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Evaluating the believability and effectiveness of the social norms message "most students drink 0 to 4 drinks when they party".

In an effort to reduce dangerous drinking levels among college students, university health educators have initiated social norms campaigns based on the rationale that students will be more likely to reduce their own drinking behaviors if they think that most students on campus are not heavy or binge drinkers. Within the framework of social comparisons theory, this study reports the findings of a survey of 277 college students and explores the correlates of accuracy and bias in students' estimates of whether or not most other students think that binge drinking on campus is a problem and whether or not most other students believe the campaign message. The overwhelming majority (72.6%) of students did not believe the norms message that most students on campus drink "0 to 4" drinks when they party, and 52.7% reported drinking "5 or more" drinks in a sitting. The social norms campaign was effective in motivating 61% of the respondents to think about binge drinking as a problem. For the most part, group or social network norms were more influential on students' own drinking behavior than were their estimates of the campus drinking norm. The findings also clarify that accuracy in estimating the campus social norm in and of itself does not necessarily lead to an increase or reduction in alcohol consumption. The social comparisons approach underscores the complex and social nature of human interaction and reinforces the need for the development of multiple approaches to alcohol education with messages that are designed to target the specific needs of students based on their orientations toward alcohol consumption.

Adult↗

Alcohol self-administration in two rat lines selectively bred for extremes in anxiety-related behavior.

According to the tension reduction hypothesis, individuals with an elevated anxiety level may be more sensitive to the anxiolytic effects of alcohol and may, therefore, have a higher predisposition to consume alcohol. To examine this hypothesis, we studied the drinking behavior as well as the sensitivity to the anxiolytic effect of alcohol in two rat lines that were bred and selected for differences in anxiety-related behavior on the elevated plus-maze: the extremely anxious HAB (high anxiety-related behavior) and the non-anxious LAB (low anxiety-related behavior) lines. Alcohol self-administration and the occurrence of an alcohol deprivation effect were studied in female and male HAB and LAB rats in a free-choice, 4-bottle home cage paradigm. The sensitivity of HAB and LAB rats to the anxiolytic effect of alcohol was assessed by testing their behavior on the elevated plus-maze after an acute application of ethanol. During the first days of voluntary ethanol drinking, the ethanol intake and preference of female LABs was significantly higher than that of female HABs. Although not statistically significant, the same trend could be seen in male LABs. Moreover, male as well as female LAB but not HAB rats showed a significant alcohol deprivation effect after abstinence. There were no differences when saccharin was presented to naive animals, indicating that the different ethanol drinking behavior of HAB and LAB rats does not represent a general difference in the consumption of new liquids. Application of ethanol resulted in an anxiolytic effect in HAB but not in LAB rats on the elevated plus-maze. In summary, increased inborn anxiety and voluntary ethanol consumption of HAB and LAB rats were correlated to some extent; however, this relationship was a negative one. It is concluded that, although such a relationship might exist in some individuals, increased levels of inborn anxiety and alcohol consumption are not necessarily related.

Alcohol Drinking↗

[Protein-peptide complexes in the mechanisms of inborn and learned behavior patterns].

Protein-peptide complexes involved in learned and natural drinking behavioral patterns were comparatively analyzed in rats. Active immunization with protein-conjugated angiotensin II and beta-endorphin produces some behavioral responses. It is suggested that protein complexes of these peptides play a specific informational role in the systemic organization of learned behavior. The paper discusses whether these complexes perform an important function due to their conformational properties and their participation in the hierarchical organization of integrative processes in the nervous system.

Angiotensin II↗

Neurobehavioral effects of alcohol in AMPA receptor subunit (GluR1) deficient mice.

Of the ionotropic glutamatergic receptors, the NMDA receptor is clearly implicated in the acute and chronic effects of ethanol; however, the role of the AMPA receptor in mediating the effects of ethanol in vivo is as yet unclear. Using mice deficient in the AMPA receptor subunit GluR1 (GluR1-/- mice), we investigated whether the AMPA receptor had a significant role in mediating the effects of ethanol. GluR1-/- mice showed greater locomotor activity in a novel environment, but by the fifth day of repeated testing their activity was the same as that of wild-type mice. In contrast to their enhanced locomotor activity, on an accelerating rotarod GluR1-/- mice performed consistently worse than wild-types. With regard to the effects of ethanol on motor responses, GluR1-/- mice did not differ significantly from wild-type mice in ethanol's sedative or incoordinating effects. However, the GluR1-/- mice were insensitive to the hypothermic effects of a hypnotic dose of ethanol in contrast to wild-types; this effect was dissociable from the hypnotic effects of ethanol. Further, tolerance to ethanol developed equally for GluR1-/- mice versus wild-type mice. In terms of alcohol drinking behavior, compared to wild-types, GluR1-/- mice differed neither in the acquisition of voluntary ethanol consumption nor in stress-induced ethanol drinking, nor in the expression of an alcohol deprivation effect (ADE) which is used as a model of relapse-like drinking behavior. In summary, although the loss of a hypothermic effect of ethanol in GluR1-/- mice indicates a critical role for the AMPA receptors in this effect, the GluR1 subunit of the AMPA receptor does not seem to play a critical role in the etiology of alcohol dependence. However, changes observed in activity patterns may be related to the putative role of AMPA receptors in attention deficit hyperactivity disorder.

