Tibor P Palfai

Boston University, Boston, Massachusetts, United States

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Publications (54)149.55 Total impact

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    ABSTRACT: The United States has invested substantially in screening and brief intervention for illicit drug use and prescription drug misuse, based in part on evidence of efficacy for unhealthy alcohol use. However, it is not a recommended universal preventive service in primary care because of lack of evidence of efficacy.
    JAMA The Journal of the American Medical Association 08/2014; 312(5):502-13. · 29.98 Impact Factor
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    ABSTRACT: AimsThis study assessed the effectiveness of HERMITAGE (HIV's Evolution in Russia - Mitigating Infection Transmission and Alcoholism in a Growing Epidemic), an adapted secondary HIV prevention intervention, compared with an attention control condition in decreasing sexually transmitted infections (STIs) and sex and drug risk behaviors among Russian HIV-infected heavy drinkers.DesignWe conducted a single-blinded, two-armed, randomized controlled trial with 12-month follow-up.SettingThe study was conducted in St. Petersburg, Russia. Participants were recruited from four HIV and addiction clinical sites. The intervention was conducted at Botkin Infectious Disease Hospital.ParticipantsHIV-infected persons with past 6-month risky sex and heavy alcohol consumption (n=700) were randomized to the HERMITAGE intervention (n=350) or an attention control condition (n=350).InterventionA Healthy Relationships Intervention stressing disclosure of HIV serostatus and condom use, adapted for a Russian clinical setting with two individual sessions and three small group sessions.MeasurementsThe primary outcome was incident STI by laboratory test at 12-month follow-up. Secondary outcomes included change in unprotected sex and several alcohol and injection drug use (IDU) variables.FindingsParticipants had the following baseline characteristics: 59% male, mean age 30, 60% past year IDU, 15.4% prevalent STI and mean CD4 cell count 413/μl. Assessment occurred among 75% and 71% of participants at 6 and 12-months, respectively. STIs occurred in 20 subjects (8%) in the intervention group and 28 subjects (12%) in the control group at 12-month follow-up; logistic regression analyses found no significant difference between groups (adjusted odds ratio 0.69; 95% CI: 0.36-1.30; P=0.25). Both groups decreased unsafe behaviors, although no significant differences between groups were found.Conclusions The HERMITAGE HIV risk reduction intervention does not appear to reduce sexually transmitted infections and HIV risk behaviors in Russian HIV-infected heavy drinkers compared with attention controls.
    Addiction 08/2014; · 4.58 Impact Factor
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    ABSTRACT: This pilot study sought to test the feasibility of procedures to screen students for marijuana use in Student Health Services (SHS) and test the efficacy of a web-based intervention designed to reduce marijuana use and consequences. Students were asked to participate in voluntary screening of health behaviors upon arrival at SHS. One hundred and twenty-three students who used marijuana at least monthly completed assessments and were randomized to one of four intervention conditions in a 2 (intervention: Marijuana eCHECKUP TO GO vs. control)×2 (site of intervention: on-site vs. off-site) between-groups design. Follow-up assessments were conducted online at 3 and 6months. Latent growth modeling was used to provide effect size estimates for the influence of intervention on outcomes. One thousand and eighty undergraduate students completed screening. The intervention did not influence marijuana use frequency. However, there was evidence of a small overall intervention effect on marijuana-related consequences and a medium effect in stratified analyses in the on-site condition. Analyses of psychological variables showed that the intervention significantly reduced perceived norms regarding peer marijuana use. These findings demonstrate that it is feasible to identify marijuana users in SHS and deliver an automated web-based intervention to these students in different contexts. Effect size estimates suggest that the intervention has some promise as a means of correcting misperceptions of marijuana use norms and reducing marijuana-related consequences. Future work should test the efficacy of this intervention in a full scale randomized controlled trial.
    Addictive behaviors. 05/2014; 39(9):1346-1352.
