Christopher W Kahler, John F Kelly, David R Strong, Gregory L Stuart, Richard A Brown
{"title":"Development and initial validation of a 12-step participation expectancies questionnaire.","authors":"Christopher W Kahler, John F Kelly, David R Strong, Gregory L Stuart, Richard A Brown","doi":"10.15288/jsa.2006.67.538","DOIUrl":"https://doi.org/10.15288/jsa.2006.67.538","url":null,"abstract":"<p><strong>Objective: </strong>There are no available instruments that assess expectancies for participation in 12-step mutual-help groups despite the impact such expectancies may have on actual participation. The purpose of the present study was to develop a measure of attitudes and expectancies regarding 12-step participation, to conduct preliminary analyses on its psychometric properties, and to explore its concurrent and predictive validity.</p><p><strong>Method: </strong>Alcohol-dependent patients (N=48) undergoing inpatient detoxification completed a questionnaire that included subscales assessing expected benefits of, concerns about, and barriers to 12-step participation. Participants also completed measures of 12-step group participation and drinking outcomes at 1, 3, and 6 months following discharge.</p><p><strong>Results: </strong>After examining the internal consistency of the items within each subscale and refining the questionnaire accordingly, an exploratory factor analysis showed that the scales could be combined into a higher-order total score. This total score correlated significantly with prior 12-step experience and goals for attending future 12-step meetings. In addition, the Expectancies Total Score at baseline significantly predicted 12-step group participation during follow-up.</p><p><strong>Conclusions: </strong>The measure of attitudes and expectancies regarding 12-step group participation demonstrated good internal consistency, concurrent validity, and predictive validity. The measure may have clinical utility in highlighting patients' expectancies regarding 12-step participation, allowing treatment providers to explore with patients the benefits, concerns, and barriers to involvement that they have endorsed.</p>","PeriodicalId":17092,"journal":{"name":"Journal of studies on alcohol","volume":"67 4","pages":"538-42"},"PeriodicalIF":0.0,"publicationDate":"2006-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.15288/jsa.2006.67.538","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26053736","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":"Self-efficacy and alcohol relapse: concurrent validity of confidence measures, self-other discrepancies, and prediction of treatment outcome.","authors":"Ralf Demmel, Jennifer Nicolai, Dagmar Maria Jenko","doi":"10.15288/jsa.2006.67.637","DOIUrl":"https://doi.org/10.15288/jsa.2006.67.637","url":null,"abstract":"<p><strong>Objective: </strong>Self-efficacy has been shown to predict relapse following treatment for alcohol dependence. Most studies use comprehensive multi-item scales to assess clients' confidence. The development and validation of simple measures may encourage both clinicians and researchers to assess self-efficacy more frequently over the course of treatment. However, the validity of both comprehensive and single-item measures is likely to be threatened by deliberate impression management and self-deception, respectively.</p><p><strong>Method: </strong>One hundred and forty-two alcohol-dependent inpatients completed a shortened unidimensional version of the Drug Taking Confidence Questionnaire and a brief questionnaire on background variables and alcohol use. Additionally, clients' confidence and beliefs about the success of others were assessed using various single-item rating scales. Treatment outcome was evaluated 12 weeks following discharge.</p><p><strong>Results: </strong>Correlations between confidence measures ranged from r=.21 to r=.56. Abstainers (n=54) differed from relapsers (n=88) with respect to age, marital status, abstinence self-efficacy, and abstinence other-efficacy. Although self-efficacy was not related to treatment outcome, clients' beliefs about the success of others predicted posttreatment drinking behavior.</p><p><strong>Conclusions: </strong>The present findings suggest that other-efficacy beliefs may reflect an individual's true expectations more accurately than explicit measures of self-efficacy. The predictive validity of self-efficacy measures is likely to be limited because of a positive response bias.</p>","PeriodicalId":17092,"journal":{"name":"Journal of studies on alcohol","volume":"67 4","pages":"637-41"},"PeriodicalIF":0.0,"publicationDate":"2006-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.15288/jsa.2006.67.637","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26055941","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}
Ted R Miller, David T Levy, Rebecca S Spicer, Dexter M Taylor
