Psychology of Addictive Behaviors (PSYCHOL ADDICT BEHAV)

Publications in this journal

• Article: Direct and Indirect Effects of Alcohol Expectancies on Alcohol-Related Problems

  Pabst A, Kraus L, Piontek D, Mueller S, Demmel R
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  ABSTRACT: This study investigates pathways from alcohol outcome expectancies to alcohol-related problems (ARPs), considering alcohol volume and episodic heavy drinking (EHD) as potential mediators. It is further examined whether these pathways vary by age. The population-based sample comprised 6,823 individuals aged 18 to 64 years reporting alcohol use in the past year. Direct and indirect effects of five alcohol expectancies (social assertiveness, tension reduction, sexual enhancement, cognitive impairment, aggression) and alcohol use (average daily intake, EHD) on a latent measure of ARPs (six items of the Alcohol Use Disorders Identification Test) were investigated. A multiple-group structural equation model with three age groups (18 to 24, 25 to 44, 45 to 64 years) was examined. In individuals aged 18 to 24 years, social assertiveness expectancies were positively associated with average intake and EHD, which in turn were associated with more ARPs. In addition, expectancies related to cognitive impairment and aggression were directly linked to more ARPs without mediation in this age group. In individuals aged 25 years and older, tension reduction expectancies were associated with more ARPs through increased average intake. In contrast, high scores on cognitive impairment were associated with lower average intake and in turn with fewer ARPs. Challenging expectancies of sociability in young and expectancies of relaxation in mid adulthood might help decrease high-risk drinking and subsequently ARPs. Considering negative alcohol expectancies may help to identify younger individuals at high risk for ARPs, even if they have not previously exhibited repeated excessive drinking. (PsycINFO Database Record (c) 2013 APA, all rights reserved).
  Psychology of Addictive Behaviors 03/2013;
• Article: Perceptions of addiction, attempts to quit, and successful quitting in nondaily and daily smokers.

  Berg, C. J, Schauer, G. L, Buchanan, T. S, Sterling, DeSisto, Pinsker, E. A, Ahluwalia, J. S
  Psychology of Addictive Behaviors 02/2013;
• Article: Social influences on smoking in middle-aged and older women.

  Charles J. Holahan, Rebecca J. North, Carole K. Holahan, Rashelle B. Hayes, Daniel A. Powers, Judith K. Ockene
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  ABSTRACT: The purpose of this study was to examine the role of 2 types of social influence—general social support and living with a smoker—on smoking behavior among middle-aged and older women in the Women's Health Initiative (WHI) Observational Study. Participants were postmenopausal women who reported smoking at some time in their lives (N = 37,027), who were an average age of 63.3 years at baseline. Analyses used multiple logistic regression and controlled for age, educational level, and ethnicity. In cross-sectional analyses, social support was associated with a lower likelihood and living with a smoker was associated with a higher likelihood of being a current smoker and, among smokers, of being a heavier smoker. Moreover, in prospective analyses among baseline smokers, social support predicted a higher likelihood and living with a smoker predicted a lower likelihood of smoking cessation 1-year later. Further, in prospective analyses among former smokers who were not smoking at baseline, social support predicted a lower likelihood and living with a smoker predicted a higher likelihood of smoking relapse 1-year later. Overall, the present results indicate that social influences are important correlates of smoking status, smoking level, smoking cessation, and smoking relapse among middle-aged and older women. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
  Psychology of Addictive Behaviors 08/2012; 26(3):519-526.
• Article: Age of onset of marijuana use and executive function.