  • Kelli D Tahaney, Carl W Kantner, Tibor P Palfai
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    ABSTRACT: Dual process models characterize hazardous drinking as a function of appetitive processes and executive processes that enable self-control. Although central to a number of models (e.g., Hofmann et al., 2009a,b), little empirical research has examined how drinking restraint may influence the effects of these processes on alcohol use. The current study examined whether drinking restraint influenced the predictive value of appetitive responses to alcohol cues and executive functioning on typical drinking behavior. It was hypothesized that the interaction between appetitive responses and executive functioning would only be observed among those who had stronger drinking restraint goals. Sixty-nine hazardous drinking young adults (ages 21-30) completed the Trail Making Test and then were exposed to the sight and smell of an alcoholic beverage that they anticipated they would consume. Urge and anticipated stimulant effects of alcohol (A-BAES) were measured following the exposure. The interaction between Trails B and each of the appetitive response ratings (i.e., urge rating and A-BAES) was predictive of drinking behavior (TLFB) only among those high in drinking restraint. These findings highlight the importance of incorporating the role of motivational constructs such as restraint goals in current dual process models of alcohol-related self-control.
    Drug and alcohol dependence 03/2014; · 3.60 Impact Factor
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    ABSTRACT: Alcohol use among first-year university students continues to be a central health concern. Efforts to address drinking in this population have increasingly relied on web-based interventions, which have the capacity to reach large numbers of students through a convenient and highly utilized medium. Despite evidence for the utility of this approach for reducing hazardous drinking, recent studies that have examined the effectiveness of this approach as a universal prevention strategy in campus-wide studies have produced mixed results. We sought to test the effectiveness of a web-based alcohol intervention as a universal prevention strategy for first-year students. An e-mail invitation linked to a brief, web-based survey on health behaviors was sent to all first-year students during the fall semester. Those who completed the baseline assessment were randomized to receive either a feedback-based alcohol intervention (intervention condition) or feedback about other health-related behaviors such as sleep and nutrition (control condition). A second web-based survey was used to collect follow-up drinking data 5 months later. The number of heavy drinking episodes in the previous month and alcohol-related consequences in the previous 3 months served as the primary dependent variables. Negative binomial regression analyses did not indicate a significant effect of the intervention at follow-up on either heavy drinking episodes or alcohol-related consequences. Analyses of additional drinking outcomes among the subsample of students who reported that they did not drink at baseline showed that those who received the alcohol intervention were subsequently less likely to drink alcohol. These results suggest that web-based alcohol interventions may be a potentially useful method of maintaining abstinence among underage, non-drinking students. Overall, however, results indicate that an e-mail-linked, campus-wide, web-intervention approach to address alcohol use among first-year students may have limited effectiveness as an approach to minimize hazardous drinking over the course of the year.
    The Journal of Prevention 01/2014;
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    ABSTRACT: The impact of depressive symptoms on ART initiation among Russian HIV-infected heavy drinkers enrolled in a secondary HIV prevention trial (HERMITAGE) was examined. We assessed 133 participants eligible for ART initiation (i.e., CD4 count <350 cells/μl) who were not on ART at baseline. Depressive symptom severity and ART use were measured at baseline, 6- and 12-months. Association between depressive symptoms and subsequent ART initiation was evaluated using GEE logistic regression adjusting for gender, past ART use, injection drug use and heavy drinking. Depressive symptom severity was not significantly associated with lower odds of initiating ART. Cognitive depression symptoms were not statistically significant (global p = 0.05); however, those with the highest level of severity had an AOR of 0.25 (95 % CI 0.09-0.71) for delayed ART initiation. Although the effect of depression severity was not significant, findings suggest a potential role of cognitive depression symptoms in decisions to initiate ART in this population.
