Symptoms of Alcohol Dependence Predict Suicide Ideation Among Alaskan Undergraduates

Crisis ◽  
2016 ◽  
Vol 37 (3) ◽  
pp. 232-235 ◽  
Author(s):  
Christopher R. DeCou ◽  
Monica C. Skewes

Abstract. Background: Previous research has demonstrated an association between alcohol-related problems and suicidal ideation (SI). Aims: The present study evaluated, simultaneously, alcohol consequences and symptoms of alcohol dependence as predictors of SI after adjusting for depressive symptoms and alcohol consumption. Method: A sample of 298 Alaskan undergraduates completed survey measures, including the Young Adult Alcohol Consequences Questionnaire, the Short Alcohol Dependence Data Questionnaire, and the Beck Depression Inventory – II. The association between alcohol problems and SI status was evaluated using sequential logistic regression. Results: Symptoms of alcohol dependence (OR = 1.88, p < .05), but not alcohol-related consequences (OR = 1.01, p = .95), emerged as an independent predictor of SI status above and beyond depressive symptoms (OR = 2.39, p < .001) and alcohol consumption (OR = 1.08, p = .39). Conclusion: Alcohol dependence symptoms represented a unique risk for SI relative to alcohol-related consequences and alcohol consumption. Future research should examine the causal mechanism behind the relationship between alcohol dependence and suicidality among university students. Assessing the presence of dependence symptoms may improve the accuracy of identifying students at risk of SI.

Author(s):  
Kortney Floyd James ◽  
Dawn M. Aycock ◽  
Jennifer L. Barkin ◽  
Kimberly A. Hires

Background: This study examined the relationship between racial identity clusters and postpartum depressive symptoms (PPDS) in Black postpartum mothers living in Georgia. Aims: A cross-sectional study design using Cross’s nigrescence theory as a framework was used to explore the relationship between Black racial identity and PPDS. Method: Black mothers were administered online questionnaires via Qualtrics. A total sample of 116 self-identified Black mothers were enrolled in the study. Participants ranged in age from 18 to 41 years ( M = 29.5 ± 5.3) and their infants were 1 to 12 months old ( M = 5.6 ± 3.5). The majority of mothers were married or cohabitating with their partner (71%), had a college degree (53%), and worked full-time (57%). Results: Hierarchical cluster analysis identified six racial identity clusters within the sample: Assimilated and Miseducated, Self-Hating, Anti-White, Multiculturalist, Low Race Salience, and Conflicted. A Kruskal-Wallis H test determined there was no difference in PPDS scores between racial identity clusters. Conclusion: This study is the first to explore the relationship between Black racial identity clusters of postpartum mothers and their mental health. Findings emphasize the complexity of Black racial identity and suggest that the current assessment tools may not adequately detect PPDS in Black mothers. The implications for these findings in nursing practice and future research are discussed.


2017 ◽  
Vol 24 (4) ◽  
pp. 401-420 ◽  
Author(s):  
Ellen E. Haynes ◽  
Catherine V. Strauss ◽  
Gregory L. Stuart ◽  
Ryan C. Shorey

The present study sought to examine whether drinking motives (i.e., coping, social, conformity, and enhancement) moderated the relationship between physical, sexual, and psychological dating violence victimization and alcohol-related problems in a sample of drinking college women ( N = 177). Results demonstrated that coping and social drinking motives moderated the relationship between sexual victimization and alcohol problems; conformity, social, and enhancement drinking motives moderated the relationship between alcohol-related problems and physical victimization; no significant findings were evident for psychological aggression victimization. Our results partially support the self-medication model of alcohol use, and this may be particularly relevant to sexual victimization.


