Prospective Effects of UPPS-P Impulsivity and Typical Drinking Context on Future Drinking Behavior

Waddell, Jack T.; King, Scott E; Okey, Sarah A.; Marohnic, Shane D.; Corbin, William R.

doi:10.15288/jsad.2022.83.212

Cited by 15 publications

(6 citation statements)

References 42 publications

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“…More specifically, for participants who were at mean and high levels of sensation seeking and lack of premeditation, engaging in pregaming was associated with significant increases in the total amount of alcohol consumed on a given drinking day. These findings largely corroborate prior work demonstrating that premeditation, or a lack thereof, most strongly predicts alcohol use (e.g., Coskunpinar et al, 2013;Griffin & Trull, 2021) and interacts with drinking in a stimulating context to predict growth in drinking (Waddell, King, et al, 2022). Because pregame events occur prior to a later drinking episode (Zamboanga & Olthuis, 2016), it may be that individuals who have difficulty planning ahead (i.e., those who lack of premeditation) fail to account for future opportunities to drink, leading to higher consumption across both the pregame and later drinking events.…”

Section: Impulsive Pregamingsupporting

confidence: 86%

“…Thus, with respect to drinking, impulsive individuals may respond differently to more appetitive, positively reinforcing drinking contexts, leading to riskier behavior. In support, Waddell et al (2022) found that those with lower levels of premeditation (i.e., deficits in planning/ foresight) and higher levels of positive urgency (i.e., rash action while in a positive mood) reported heavier drinking the more frequently they drank in highly stimulating contexts (e.g., bars, parties, tailgates). Thus, although past studies have begun to explore how typical drinking contexts may facilitate risk among impulsive individuals, there is a paucity of research examining how specific contexts may confer acute risk for negative outcomes among highly impulsive individuals.…”

Section: Moderators Of Pregame Riskmentioning

confidence: 94%

“…However, heightened acute risk may be linked to specific impulsive traits. Individuals with higher levels of positive urgency are particularly suspectable to risky behavior in highly stimulating contexts (Waddell et al, 2022), report negative outcomes on other high-risk days (i.e., couse days, planned drinking days; Waddell, Fairlie, et al, 2023; Waddell, Gunn, et al, 2021), and lack control when drinking (e.g., McCarty et al, 2017; Wardell et al, 2016). Therefore, individuals with higher levels of positive urgency may be particularly susceptible to risky behavior (i.e., heavier drinking and negative consequences) on pregaming days.…”

Section: Moderators Of Pregame Riskmentioning

confidence: 99%

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Pregaming potentiates risk between UPPS-P impulsivity and day-level drinking behavior: A test of person–environment transactions theory.

King,

Waddell,

Corbin

2024

Experimental and Clinical Psychopharmacology

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Pregaming represents a uniquely high-risk drinking event for young adults, and subfacets of impulsivity are robust predictors of alcohol use and related negative outcomes. Further, it is likely that pregame events contain social and physical stimuli that are particularly appealing for impulsive individuals, thus exacerbating risk for negative outcomes. However, no prior studies have investigated the extent to which impulsive personality traits interact with pregame events to confer alcohol-related risk. Thus, the present study examined the extent to which UPPS-P (urgency-perseverance-premeditation-sensation seekingpositive urgency) subfacets of impulsivity interact with the occurrence of pregaming to predict relations between pregaming, drinking quantity, and negative alcohol-related outcomes. College students (N = 737) completed a modified, online version of the 30-day Timeline Followback in which they reported drinking quantity, negative consequences, and whether they engaged in pregaming on a given day. Results indicated that sensation seeking and a lack of premeditation moderated relations between pregaming and drinking quantity such that those who are higher in sensation seeking and lower in their ability to plan ahead drank more on pregaming days. Sensation seeking and positive urgency moderated relations between pregaming and negative consequences such that those who are higher in positive urgency experience more consequences on pregaming days whereas those who are higher in sensation seeking experience less consequences. Future studies may benefit from more granular assessments of pregame-related risk as subfacets of impulsivity may confer momentary risk. Prevention efforts targeting the reduction of pregaming frequency, particularly among impulsive individuals, may lower overall risk for heavy drinking.

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Section: Impulsive Pregamingsupporting

confidence: 86%

Section: Moderators Of Pregame Riskmentioning

confidence: 94%

Section: Moderators Of Pregame Riskmentioning

confidence: 99%

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Pregaming potentiates risk between UPPS-P impulsivity and day-level drinking behavior: A test of person–environment transactions theory.

King,

Waddell,

Corbin

2024

Experimental and Clinical Psychopharmacology

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“…Heavier drinkers may have higher base rates of impulsivity, subjective response, and craving, and several prior studies have used heavier drinkers and/or individuals with AUD (e.g., Berey, Leeman, Pittman, et al, 2019; Berey et al, 2017; Westman et al, 2017). Finally, the present study controlled for contextual influences, however, research suggests that different contexts may lead to different expectancies (e.g., Corbin et al, 2020; Waddell, Corbin, et al, 2021), acute subjective effects (e.g., Fairbairn et al, 2015), and drinking patterns (Waddell et al, in press). Therefore, future research should text moderation by context.…”

Section: Discussionmentioning

confidence: 99%

Differential effects of UPPS-P impulsivity on subjective alcohol response and craving: An experimental test of acquired preparedness.