    AIDS and Behavior 12/2013; · 3.49 Impact Factor
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    ABSTRACT: Depressive symptoms have been linked to HIV progression through a number of biobehavioral mechanisms including increased alcohol use. Although research supports an association between alcohol use and depressive symptoms among HIV patients, there have been few studies that have examined whether depressive symptoms predict subsequent drinking, especially among heavy drinking HIV-infected patients. Heavy drinking Russian HIV-infected patients (n=700) were recruited from addiction and HIV care settings for a randomized controlled trial of a risk reduction intervention [HERMITAGE]. GEE overdispersed Poisson regression analyses were conducted to assess the association between depressive symptoms and alcohol consumption 6-months later. In adjusted analyses, depressive symptom severity was significantly associated with drinks per day (global p=.02). Compared to the non-depressed category, mild depressive symptoms were significantly associated with more drinks per day [IRR=1.55, (95% CI: 1.14, 2.09)], while moderate [IRR=1.14, (95% CI: 0.83, 1.56)] and severe [IRR=1.48, (95% CI: 0.93, 2.34)] depressive symptoms were not. Associations between depressive symptom severity and heavy drinking days were not statistically significant (global p=.19). Secondary analyses using the BDI-II screening threshold (BDI-II>14) and the BDI-II cognitive subscale suggested an association between depressive symptoms and drinks per day over time but not heavy episodic drinking. Among heavy drinking HIV-infected patients, elevated depressive symptoms were associated with greater subsequent alcohol use. These findings suggest that depressive symptoms may be important to address in efforts to reduce alcohol-related risks among HIV-infected populations.
    Drug and alcohol dependence 09/2013; · 3.60 Impact Factor
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    ABSTRACT: Marijuana is the most commonly used illicit drug, yet its impact on health and healthcare utilization has not been studied extensively. To assess the cross-sectional association between frequency of marijuana use and healthcare utilization (emergency department and hospitalization) and health (comorbidity, health status), we studied patients in an urban primary care clinic who reported any recent (past 3-month) drug use (marijuana, opioids, cocaine, others) on screening. Frequency of marijuana use in the past 3 months was the main independent variable [daily/ almost daily, less than daily and no use (reference group)]. Outcomes assessed were past 3-month emergency department or hospital utilization, the presence of medical comorbidity (Charlson index ≥ 1), and health status with the EuroQol. We used separate multivariable regression models adjusting for age, sex, tobacco and other substance use. All 589 participants reported recent drug use: marijuana 84 % (29 % daily, 55 % less than daily), cocaine 25 %, opioid 23 %, other drugs 8 %; 58 % reported exclusive marijuana use. Frequency of marijuana use was not significantly associated with emergency department use {adjusted odds ratio [AOR] 0.67, [95 % confidence interval (CI) 0.36, 1.24] for daily; AOR 0.69 [95 % CI 0.40,1.18] for less than daily versus no use}, hospitalization [AOR 0.79 (95 % CI 0.35, 1.81) for daily; AOR 1.23 (95 % CI 0.63, 2.40) for less than daily versus no use], any comorbidity [AOR 0.62, (95 % CI 0.33, 1.18) for daily; AOR 0.67 (95 % CI 0.38, 1.17) for less than daily versus no use] or health status (adjusted mean EuroQol 69.1, 67.8 and 68.0 for daily, less than daily and none, respectively, global p = 0.78). Among adults in primary care who screen positive for any recent illicit or non-medical prescription drug use, we were unable to detect an association between frequency of marijuana use and health, emergency department use, or hospital utilization.
