Grandiose and vulnerable narcissism: Associations with alcohol use, alcohol problems and problem recognition

Individuals with alcohol problems have well-described disturbances of sleep, but the development of these disturbances both before and after the onset of problem drinking is poorly understood. This chapter first discusses sleep physiology and its measurement in humans. It then examines the functions of sleep and its role in development. Next, it reviews recent research on the relationship between sleep and alcohol use and related problems. Whereas sleep problems (e.g., difficulties falling or staying asleep) increase the risk of early onset of alcohol use and related problems, sleep rhythmicity promotes resilience to the development of alcohol use disorder and problem substance use. Based on existing research, this chapter proposes a theoretical model of sleep and alcohol use, highlighting the role of self-regulatory processes as mediators of this relationship.

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Neighborhood Contextual Factors, Alcohol Use, and Alcohol Problems in the United States: Evidence From a Nationally Representative Study of Young Adults

Alcoholism Clinical and Experimental Research ◽

10.1111/acer.13033 ◽

2016 ◽

Vol 40 (5) ◽

pp. 1010-1019 ◽

Cited By ~ 12

Author(s):

Wendy S. Slutske ◽

Arielle R. Deutsch ◽

Thomas M. Piasecki

Keyword(s):

United States ◽

Young Adults ◽

Alcohol Use ◽

Contextual Factors ◽

The United States ◽

Alcohol Problems ◽

Representative Study ◽

Nationally Representative

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Examining the Attitudes of Non-Psychiatric Practicing Healthcare Workers Towards Patients With Alcohol Problems in General Hospital Setting

Substance Abuse Research and Treatment ◽

10.1177/11782218211065755 ◽

2022 ◽

Vol 16 ◽

pp. 117822182110657

Author(s):

Ho Teck Tan ◽

Yit Shiang Lui ◽

Lai Huat Peh ◽

Rasaiah Munidasa Winslow ◽

Song Guo

Keyword(s):

Alcohol Use ◽

Hospital Setting ◽

Well Being ◽

Alcohol Problems ◽

Alcohol Intervention ◽

Screening And Brief Intervention ◽

Daily Work ◽

Problematic Alcohol ◽

Problematic Alcohol Use ◽

Doctors And Nurses

Background and objectives: Problematic alcohol-use affect the physical and mental well-being of hospitalised individuals and may receive screening and brief-intervention during treatment. Non-psychiatric doctors and nurses might respond inadequately due to negative attitudes and beliefs. This study aimed to examine these attitudes of non-psychiatric workers in the medical and surgical wards. Methods: A total of 457 doctors and 1643 nurses were recruited from the medical, surgical and orthopaedic disciplines over a period of 4 months. Three questionnaires were administered: demographics, Alcohol & Alcohol-Problems Perceptions Questionnaire (AAPPQ) and Staff Perception of Alcohol Treatment Resources. Results: About 128 doctors and 785 nurses responded. Around 75.5% doctors and 51.9% nurses endorsed role-legitimacy in the AAPPQ. Both the doctor (86.7%) and nurse (77.6%) groups agreed on the importance to initiate intervention for patients with problematic alcohol-use in daily work. Both groups were sceptical and negative towards these patients endorsing low-level role-adequacy (41.2%), role-support (36.9%), motivation (36.5%), task-specific self-esteem (25.1) as well as work satisfaction (20.5%). Conclusion/discussion: Doctors and nurses demonstrated low levels of therapeutic commitments towards patients with problematic alcohol-use thereby necessitating the introduction of in-house programmes to educate, empower and emphasise the importance of therapeutic contact with patients for alcohol intervention. Scientific significance: The prompt identification and treatment of patients with alcohol problems are contingent on the workers’ attitudes towards them. This study’s results should spark a nation-wide interest to improve the training and recognition of such patients and providing adequate educational resources.

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A Preliminary Study Examining Self-Reported Invincibility, Alcohol Problems, and the Nonmedical Use of Prescription Stimulants in College Students

Journal of Drug Issues ◽

10.1177/00220426211037267 ◽

2021 ◽

pp. 002204262110372

Author(s):

Susan Kennedy ◽

Paula Millin ◽

Gary J. Kennedy

Keyword(s):

College Students ◽

Alcohol Use ◽

Structural Equation ◽

Alcohol Problems ◽

Equation Modeling ◽

Prescription Stimulants ◽

Significant Relationships ◽

Nonmedical Use ◽

Preliminary Study ◽

Alcohol Related Problems

The nonmedical use of prescription stimulants (NMUPS) is becoming more common among college students. Identifying the variables associated with NMUPS is important for educational efforts and to promote wellness in vulnerable students. The present study examined the relationships between self-reported invincibility, alcohol problems, and NMUPS in 175 college students. Path analysis tested the hypotheses that males would report higher invincibility that would be related to alcohol use and alcohol problems. Using structural equation modeling, significant relationships were found between invincibility and alcohol-related problems. Alcohol problems may be related to NMUPS. A total effect of invincibility, mediated by alcohol use, may be a path whereby invincibility positively influences NMUPS. Students reporting high levels of invincibility may be at risk for the NMUPS and might benefit from efforts regarding the potential harmful consequences of taking these substances without a prescription.

