{"title":"Opioid substitution treatment reduces substance use equivalently in patients with and without posttraumatic stress disorder.","authors":"Jodie A Trafton, Jared Minkel, Keith Humphreys","doi":"10.15288/jsa.2006.67.228","DOIUrl":"https://doi.org/10.15288/jsa.2006.67.228","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to determine whether opioid-dependent patients with diagnosed posttraumatic stress disorder (PTSD) have poorer long-term outcomes in opioid substitution treatment than do patients without PTSD.</p><p><strong>Method: </strong>This prospective observational study examined outcomes of 255 opioid-dependent patients (men = 248) entering opioid substitution treatment at eight clinics in the Veterans Health Administration (VHA). Subjects were interviewed at treatment entry, 6 months, and 1 year about substance use and related problems, health status, treatment satisfaction, and non-VHA health care utilization. Medical records were reviewed to obtain toxicology results, health care utilization data, and diagnoses. Medical record review identified a diagnosis of PTSD in 71 (28%) patients. Substance-use and mental-health outcomes and health care utilization in the first year following treatment entry were compared between patients with and without a diagnosis of PTSD.</p><p><strong>Results: </strong>Patients with and without PTSD had similar treatment responses. Although patients with PTSD had longer histories of drug use at intake, at 1-year follow-up they showed reductions in heroin, cocaine, and alcohol use, comparable to patients without the disorder. PTSD patients received higher doses of opiate medication, attended more psychosocial treatment sessions for substance-use disorder, and had better treatment retention. Psychiatric symptoms for patients with PTSD were more severe at intake and showed little improvement throughout treatment.</p><p><strong>Conclusions: </strong>Opioid substitution therapy is as effective at reducing substance use in PTSD patients as it is in patients without the disorder, but additional services are needed for treatment of psychological problems that are largely unchanged by treatment for addiction.</p>","PeriodicalId":17092,"journal":{"name":"Journal of studies on alcohol","volume":"67 2","pages":"228-35"},"PeriodicalIF":0.0,"publicationDate":"2006-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.15288/jsa.2006.67.228","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25928005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michael R Elliott, Jean T Shope, Trivellore E Raghunathan, Patricia F Waller
{"title":"Gender differences among young drivers in the association between high-risk driving and substance use/environmental influences.","authors":"Michael R Elliott, Jean T Shope, Trivellore E Raghunathan, Patricia F Waller","doi":"10.15288/jsa.2006.67.252","DOIUrl":"https://doi.org/10.15288/jsa.2006.67.252","url":null,"abstract":"<p><strong>Objective: </strong>The primary aim of this article is to assess young drivers' gender differences in the associations between substance use/environmental influences and high-risk driving behavior.</p><p><strong>Method: </strong>We determine the association of 12th-grade self-reported substance use/ environmental influences with high-risk driving behavior as quantified by the number of offenses, serious offenses, crashes, and single-vehicle crashes on state driving records during subjects' (N = 3,607; 51% male) first 4 years of licensure.</p><p><strong>Results: </strong>The associations between high-risk driving and substance use/environmental influences were generally stronger among women than among men. When matched by substance-use profiles, women had fewer risky-driving incidents than men.</p><p><strong>Conclusions: </strong>The results indicate that young women who exhibit high-risk driving behavior deviate more from the general population of young women with respect to alcohol use, alcohol misuse, and marijuana use than high-risk-driving young men differ from other young men. In addition, findings indicate that even if young men and women were to eventually have equal levels of substance use, women would likely retain their lower-risk driving profiles. These findings suggest the need for (1) future research to understand the differential associations, and (2) prevention programs that consider these gender differences.