  Staci A. Gruber, Kelly A. Sagar, Mary Kathryn Dahlgren, Megan Racine, Scott E. Lukas
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  ABSTRACT: [Correction Notice: An Erratum for this article was reported in Vol 26(3) of Psychology of Addictive Behaviors (see record 2011-29227-001). Figure 1 should have been presented in color. All versions of this article have been corrected.] Marijuana (MJ) remains the most widely abused illicit substance in the United States, and in recent years, a decline in perceived risk of MJ use has been accompanied by a simultaneous increase in rates of use among adolescents. In this study, the authors hypothesized that chronic MJ smokers would perform cognitive tasks, specifically those that require executive function, more poorly than control subjects and that individuals who started smoking MJ regularly prior to age 16 (early onset) would have more difficulty than those who started after age 16 (late onset). Thirty-four chronic, heavy MJ smokers separated into early and late onset groups, and 28 non-MJ smoking controls completed a battery of neurocognitive measures. As hypothesized, MJ smokers performed more poorly than controls on several measures of executive function. Age of onset analyses revealed that these between-group differences were largely attributed to the early onset group, who were also shown to smoke twice as often and nearly 3 times as much MJ per week relative to the late onset smokers. Age of onset, frequency, and magnitude of MJ use were all shown to impact cognitive performance. Findings suggest that earlier MJ onset is related to poorer cognitive function and increased frequency and magnitude of MJ use relative to later MJ onset. Exposure to MJ during a period of neurodevelopmental vulnerability, such as adolescence, may result in altered brain development and enduring neuropsychological changes. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
  Psychology of Addictive Behaviors 08/2012; 26(3):496-506.
• Article: Concurrent drinking and smoking among college students: An event-level analysis.

  Katie Witkiewitz, Sruti A. Desai, Gillian Steckler, Kristina M. Jackson, Sarah Bowen, Barbara C. Leigh, Mary E. Larimer
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  ABSTRACT: Cigarette smoking and drinking commonly co-occur among college students, a population that is at high risk for developing alcohol and nicotine use disorders. Several studies have been conducted that have examined predictors of drinking or smoking to gain a better understanding of the antecedents of engaging in these behaviors. Yet, few studies have examined specific factors that influence concurrent smoking and drinking in this population. The current study used data from a 21-day electronic diary-based study of college students ( n = 86) who engaged in concurrent drinking and smoking to examine event-level associations between alcohol use and cigarette smoking in the student's natural environment. We specifically focused on within-person analyses of contexts in which students reported smoking and drinking simultaneously in comparison to contexts in which students reporting drinking without smoking. Situational contexts included environmental setting, whether s/he was alone or with others, and changes in stress and urges to smoke before initiating drinking. Results indicated that students drank more while smoking and smoked three times as many cigarettes, on average, during drinking episodes. Being with others at a party or a bar was associated with increased odds of smoking while drinking. Likewise, increased stress since the prior assessment predicted a greater likelihood of smoking while drinking. Based on the findings from the present study, it is important for future prevention and intervention efforts to consider social settings and heightened stress among students as potential risk factors for engaging in concurrent drinking and smoking. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
  Psychology of Addictive Behaviors 08/2012; 26(3):649-654.
• Article: Thinking and drinking: Alcohol-related cognitions across stages of adolescent alcohol involvement.

  Nicole M. Bekman, Kristen G. Anderson, Ryan S. Trim, Jane Metrik, Andrea R. Diulio, Mark G. Myers, Sandra A. Brown
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  ABSTRACT: Alcohol-related cognitions, particularly expectancies for drinking and nondrinking and motives for nondrinking, are involved in the initiation, maintenance, and cessation of alcohol use and are hypothesized to play key roles in adolescent decision making. This study explored (a) the relationships between alcohol use expectancies, nondrinking expectancies, and nondrinking motives; (b) the roles of these cognitions across hypothesized developmental stages of adolescent alcohol use; and (c) the relationships between these cognitions and recent or intended future changes in drinking behavior in a cross-sectional sample. Surveys assessing alcohol use behaviors and attitudes were administered to 1,648 high school students. Heavier drinkers reported more positive alcohol use expectancies and fewer nondrinking motives than did lighter drinkers or nondrinkers; however, nondrinking expectancies only differed between nondrinkers and rare drinkers and all subsequent drinking classes. Alcohol use expectancies, nondrinking expectancies, and nondrinking motives differentiated students who recently initiated alcohol from those who had not, while nondrinking expectancies and nondrinking motives differentiated binge-drinking students who had made recent efforts to reduce/stop their drinking from those who had not. Intentions to initiate or reduce drinking in the coming month were also associated with these alcohol-related cognitions. Drinking and nondrinking expectancies and motives for not drinking may play critical roles in decisions to alter alcohol-use behavior during adolescence. Future exploration of temporal relationships between changes in alcohol-related cognitions and behavioral decision making will be useful in the refinement of effective prevention and intervention strategies. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
  Psychology of Addictive Behaviors 08/2011; 25(3):415-425.
• Article: Intention in the theory of planned behavior: Differences between disordered and non-disordered college student gamblers

