Decision Making and Alcohol: Health Policy Implications

Davis‐Stober, Clintin P.; McCarty, Kayleigh N.; McCarthy, Denis M.

doi:10.1177/2372732218818587

Cited by 11 publications

(5 citation statements)

References 40 publications

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“…Understanding these decision strategies can inform interventions to encourage the use of AID alternatives when people are already intoxicated. Specifically, our results suggest tailoring AID intervention approaches to the decision strategies individuals use while intoxicated (Davis-Stober et al, 2019). Individuals who employ a compensatory strategy (i.e., ride service cost sensitive) may benefit more from interventions focused on reducing the cost of AID alternatives, such as free or discounted safe ride programs promoted at bars or on ride service apps (Fell et al, 2020).…”

Section: Discussionmentioning

confidence: 88%

“…Our results suggest the possibility of tailoring AID interventions to the decision strategies individuals use while intoxicated as an avenue for future research (Davis-Stober et al, 2019). Perski et al (2021) conducted a review of just-in-time interventions attempting to reduce substance-related behaviors (e.g., alcohol, nicotine, cannabis) and found mixed support for this type of intervention in reducing alcohol-related outcomes.…”

Section: Discussionmentioning

confidence: 94%

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Decision strategies while intoxicated relate to alcohol-impaired driving attitudes and intentions.

McMullin¹,

Motschman²,

Hatz³

et al. 2022

Psychology of Addictive Behaviors

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Objective: Approximately 28 million individuals engage in alcohol-impaired driving (AID) every year. This study investigated individuals' AID decision making strategies under intoxication, their variability across the breath alcohol concentration curve (BrAC), and the association between strategy and AID attitudes and intentions. Method: 79 adults (23.9 years, 57% women) who drank alcohol ≥2 days per week and lived >2 miles away from their typical drinking locations completed an alcohol administration protocol and AID decision making task.AID attitudes, intentions, and behaviors were assessed repeatedly across the BrAC curve.Bayesian cognitive modeling identified decision strategies used by individuals on the AID decision making task, revealing whether alcohol consumption level and/or ride service cost factored into individuals' decisions to drive while impaired or obtain a ride. Additional analyses tested whether AID attitudes and intentions were related to individuals' decision strategies.Results: Two decision strategies were examined on the ascending and descending limb of the BrAC curve: compensatory (both consumption level and ride service cost factored into AID decisions) and non-compensatory (only consumption level factored into AID decisions).Switching to a compensatory strategy on the descending limb was associated with lower perceived intoxication, perceiving AID as less dangerous, and being willing to drive above the legal BrAC limit. Conclusions: Results suggest that risk for engaging in AID is higher for those using a cost-sensitive, compensatory strategy when making AID decisions under intoxication.Future research is needed to test whether AID countermeasures (e.g., subsidized ride services) are differentially effective according to decision strategy type.

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Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 94%

Decision strategies while intoxicated relate to alcohol-impaired driving attitudes and intentions.

McMullin¹,

Motschman²,

Hatz³

et al. 2022

Psychology of Addictive Behaviors

Self Cite

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“…For example, individuals in a suicide crisis may not remember and consider all relevant choice information and may not generate effective solutions. Davis-Stober et al (2019) highlight the risky decision strategies of intoxicated individuals and show that some can benefit from simple mental rules or heuristic decision strategies. It may be that moral objections to suicide, combined with RC, may simplify the decision-making of religious suicidal young adults in a suicide crisis and provide a heuristic decision strategy, e.g., "A person committed to my beliefs does not take their life".…”

Section: Discussionmentioning

confidence: 99%

Religious Commitment and Intent to Die by Suicide during the Pandemic

Mason,

Moore,

Palmer

et al. 2023

Religions

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Suicide is the second leading cause of death in 10–34-year-olds in the U.S. It is vital to identify protective factors that promote resilience in a suicide crisis. Background: This study explored the contributions of religious commitment (RC) and religious service attendance to decreased suicide intent in 18–34-year-olds. Possible moderators were investigated, including church-based social support, pandemic-related faith struggles (PRFS), and moral objections to suicide. Methods: Participants completed an online survey reporting on RC, suicide intent, church-based social support, religious service attendance, PRFS, and moral objections to suicide. Results: In the convenience sample of 451 18–34-year-olds (M = 24.97; 47.23% female), religious participants reported significantly less suicide intent than non-religious participants. RC and moral objections to suicide were more strongly negatively correlated with suicide intent than religious service attendance, but religious service attendance was associated with lower suicide intent in a regression model. Almost four times more religious young adult participants reported PRFS than not, and PRFS was found to moderate the benefits of social support received in their faith communities. Conclusions: It is suggested that professional caregivers use religious service attendance as a straightforward way to assess a possible protective factor for suicidal religious young adults. Professional caregivers may also assess for moral objections to suicide, which may provide simple decision rules in a suicide crisis. The large number of religious young adults reporting PRFS in this study suggests the need for professional caregivers to assess for spiritual struggles, which may confer suicide risk. Because of the interplay of spiritual risks and protections, mental health providers who are unsure of how to address these in therapy may need to collaborate with and make referrals to faith leaders to increase protections and reduce risks in suicidal religious young adults.

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“…Davis-Stober et al ( 2019) examined the influence of decision making on alcohol consumption and its implications for health policies. They found that individuals with high levels of impulsivity and low conscientiousness are more likely to engage in excessive drinking, highlighting the need for targeted interventions that consider personality traits (Davis-Stober et al, 2019).…”

Section: E-issn: 3041-8542mentioning

confidence: 99%

Decision Making and Personality: Implications for Health and Well-Being

Hooshmandi

2024

JPPR

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The association between decision making, personality traits, and health and well-being is an area of increasing interest in psychological and health research. This letter aims to explore the implications of personality on decision making in the context of health and well-being, supported by recent research findings. The relationship between decision making, personality, and health and well-being is complex and multifaceted. Personality traits significantly influence how individuals make health decisions, which in turn affects their health outcomes and overall well-being. By incorporating personality assessments into healthcare practices, providers can offer more personalized and effective care, ultimately improving patient satisfaction and health outcomes. Future research should continue to explore the mechanisms underlying the relationship between personality and decision making, with a focus on developing interventions that enhance health and well-being through tailored decision-making support. Understanding these dynamics will enable healthcare professionals to better address the diverse needs of patients, leading to more successful health outcomes.

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Decision Making and Alcohol: Health Policy Implications

Abstract: How people make decisions about alcohol can have implications for policy. Policies aimed at reducing alcohol-related harms need to take account of variability in individual decision making, and the impact of addiction and intoxication on choice behavior.

Cited by 11 publications

References 40 publications

Decision strategies while intoxicated relate to alcohol-impaired driving attitudes and intentions.

Decision strategies while intoxicated relate to alcohol-impaired driving attitudes and intentions.

Religious Commitment and Intent to Die by Suicide during the Pandemic

Decision Making and Personality: Implications for Health and Well-Being

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