    Journal of General Internal Medicine 09/2013; · 3.28 Impact Factor
  • Timothy E Ralston, Tibor P Palfai, Mike Rinck
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    ABSTRACT: Research suggests that depressed mood is associated with alcohol-related problems, though its relation with drinking behavior has been inconsistent across studies. Efforts to better understand the link between depressed mood and alcohol use have examined drinking motives as a potentially important moderating variable. The current study sought to examine whether drinking motives moderate the influence of depressed mood on alcohol-related action tendencies. Based on Baker, Morse, and Sherman's (1986) positive and negative reinforcement schema model, two competing moderational hypotheses regarding the influence of depressed mood on appetitive responses for alcohol were tested. One hundred and sixty-nine college student drinkers completed assessments of drinking motives and alcohol use. Subjects were exposed to a neutral or depressed mood induction followed by a computerized measure of action tendencies toward alcohol stimuli. Hierarchical regression analyses were conducted to examine whether the influence of depressed mood on action tendencies toward alcohol was moderated by drinking motives. Results showed that there was a significant interaction between mood induction condition and enhancement motives, such that depressed mood appeared to suppress appetitive responding toward alcohol among those with higher enhancement motives. In contrast, there was no evidence that coping motives moderated the association between mood and appetitive response to alcohol. These results suggest that inhibiting affect states associated with one's motivational disposition for drinking may result in the devaluation of alcohol. Limitations and implications are discussed.
    Addictive behaviors 07/2013; 38(12):2810-2816. · 2.25 Impact Factor
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    ABSTRACT: Although alcohol and drug use have been identified as HIV-risk factors for men who have sex with men (MSM), little is known about how they interact. An alcohol administration paradigm was used to examine alcohol's cue and pharmacological effects on perceived drug use benefits and consequences in 117 MSM. Planned contrasts indicated that those in the alcohol cue (i.e., placebo) condition reported lower perceived drug consequences compared to controls. No cue effects were found for drug benefits. There was no pharmacological effect of alcohol as compared to alcohol cue on either outcome. Findings suggest that alcohol cues may influence the perception of consequences related to drug use, which has implications for health interventions targeting substance use and HIV risk.
    Addictive behaviors 03/2013; 38(7):2317-2320. · 2.25 Impact Factor
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    Brian D Ostafin, Tibor P Palfai
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    ABSTRACT: BACKGROUND: Research indicates that brief motivational interventions are efficacious treatments for hazardous drinking. Little is known, however, about the psychological processes that may moderate intervention success. Based on growing evidence that drinking behavior may be influenced by automatic (nonvolitional) mental processes, the current study examined whether automatic alcohol-approach associations moderated the effect of a brief motivational intervention. Specifically, we examined whether the efficacy of a single-session intervention designed to increase motivation to reduce alcohol consumption would be moderated by the strength of participants' automatic alcohol-approach associations. METHODS: Eighty-seven undergraduate hazardous drinkers participated for course credit. Participants completed an Implicit Association Test to measure automatic alcohol-approach associations, a baseline measure of readiness to change drinking behavior, and measures of alcohol involvement. Participants were then randomly assigned to either a brief (15-minute) motivational intervention or a control condition. Participants completed a measure of readiness to change drinking at the end of the first session and returned for a follow-up session six weeks later in which they reported on their drinking over the previous month. RESULTS: Compared with the control group, those in the intervention condition showed higher readiness to change drinking at the end of the baseline session but did not show decreased drinking quantity at follow-up. Automatic alcohol-approach associations moderated the effects of the intervention on change in drinking quantity. Among participants in the intervention group, those with weak automatic alcohol-approach associations showed greater reductions in the amount of alcohol consumed per occasion at follow-up compared with those with strong automatic alcohol-approach associations. Automatic appetitive associations with alcohol were not related with change in amount of alcohol consumed per occasion in control participants. Furthermore, among participants who showed higher readiness to change, those who exhibited weaker alcohol-approach associations showed greater reductions in drinking quantity compared with those who exhibited stronger alcohol-approach associations. CONCLUSIONS: The results support the idea that automatic mental processes may moderate the influence of brief motivational interventions on quantity of alcohol consumed per drinking occasion. The findings suggest that intervention efficacy may be improved by utilizing implicit measures to identify those who may be responsive to brief interventions and by developing intervention elements to address the influence of automatic processes on drinking behavior.
    Addiction science & clinical practice 12/2012; 7(1):25.