2014 ◽  
Vol 0 (0) ◽  
Author(s):  
Christer Hyggen ◽  
Torild Hammer

AbstractAIMS – The transition from youth to adulthood is associated with changes in the consumption of drugs and alcohol. The aim is to explore the process of “maturing out” of high levels of alcohol consumption, substance use and alcohol related problems from youth to adulthood. We are particularly interested in the relationship between the use of cannabis and alcohol consumption in relation to indicators of adult roles and responsibilities and alcohol-related problems over the life-course. METHODS – We used data from the longitudinal panel survey Arbeid, Livsstil og Helse (ALH). The data contains information on alcohol and drug consumption, alcohol related problems and a range of indicators of adulthood like marriage and parenthood from surveys repeated in 1985, 1987, 1989, 1993, 2003 and 2010. The sample was nationally representative for the cohorts born 1965–1968 and thus contains individual histories from youth (17–20 years) to adulthood (42–45 years) with response rates ranging from 80% in 1985 to 53% in 2010 (total n=1997). RESULTS – Alcohol consumption is found to be substantially higher among users of cannabis than among non-users throughout the period from youth to adulthood. The use of cannabis, the level of alcohol consumption and probability of experiencing alcohol related problems decrease as the cohorts grow older. Alcohol related problems are still associated with the level of involvement with cannabis: those with a current or previous involvement with cannabis report more alcohol related problems. Taking into account the decreasing trend of alcohol related problems with age we find that becoming a parent and/ or getting married reduces the risk of experiencing such problems.


2021 ◽  
Vol 12 ◽  
Author(s):  
Brandon L. Boring ◽  
Kaitlyn T. Walsh ◽  
Namrata Nanavaty ◽  
Vani A. Mathur

The experience of pain is subjective, yet many people have their pain invalidated or not believed. Pain invalidation is associated with poor mental health, including depression and lower well-being. Qualitative investigations of invalidating experiences identify themes of depression, but also social withdrawal, self-criticism, and lower self-worth, all of which are core components of shame. Despite this, no studies have quantitatively assessed the interrelationship between pain invalidation, shame, and depression. To explore this relationship, participants recounted the frequency of experienced pain invalidation from family, friends, and medical professionals, as well as their feelings of internalized shame and depressive symptoms. As shame has been shown to be a precursor for depression, we further explored the role of shame as a mediator between pain invalidation and depressive symptoms. All sources of pain invalidation were positively associated with shame and depressive symptoms, and shame fully mediated the relationship between each source of pain invalidation and depression. Relative to other sources, pain invalidation from family was most closely tied to shame and depression. Overall, findings indicate that one mechanism by which pain invalidation may facilitate depression is via the experience of shame. Future research may explore shame as a potential upstream precursor to depression in the context of pain. Findings provide more insight into the harmful influence of pain invalidation on mental health and highlight the impact of interpersonal treatment on the experiences of people in pain.


Author(s):  
Lorraine R. Reitzel ◽  
Surya Chinamuthevi ◽  
Sajeevika S. Daundasekara ◽  
Daphne C. Hernandez ◽  
Tzu-An Chen ◽  
...  

Food insecurity results from unreliable access to affordable and nutritious food. Homeless adults are particularly vulnerable to both food insecurity and problematic alcohol use. The current study examined the link between problematic alcohol use and food insecurity among homeless adults. Participants (N = 528; 62.7% men; Mage = 43.6 ± 12.2) were recruited from homeless-serving agencies in Oklahoma City. Problematic alcohol use was measured using the Alcohol Quantity and Frequency Questionnaire and the Patient Health Questionnaire. The latter used DSM-IV diagnostic criteria to assess probable alcohol use dependence/abuse. Heavy drinking was considered >7 drinks (women) and >14 drinks (men) per week. Food insecurity was measured with the USDA Food Security Scale-Short Form. The link between alcohol problems and food insecurity was examined with logistic regression analyses controlling for sex, age, education, income, and months homeless. Overall, 28.4% of the sample had probable alcohol dependence, 25% were heavy drinkers, and 78.4% were food insecure. Probable alcohol dependence and heavy drinking were correlated at 0.53 (p < 0.001). Results indicated that heavy drinking (OR = 2.12, CI.95 = 1.21, 3.73) and probable alcohol dependence/abuse (OR = 2.72, CI.95 = 1.55, 4.77) were each associated with increased odds of food insecurity. Food insecurity and problematic alcohol use are major issues among homeless populations; this study suggests they are associated. Future research is needed to shed light on potential causal mechanisms and on whether alcohol may take precedence over eating or food purchases.