{"title":"Societal costs of underage drinking.","authors":"Ted R Miller, David T Levy, Rebecca S Spicer, Dexter M Taylor","doi":"10.15288/jsa.2006.67.519","DOIUrl":"https://doi.org/10.15288/jsa.2006.67.519","url":null,"abstract":"<p><strong>Objective: </strong>Despite minimum-purchase-age laws, young people regularly drink alcohol. This study estimated the magnitude and costs of problems resulting from underage drinking by category-traffic crashes, violence, property crime, suicide, burns, drownings, fetal alcohol syndrome, high-risk sex, poisonings, psychoses, and dependency treatment-and compared those costs with associated alcohol sales. Previous studies did not break out costs of alcohol problems by age.</p><p><strong>Method: </strong>For each category of alcohol-related problems, we estimated fatal and nonfatal cases attributable to underage alcohol use. We multiplied alcohol-attributable cases by estimated costs per case to obtain total costs for each problem.</p><p><strong>Results: </strong>Underage drinking accounted for at least 16% of alcohol sales in 2001. It led to 3,170 deaths and 2.6 million other harmful events. The estimated $61.9 billion bill (relative SE = 18.5%) included $5.4 billion in medical costs, $14.9 billion in work loss and other resource costs, and $41.6 billion in lost quality of life. Quality-of-life costs, which accounted for 67% of total costs, required challenging indirect measurement. Alcohol-attributable violence and traffic crashes dominated the costs. Leaving aside quality of life, the societal harm of $1 per drink consumed by an underage drinker exceeded the average purchase price of $0.90 or the associated $0.10 in tax revenues.</p><p><strong>Conclusions: </strong>Recent attention has focused on problems resulting from youth use of illicit drugs and tobacco. In light of the associated substantial injuries, deaths, and high costs to society, youth drinking behaviors merit the same kind of serious attention.</p>","PeriodicalId":17092,"journal":{"name":"Journal of studies on alcohol","volume":"67 4","pages":"519-28"},"PeriodicalIF":0.0,"publicationDate":"2006-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.15288/jsa.2006.67.519","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26053735","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}
Stephen L Benton, Sherry A Benton, Ronald G Downey
{"title":"College student drinking, attitudes toward risks, and drinking consequences.","authors":"Stephen L Benton, Sherry A Benton, Ronald G Downey","doi":"10.15288/jsa.2006.67.543","DOIUrl":"https://doi.org/10.15288/jsa.2006.67.543","url":null,"abstract":"<p><strong>Objective: </strong>This study examined whether college students' attitudes toward risks explain significant variance in drinking consequences beyond gender, alcohol use, and self-protective strategies.</p><p><strong>Method: </strong>A derivation sample (N=276; 52% women) and a replication sample (N=216; 52% women) of undergraduate students completed the Campus Alcohol Survey (CAS) and the Attitudes Toward Risks Scale (ATRS).</p><p><strong>Results: </strong>Scores on the ATRS correlated positively with students' self-reported typical number of drinks and negative drinking consequences (p<.001). Hierarchical regression analyses indicated that ATRS scores explained significant variance in negative drinking consequences beyond college students' gender, typical number of drinks, and use of protective strategies (p<.001). Furthermore, a significant Drinks x ATRS interaction revealed that heavy-drinking students who scored high on the ATRS experienced the most harm from drinking (p<.01). Students with high-risk attitudes showed a stronger link between typical number of drinks and negative drinking consequences.</p><p><strong>Conclusions: </strong>Even when controlling for students' gender, alcohol use, and protective strategies, college students' attitudes toward risks explain significant variance in drinking consequences.</p>","PeriodicalId":17092,"journal":{"name":"Journal of studies on alcohol","volume":"67 4","pages":"543-51"},"PeriodicalIF":0.0,"publicationDate":"2006-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.15288/jsa.2006.67.543","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26053738","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}
Brenda M Booth, Carl Leukefeld, Russel Falck, Jichuan Wang, Robert Carlson
{"title":"Correlates of rural methamphetamine and cocaine users: results from a multistate community study.","authors":"Brenda M Booth, Carl Leukefeld, Russel Falck, Jichuan Wang, Robert Carlson","doi":"10.15288/jsa.2006.67.493","DOIUrl":"https://doi.org/10.15288/jsa.2006.67.493","url":null,"abstract":"<p><strong>Objective: </strong>Use and production of methamphetamine (MA) has dramatically increased in the United States, especially in rural areas, with concomitant burdens on the treatment and criminal justice systems. However, cocaine is also widely used in many rural areas. The purpose of this article is to contrast MA and cocaine users in three geographically distinct rural areas of the United States.</p><p><strong>Method: </strong>Participants were recent not-in-treatment adult cocaine and MA users living in rural Ohio, Arkansas, and Kentucky, who were recruited by a referral recruitment method for sampling hidden community populations. Participants were interviewed for demographics, drug and alcohol use, criminal justice involvement, and psychological distress (Brief Symptom Inventory).</p><p><strong>Results: </strong>The sample of 706 comprised 29% nonwhite and 38% female participants; the average age was 32.6 years; 58% had a high school education or higher, and 32% were employed. In the past 6 months, they had used either MA only (13%), cocaine only (52%), or both (35%). MA users were seldom (8.2%) nonwhite, but type of stimulant use did not vary by gender. Combined MA/cocaine users reported significantly greater use of alcohol and other drugs, including marijuana and nonprescribed opiates and tranquilizers, and reported significantly higher psychological distress. MA users (with or without cocaine use) had greater odds of recent criminal justice involvement compared with cocaine-only users.