Alcohol Drinking↗

Children of Alcoholics Screening Test: internal consistency, factor structure, and relationship to measures of family environment.

The children of Alcoholics Screening Test (CAST) and the Family Environment Scale were administered to 307 adults (M age = 27.6 years, 81% female, 89% White). Internal reliability estimates of the CAST were high (r = .98). Factor analysis of the CAST resulted in a four-factor solution, which accounted for 67% of the variability-Parental Problem Drinking, Personal Distress, Responsibility for Parental Drinking, and Alcoholic Mother. A canonical correlation between measures of family environment and the CAST factors showed that higher levels of conflict and lower levels of cohesion and expressiveness were stronger predictors of Personal Distress in the child than of Parental Drinking Behavior. The results suggest that distress in children of alcoholics may be more a function of an impaired family than of parental drinking behavior itself.

Adolescent↗

Retirement and drinking outcomes: lingering effects of workplace stress?

This study assesses the degree to which sexual harassment (SH), generalized workplace abuse (GWA), and psychological workload (PWL) impact drinking behaviors in retirement. A mail survey was completed at four points in time by a cohort of 1654 employees initially drawn from a university workplace. Questionnaires assessed experiences of SH, GWA, PWL and drinking behaviors. Hypotheses were tested involving (1) the extent to which SH, GWA, and PWL experienced while working were associated with frequency and quantity of drinking in retirement, (2) the extent to which drinking levels of retirees differed from those of current employees experiencing similar stress levels, and (3) the extent to which gender moderated these relationships. Retirees reporting earlier stressful work environments report higher levels of alcohol consumption during retirement compared to those retirees reporting less stressful earlier work environments. Gender moderated these relationships. The findings of this study suggest that there may be a residual effect of workplace stress during retirement.

Alcohol Drinking↗

[Risk factors related to alcohol use among adolescents of fathers with alcoholism].

The purposes of this study were: 1) to investigate the risk factors related to alcohol use among adolescents of fathers with alcoholism. 2) to compare their drinking behaviors with the adolescents whose fathers were non-alcoholics. Sixty-one adolescents, including 29 males and 32 females, aged from 12 to 22 whose fathers were alcoholics formed the case group. 122 age and sex matched adolescents in a ratio of 1:2 whose fathers were non-alcoholics were recruited as the comparison group (normal/control). Data were collected by interview during home visits or by mailing questionnaires to patients. The prevalence rates of drinking, smoking and betel-nut chewing among the adolescents of fathers with alcoholism were 67.2%, 19.7%, 18%. There was no significant difference in drinking behavior between the two groups. Beer was the most popular drink in adolescents' drinking habits. The most popular motivation of drinking was the peer pressure by friends. The significant risk factors of alcohol use among the adolescents included male poor mental health status adolescents with behavioral problems and alcohol use amongst classmates or friends.

Adolescent↗

Correlates of alcohol consumption: sex, age, and expectancies relate differentially to quantity and frequency.

Expectations of the effects of alcohol have been related to drinking behaviors for both problem and nonproblem drinkers. The present investigation expanded on previous research by considering age, sex, and alcohol expectancies as differential predictors of frequency and quantity of drinking. Subjects, 157 males and 168 females, completed alcohol expectancy, drinking habits, and demographic questionnaires. Results showed significant sex differences in predictors of drinking frequency. Males who reported most frequent drinking tended to have stronger expectations of increased Social and Physical Pleasure, Global Positive Changes, and Sexual Enhancement. On the other hand, frequent consumption among females was best predicted by stronger expectations that alcohol would reduce tension. The amount consumed per drinking occasion was predicted by the same two expectancy factors for males and females: Social and Physical Pleasure and Social Assertion. Age was an important contributing predictor of quantity and frequency for females only. Results indicated the importance of investigating the mediating role of expectancies (a) within sex and (b) with respect to frequency versus quantity of drinking behavior.

Adolescent↗

Women, work, and alcohol: failures of simple theories.