  • Leslie L Wright, Tibor P Palfai
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    ABSTRACT: The current study was designed to examine the motivational context of marijuana use among college students using idiographic and nomothetic goal assessment approaches. One hundred and ninety-eight introductory psychology students completed a questionnaire that included measures of life goals and marijuana use behavior. Forty-three percent of students surveyed reported the use of marijuana in the past 90 days. Students rated a set of five personally salient, self-generated and five normative life goals on a series of dimensions using the personal projects methodology (Little, 1983). Goal meaning and goal efficacy ratings for each type of assessment were studied in relation to the likelihood of marijuana use and the frequency of use among current users. Logistic regression analyses showed that levels of meaning for self-generated life goals and normative academic life goals were independent predictors of whether students used marijuana in the past 90 days. Students who reported high levels of meaning were less likely to have used marijuana in the past 90 days. For students who used marijuana, higher meaning ratings related to involvement in groups/organizations and fitness were correlated with decreased frequency of use. Moreover, ratings of efficacy related to self-generated goals were associated with less frequent use among smokers. These results suggest that meaning related to life goal pursuit may be associated with students' decisions to use marijuana. Potential implications for interventions are discussed.
    Addictive behaviors 03/2012; 37(7):797-802. · 2.25 Impact Factor
  • Tibor P Palfai, Timothy E Ralston
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    ABSTRACT: The main objective of the present study was to advance our understanding of how life goals are associated with hazardous alcohol use among first-year university students. One-hundred and seventeen students rated a series of self-generated life goals on meaning and efficacy and then completed alcohol assessments. Higher goal meaning ratings were associated with less alcohol use and fewer heavy drinking episodes. Tests of indirect effects showed that the associations between goal meaning ratings and alcohol use indices were mediated by motives to limit drinking, particularly the motive to maintain self-control/standards. These results replicate and extend previous work on goal meaning and hazardous drinking among students. Findings are consistent with the view that engagement in university life goals may serve as a protective factor against hazardous drinking among first-year students due to greater concern with the impact of drinking on their ability to attain goal standards.
    Addictive behaviors 11/2011; 36(11):1083-6. · 2.25 Impact Factor
  • Timothy E Ralston, Tibor P Palfai
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    ABSTRACT: Depressive symptoms in college students have been associated with a number of indices of hazardous drinking. Investigators have utilized a variety of experimental paradigms to better understand the cognitive-motivational mechanisms that may underlie this association. Implicit cognition studies have provided increasing support for the view that coping motives may moderate the association between negative affect and the incentive value of alcohol. However, less is known about how symptoms of depression may be linked with implicit evaluative responses to alcohol. The current research sought to investigate the association between depressive symptoms and implicit evaluations of alcohol stimuli as measured by an evaluative priming task. Eighty-two current drinkers completed assessments of depressive symptoms, alcohol use, and drinking motives before engaging in a computerized alcohol evaluative priming task. Analyses showed that the association between depressive symptoms and the positive implicit evaluation of alcohol was moderated by drinking motives, such that the positive association between depression and alcohol evaluation was stronger for students who had higher coping motives. These findings add to our understanding of how depressive symptoms may influence responses to alcohol and provide further support for the view that individual differences in coping motives may be a critical moderator of the association between depressive symptoms and alcohol-related cognitive motivational processes.
    Drug and alcohol dependence 10/2011; 122(1-2):149-51. · 3.60 Impact Factor
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    ABSTRACT: Cognitive processing therapy (CPT) for posttraumatic stress disorder (PTSD) has been shown to reduce symptoms of PTSD in a veteran population. This study explored patterns of self-reported symptom change during CPT. Veterans (N = 60) with PTSD were randomized to receive CPT immediately or after 10 weeks. We hypothesized that those treated immediately would evidence initial symptom stability followed by decline compared with those who waited, whose PTSD symptoms would remain stable. The best model fit based on deviance statistics and Bayesian information criteria comparisons was one in which participants treated immediately showed more rapid initial decline followed by a slower rate of PTSD symptom improvement relative to those who waited, who showed a stable level of symptomatology. Findings suggest that CPT produces quick and maintained improvements in veterans. The effect sizes for change between those who received CPT immediately and those who waited were approximately medium sized. Implications of findings are discussed.