</p><p><strong>Conclusions: </strong>There is a clear need for accessible substance-use treatment and prevention services in rural areas of the United States, including services that can address MA, cocaine, polydrug use, and mental health needs. There is a particular need of these services for polydrug users.</p>","PeriodicalId":17092,"journal":{"name":"Journal of studies on alcohol","volume":"67 4","pages":"493-501"},"PeriodicalIF":0.0,"publicationDate":"2006-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.15288/jsa.2006.67.493","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26054311","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}
Robert E Mann, Rosely Flam Zalcman, Reginald G Smart, Brian R Rush, Helen Suurvali
{"title":"Alcohol consumption, alcoholics anonymous membership, and suicide mortality rates, Ontario, 1968-1991.","authors":"Robert E Mann, Rosely Flam Zalcman, Reginald G Smart, Brian R Rush, Helen Suurvali","doi":"10.15288/jsa.2006.67.445","DOIUrl":"https://doi.org/10.15288/jsa.2006.67.445","url":null,"abstract":"<p><strong>Objective: </strong>The goal of this study is to identify alcohol-related factors that influence mortality rates from suicide. Specifically, we examine the impact of per capita consumption of total alcohol, distilled spirits, and beer and wine; unemployment rate; and Alcoholics Anonymous (AA) membership rate on total and male and female suicide mortality rates in Ontario between 1968 and 1991.</p><p><strong>Method: </strong>We studied the impact of alcohol consumption levels, AA membership rates, and unemployment rates on suicide mortality rates in Ontario from 1968 to 1991. Time series analyses with Auto Regressive Integrated Moving Average (ARIMA) modeling were applied to total and male and female suicide rates. The analyses performed included total alcohol consumption, distilled spirits consumption, beer consumption, and wine consumption. Missing AA membership data were interpolated with cubic splines.</p><p><strong>Results: </strong>Total alcohol consumption and consumption of each of beer, distilled spirits, and wine were significantly and positively related to total and female suicide mortality rates. AA membership rates were negatively related to total and female suicide rates. Although data for males did not reach significance (except for the relationship between wine consumption and suicide rate), the direction of effects was consistent with that observed for female and total suicide rates. Unemployment rates were positively related to male and total suicide rates in some models.</p><p><strong>Conclusions: </strong>These data confirm the important relationships between per capita consumption measures and suicide mortality rates seen by previous investigators. Additionally, the results for AA membership rates are consistent with the hypothesis that AA membership and treatment for misuse of alcohol can exert beneficial effects observable at the population level.</p>","PeriodicalId":17092,"journal":{"name":"Journal of studies on alcohol","volume":"67 3","pages":"445-53"},"PeriodicalIF":0.0,"publicationDate":"2006-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.15288/jsa.2006.67.445","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25967972","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":"Alcohol policy in Latin America.","authors":"Maristela G Monteiro","doi":"10.15288/jsa.2006.67.484","DOIUrl":"https://doi.org/10.15288/jsa.2006.67.484","url":null,"abstract":"","PeriodicalId":17092,"journal":{"name":"Journal of studies on alcohol","volume":"67 3","pages":"484-5"},"PeriodicalIF":0.0,"publicationDate":"2006-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.15288/jsa.2006.67.484","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25994458","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}
Sarah Q Duffy, Alexander J Cowell, Carol Lederhaus Council, Weihua Shi
{"title":"Formal treatment, self-help, or no treatment for alcohol-use disorders? Evidence from the National Household Survey on Drug Abuse.","authors":"Sarah Q Duffy, Alexander J Cowell, Carol Lederhaus Council, Weihua Shi","doi":"10.15288/jsa.2006.67.363","DOIUrl":"https://doi.org/10.15288/jsa.2006.67.363","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to examine further alcohol treatment choice by using data from a nationally representative sample of adults with alcohol-use disorders to test which of three models-sequential, multinomial, or nested best fit the data. The goals were to provide evidence about how this choice was made and to provide improved coefficient estimates, as well as to inform future analyses of treatment choice.</p><p><strong>Method: </strong>Data from the 2000 National Household Survey of Drug Abuse include respondents ages 18-64 reporting symptoms consistent with Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) diagnoses of alcohol abuse or dependence. A nested multinomial framework is used to determine the preferred model and to estimate the effect of respondents' characteristics on the decisions to receive help and what kind of help to receive.