</p>","PeriodicalId":17092,"journal":{"name":"Journal of studies on alcohol","volume":"67 2","pages":"252-60"},"PeriodicalIF":0.0,"publicationDate":"2006-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.15288/jsa.2006.67.252","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25928009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Collecting data on alcohol use and alcohol-related victimization: a comparison of telephone and Web-based survey methods.","authors":"Kathleen A Parks, Ann M Pardi, Clara M Bradizza","doi":"10.15288/jsa.2006.67.318","DOIUrl":"https://doi.org/10.15288/jsa.2006.67.318","url":null,"abstract":"<p><strong>Objective: </strong>Traditionally, personal contact with an experienced interviewer has been thought to facilitate collection of data on alcohol use and victimization experiences. Recent studies indicate that Web-based surveys may be an efficient alternative for gathering these sensitive data. To date, telephone interviewing and Web-based collection of data on alcohol-related negative consequences, particularly victimization, have not been compared. This study was designed to compare data from an interviewer-administered and Web-based survey on alcohol use and alcohol-related negative consequences in a sample of college women.</p><p><strong>Method: </strong>Seven hundred women from a second semester freshmen college class were randomly selected to participate in either the telephone interview or Web-based modes of survey administration.</p><p><strong>Results: </strong>Fifty-three percent of invited women (N = 370) completed the survey. Completion rates were higher, and estimated dollar costs were significantly lower, for the Web-based survey. There were no differences in reported rates of alcohol or drug use by survey method; however, there were differences in several specific alcohol-related negative consequences.</p><p><strong>Conclusions: </strong>These findings suggest that, for college women, Web-based surveys versus telephone interviews can be an effective and more cost-efficient means for collecting data on alcohol use and related negative consequences, particularly victimization. In addition, we found some evidence that women may be more forthcoming when responding to a Web-based survey as compared with an interviewer-administered telephone survey.</p>","PeriodicalId":17092,"journal":{"name":"Journal of studies on alcohol","volume":"67 2","pages":"318-23"},"PeriodicalIF":0.0,"publicationDate":"2006-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.15288/jsa.2006.67.318","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25925131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Antonia Abbey, Christopher Saenz, Philip O Buck, Michele R Parkhill, Lenwood W Hayman
{"title":"The effects of acute alcohol consumption, cognitive reserve, partner risk, and gender on sexual decision making.","authors":"Antonia Abbey, Christopher Saenz, Philip O Buck, Michele R Parkhill, Lenwood W Hayman","doi":"10.15288/jsa.2006.67.113","DOIUrl":"https://doi.org/10.15288/jsa.2006.67.113","url":null,"abstract":"<p><strong>Objective: </strong>In past alcohol administration studies, intoxicated college students have been more willing to have unprotected sex with a hypothetical new partner than sober or placebo students. The objective of the present research was to extend past work by examining the effects of gender, cognitive reserve, and partner risk on intoxicated sexual decision making.</p><p><strong>Method: </strong>Before assigning participants (60 women and 60 men) to a drink condition, cognitive reserve was assessed with the reading subtest of the Wide Range Achievement Test 3 (WRAT3). After drinking, participants watched a video of a male and female college student in a sexual situation. There were two versions of the video that were identical, except for information that suggested the opposite-gender character had many past sexual partners or only a few.</p><p><strong>Results: </strong>There was a significant interaction between drink condition and cognitive reserve such that intoxicated participants with lower WRAT3 scores were more likely than other participants to indicate that they would have unprotected sex if they were in this situation. Partner risk did not influence participants' willingness to have unprotected sex; however, they were less interested in dating the high-risk partner.</p><p><strong>Conclusions: </strong>As expected, participants with less cognitive reserve made riskier decisions when intoxicated. Unexpectedly, although participants clearly perceived the high- and low-risk partners differently, this did not affect their willingness to have unprotected sex with this hypothetical partner. These findings demonstrate the need for sexually transmitted disease/ HIV prevention programs that go beyond factual presentations and provide students with the skills they need to assess risk realistically and the need for programs with messages tailored for individuals with low cognitive skills.</p>","PeriodicalId":17092,"journal":{"name":"Journal of studies on alcohol","volume":"67 1","pages":"113-21"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.15288/jsa.2006.67.113","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25904665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jennifer P Read, Christopher W Kahler, David R Strong, Craig R Colder