  Martin R, Usdan S, Nelson S, Umstattd M. R, LaPlante D, Perko M, Shaffer H
  Psychology of Addictive Behaviors 01/2010; 24(1):89-97.
• Article: Gambling problem symptom patterns and stability across individual and timeframe.

  Sarah E Nelson, Line Gebauer, Richard A Labrie, Howard J Shaffer
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  ABSTRACT: Few studies investigate gambling problems at the symptom level; even fewer investigate how symptom patterns change throughout the course of a gambling disorder. The current study utilized the National Epidemiological Survey on Alcohol and Related Conditions (NESARC; Grant et al., 2004) to investigate how the specific symptoms of disordered gambling relate to its severity and course. Results demonstrated that symptom patterns and stability changed as the number of symptoms endorsed increased. Symptom patterns varied considerably from prior to past year (PPY) to past year (PY) timeframes. Certain symptoms were more stable than others and held predictive value as markers of emerging pathological gambling (PG). In particular, gambling to escape problems was one of the most stable symptoms and also predictive of progression to PG; reliance on others to support gambling was predictive of progression to PG among participants at-risk for PG. The differential diagnostic value of various reported symptoms, as well as their lack of stability, has implications for both researchers and clinicians.
  Psychology of Addictive Behaviors 09/2009; 23(3):523-33.
• Article: A new decisional balance measure of motivation to change among at-risk college drinkers.

  Susan E Collins, Kate B Carey, Jacqueline M Otto
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  ABSTRACT: In this study, an open-ended decisional balance worksheet was used to elicit self-generated pros and cons of current drinking and reducing drinking, which were then quantified to create a decisional balance proportion (DBP) reflecting movement toward change (i.e., counts of pros of reducing drinking and cons of current drinking to all decisional balance fields). This study's goal was to examine the convergent, discriminant, and predictive validity of the DBP as a measure of motivation to change. Participants were college students (N = 143) who reported having engaged in weekly heavy, episodic drinking and who had participated in a larger randomized clinical trial of brief motivational interventions (K. B. Carey, M. P. Carey, S. A. Maisto, & J. M. Henson, 2006). Findings indicated partial support for convergent and discriminant validity of the DBP. Compared with Likert scale measures of decisional balance and readiness to change, DBP scores reflecting greater movement toward change best predicted reductions in heavy drinking quantity and frequency and experience of alcohol-related consequences, although some of these effects decayed by the 12-month follow-up. Findings suggest that the DBP is a valid measure of motivation to change among at-risk college drinkers.
  Psychology of Addictive Behaviors 09/2009; 23(3):464-71.
• Article: Alcohol abuse and dependence symptoms: a multidimensional model of common and specific etiology.

  Jeffrey S Simons, Kate B Carey, Thomas A Wills
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  ABSTRACT: This study tested a theoretical model hypothesizing differential pathways from 5 predictors to alcohol abuse and dependence symptoms. The participants were college students (N = 2,270) surveyed on 2 occasions in a 6-month prospective design. Social norms, perceived utility of alcohol use, and family history of alcohol problems were indirectly associated with Time 2 abuse and dependence symptoms through influencing level of alcohol consumption. Poor behavioral control had a direct effect on alcohol abuse but not on dependence symptoms at Time 2, whereas affective lability exhibited a direct prospective effect on alcohol dependence but not on abuse symptoms. A multigroup analysis showed that high levels of poor control increased the strength of paths from both consumption level and affective lability to abuse symptoms. Implications for prevention of alcohol problems among college students are discussed.
  Psychology of Addictive Behaviors 09/2009; 23(3):415-27.
• Article: Reasons for abstaining or limiting drinking: a developmental perspective.