</p><p><strong>Results: </strong>A sequential model, in which the choice of whether to receive help is unaffected by the level of satisfaction afforded by the alternatives, best fit the data. Older respondents had higher odds of both receiving help and choosing self-help, and those with a DSM-IV diagnosis of abuse had lower odds of receiving help but higher odds of entering self-help.</p><p><strong>Conclusions: </strong>The decision to receive help for alcohol problems appears unaffected by the perceived differences between these two broad categories of alternatives: self-help or formal treatment. This result may indicate the need to provide more information on the full range of treatment options to those for whom self-help may not be sufficient.</p>","PeriodicalId":17092,"journal":{"name":"Journal of studies on alcohol","volume":"67 3","pages":"363-72"},"PeriodicalIF":0.0,"publicationDate":"2006-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.15288/jsa.2006.67.363","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25968695","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}
Susan E Luczak, Shoshana H Shea, Annie C Hsueh, Jenss Chang, Lucinda G Carr, Tamara L Wall
{"title":"ALDH2*2 is associated with a decreased likelihood of alcohol-induced blackouts in Asian American college students.","authors":"Susan E Luczak, Shoshana H Shea, Annie C Hsueh, Jenss Chang, Lucinda G Carr, Tamara L Wall","doi":"10.15288/jsa.2006.67.349","DOIUrl":"https://doi.org/10.15288/jsa.2006.67.349","url":null,"abstract":"<p><strong>Objective: </strong>A recent report found the heritability estimate for alcohol-induced blackouts was 53%. The present study was designed to determine whether possession of two specific genetic variations, an aldehyde dehydrogenase ALDH2*2 allele and an alcohol dehydrogenase ADHIB*2 allele, were associated with lower rates of lifetime blackouts.</p><p><strong>Method: </strong>Asian American college students (N=403) of Chinese and Korean descent were genotyped at the ALDH2 and ADHIB loci and assessed for lifetime alcohol-induced blackouts and the maximum number of drinks ever consumed in a 24-hour period.</p><p><strong>Results: </strong>Participants who had an ALDH2*2 allele had approximately one third the risk of having a lifetime blackout of participants without this allele. Rates of experiencing a lifetime blackout did not significantly differ by ADHIB*2 status. Possessing an ALDH2*2 allele was associated with decreased risk of lifetime blackouts even after controlling for maximum number of drinks ever consumed in a 24-hour period and ethnicity.</p><p><strong>Conclusions: </strong>These findings suggest the protective effects of possessing an ALDH2*2 allele include a lowered risk of experiencing alcohol-induced blackouts.</p>","PeriodicalId":17092,"journal":{"name":"Journal of studies on alcohol","volume":"67 3","pages":"349-53"},"PeriodicalIF":0.0,"publicationDate":"2006-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.15288/jsa.2006.67.349","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25968693","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}
Sarah B Hunter, Eunice Wong, Chris M Beighley, Andrew R Morral
{"title":"Acculturation and driving under the influence: a study of repeat offenders.","authors":"Sarah B Hunter, Eunice Wong, Chris M Beighley, Andrew R Morral","doi":"10.15288/jsa.2006.67.458","DOIUrl":"https://doi.org/10.15288/jsa.2006.67.458","url":null,"abstract":"<p><strong>Objective: </strong>In California, driving under the influence (DUI) arrest and conviction rates are disproportionately higher among the Hispanic population. Acculturation and other factors associated with drinking and driving may help explain this disparity.</p><p><strong>Method: </strong>Interviews with Hispanic repeat DUI offenders were conducted immediately prior to sentencing and 2 years later. Arrest records from these offenders were also examined. Analyses were performed to examine the association between acculturation and other sociodemographic characteristics at baseline with DUI arrests and convictions at a 2-year follow-up.</p><p><strong>Results: </strong>Logistic regression modeling showed that acculturation was significantly related to self-reported DUI recidivism even after controlling for other factors associated with DUI convictions during a 2-year follow-up. Acculturation was not found to have a statistically significant relation to DUI arrest rates during that same period.</p><p><strong>Conclusions: </strong>Among a Hispanic sample of repeat DUI offenders, the less-acculturated members were more likely to report a repeat DUI conviction at 2-year follow-up than the more-acculturated ones, even after controlling for other characteristics associated with DUI behaviors, such as drinking severity and marital status. The same pattern was not found between acculturation and arrest rates. Acculturation may serve as a risk factor for repeat convictions. Efforts to reduce multiple DUI convictions may need to consist of ways to target persons who are less acculturated.</p>","PeriodicalId":17092,"journal":{"name":"Journal of studies on alcohol","volume":"67 3","pages":"458-64"},"PeriodicalIF":0.0,"publicationDate":"2006-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.15288/jsa.2006.67.458","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25967974","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}