Depressive Symptoms, Alcohol Beliefs and Heavy Episodic Drinking in Adolescents

Adolescents who engage in heavy episodic drinking (HED—i.e., 5+ drinks on a single occasion) increase risks for psychopathology, alcohol dependence, and similar negative consequences in adulthood. We explored associations among depressive symptoms, positive alcohol beliefs, and progression of heavy episodic drinking (HED) in 3021 German adolescents (M(SD) age at baseline = 12.4 (1.0)) followed for 30 months in 4 waves, using a conditional parallel process linear growth model, with full information maximum likelihood estimation. By wave 4, 40.3% of participants had engaged in HED more than once; 16.4% had done so ≥5 times. Depressive symptoms were indirectly related to baseline values of HED (through positive beliefs and wave 1 drinking frequency and quantity) and to the rate of growth in HED (through positive beliefs and wave 1 quantity). Adolescents with higher levels of depressive symptoms and positive alcohol beliefs drink more frequently and at greater quantities, which is associated with initiating HED at a higher level and escalating HED more rapidly than peers with similar depressive symptoms who lack those beliefs. This suggests that, to the extent that positive alcohol beliefs can be tempered through public health campaigns, education and/or counseling, HED among depressed adolescents might be reduced.

ELSA 2018 Cohort: Protective Behavioral Strategies as Mediators of the Relationship between Risk Factors and Alcohol Outcomes in Argentinean College Freshmen

Aims The present study examined which types of alcohol protective behavioral strategies ([PBSs], Manner of Drinking [MOD] strategies, Serious Harm Reduction [SHR] or Limiting/Stopping Drinking strategies [LSD]) mediate the effects of a comprehensive number of distal antecedents on alcohol drinking quantity and alcohol-related negative consequences. Methods A sample of 762 last-month college freshman drinkers from Argentina (Mean age = 19.60 ± 3.80) completed a survey that assessed alcohol outcomes (drinking quantity during a typical week and alcohol-related negative consequences), frequency of use of PBS and a set of distal antecedents (i.e. age at drinking onset, drinking motives, college alcohol beliefs and impulsivity-like traits). Results MOD significantly mediated the effects of college alcohol beliefs (higher beliefs were associated with lower MOD use) and coping motives (higher coping motives were associated with lower MOD use) on alcohol outcomes. SHR significantly mediated the effects of sex (women reported more frequent SHR use) and enhancement motives (higher motivation was associated with lower SHR use) on alcohol-related negative consequences. Conclusion Our findings partially support a mediational role of PBS in the association between risk factors and alcohol outcomes, and offer valuable information for the design of interventions to reduce alcohol use in South-American college students. More studies examining PBS as mediators of distal antecedents are needed to fully understand the peculiarities of these associations in different cultures.

College alcohol beliefs and alcohol use: Testing moderations by cultural orientations and ethnicity

Alcohol is considered an integral part of the college life; students who hold stronger college alcohol beliefs typically consume more alcohol and experience more negative drinking consequences. Asian Americans are increasingly at risk for hazardous alcohol use, yet little research has focused on whether college alcohol beliefs are conceptualized similarly in this group and whether individuals’ cultural orientations moderate the relations between college alcohol beliefs and alcohol involvement. Asian American (N = 439; Mage = 22.77, 42.6% women) and Euro American (N = 161; Mage = 21.04; 41.6% women) undergraduate students were recruited to test measurement invariance of the College Life Alcohol Salience Scale (CLASS) and the Stephenson Multigroup Acculturation Scale (SMAS). We examined the relations between college alcohol beliefs and alcohol involvement, and the degree to which cultural orientations and ethnicity moderated these relations. Scores from a 14-item CLASS and a 26-item SMAS demonstrated scalar invariance across Asian and Euro American groups. Bivariate correlations showed robust associations between college alcohol beliefs and alcohol involvement. Among Asian and Euro Americans who were not immersed in their ethnic heritage society, students were at greater odds of being a drinker when they endorsed stronger college alcohol beliefs, and drinkers consumed more alcohol when they endorsed lower college alcohol beliefs. Interventions aimed to prevent alcohol use and misuse can assess and target students’ college alcohol beliefs and promote greater connectedness to their ethnic heritage cultures.