{"title":"Development and preliminary validation of the young adult alcohol consequences questionnaire.","authors":"Jennifer P Read, Christopher W Kahler, David R Strong, Craig R Colder","doi":"10.15288/jsa.2006.67.169","DOIUrl":"https://doi.org/10.15288/jsa.2006.67.169","url":null,"abstract":"<p><strong>Objective: </strong>A substantial proportion of U.S. college students drink alcoholic beverages and report significant deleterious effects. The present study describes the development and initial validation of a measure designed to capture a broad range of alcohol-related consequences experienced by male and female college students.</p><p><strong>Method: </strong>College students (N=340, 176 women) completed a self-report questionnaire battery consisting of information about demographic characteristics, drinking behaviors, and drinking consequences. Drinking consequences were assessed with a composite measure based on the Drinker Inventory of Consequences, the Young Adult Alcohol Problem Screening Test (YAAPST) and items developed by the researchers. To assess concurrent validity, a subset of the total sample (n=126) also completed the Rutgers Alcohol Problem Index (RAPI).</p><p><strong>Results: </strong>Confirmatory factor analyses supported an eight-factor solution (Social-Interpersonal Consequences, Impaired Control, Self-Perception, Self-Care, Risk Behaviors, Academic/Occupational Consequences, Physical Dependence, and Blackout Drinking), with all factors loading on a single, higher-order factor. YAACQ total scores correlated with alcohol quantity and frequency, and the RAPI. Gender comparisons suggest that the YAACQ assesses constructs of interest equally well for women and men.</p><p><strong>Conclusions: </strong>These results offer preliminary support for this measure. Research and clinical applications include the potential to predict future problems by specific type of consequence and to offer detailed feedback about drinking consequences to students as part of a preventive intervention. As such, the YAACQ may serve as an aid in both the description of and intervention for heavy drinking in college.</p>","PeriodicalId":17092,"journal":{"name":"Journal of studies on alcohol","volume":"67 1","pages":"169-77"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.15288/jsa.2006.67.169","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25905130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
James D Sargent, Thomas A Wills, Mike Stoolmiller, Jennifer Gibson, Frederick X Gibbons
{"title":"Alcohol use in motion pictures and its relation with early-onset teen drinking.","authors":"James D Sargent, Thomas A Wills, Mike Stoolmiller, Jennifer Gibson, Frederick X Gibbons","doi":"10.15288/jsa.2006.67.54","DOIUrl":"https://doi.org/10.15288/jsa.2006.67.54","url":null,"abstract":"<p><strong>Objective: </strong>Little is known about the impact of viewing depictions of alcohol in entertainment media on adolescent drinking behavior. Our aims were to assess drinking in a sample of popular contemporary movies and to examine the association of movie alcohol exposure with early-onset drinking in an adolescent sample.</p><p><strong>Method: </strong>We conducted a school-based cross-sectional survey (N=4655) with longitudinal follow-up of never-drinkers (N=2406) involving adolescents ages 10-14 years and recruited from 15 New Hampshire and Vermont schools. Screen depictions of alcohol use were timed for each of 601 popular contemporary movies. Each adolescent was asked if he/she had seen a unique list of 50 movie titles, randomly selected from the larger pool. Movie alcohol use was summed for movies the adolescent had seen, adjusted to reflect exposure to the larger pool and modeled as a continuous variable.</p><p><strong>Results: </strong>Ninety-two percent of the movies in the sample depicted drinking; median screen time for movie alcohol use was 2.5 minutes (interquartile range [IQR]: 0.9-5.0 minutes). Median exposure to movie alcohol use from the 601 movies was 8.6 hours (IQR: 4.6-13.5 hours). Overall 23.1% of the cross-sectional sample had tried alcohol, and 14.8% of initial nondrinkers had tried alcohol at the follow-up assessment. We found statistical evidence to support a curvilinear association between higher exposure to movie alcohol use and increased risk of prevalent and incident alcohol use, with a statistically significant linear and quadratic effect, and suggesting a higher dose-effect relationship at lower movie alcohol exposure levels compared to higher levels. The linear and the quadratic associations remained strong and significant in cross-sectional and prospective models after controlling for sociodemographics (grade in school, school, gender, parent education), personality characteristics of the adolescent (sensation seeking, rebelliousness, self-esteem), school performance, parenting style, and smoking experimentation, suggesting that exposure to movie alcohol use is an independent risk factor for early-onset alcohol use.