  Amee J Epler, Kenneth J Sher, Thomas M Piasecki
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  ABSTRACT: The cross-sectional and longitudinal relations between reasons for abstaining or limiting drinking (RALD) and abstention were examined in a 16-year longitudinal study (N = 489) of college students with and without a family history of alcohol problems. Results indicated that RALD based upon upbringing or religiosity were associated with increased rates of abstention, whereas RALD based upon perceived or experienced negative consequences of drinking were associated with lower rates of abstention and increased alcohol consumption among drinkers. In addition, changes in RALD over time coincided with alcohol consumption transitions. Abstainers who began drinking after turning 21 reported a decrease in the importance of RALD associated with loss of control and upbringing or religiosity compared to abstainers who continued to abstain after turning 21. Conversely, drinkers who began abstaining after leaving college reported an increase in the importance of RALD associated with loss of control and upbringing or religiosity compared to drinkers who continued to drink after leaving college. Examining the reciprocal influences of RALD on drinking outcomes extends previous research and may inform prevention and intervention programs among college drinkers.
  Psychology of Addictive Behaviors 09/2009; 23(3):428-42.
• Article: The Gambling Craving Scale: Psychometric validation and behavioral outcomes.

  Matthew M Young, Michael J A Wohl
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  ABSTRACT: Although craving is an important feature of problem gambling, there is a paucity of research investigating craving to gamble. A major stumbling block for craving research in gambling has been the lack of a methodologically sound, multidimensional measure of gambling-related craving. This article reports the development of the Gambling Craving Scale (GACS). In Study 1 (N = 220), a factor analysis revealed the emergence of a 9-item scale with 3 factors: Anticipation, Desire, and Relief. An important finding was that the GACS predicted problem gambling severity, depression, and positive and negative affect. In Study 2 (N = 145), the factor structure of the GACS was confirmed using a community sample of gamblers. In Study 3 (N = 46), GACS scores significantly predicted persistence at play on a virtual slot machine in the face of continued loss. Specifically, the more participants craved to gamble, the longer they engaged in play. The implications of craving for the development and maintenance of problem gambling severity are discussed.
  Psychology of Addictive Behaviors 09/2009; 23(3):512-22.
• Article: Selection and socialization of risky drinking during the college transition: The importance of microenvironments associated with specific living units.

  Aesoon Park, Kenneth J Sher, Jennifer L Krull
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  ABSTRACT: Risky drinking among college students differs as a function of living types, with living at Greek houses as a major risk factor. Both self-selection based on prior drinking and socialization through living environments have been shown to account for this association. However, it is not clear whether selection and socialization processes occur as a function of specific living units within living types. Multilevel models using a prospective sample of incoming college students (N = 2,392) demonstrated that (1) precollege drinking based selection into specific living units occurred within both fraternity houses and residence halls (beyond selection into the Greek system in general) and (2) socialization of extremely risky drinking among certain fraternity houses was greater than other houses (beyond greater socialization of living at fraternity houses than residence halls in general). Living unit-level precollege correlates (i.e., college attendance motives and cigarette use) and college correlates (i.e., peer drinking norms and alcohol availability) accounted for most of the selection and socialization effects. These findings highlight the importance of micro-environments associated with specific living units in risky drinking during the college transition.
  Psychology of Addictive Behaviors 09/2009; 23(3):404-14.
• Article: Longitudinal association between frequency of substance use and quality of life among adolescents receiving a brief outpatient intervention.

  Sara J Becker, John F Curry, Chongming Yang
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  ABSTRACT: Recognition of the broad consequences of adolescent substance abuse has led to increased emphasis on balancing traditional measures of treatment effectiveness, such as frequency of substance use, with measures of patient functioning and quality of life (QOL). This study evaluated the longitudinal association between frequency of use and QOL among adolescent substance abusers receiving a brief outpatient intervention. Participants were 106 adolescents, aged 13 to 21 years, who met criteria for substance abuse or dependence and completed 4 assessments over a 12 month period. Results of a parallel-process latent growth curve model indicated a moderate longitudinal association, such that reduced frequency of use was associated with QOL improvement. Elaboration of the temporal ordering of this association via a cross-lagged panel model revealed that frequency of substance use predicted subsequent QOL, but that QOL did not predict subsequent frequency of use. Implications pertaining to the assessment of comprehensive outcomes and the setting of treatment expectations are discussed.
  Psychology of Addictive Behaviors 09/2009; 23(3):482-90.
• Article: Evidence for a putative biomarker for substance dependence.

