“I'll Never Drink Like That Again”: Characteristics of Alcohol-Related Incidents and Predictors of Motivation to Change in College Students

Barnett, Nancy P.; Goldstein, Abby L.; Murphy, James G.; Colby, Suzanne M.; Monti, Peter M.

doi:10.15288/jsa.2006.67.754

Cited by 86 publications

(135 citation statements)

References 39 publications

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“…Degree of aversiveness to an alcohol-related problem also predicts change in alcohol behaviors (Barnett et al, 2006;Qi et al, 2014); women rate alcohol-related problems as more aversive than men (Qi et al, 2014) and following an alcoholrelated incident may have higher motivation to change drinking behaviors than men. Conversely, male students with HED may not experience alcohol-related problems as aversive and thus may not be interested in treatment.…”

Section: Discussionmentioning

confidence: 99%

Gender Differences in the Relationships Among Major Depressive Disorder, Heavy Alcohol Use, and Mental Health Treatment Engagement Among College Students

Pedrelli

Borsari

Lipson

et al. 2016

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: Although major depressive disorder (MDD) and heavy episodic drinking (HED, 4+/5+ drinks in a single sitting for women/men) are common among young adults in college, the relationship between the two remains unclear. This study examined the association between MDD and HED in this population, the effect of gender on this association, and whether comorbid MDD and heavy alcohol use are associated with higher rates of mental health treatment engagement. Method: The study comprised 61,561 (65.3% female) undergraduate students who answered an online survey on depression, alcohol use, and treatment engagement in the past year. Hierarchical linear regressions examined the association between MDD and alcohol use (HED and peak blood alcohol concentration [pBAC]) and whether gender moderated these associations. Logistic regressions were then conducted to examine the influence of MDD, heavy alcohol use, and gender on treatment engagement. Results: Students with MDD reported more frequent HED and higher pBAC than did students without MDD; this was especially true for female students. Rates of treatment engagement were higher among women than men, among students with MDD than students without MDD, and among female students with HED than women without HED. Conclusions: The presence of an association between MDD and heavy alcohol use suggests the need for systematic screenings of both conditions. Low rates of treatment engagement in college students with MDD and heavy alcohol use calls for the development of strategies to engage this high-risk group in treatment. (J. Stud. Alcohol Drugs, 77, 620-628, 2016)

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Section: Discussionmentioning

confidence: 99%

Gender Differences in the Relationships Among Major Depressive Disorder, Heavy Alcohol Use, and Mental Health Treatment Engagement Among College Students

Pedrelli

Borsari

Lipson

et al. 2016

J. Stud. Alcohol Drugs

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“…In addition, the valence of consequences (i.e., the positive evaluation of positive consequences and the aversiveness of negative consequences) may be relevant for understanding the natural history of drinking. There is accumulating evidence that aversive experiences are related to subsequent motivation to change (Barnett et al, 2002(Barnett et al, , 2006 and actual behavior change (Merrill et al, 2013), but there is also evidence that negative consequences are not always seen as aversive by drinkers (Mallett et al, 2008(Mallett et al, , 2013Patrick and Maggs, 2011). Research is needed that contributes to our understanding of cognitive and affective processes that precede and follow alcohol-related experiences and how those interpretations are related to subsequent behavior.…”

Section: Future Directionsmentioning

confidence: 99%

Description and Predictors of Positive and Negative Alcohol-Related Consequences in the First Year of College

