Objective To determine whether the effects of negative urgency, a unique facet of impulsivity marked by engaging in potentially unhealthy and rash behaviors in order to cope with anxiety or negative moods, on drinking behavior can be explained by positive and negative alcohol outcome expectancies and specific drinking motives (i.e., coping and enhancement). Methods College students (N = 194) completed web-based surveys in exchange for course credit. Students completed measures of negative urgency, comprehensive effects of alcohol, drinking motives, and alcohol use behaviors. Results Results of path analysis indicated significant indirect effects of negative urgency and alcohol use through both alcohol outcome expectancies and enhancement motives. The effects of enhancement motives on drinking were mediated by positive alcohol outcome expectancies. The effects of coping motives on drinking were not attributable to negative expectancies. Conclusions Individuals high on negative urgency may consume alcohol in order to ameliorate their emotional distress due to strong desires to increase positive and decrease negative experiences associated with drinking. Emotion-focused impulsivity’s influence on drinking outcomes can be ascribed to enhancement motives for drinking as well as positive and negative alcohol outcome expectancies. Prevention efforts should target drinking motives and alcohol outcome expectancies among those higher in negative urgency.

ABSTRACT. Objective: A key assumption when assessing alcoholrelated problems is that these problems are considered negative. A growing literature suggests that college drinkers do not perceive all measured consequences to be negative. Research has established the impact of others' beliefs on personal beliefs and behaviors. The purpose of this study was to assess the effect of perceptions of others' evaluations (POE) of consequences on one's own evaluations and subsequent experiences of consequences. Method: A sample of 885 heavy drinking college students participated in a longitudinal study. Participants reported the number of alcoholic drinks consumed per week, experiences of alcoholrelated problems, evaluations of those consequences, and perceptions of how typical university students evaluate those consequences. A moderated mediation of POE on negative alcohol-related consequences via evaluations of consequences at differing levels of alcohol consumption was conducted, with gender, baseline consequences, and intervention effects being controlled for. Results: Results indicated that POE had no direct effect on subsequent consequences. However, an indirect effect was found through evaluations of consequences, such that there was a positive association between both POE and evaluations of consequences, and evaluations of consequences and subsequent consequences. Average weekly drinking moderated the association between POE and evaluations of consequences, such that the association between POE and evaluations of consequences was stronger for those who drank more heavily. Conclusions: Results are consistent with social cognition processes, such as pluralistic ignorance, and suggest that POE and evaluations of consequences should be considered in the construction of interventions targeting heavy-drinking college students. (J. Stud Alcohol Drugs, 78, 249-257, 2017)

Drinking among young adults has been consistently associated with perceptions of prevalence and approval of varying levels of drinking among broadly defined similar others (e.g., other female college students). Less work has considered influences in terms of actual group members comprising individuals' social networks. We proposed two overlapping groups would differentially influence drinking and related consequences (important others; drinking buddies; and members of both groups). Furthermore, we expected that specific individuals (e.g., romantic partners and family members) would be associated with less drinking. Data were provided from 372 drinkers who logged daily drinking and presence of network members on MTURK. Results indicated consistent support for the number of network members present as a predictor of the number of drinks consumed per drinking day, regardless of member characteristics. Only important others who were not drinkers and romantic partners failed to demonstrate unique positive associations with drinks per drinking day.

This chapter reviews state-of-the-art substance use prevention and treatment models available for college-attending and non-college-attending emerging adults. Findings on the widely researched Brief Alcohol Screening and Intervention for College Students (BASICS) model are summarized, as well as those for community-level prevention efforts for college students. For non-college attending emerging adults, motivational interviewing, twelve step facilitation treatment, and cognitive-behavioral therapies have the most empirical support. Few studies are available on the use of primary care–based interventions for emerging adults, which are needed if integrated care is to be realized. There is also new evidence suggesting personalized feedback is less effective than other treatments for emerging adults in non-college settings. Finally, the chapter discusses the mixed findings on electronic interventions and provides recommendations for future research.