Waddell¹,

Corbin²,

Leeman³

2023

Experimental and Clinical Psychopharmacology

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Recent studies have extended the acquired preparedness model to experimental data, finding that impulsivity predicts subjective alcohol response, a related yet distinct construct from expectancies. However, studies have not tested whether specific facets of impulsivity predict subjective response, or whether impulsivity indirectly predicts alcohol craving through subjective response. Young adults who reported past-month binge drinking (N = 448) participated in a placebo-controlled alcohol administration study. Mediation models tested whether UPPS-P impulsivity facets indirectly predicted alcohol craving through subjective response on the ascending and descending limbs of the blood alcohol content (BAC). High arousal positive (e.g., sociable), low arousal positive (e.g., relaxed), high arousal negative (e.g., rude), and low arousal negative (e.g., dizzy) subjective effects were measured across limbs. Moderation by beverage condition was not detected, so models were collapsed across beverage condition. Sensation seeking indirectly predicted craving through high arousal positive subjective response on both limbs, whereas positive and negative urgency directly predicted craving. When controlling for baseline subjective response and craving, effects of sensation seeking and negative urgency on subjective response and craving became nonsignificant. The effects of positive urgency on craving remained, and an effect of positive urgency on high arousal positive effects emerged on the ascending limb. Findings suggest that relations among impulsivity, subjective response, and craving are contingent upon the specific facet of impulsivity. Interventions targeting predrink cue exposure and/or positive emotionality may be most effective for sensation seekers, whereas targeting subjective response and/or expectancies may be most efficacious for individuals high in positive urgency. Public Health SignificanceImpulsive personality traits are thought to confer risk for acute negative alcohol outcomes, but no study to date has tested the indirect effects of UPPS-P impulsivity facets on craving through subjective response. The present study found that sensation seeking and negative urgency showed anticipatory effects on acute high arousal positive subjective response and craving, whereas positive urgency showed in the moment expectancy effects on high arousal positive subjective response and craving, particularly on the ascending limb. Findings suggest that targeting positive emotionality and/or cue exposure before drinking may be beneficial interventions for individuals high in sensation seeking, whereas targeting high arousal positive expectancies may be more beneficial for individuals high in positive urgency.

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“…Similarly, person-level predictors of planned versus unplanned drinking and cannabis use are largely absent in the literature and worthy of future research. One possibility is that impulsive individuals may tend to engage in unplanned use more frequently because they are more often in substance-involved contexts that involve social interactions (Waddell, King, et al, 2022). Another possibility is that impulsive individuals may tend to engage in unplanned use because they develop stronger positive expectancies (e.g., tension reduction, sociability; Corbin et al, 2011; Waddell, Sternberg, et al, 2021), and such expectancies purport unplanned use in the presence of a change in affect—either positive or negative (e.g., Waddell, Bartholow, & Piasecki, 2022).…”

Section: Discussionmentioning

confidence: 99%

Planned versus unplanned drinking and cannabis use: Do facets of trait impulsivity influence daily risk?

Waddell¹,

Fairlie²,

Calhoun³

et al. 2023

Psychology of Addictive Behaviors

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Objective: Planned and unplanned substance use have been examined as predictors of heavier alcohol and cannabis use and problems at the between-person level. However, it remains unclear whether planned versus unplanned use is riskiest at the day-level, and for whom. The present study tested whether day-level planned versus unplanned alcohol and cannabis use were associated with higher alcohol and cannabis consumption and negative consequences that day and whether two impulsive traits, lack of premeditation and positive urgency, moderated associations. Method: Young adults (N = 409; 50.9% female) completed five bursts of daily surveys, each consisting of a morning and afternoon report across 14 consecutive days. During a baseline session, participants reported their impulsivity (UPPS-P). During afternoon surveys, participants reported their plans to use alcohol/cannabis that night. During morning surveys, participants reported number of drinks consumed/hours spent high yesterday and negative consequences experienced. Results: Planned drinking days were associated with a greater number of drinks and negative consequences, whereas planned cannabis use days were associated with more hours spent high but not negative consequences. In the drinking quantity model, there was a significant interaction for planned versus unplanned drinking by positive urgency. Planned drinking was associated with heavier alcohol consumption across levels of positive urgency; however, unplanned drinking was associated with heavier consumption for individuals with higher (vs. lower) levels of positive urgency. Conclusions: Day-level planned drinking and cannabis use are important factors to target in just-in-time interventions. However, interventions focused on planned and unplanned drinking may be particularly effective for individuals with higher levels of positive urgency. Public Health Significance StatementThe present study found that planned (vs. unplanned) drinking was associated with heavier drinking and negative alcohol consequences and that planned (vs. unplanned) cannabis use was associated with heavier cannabis consumption. However, individuals with higher levels of positive urgency reported consuming more drinks on unplanned drinking days compared to individuals at lower levels of positive urgency. Findings inform event-level theories of risk for negative outcomes and may have implications for just-in-time interventions.

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Prospective Effects of UPPS-P Impulsivity and Typical Drinking Context on Future Drinking Behavior

Cited by 15 publications

References 42 publications

Pregaming potentiates risk between UPPS-P impulsivity and day-level drinking behavior: A test of person–environment transactions theory.

Pregaming potentiates risk between UPPS-P impulsivity and day-level drinking behavior: A test of person–environment transactions theory.

Differential effects of UPPS-P impulsivity on subjective alcohol response and craving: An experimental test of acquired preparedness.

Planned versus unplanned drinking and cannabis use: Do facets of trait impulsivity influence daily risk?

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