and later alcohol use have provided mixed results. Because definitions of negative affect often include diverse emotions, researchers have begun to dismantle this higher-order construct in an attempt to explain these inconsistent findings. More recent evidence also indicates that good inhibitory control may moderate the relation between negative emotions and alcohol use. The current longitudinal investigation examined the independent relation between three components of negative affect (i.e., depressed mood, fear, and anger) and alcohol use initiation in a sample of aggressive boys. The moderating effect of good inhibitory control was also examined. Results indicated that increased anger and decreased fearfulness are associated with an increased risk for alcohol use initiation only for boys with moderate to low levels of inhibitory control. However, depressed mood predicted alcohol use initiation for boys with good inhibitory control. The potential implications for substance use prevention efforts are discussed.     

Relative reinforcing effects of different oral ethanol doses in rhesus monkeys

The relative reinforcing effects of different doses of orally delivered ethanol were evaluated. Mouth-contact responding by rhesus monkeys was measured under concurrent fixed-ratio fixed-ratio schedules of liquid delivery (0.67 ml/delivery) from each of two spouts during daily 3-hr sessions. Experiment 1 examined persistence of responding with ethanol (2%, 8%, and 32% wt/vol) and water available. When fixed-ratio values from 8 to 128 were tested, the number of ethanol deliveries obtained per session decreased as the response requirement increased. The decrease in deliveries was less at higher than at lower ethanol concentrations, however. Experiment 2 examined choice between two ethanol concentrations under concurrent fixed-ratio 16 schedules (4% vs. 8%, 4% vs. 16%, 8% vs. 16%, 2% vs. 8%, 2% vs. 32%, 8% vs. 32%). Higher concentrations (16%, 32%) generally maintained more responding than concurrently available concentrations of 8% or less. An exception was the observation of a preference for 8% over 32% ethanol. When the fixed-ratio value was increased, however, the relative preference for these two doses was reversed so that 32% ethanol maintained more responding than 8% ethanol. Thus, the direction of the preference depended on the size of the response requirement. These results indicate that the reinforcing effects of ethanol increase with dose.     

Reducing Youth Access to Alcohol: Findings from a Community-Based Randomized Trial

Underage drinking continues to be an important public health problem and a challenge to the substance abuse prevention field. Community-based interventions designed to more rigorously control underage access to alcohol through retailer education and greater enforcement of underage drinking laws have been advocated as potentially effective strategies to help address this problem, but studies designed to evaluate such interventions are sparse. To address this issue we conducted a randomized trial involving 36 communities to test the combined effectiveness of five interrelated intervention components designed to reduce underage access to alcohol. The intervention was found to be effective in reducing the likelihood that retail clerks would sell alcohol to underage-looking buyers, but did not reduce underage drinking or the perceived availability of alcohol among high school students. Post hoc analyses, however, revealed significant associations between the level of underage drinking law enforcement in the intervention communities and reductions in both 30-day use of alcohol and binge drinking. The findings highlight the difficulty in reducing youth drinking even when efforts to curtail retail access are successful. Study findings also suggest that high intensity implementation of underage drinking law enforcement can reduce underage drinking. Any such effects of enhanced enforcement on underage drinking appear to be more directly attributable to an increase in perceived likelihood of enforcement and the resultant perceived inconveniences and/or sanctions to potential drinkers, than to a reduction in access to alcohol per se.     

College Student High-Risk Drinking as a Maladaptive Serious Leisure Hobby

The role of occupational therapy in community child and adolescent mental health services (CAMHS) multidisciplinary teams is not well documented. This qualitative study investigated the perception of occupational therapy practice held by community CAMHS workers in the Perth, Australia, metropolitan region. Eight mental health community CAMHS professionals took part in semi-structured interviews. Three themes emerged which included team membership, the nature of the work, and the team and occupational therapy. This article focuses on the third theme. Findings suggest a limited understanding of the scope of occupational therapy practice. Implications for occupational therapy in CAMHS are discussed.     

Alcohol and nicotine intake and prenatal level of androgens measured by digit ratio

The purpose of this study was to examine the associations between using unhealthy substances and the digit ratio (2nd to 4th digit length ratio, 2D:4D) which is supposed to indicate the prenatal testosterone level. The subjects were 455 students, 225 women and 230 men. Participants declared their frequency of smoking and alcohol drinking. There was no significant difference in digit ratios between subjects regularly using both nicotine and alcohol and those who took none of them. When analyzing the two substances separately, there was no relationship between 2D:4D and alcohol drinking, whereas left hand 2D:4D was positively related to smoking only for women (nonsignificant trend was observed for right hand). Contrary to the previous study, our results indicate that there is no relationship between 2D:4D and alcohol drinking. There is, however, a subtle influence of prenatal testosterone levels for cigarette smoking habits in the case of women.