Drinker Identity: Key Risk Factor for Adolescent Alcohol Use

Lee, Chia Kuei; Corte, Colleen; Stein, Karen

doi:10.1111/josh.12603

Cited by 20 publications

(12 citation statements)

References 54 publications

(118 reference statements)

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“…About 70% of mental health problems are reported to begin in childhood or adolescence (18), many of which persist over the lifetime (19,20). Early childhood development sets the stage for social and emotional functioning, academic achievement, and interpersonal relationships (21,22). As an individual's identity develops in adolescence (23), social networks and peer pressure (24), substance abuse (25), parenting styles (26), and school performance come into play (27).…”

Section: Life Course Perspective: Growth Development and Agingmentioning

confidence: 99%

The interRAI Suite of Mental Health Assessment Instruments: An Integrated System for the Continuum of Care

et al. 2020

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The lives of persons living with mental illness are affected by psychological, biological, social, economic, and environmental factors over the life course. It is therefore unlikely that simple preventive strategies, clinical treatments, therapeutic interventions, or policy options will succeed as singular solutions for the challenges of mental illness. Persons living with mental illness receive services and supports in multiple settings across the health care continuum that are often fragmented, uncoordinated, and inadequately responsive. Appropriate assessment is an important tool that health systems must deploy to respond to the strengths, preferences, and needs of persons with mental illness. However, standard approaches are often focused on measurement of psychiatric symptoms without taking a broader perspective to address issues like growth, development, and aging; physical health and disability; social relationships; economic resources; housing; substance use; involvement with criminal justice; stigma; and recovery. Using conglomerations of instruments to cover more domains is impractical, inconsistent, and incomplete while posing considerable assessment burden. interRAI mental health instruments were developed by a network of over 100 researchers, clinicians, and policy experts from over 35 nations. This includes assessment systems for adults in inpatient psychiatry, community mental health, emergency departments, mobile crisis teams, and long-term care settings, as well as a screening system for police officers. A similar set of instruments is available for child/youth mental health. The instruments form an integrated mental health information system because they share a common assessment language, conceptual basis, clinical emphasis, data collection

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Section: Life Course Perspective: Growth Development and Agingmentioning

confidence: 99%

The interRAI Suite of Mental Health Assessment Instruments: An Integrated System for the Continuum of Care

et al. 2020

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“…In the last 10 years, there is renewed interest in the self and drinking, with relatively consistent findings that measures of drinking identity are is positively associated with drinking outcomes over time, including alcohol consumption, alcohol-related negative consequences, and risk of alcohol use disorder (Corte and Stein, 2007;Gray et al, 2011;Lee et al, 2018;Lindgren et al, 2016cLindgren et al, , 2016aLindgren et al, , 2013Montes et al, 2017). Measures of drinking identity also predict variance in drinking outcomes that is distinct from validated psychological constructs that are important predictors of drinking and targets for intervention (Lindgren et al, 2016d), suggesting that measures of drinking identity assess a unique construct.…”

Section: Drinking Identitymentioning

confidence: 99%

“…It underscores the importance of considering individual differences in the self and self-concept in alcohol research and ensuring the self is included in our theories of problematic drinking. Far too often, the self is left out of theories of drinking, whether those theories are more psycho-social or neuroscience in nature (Lee et al, 2018;Lindgren et al, 2018bLindgren et al, , 2016b, and yet decades of research points to the importance and centrality of the self with respect to cognitive processing, self-regulation, goal-setting, and behavior.…”

Section: Implications For Theorymentioning

confidence: 99%

“…Drinking identity-or the extent to which individuals associate themselves with drinking alcohol-is a robust predictor of drinking outcomes among US adolescents (Lee et al, 2018(Lee et al, , 2015b(Lee et al, , 2015b, US college students (Casey and Dollinger, 2007;Gray et al, 2011;Lindgren et al, 2016cLindgren et al, , 2013, and a broader age-range of US adults (Corte and Stein, 2007;Lindgren et al, 2016a;Montes et al, 2017). An important next step is to identify moderators, especially moderators that may attenuate the relation between identity and drinking over time and that are potentially malleable.…”

Section: Introductionmentioning

confidence: 99%

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Growth Mindsets of Alcoholism Buffer Against Deleterious Effects of Drinking Identity on Problem Drinking Over Time