When trying to explain how women's employment affects their drinking behavior, oversimplified theories produce weak and inconsistent results. Recent research casts doubt on any simple ideas that paid employment is hazardous for women's mental health and drinking, or that paid employment is beneficial for women's mental health and drinking, or that stressful jobs increase women's risks of problem drinking. Improved, more complex theories could specify which women will modify their drinking behavior as a result of particular employment experiences, predict interaction effects of employment conditions with other aspects of women's lives, and explain how employment may create a context where other variables may increase or reduce risks of problem drinking.

Alcohol Drinking↗

The microstructure of ethanol drinking: genetic and behavioral factors in the control of drinking patterns.

The concept of craving can be examined in many different ways, depending upon the individual definition of the term. Using the concepts and procedures of regulatory behavior analysis, this review explores behavioral studies in rats that have some relationships to some of the possible processes that underlie the concept of craving in humans. Data are reviewed from studies employing both limited and continuous access to ethanol, examining the role of access availability, ethanol initiation, response cost, time since last access, composition of the ethanol containing solution and genetic selection. From this review, it is clear that rat models can implicate important variables involved in the control of human alcohol consumption.

Alcohol Drinking↗

Repeat admissions for perceived problem drinking. A social resources perspective.

Several propositions derived from a social resources perspective regarding differences in first and repeat admissions are examined using data taken from persons being treated for alcohol misuse and from persons not receiving treatment. Although objective behavior (drinking level) is very important as a predictor of first admissions, it is of less consequence in predicting repeat admissions. The data indicate a complex pattern of interaction effects among social resources and between them and drinking behavior in determining who comes to receive treatment and who is readmitted to treatment.

Adult↗

Psychological distress among Thai migrant workers in Israel.

The purpose of this cross-sectional study was to examine the associations between migration stressors and psychological distress among Thai migrant agricultural workers in Israel, and to examine the direct and indirect contribution of socio-cultural variables to this relationship. Two hundred and twenty-one Thai male workers were interviewed using a structured questionnaire that included demographic variables and occupational exposures to organophosphate pesticides (as control variables), migration stressors, intervening variables (traditional health beliefs, social support, drinking behavior, and utilization of medical services), and a psychological distress scale. In multivariate analysis, migration stressors, the migrants' traditional health beliefs, quality of current social relationships, drinking behavior, as well as age and occupational exposure were significantly associated with psychological distress. Workers who reported higher migration stressors (perceived the migration to be difficult, and often felt homesick), those with higher levels of traditional health beliefs, those whose social relationships with other Thai co-workers were poor, those who consumed either no alcohol or large amounts of alcohol, and those who reported 'problem drinking' had significantly higher levels of psychological distress. A moderating effect of the quality of social relationships with co-workers on the association between homesickness and psychological distress was found. Additionally, migrants aged 28-34 and those who were experiencing eye irritation from chemicals at work had significantly increased levels of distress. The findings demonstrate the focal role of specific migration stressors and the current socio-cultural context on psychological distress of migrant workers.

Acculturation↗

Inhibition of nitric oxide synthesis attenuates alcohol consumption in two strains of alcohol-preferring rats.

The effect of the nitric oxide synthase inhibitor NG-nitro-L-arginine methyl ester (L-NAME) on voluntary alcohol consumption was examined in two different strains of alcohol-preferring rats, in a continuous-access, two-bottle-choice paradigm. Compared with the vehicle, intraperitoneal injections of L-NAME significantly and dose-dependently (10, 30, and 60 mg/kg) suppressed alcohol intake and preference in both alcohol-preferring (P) and Fawn-Hooded (FH) rats. The effect of the highest dose of L-NAME was nonspecific; it caused general decreases in consumption of alcohol, water, and food. Repeated injection of L-NAME (30 mg/kg) for 4 consecutive days significantly attenuated alcohol intake, but tolerance developed after 3 days of treatment. A single administration of a high dose of L-NAME (60 mg/kg) did not influence the blood alcohol concentrations, which suggests a possible central effect. Furthermore, a moderate dose of 30 mg/kg L-NAME, which selectively inhibited alcohol intake, did not exert a significant effect on telemetrically measured heart rate, core body temperature, and gross motor activity of alcohol naive Fawn-Hooded rats. These results suggest an involvement of nitric oxide in alcohol drinking behavior. Although the true mechanism(s) of action is not yet clear, it can be speculated that L-NAME may exert its action indirectly by modulating neurotransmitters proposed to be involved in alcohol drinking and/or by influencing other neuronal factors, such as neuronal Ca2+ channels, which have been shown to be involved in alcohol drinking behavior.

Alcohol Drinking↗

Correlates of heavy drinking and alcohol related problems among men and women in drug treatment programs.

