Temperament and Problematic Alcohol Use in Adolescence: an Examination of Drinking Motives as Mediators

Willem, Lore; Bijttebier, Patricia; Claes, Laurence; Uytterhaegen, Antje

doi:10.1007/s10862-012-9279-4

Cited by 32 publications

(28 citation statements)

References 46 publications

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“…Coping with anxiety was endorsed at a higher rate than coping with depression in this study, which is consistent with previous studies utilizing the Modified DMQ-R (Grant et al, 2007;Willem, Bijttebier, Claes, & Uytterhaegen, 2012).…”

Section: Discussionsupporting

confidence: 92%

The impact of motives-related feedback on drinking to cope among college students

Blevins

Stephens

2016

Addictive Behaviors

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Motives for alcohol use are associated with distinct antecedents and consequences.Drinking alcohol to cope with negative affect is consistently associated with the most problematic patterns of use. Interventions targeting drinking to cope are needed. This randomized controlled treatment trial evaluated the impact of a brief coping motive feedback-based intervention on motives and problematic outcomes associated with drinking. In addition, a more comprehensive model of the antecedents and consequences of drinking to cope was tested. The study randomized 170 participants to receive either a brief Standard Feedback Condition (SFC; n = 83) or a Motives Feedback Condition (MFC; n = 87) that added education and feedback on drinking to cope as well as alternate coping strategies. Significant reductions in drinking to cope with depression were greater in the MFC at the 2-month follow-up, but the intervention's effect on drinking to cope with anxiety did not reach conventional levels of statistical significance.Significant reductions in drinking and negative consequences were observed but did not differ significantly by condition. Change in coping with depression motives mediated the effect of the intervention on outcomes of drinking and negative consequences. Partial support was found for a structural model linking antecedents of use, coping motives, and consequences associated with substance use. This study is a promising new direction in motives research, providing support for brief interventions incorporating motives-related feedback and for furthering our understanding of the origins and consequences of drinking to cope with negative affect.

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Section: Discussionsupporting

confidence: 92%

The impact of motives-related feedback on drinking to cope among college students

Blevins

Stephens

2016

Addictive Behaviors

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“…Galera et al, 2010; Gunnarsson, Gustavsson, Tengstrom, Franck, & Fahlke, 2008; Willem, Bijttebier, Claes, & Uytterhaegen, 2012). There are even hints that negative affectivity can predict decreased substance use (Gunnarsson et al, 2008; Willem et al, 2012). Some of the inconsistencies might stem from the varying ways negative affectivity is conceptualized (Pardini, Lochan, & Wells, 2004) and measured (Colder, 2001).…”

Section: Temperament and Substance Usementioning

confidence: 99%

“…Some of the inconsistencies might stem from the varying ways negative affectivity is conceptualized (Pardini, Lochan, & Wells, 2004) and measured (Colder, 2001). For instance, fear, anger, and hostility are all components of negative affectivity, but fear might protect against early substance use, whereas anger and hostility might increase risk (Pardini et al, 2004; Willem et al, 2012). …”

Section: Temperament and Substance Usementioning

confidence: 99%

Early adolescent temperament, parental monitoring, and substance use in Mexican‐origin adolescents

Clark

Donnellan

Robins

et al. 2015

Journal of Adolescence

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Previous studies suggest that temperamental dispositions are associated with substance use. However, most research supporting this association has relied on European American samples (Stautz & Cooper, 2013). We addressed this gap by evaluating the prospective relations between 5th grade temperament and 9th grade substance use in a longitudinal sample of Mexican-origin youth (N = 674). Effortful control and trait aggressiveness predicted 9th grade substance use, intentions, and expectations, even after controlling for 5th grade substance use. Additionally, we found an interaction between temperament and parental monitoring such that monitoring is a protective factor for early substance use primarily for youth with temperamental tendencies associated with risk for substance use (e.g., low effortful control and aggression). Results add to the growing literature demonstrating that early manifestations of self-control are related to consequential life outcomes.

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“…Research on outcomes associated with the Conformity motive has been largely inconsistent. Among adolescents, use of alcohol for conformity motives was related to fewer problems (Willem et al, 2012) in some samples, but positively predicted problems in other adolescents who used alcohol (Cooper, 1994; Kuntsche et al, 2008) and cannabis (Fox et al, 2011). Among undergraduates, the relationship between conformity and problems has also been inconsistent (Buckner et al, 2012b; Merrill and Read, 2010; Simons et al, 1998).…”

Section: Discussionmentioning

confidence: 97%

Change in motives among frequent cannabis-using adolescents: Predicting treatment outcomes

Blevins

Banes

Stephens

et al. 2016

Drug and Alcohol Dependence

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Background Heavy cannabis use has been associated with negative outcomes, particularly among individuals who begin use in adolescence. Motives for cannabis use can predict frequency of use and negative use-related problems. The purpose of the current study was to assess change in motives following a motivational enhancement therapy (MET) and cognitive behavioral therapy (CBT) intervention for adolescent users and assess whether change in motives was associated with change in use and self-reported problems negative consequences. Methods Participants (n=252) were non-treatment seeking high school student cannabis users. All participants received two sessions of MET and had check-ins scheduled at 4, 7, and 10 months. Participants were randomized to either a motivational check-in condition or an assessment-only check-in. Participants in both conditions had the option of attending additional CBT sessions. Cannabis use frequency, negative consequences, and motives were assessed at baseline and at 6, 9, 12, and 15 month follow-ups. Results There were significant reductions in motives for use following the intervention and reductions in a subset of motives significantly and uniquely predicted change in problematic outcomes beyond current cannabis use frequency. Change in motives was significantly higher among those who utilized the optional CBT sessions. Conclusions This study demonstrates that motives can change over the course of treatment and that this change in motives is associated with reductions in use and problematic outcomes. Targeting specific motives in future interventions may improve treatment outcomes.

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Temperament and Problematic Alcohol Use in Adolescence: an Examination of Drinking Motives as Mediators

Cited by 32 publications

References 46 publications

The impact of motives-related feedback on drinking to cope among college students

The impact of motives-related feedback on drinking to cope among college students

Early adolescent temperament, parental monitoring, and substance use in Mexican‐origin adolescents

Change in motives among frequent cannabis-using adolescents: Predicting treatment outcomes

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