2003 ◽  
Vol 20 (2-3) ◽  
pp. 101-111
Author(s):  
Anders Romelsjö ◽  
Robin Room ◽  
Elisabeth Ellström

Several studies have been done on the prevalence of the alcohol dependence syndrome, while other studies have focused on whether the dependence syndrome can be seen as a unity, or not. Few studies have analysed the association between alcohol consumption, the alcohol dependence syndrome (ADS) and alcohol-related problems. A main issue is to what extent an association between alcohol consumption and problems is explained by the dependence syndrome or by its sub-components (drinking despite a health problem, craving, impaired control, preoccupation with alcohol, withdrawal symptoms and increased tolerance). The purpose in this paper is to elucidate this issue in analyses of data from the health care-based clinical sample of the study “Women and Men in Swedish Addiction Treatment”, comprising comprehensive interviews of almost 1000 inpatients and outpatients in Stockholm County. These data cover e.g. alcohol and drug use, alcohol dependence (ICD-10) measured by the Composite International Diagnostic Interview (CIDI), the composite-scores part of the Addiction Severity Index (ASI), sociodemographics and alcohol-related problems. Three measures of alcohol-related problems were constructed covering health and psychological problems, self-defined social problems, and social problems defined by others. In these exploratory analyses of patients with alcohol dependence as a dominating problem, a series of logistic regression analyses were done. A substantial part of the association between the consumption measures and the three outcomes could be accounted for by measures of the ADS. The predictive power of the six criteria composing the ADS varied considerably for the different outcomes. The interpretation is not straightforward, not least as the alcohol dependence syndrome also includes items of alcohol-related problems.


2000 ◽  
Vol 34 (5) ◽  
pp. 829-835 ◽  
Author(s):  
Teresa K. Hamilton ◽  
Robert D. Schweitzer

Objective: The aim of the study was to assess the relationship between dimensions of perfectionism and suicide ideation in a tertiary student population in Australia. Method: The methodology involved 405 students completing the General Health Questionnaire (GHQ-28) which includes a subset of questions which can be used to assess suicide ideation, and the Multidimensional Perfectionism Scale. Results: The presence of suicide ideation was associated with higher scores on total perfectionism and two perfectionism dimensions, and total GHQ scores. There were significant differences between participants with high levels of perfectionism and participants with moderate to low levels of perfectionism on a measure of suicide ideation. Neither gender nor age were associated with differences in the scores, with results indicating high levels of perfectionism may indicate a vulnerability to suicide ideation. Conclusions: Perfectionism is a valued attribute in high-achieving populations. The question needs to be asked, however, at what cost? The findings indicate that high levels of perfectionism may be associated with an increased vulnerability to suicide ideation. Future research is needed to gain a better understanding of the complex interrelationship between personality and temperament, environmental factors and self-destructive behaviour.


Addiction ◽  
1992 ◽  
Vol 87 (8) ◽  
pp. 1173-1183 ◽  
Author(s):  
ANDERS ROMELSJO ◽  
DEBORAH HASIN ◽  
MIKE HILTON ◽  
GUNNEL BOSTROM ◽  
FINN DIDERICHSEN ◽  
...  