Lindgren

Burnette

Hoyt

et al. 2019

Alcoholism Clin & Exp Res

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Background: Explicit (self-report) and implicit (indirect) measures of identification with drinking alcohol -drinking identity -are associated with drinking outcomes cross-sectionally and longitudinally. A key next step is to identify moderators. The current study evaluated a promising moderator: mindsets of alcoholism. Believing people can change (growth mindset) is associated with adaptive outcomes in domains such as mental health, but research is scant regarding mindsets related to problematic drinking. We evaluated whether individuals' alcoholism mindsets moderated the drinking identity to drinking relation as part of a larger, longitudinal web-based study of heavy drinkers.Methods: 422 US college graduates (59% women) who were heavy drinkers completed measures assessing drinking identity, mindsets, and drinking outcomes (consumption, problems, risk of alcohol use disorder). Drinking outcomes were assessed at two subsequent assessments occurring 4 months and 8 months after the initial assessment.Results: Drinking identity was positively associated with drinking outcomes, and drinking outcomes reduced following college graduation. Alcoholism mindsets were significantly and negatively correlated with all drinking outcomes. Mindsets were only conditionally associated with drinking behaviors over time in models that evaluated mindsets, drinking identity measures, and their interaction. Mindsets moderated the relationship between drinking identity and changes in drinking behaviors, but the relation was specific to explicit drinking identity and consumption. Among participants with stronger drinking identity, those who had stronger (vs. weaker) growth mindsets reported reduction in consumption over time.Conclusions: Growth mindsets of alcoholism appear adaptive for college graduate heavy drinkers with a stronger drinking identity. Mindsets are amenable to interventions; targeting them may be useful in heavy drinking college graduates.

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“…Existing empirical evidence indicates that adolescent alcohol use is not static but comprises dynamic stages over time (Chung et al, 2005;Kandel & Yamaguchi, 1993;McBride et al, 2014). Alcohol consumption typically increases throughout adolescence, and many longitudinal studies have captured such sequential change, which is influenced by the age of first drinking experience as well as whether and when parenthood roles are adopted (Chung et al, 2011;Lee et al, 2018;Schlenberg Maggs, 2002). Recently, prevention programs for underage drinkers have focused on the idea of stage-sequential process in order to determine the best time when an intervention is necessary.…”

mentioning

confidence: 99%

Multilevel Latent Class Profile Analysis: An Application to Stage-Sequential Patterns of Alcohol Use in a Sample of Canadian Youth

et al. 2021

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Recently, latent class analysis (LCA) and its variants have been proposed to identify subgroups of individuals who follow similar sequential patterns of latent class membership for longitudinal study. A primary assumption underlying the family of LCA is that individual observations are independent. In many applications, however, particularly in research on adolescent substance use, individuals are often dependent because of multilevel data structure, where the unit of observation (e.g., students) is nested in higher level units (e.g., schools). In this study, we propose multilevel latent class profile analysis (MLCPA), which will allow us to analyze the longitudinal data with a multilevel structure under the framework of LCA. We apply an MLCPA using data from the COMPASS study, a 9-year study funded by the Canadian Institutes of Health Research and Health Canada, in order to identify representative sequential drinking patterns of Canadian youth and investigate whether these sequential patterns vary across schools. The MLCPA identified three common student-level drinking behaviors: non-drinker, ever lifetime, and binge drinker. The sequence of drinking behaviors can be classified into one of three longitudinal sequential patterns: non-drinking stayer, light drinking advancer, and heavy drinking advancer. In addition, MLCPA uncovered two latent clusters ( low-use school and high-use school) out of 64 schools in Ontario and Alberta based on the prevalences of sequential drinking patterns.

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Drinker Identity: Key Risk Factor for Adolescent Alcohol Use

Abstract: Identity-based approaches may be promising strategies to identify adolescents who are at risk for alcohol use and to intervene with early prevention or treatment within the school setting.

Cited by 20 publications

References 54 publications

The interRAI Suite of Mental Health Assessment Instruments: An Integrated System for the Continuum of Care

The interRAI Suite of Mental Health Assessment Instruments: An Integrated System for the Continuum of Care

Growth Mindsets of Alcoholism Buffer Against Deleterious Effects of Drinking Identity on Problem Drinking Over Time

Multilevel Latent Class Profile Analysis: An Application to Stage-Sequential Patterns of Alcohol Use in a Sample of Canadian Youth

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