</p><p><strong>Conclusions: </strong>This study provides the first evidence for an association between exposure to movie alcohol use and early-onset teen drinking. The association is moderate in effect size and independent of a number of potential confounders. Because exposure to movie alcohol use is common, it may have important population implications as a potentially modifiable risk factor.</p>","PeriodicalId":17092,"journal":{"name":"Journal of studies on alcohol","volume":"67 1","pages":"54-65"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.15288/jsa.2006.67.54","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25905268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Richard Jessor, Frances M Costa, Patrick M Krueger, Mark S Turbin
{"title":"A developmental study of heavy episodic drinking among college students: the role of psychosocial and behavioral protective and risk factors.","authors":"Richard Jessor, Frances M Costa, Patrick M Krueger, Mark S Turbin","doi":"10.15288/jsa.2006.67.86","DOIUrl":"https://doi.org/10.15288/jsa.2006.67.86","url":null,"abstract":"<p><strong>Objective: </strong>A theory-based protection/risk model was applied to explain variation in college students' heavy episodic drinking. Key aims were (1) to establish that psychosocial and behavioral protective factors and risk factors can account for cross-sectional and developmental variation in heavy episodic drinking, and (2) to examine whether protection moderates the impact of risk on heavy episodic drinking.</p><p><strong>Method: </strong>Random- and fixed-effects maximum likelihood regression analyses were used to examine data from a three-wave longitudinal study. Data were collected in fall of 2002, spring of 2003, and spring of 2004 from college students (N=975; 548 men) who were first-semester freshmen at Wave 1.</p><p><strong>Results: </strong>Psychosocial and behavioral protective and risk factors accounted for substantial variation in college-student heavy episodic drinking, and protection moderated the impact of risk. Findings held for both genders and were consistent across the three separate waves of data. Key predictors of heavy episodic drinking were social and individual controls protection (e.g., parental sanctions for transgression and attitudinal intolerance of deviance, respectively); models risk (peer models for substance use); behavioral protection (attendance at religious services); and behavioral risk (cigarette smoking and marijuana use). Changes in controls protection, models risk, and opportunity risk were associated with change in heavy episodic drinking.</p><p><strong>Conclusions: </strong>An explanatory model based on both psychosocial and behavioral protective and risk factors was effective in accounting for variation in college-student heavy episodic drinking. A useful heuristic was demonstrated through the articulation of models, controls, support, opportunity, and vulnerability to characterize the social context, and of controls, vulnerability, and other behaviors to characterize individuals.</p>","PeriodicalId":17092,"journal":{"name":"Journal of studies on alcohol","volume":"67 1","pages":"86-94"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.15288/jsa.2006.67.86","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25905271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Predictors of abstinence and nonproblem drinking after 12-step treatment in Sweden.","authors":"Maria C Bodin, Anders Romelsjö","doi":"10.15288/jsa.2006.67.139","DOIUrl":"https://doi.org/10.15288/jsa.2006.67.139","url":null,"abstract":"<p><strong>Objective: </strong>The aims of this study were to identify individual predictors of 12 months continuous abstinence and nonproblem drinking after Swedish inpatient Minnesota Model treatment and to evaluate the outcome variance explained by pretreatment, within-treatment, and posttreatment factors for each outcome, separately and in conjunction.</p><p><strong>Method: </strong>One-hundred and twenty-nine men and 47 women were interviewed on admission to Swedish Minnesota Model treatment and after 12 months. Two interviewers who were not involved in treatment delivery performed structured interviews. Statistical analyses included bivariate and multivariate logistic regression models applied to pair-wise contrasts of three types of treatment outcome.</p><p><strong>Results: </strong>The final multivariate models for the three pair-wise contrasts explained 71% (abstinence vs problem drinking), 44% (nonproblem drinking vs problem drinking), and 25% (abstinence vs. nonproblem drinking) of outcome variance. Abstention and nonproblem drinking were both differentiated from problem drinking by the completion of aftercare, satisfaction with treatment, and number of public addiction care contacts. When contrasted with nonproblem drinking, abstention was predicted by the endorsement of a baseline goal to stop drinking and a higher degree of posttreatment affiliation with mutual-help groups.