  Jeanette Taylor, Lisa M James
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  ABSTRACT: Electrodermal response modulation (ERM) reflects the reduction in skin conductance response to an aversive stimulus that is temporally predictable relative to when it is unpredictable. Poor ERM is associated with substance dependence (SD). It was hypothesized that ERM is a putative biomarker for SD rather than for externalizing disorders generally. Participants included 83 controls (no SD, antisocial personality disorder [PD] or borderline PD), 52 participants with SD only (SD and no PD), 12 with PD only (antisocial and/or borderline PD and no SD), and 35 comorbid (having SD and PD). Diagnoses at definite and probable certainty levels were used and were determined by semistructured clinical interviews. ERM was calculated from skin conductance responses to predictable and unpredictable 2-s 110-dB white noise blasts. As expected, the SD-only and comorbid groups had significantly lower ERM scores than the control group, which did not differ significantly from the PD-only group. Results provide preliminary evidence that ERM is a putative biomarker for SD. Future research should examine cognitive correlates of ERM in an effort to understand why it relates to SD.
  Psychology of Addictive Behaviors 09/2009; 23(3):491-9.
• Article: Gender-specific normative perceptions of alcohol-related protective behavioral strategies.

  Melissa A Lewis, Michiko Rees, Christine M Lee
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  ABSTRACT: The present research aimed (a) to determine whether students underestimate gender-specific descriptive normative perceptions for protective behavioral strategies; (b) to evaluate the relationships among perceived gender-specific descriptive and injunctive drinking norms and perceived gender-specific descriptive norms for protective behavioral strategies; and (c) to examine whether normative perceptions for protective behavioral strategies relate to use of these strategies when controlling for relevant drinking behavior factors (i.e., alcohol consumption, negative consequences, and attitude toward drinking behavior) and social norms factors (i.e., perceived descriptive and injunctive norms). Students (N = 666; 56.6% men) completed measures assessing drinking behavior and attitudes toward drinking, perceived descriptive and injunctive norms, perceived protective behavioral strategies, and protective behavioral strategies. Findings demonstrated that students consistently underestimated the use of strategies for the typical male student, whereas results were less consistent for the typical female student. In addition, results indicated that same-sex normative perceptions for protective behavioral strategies were associated with personal use of these strategies, even when controlling for relevant drinking behavior and social norms factors. Results stress the importance of evaluating factors that are associated with use of protective behavioral strategies. Implications for social norms preventative interventions are discussed.
  Psychology of Addictive Behaviors 09/2009; 23(3):539-45.
• Article: Depression moderates smoking behavior in response to a sad mood induction.

  Lisa M Fucito, Laura M Juliano
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  ABSTRACT: Stress and anxiety have been shown to increase smoking motivation. There is limited experimental data on depressed or sad mood and smoking. This study investigated the effects of two induced moods on smoking behavior. Depression scores were examined as a potential moderator and mood changes were tested as a potential mediator. Smokers (N = 121) were randomly assigned to receive either a sad induction or a neutral induction via standardized film clips. Among participants with higher depression scores, smoking duration and the number of cigarette puffs were greater in response to the sad condition. There was also a marginal interactive effect on the change in expired air carbon monoxide among this subsample; however, no differences in smoking latency or craving were observed. Changes in positive mood partially mediated the effect of condition on smoking behavior among participants with high depression scores. There was no modifying effect of gender or mediating effect of negative mood changes. The results provide preliminary support that decreases in positive mood may have a greater influence on smoking behavior among depression-prone smokers than less psychiatrically vulnerable smokers.
  Psychology of Addictive Behaviors 09/2009; 23(3):546-51.