    Journal of Traumatic Stress 06/2011; 24(3):268-76. · 2.72 Impact Factor
  • Tibor P Palfai, Rebecca Zisserson, Richard Saitz
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    ABSTRACT: Web-based screening and brief interventions that include personalized feedback about their alcohol use have proven to be particularly promising for reducing hazardous drinking among university students. Despite the increasing use of these approaches, there is still relatively little known about how the content of these interventions may influence outcomes and who may benefit most from these approaches. The current study sought to address these issues by examining how individual differences in alcohol consequences influence outcomes of a laboratory-based computerized intervention. One-hundred and nineteen introductory psychology students who either had two episodes of heavy episodic drinking in the past month or scored ≥8 on the AUDIT participated in this randomized controlled trial for course credit. Participants were assigned to 1 of 4 conditions in this 2 Intervention (Alcohol Feedback vs. Control)×2 Assessment (Motivational Assessment vs. No Motivational Assessment) between-subjects design. Quantity of alcohol consumed per week and heavy episodic drinking one month later were the primary dependent variables. Controlling for corresponding baseline alcohol measures, hierarchical linear regression analyses showed a significant interaction between intervention condition and baseline alcohol-related consequences. For those who reported more alcohol consequences at baseline, the alcohol intervention resulted in significantly less alcohol use and fewer heavy drinking episodes at follow-up, while no difference was observed between intervention conditions for those with few baseline consequences. Assessment did not moderate intervention effects. These findings suggest that a feedback-based computerized intervention that includes normative information about alcohol use and consequences may be more effective for hazardous drinking students who are experiencing higher levels of alcohol-related consequences.
    Addictive behaviors 01/2011; 36(5):539-42. · 2.25 Impact Factor
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    ABSTRACT: Previous research has shown that university students who experience lower levels of meaning in the pursuit of typical life goals use more alcohol and experience more alcohol-related problems. The main objective of the present study was to extend this work by identifying motivational mechanisms that underlie the association between goal meaning and alcohol involvement. Ninety-three introductory psychology students participated in a university health behaviors study for course credit. Students completed a goal assessment in which they generated and rated goals that characterized their lives on dimensions of meaning and efficacy and then completed a series of assessments about alcohol use. Controlling for gender, partial correlations showed that higher meaning ratings for life goals were associated with less alcohol use and fewer alcohol-related consequences. Multiple mediational analyses among drinkers showed that the association between goal meaning ratings and alcohol involvement was mediated by enhancement but not coping motives. Findings support motivational models that have suggested that those who experience less engagement in their daily life tasks may experience greater positive incentive value from drinking. Results point to the potential value of alcohol intervention approaches that include efforts to help students engage in sources of non-substance related reinforcement in their daily lives.
    Personality and Individual Differences. 01/2011;
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    ABSTRACT: Prevalence of unhealthy alcohol use among medical inpatients is high. To characterize the course and outcomes of unhealthy alcohol use, and factors associated with these outcomes. Prospective cohort study. A total of 287 medical inpatients with unhealthy alcohol use. At baseline and 12 months later, consumption and alcohol-related consequences were assessed. The outcome of interest was a favorable drinking outcome at 12 months (abstinence or drinking "moderate" amounts without consequences). The independent variables evaluated included demographics, physical/sexual abuse, drug use, depressive symptoms, alcohol dependence, commitment to change (Taking Action), spending time with heavy-drinking friends and receipt of alcohol treatment (after hospitalization). Adjusted regression models were used to evaluate factors associated with a favorable outcome. Thirty-three percent had a favorable drinking outcome 1 year later. Not spending time with heavy-drinking friends [adjusted odds ratio (AOR) 2.14, 95% CI: 1.14-4.00] and receipt of alcohol treatment [AOR (95% CI): 2.16(1.20-3.87)] were associated with a favorable outcome. Compared to the first quartile (lowest level) of Taking Action, subjects in the second, third and highest quartiles had higher odds of a favorable outcome [AOR (95% CI): 3.65 (1.47, 9.02), 3.39 (1.38, 8.31) and 6.76 (2.74, 16.67)]. Although most medical inpatients with unhealthy alcohol use continue drinking at-risk amounts and/or have alcohol-related consequences, one third are abstinent or drink "moderate" amounts without consequences 1 year later. Not spending time with heavy-drinking friends, receipt of alcohol treatment and commitment to change are associated with this favorable outcome. This can inform efforts to address unhealthy alcohol use among patients who often do not seek specialty treatment.