Barnett

Clerkin

Wood

et al. 2014

J. Stud. Alcohol Drugs

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115

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ABSTRACT. Objective:The purpose of this study was to establish the frequency of positive and negative alcohol-related consequences during the fi rst year of college and to evaluate gender, race/ethnicity, time of year, alcohol use, and intoxication as predictors of consequences using frequent assessments. Method: Participants (N = 1,053; 57.5% female) completed biweekly assessments of alcohol use and positive and negative alcohol-related consequences throughout the year. Results: The majority of drinkers reported both positive and negative consequences. Having a good time and feeling less stressed were the most commonly reported positive consequences. Blackouts and getting physically sick were the most commonly endorsed negative consequences. At the weekly level, number of drinking days, drinks per drinking day, and estimated blood alcohol concentration (eBAC, refl ecting intoxication) were signifi cantly related to all consequences after controlling for demographics and time of year. Negative consequences had stronger associations with number of drinks and eBAC than positive consequences did. With each additional drink consumed on a drinking day, the incidence of negative consequences more than doubled (incidence rate ratio [IRR] = 2.34, 95% CI [2.19, 2.50]), whereas the incidence of positive consequences increased by about half (IRR = 1.51, 95% CI [1.47, 1.56]). The consequence with the largest gender difference was regretted sex, with women reporting it more often. Few racial/ethnic differences were found in report of negative consequences. Greater positive and negative consequences were endorsed at the beginning of both academic semesters. Conclusions: As number of drinks and eBAC increase, the relative odds of a negative consequence are higher than that of a positive consequence. Alcohol interventions could promote greater awareness of the likelihood of specifi c consequences and could highlight that positive consequences are associated with lower levels of drinking. (J. Stud. Alcohol Drugs, 75, 103-114, 2014)

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“…Approaches that relied on knowledge alone or on brief values clarifi cation alone or with other informational content were consistently ineffective (Larimer and Cronce, 2007). Larimer and Cronce (2007) reported that, of seven studies of interventions with mandated students, fi ve studies showed reduced alcohol use or reduced negative consequences (Barnett et al, 2006;Borsari and Carey, 2005;Fromme and Corbin, 2004;LaChance, 2004;White et al, 2006), whereas two studies showed no reductions in alcohol use (Keillor et al, 2004). Thus, there is emerging support for brief motivational interventions (BMIs) and skills-based interventions with mandated students; however, additional research regarding outcomes of these interventions is warranted, given the limitations of previous studies (e.g., small samples, attrition, and lack of appropriate controls).…”

Section: Interventions With Mandated Studentsmentioning

confidence: 99%

Trial of the University Assistance Program for Alcohol Use Among Mandated Students

Amaro

Ahl

Matsumoto

et al. 2009

J. Stud. Alcohol Drugs Suppl.

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ABSTRACT. Objective: The aim of this study was to investigate the effectiveness of a brief intervention for mandated students in the context of the University Assistance Program, a Student Assistance Program developed and modeled after workplace Employee Assistance Programs. Method: Participants were 265 (196 males and 69 females) judicially mandated college students enrolled in a large, urban university in the northeast United States. All participants were sanctioned by the university's judicial offi ce for an alcohol-or drug-related violation. Participants were randomized to one of two intervention conditions (the University Assistance Program or services as usual) and were assessed at baseline and 3 and 6 months after intervention. Results: Growth curve analyses showed that, relative to services as usual, the University Assistance Program was more effi cacious in reducing past-90-day weekday alcohol consumption and the number of alcohol-related consequences while increasing past-90-day use of protective behaviors and coping skills. No signifi cant differences in growth trajectories were found between the two intervention conditions on past-90-day blood alcohol concentration, total alcohol consumption, or weekend consumption. Conclusions: The University Assistance Program may have a possible advantage over services as usual for mandated students. (J. Stud. Alcohol Drugs, Supplement No. 16: 45-56, 2009)

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“I'll Never Drink Like That Again”: Characteristics of Alcohol-Related Incidents and Predictors of Motivation to Change in College Students

Cited by 86 publications

References 39 publications

Gender Differences in the Relationships Among Major Depressive Disorder, Heavy Alcohol Use, and Mental Health Treatment Engagement Among College Students

Gender Differences in the Relationships Among Major Depressive Disorder, Heavy Alcohol Use, and Mental Health Treatment Engagement Among College Students

Description and Predictors of Positive and Negative Alcohol-Related Consequences in the First Year of College

Trial of the University Assistance Program for Alcohol Use Among Mandated Students

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