</p><p><strong>Conclusions: </strong>Results from this study support the fact that treatment is only one of many factors that contributes to an outcome and suggests issues that may need consideration in similar treatment settings.</p>","PeriodicalId":17092,"journal":{"name":"Journal of studies on alcohol","volume":"67 1","pages":"139-46"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.15288/jsa.2006.67.139","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25904668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Preliminary data on the association among the serotonin transporter polymorphism, subjective alcohol experiences, and drinking behavior.","authors":"William R Corbin, Kim Fromme, Susan E Bergeson","doi":"10.15288/jsa.2006.67.5","DOIUrl":"https://doi.org/10.15288/jsa.2006.67.5","url":null,"abstract":"<p><strong>Objective: </strong>Individual differences in subjective responses to alcohol are believed to have a genetic basis and have been associated with increased risk of alcohol-related problems. There are, however, conflicting results from past studies, perhaps owing to differences in subjective alcohol effects by limb of the blood alcohol curve and the passage of time. The current pilot study evaluated relations among serotonin transporter (SERT) genotype, subjective alcohol responses, and drinking behavior across both the ascending and descending limbs of the blood alcohol curve.</p><p><strong>Method: </strong>Participants (N=222; 68% male) were administered alcohol (target blood alcohol concentration of .06%) with a subsample (n=86) providing genetic data. Following a social stressor, participants were provided the opportunity to engage in ad libitum alcohol consumption.</p><p><strong>Results: </strong>SERT transporter was not significantly associated with ad lib drinking or subjective alcohol effects at individual time points, although a trend toward a SERT by blood alcohol concentration limb interaction was observed for ad lib drinking. In addition, SERT genotype predicted acute tolerance to alcohol effects, with participants homozygous for the long SERT allele developing acute tolerance more rapidly than other genotypes.</p><p><strong>Conclusions: </strong>Although SERT genotype was not reliably associated with ad lib drinking behavior, the results suggest that individuals with the long-long (LL) genotype may develop acute tolerance to alcohol effects more rapidly than heterozygotes or individuals homozygous for the short SERT allele.</p>","PeriodicalId":17092,"journal":{"name":"Journal of studies on alcohol","volume":"67 1","pages":"5-13"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.15288/jsa.2006.67.5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25905343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Readiness to change, norms, and self-efficacy among heavy-drinking college students.","authors":"Hyunyi Cho","doi":"10.15288/jsa.2006.67.131","DOIUrl":"https://doi.org/10.15288/jsa.2006.67.131","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to investigate the association between the readiness to change of college heavy drinkers and their normative and self-efficacy beliefs.</p><p><strong>Method: </strong>A multiple regression method analyzed the association in a heavy-drinker subsample (n=306; men = 53.3%) drawn from a survey of a convenience sample of college students in two large-size midwestern universities.</p><p><strong>Results: </strong>Precontemplation was most strongly associated with the descriptive and injunctive norms of campus peers as well as friends. Contemplation was significantly associated with descriptive and injunctive norms of friends. The size of association between readiness and normative beliefs decreased as the readiness progressed. Both precontemplation and contemplation were negatively associated with self-efficacy.</p><p><strong>Conclusions: </strong>Differences in readiness to change are related to different normative and self-efficacy beliefs to different degrees. Incorporating these differences could improve the effectiveness of future interventions. In particular, addressing friends' norms in addition to campus norms could help increase self-efficacy and facilitate the behavioral change process of college heavy drinkers.</p>","PeriodicalId":17092,"journal":{"name":"Journal of studies on alcohol","volume":"67 1","pages":"131-8"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.15288/jsa.2006.67.131","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25904667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}