Psichologija ◽  
2011 ◽  
Vol 44 ◽  
pp. 88-103 ◽  
Author(s):  
R. Baltrušaitytė ◽  
L. Bulotaitė

Straipsnio tikslas – išsiaiškinti studentų lūkesčių, motyvų ir saviveiksmingumo sąsajas su alkoholio var­tojimu. Naudojant alkoholio vartojimo lūkesčių klausimyną, atsisakymo gerti saviveiksmingumo klausi­myną, motyvų vartoti alkoholį klausimyną, motyvų nevartoti alkoholio klausimyną ir alkoholio vartoji­mo įpročių bei problemų anketą buvo apklausti 308 studentai iš 5 Lietuvos universitetų. Gauti rezultatai rodo, kad studentų motyvai vartoti alkoholį ir teigiamų pasekmių lūkesčiai yra teigiamai susiję su al­koholio vartojimo dažnumu, kiekiu ir vartojimo sukeltomis problemomis, o atsisakymo gerti saviveiks­mingumas ir motyvai nevartoti alkoholio dėl abejingumo alkoholiui yra neigiamai susiję su alkoholio vartojimo ypatumais (dažnumu, kiekiu, problemomis). Vyriškoji lytis, stipresni motyvai vartoti alkoholį ir menkesnis saviveiksmingumas prognozuoja didesnius suvartojamo alkoholio kiekius, o dažnesnį alko­holio vartojimą prognozuoja dar ir jaunesnis alkoholio vartojimo pradžios amžius. Didesnį su alkoholio vartojimu susijusių problemų skaičių prognozuoja ne tik gausesnis alkoholio vartojimas, bet ir stipresni motyvai vartoti alkoholį bei silpnesnis saviveiksmingumas. Pagrindiniai žodžiai: alkoholio vartojimas, lūkesčiai, motyvai, saviveiksmingumas.Relationship between Alcohol Outcome Expectancies, Self-Efficacy, Motives and Alcohol Consumption among University StudentsBaltrušaitytė R., Bulotaitė L.  SummaryAlcohol use is widespread among university stu­dents. While searching for the factors associated with drinking, scientists more often acknowledge the importance of various cognitive-motivational vari­ables. It is recommended to consider these variables when developing effective prevention and interven­tion programs. The cognitive-motivational variables examined in this study were: alcohol outcome ex­pectancies, drinking motives, motives for not drink­ing, and drinking refusal self-efficacy. The purpose of the study was to examine the relationship between alcohol outcome expectancies, motives, self-efficacy and alcohol consumption among Lithuanian univer­sity students. Another aim was to propose and test a meditational model in which alcohol consumption and alcohol-related problems are predicted by expect­ancies, motives and self-efficacy. 308 students from five Lithuanian universities participated in this study. All participants completed the Drinking Expectancy Questionnaire – revised (DEQ-r), Drinking Refusal Self-efficacy Questionnaire – revised (DRSEQ-r), Drinking Motives Questionnaire (DMQ), motives for not drinking questionnaire and one more question­naire assessing drinking patterns and alcohol-related problems. The results have shown that the male gen­der, stronger motives to drink and a weaker drink ing refusal self-efficacy predict a larger quantity of alcohol consumed per occasion. More frequent drinking was also predicted by an earlier age of drinking onset. A larger number of alcohol-related problems was predicted not only by the frequency and quantity of alcohol consumption, but also by stronger motives to drink and a weaker drinking refusal self-efficacy. The relationship between positive alcohol outcome expectancies and alcohol consumption was medi­ated by motives and drinking refusal self-efficacy. Motives to drink predict alcohol consumption and alcohol-related problems directly and indirectly – through self-efficacy. Drinking refusal self-efficacy predicted alcohol consumption directly, and the re­lationship between self-efficacy and alcohol-related problems was mediated by alcohol consumption. Strong positive alcohol outcome expectancies and drinking motives may be considered as potential risk factors for heavy drinking and alcohol-related problems. Strong drinking refusal self-efficacy and strong motives for not drinking because of indiffer­ence toward alcohol may be considered as protective factors against drinking and alcohol-related prob­lems among university students.Keywords: alcohol consumption, expectancies, motives, self-efficacy.15%; font-family: Calibri, sans-serif;">


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