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Association of Problematic Alcohol Use and Food Insecurity among Homeless Men and Women

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17103631 ◽

2020 ◽

Vol 17 (10) ◽

pp. 3631 ◽

Cited By ~ 2

Author(s):

Lorraine R. Reitzel ◽

Surya Chinamuthevi ◽

Sajeevika S. Daundasekara ◽

Daphne C. Hernandez ◽

Tzu-An Chen ◽

...

Keyword(s):

Alcohol Use ◽

Alcohol Dependence ◽

Food Insecurity ◽

Short Form ◽

Heavy Drinking ◽

Alcohol Problems ◽

Future Research ◽

Homeless Adults ◽

Problematic Alcohol ◽

Problematic Alcohol Use

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.

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Characterization of Service Use for Alcohol Problems Across Generations and Sex in Adults With Alcohol Use Disorder

Alcoholism Clinical and Experimental Research ◽

10.1111/acer.14290 ◽

2020 ◽

Vol 44 (3) ◽

pp. 746-757 ◽

Cited By ~ 1

Author(s):

Jessica L. Bourdon ◽

Rebecca Tillman ◽

Meredith W. Francis ◽

Danielle M. Dick ◽

Mallory Stephenson ◽

...

Keyword(s):

Alcohol Use ◽

Alcohol Use Disorder ◽

Service Use ◽

Alcohol Problems

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Sex Differences in Problem Alcohol Use in High School as a Function of Recent Sexual Violence Victimization or Perpetration

Journal of Family Violence ◽

10.1007/s10896-019-00116-5 ◽

2019 ◽

Vol 35 (6) ◽

pp. 633-646 ◽

Cited By ~ 1

Author(s):

Christal L. Badour ◽

Samuel C. Bell ◽

Emily R. Clear ◽

Heather M. Bush ◽

Ann L. Coker

Keyword(s):

High School ◽

Sex Differences ◽

High School Students ◽

Alcohol Use ◽

Sexual Violence ◽

Binge Drinking ◽

Alcohol Problems ◽

School Students ◽

Problem Alcohol Use ◽

Problem Alcohol

AbstractTo investigate sex differences in associations between sexual violence victimization (SVV), sexual violence perpetration (SVP), and binge drinking and/or alcohol problems among high school students. While SVV has been linked to problem alcohol use among young women, little research has addressed the unique associations of SVV and SVP on alcohol use/problems within both sexes. A cross-sectional analysis of 16,992 high school students’ self-reports of past-year SVP and SVV was used where SVV/SVP was defined by three tactics (sexual coercion, drug/alcohol-facilitated or incapacitated sex, and physically forced sex). Alcohol measures included past-month binge drinking and past-year alcohol problems. Rates of SVV were twice as high in females (21.2% vs. 13.3%), and SVP rates were twice as high in males (10.9% vs. 5.2%). SVV and SVP were each associated with an increased rate of current binge drinking and problem alcohol use for both sexes, across increasing numbers of SV tactics and within each of three tactics. After controlling for demographic and other risk factors including SVP, drug/alcohol-facilitated or incapacitated SVV was more strongly linked to binge drinking and alcohol problems among females. SVP was more strongly linked to binge drinking and alcohol problems among males (adjusting for SVV and other covariates). No sex differences emerged in associations between coerced or physically forced SVV/SVP and alcohol-related outcomes. Both SVV and SVP are associated with an increased likelihood of binge drinking and alcohol problems for males and females. Important sex differences emerged when SV tactics are considered.

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Alkohol och äldre

Nordic Studies on Alcohol and Drugs ◽

10.1177/145507250802600516 ◽

2009 ◽

Vol 26 (5) ◽

pp. 417-426

Author(s):

Tommi Sulander

Keyword(s):

Health Promotion ◽

Alcohol Use ◽

Older People ◽

Alcohol Problems ◽

Average Amount ◽

Moderate Drinking ◽

The Past ◽

Alcohol Tax ◽

Heavy Drinkers ◽

Increasing Trend

T. Sulander: Increasing numbers of older people use alcohol The number of older people using alcohol has increased and abstinence has decreased over the past few decades in Finland. However, the average amount of consumed alcohol per week has remained the same. The rapid lowering of alcohol taxes in 2004 led to a slight increase in alcohol use among people aged 65–84. The number of older people in need of care for their alcohol problems has increased parallel to the increasing trend of moderate drinking. It is, however, difficult to reach heavy drinkers by using different research methods. Therefore, their number in the population could only be estimated. Alcohol use in Finland has been increasing steadily already before the alcohol tax was considerably lowered in 2004. To reverse this negative trend, alcohol taxes should be considerably increased and health promotion activities should be initiated.

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