A series of analyses were conducted to explore if there were significant differences in heavy drinking and alcohol-related problems in clients admitted to different types of drug treatment programs and whether such differences, if found, could be attributed to variation in social characteristics, drug use behavior, drinking norms, drinking contexts, or in reasons for combining alcohol and drug use. Men and women (N = 246) in four types of publicly funded treatment programs were interviewed at intake regarding drinking and drug use patterns and related problems. The results of the study showed significant differences in drinking behavior and alcohol-related problems of clients in different treatment modalities. Men in a county jail substance abuse program exhibited the highest frequency of heavy drinking and highest rates of alcohol problems; clients of methadone programs reported the lowest rates and those in therapeutic communities described intermediate rates. A series of regression analyses showed that the only significant predictors of the frequency of heavier drinking and drunkenness were drinking context and reasons for combining alcohol and drug use. In addition, age (youthfulness) was associated with the frequency of getting drunk. The most powerful predictors of alcohol-related problems were the frequency of getting drunk and drinking to enhance the effects of other drugs. Heavy drinking and drinking to prevent getting sick from drugs were also significantly associated with drinking problems. The frequency of drug use (by specific type) and most social characteristics showed no direct association with drinking patterns or problems.

Adult↗

Perceived effectiveness of community-based measures against alcohol misuse among "problem" and "nonproblem" drinkers.

Perceptions of the effectiveness of 11 measures against alcohol misuse were examined in a community survey. School-based programming was most often and increased alcohol taxation least often rated effective. Binge drinking in the past year and male gender were inversely associated with perceived effectiveness, particularly of countermeasures with direct personal impact, including stricter enforcement of laws against driving while intoxicated and increased taxation. Studies of support for alcohol control have reported similar relationships between drinking behavior and support for measures imposing personal restrictions. Perceived effectiveness and support thus appear to be related yet distinct constructs. Improved understanding of the interrelationships among perceived effectiveness, support, drinking behavior, and empirically demonstrated effectiveness of countermeasures may aid in identifying strategies which are both effective and acceptable to targeted populations.

Adult↗

Changes in family functioning during treatment and drinking outcomes for high and low autonomy alcoholics.

Alcoholics' level of autonomy was hypothesized to have a moderating effect on the relationship between changes in family functioning and subsequent drinking behavior. Functioning of families of patients in outpatient alcoholism treatment was assessed prior to the onset of treatment and again 6 months later. For alcoholics who were low in autonomy, perceptions of improvements in functioning predicted better drinking outcomes during a subsequent 6-month follow-up, while changes in family functioning were unrelated to drinking behavior in high autonomy alcoholics. The areas of family functioning in which change was a significant predictor of later drinking primarily concerned the quality of interactions between family members. Alcoholics' gender, psychiatric comorbidity, and the type of treatment they received did not moderate the relationship between changes in family functioning and drinking outcomes. Implications for the treatment of alcoholic patients and the limitations of the research are discussed.

Adolescent↗

Do quantity-frequency data underestimate drinking-related health risks?

Identifying health impairment related to ethanol consumption is one of the major objectives of public health research. The most frequently used method for assessing drinking behavior in public health surveys and related research has been estimation formulae, like the Quantity-Frequency (QF) method which derives an estimate of typical/average levels of daily consumption. In recent years, questions have arisen as to whether the QF method can accurately reflect actual drinking patterns. This study compares a QF method of assessing daily drinking behavior with a newer, more quantitative method (Time-Line, TL) of assessing daily drinking. The QF and TL methods yielded similar mean daily ethanol consumption levels; however, in contrast to the TL method, the QF method seriously masked subjects' actual drinking patterns by failing to identify certain types of ethanol consumption days, especially those thought to be associated with health risks. These findings, while provocative, were obtained with a small number of subjects (N = 40). Extrapolation to populations other than problem drinkers, while likely, awaits further empirical validation.

Adult↗

Stage of change and decisional balance for women seeking alcohol treatment.

Stage of change and decisional balance have been used to understand motivation for changes in health behavior. This study examined relationships between these constructs in a sample of 119 alcohol-dependent women presenting for alcohol treatment. Before treatment, participants completed measures of readiness to change and perceived benefits and costs of changing drinking behavior. Results showed that individuals who exhibited greater readiness to change perceived more advantages and fewer disadvantages of changing their drinking behavior. This was true for the scale scores of Precontemplation and Action on the Readiness to Change Questionnaire (RCQ), but Contemplation scale scores were unrelated to decisional balance variables. When analyzed by stage, individuals in Action reported more benefits relative to costs than individuals in Contemplation. Thus, the constructs of stage of change and decisional balance appear to be related and may prove to be useful in enhancing motivation in alcohol-dependent women.

Adolescent↗