    Journal of General Internal Medicine 10/2010; 25(10):1024-9. · 3.28 Impact Factor
  • Timothy E Ralston, Tibor P Palfai
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    ABSTRACT: College students with elevated depressive symptoms are more likely to engage in risky drinking and experience alcohol-related negative consequences. Efforts to understand the association between depressed mood and alcohol use have begun to identify the role of cognitive-motivational processes. Drinking refusal self-efficacy is one such process that influences the decision to drink, but its relationship with depressed mood remains unclear. The current study sought to clarify the role of these processes using a depressed mood induction procedure in a sample of college student drinkers. Eighty-six students were randomized to a depressed or neutral mood induction and completed assessments of drinking refusal self-efficacy. Depressed mood significantly decreased self-efficacy in high-risk drinking contexts related to depression, whereas ratings of other high-risk contexts were unaffected. These findings suggest that the association between hazardous drinking and depressed mood may be due in part to the direct influence of mood state on one's self-efficacy to resist drinking in relevant contexts.
    Cognitive behaviour therapy 10/2010; 39(4):262-9.
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    Tibor P Palfai, Brian D Ostafin
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    ABSTRACT: A number of investigators have proposed that self-control over addictive behaviors may be influenced by the way individuals mentally represent their actions. Previous research based on questionnaires has suggested that those who report higher-level identifications of their alcohol use behavior may exhibit more difficulty controlling their alcohol use (Wegner, Vallacher, & Dizadji, 1989). However, it is unclear whether this association is because of characteristic ways of mentally representing specific drinking events or the fact that those who have more impaired control consume more alcohol and drink across a broader array of situations. The current study sought to address this question by examining the association between impaired control over alcohol and action identification of drinking behavior in a structured laboratory drinking task. Ninety-one young adult hazardous drinkers (21-35 years) completed the Impaired Control Over Alcohol Scale (Heather, Tebbut, Mattick, & Zamir, 1993) and an alcohol consumption task. Participants then completed a Likert scale measure to assess action identification of their drinking behavior. Results showed that those who reported greater impaired control over alcohol experienced the drinking task at higher-level action identification even when accounting for alcohol consumption variables. These findings are consistent with the view that higher-level identification of alcohol use behavior may hinder self-control (Wegner et al., 1989), and that self-management approaches may be enhanced through strategies to address mental representation of action.
    Psychology of Addictive Behaviors 03/2010; 24(1):145-50. · 2.09 Impact Factor

Publication Stats

937 Citations
149.55 Total Impact Points

Institutions

  • 2002–2014
    • Boston University
      • Department of Psychology
      Boston, Massachusetts, United States
  • 2011
    • U.S. Department of Veterans Affairs
      • Department of Psychology
      Washington, D. C., DC, United States
  • 2010
    • North Dakota State University
      • Department of Psychology
      Fargo, ND, United States
    • University Hospital of Lausanne
      Lausanne, Vaud, Switzerland
  • 2007
    • Boston Medical Center
      Boston, Massachusetts, United States
  • 2003–2007
    • Brown University
      • Center for Alcohol and Addiction Studies
      Providence, RI, United States
    • University of Massachusetts Boston
      Boston, Massachusetts, United States
  • 2006
    • University of Washington Seattle
      • Department of Psychology
      Seattle, WA, United States