Thursday, March 29, 2018

Adolescents Who Experienced Negative Alcohol-Related Consequences Are Willing to Experience These Consequences Again in the Future

Wicki, M., Mallett, K. A., Delgrande Jordan, M., Reavy, R., Turrisi, R., Archimi, A., & Kuntsche, E. (2018). Adolescents Who Experienced Negative Alcohol-Related Consequences Are Willing to Experience These Consequences Again in the Future. Experimental and Clinical Psychopharmacology. http://dx.doi.org/10.1037/pha0000184

Abstract: Alcohol use and risky single occasion drinking are common among adolescents and are associated with a higher risk of various negative social, physical, academic, or sexual consequences. Studies have shown that among college students, willingness to experience negative consequences is associated with a higher likelihood of experiencing these consequences in the future. However, it remains unclear how experiencing negative consequences influences adolescents’ willingness to experience them again. Based on a representative sample of 1,333 alcohol-using 14- to 15-year-olds (47.9% female), a path model was used to examine the associations between risky drinking, negative social and physical consequences, and willingness to experience the specific consequence in the future. As hypothesized, more frequent risky drinking was positively associated with experiencing negative consequences (i.e., saying or doing embarrassing things, regretted sexual experiences, impairment of schoolwork, problems with parents/friends, accident or injury, hangover, vomiting, memory lapses). Contrary to our second hypothesis, adolescents who experienced a negative consequence were also consistently willing to experience it in the future. Findings suggest that adolescents may see the experience of negative consequences as a necessary evil to attain the positive consequences. Prevention efforts may benefit from focusing on ways of attaining positive consequences by promoting alternatives to engaging in risky drinking practices, as well as reducing negative consequences (e.g., by promoting protective behavioral strategies).

Check also Hangover and Risk for Alcohol Use Disorders: Existing Evidence and Potential Mechanisms. Thomas M. Piasecki, Brandon M. Robertson, and Amee J. Epler. Curr Drug Abuse Rev. 2010 Jun; 3(2): 92–102. DOI: 10.2174/1874473711003020092
Abstract: Hangover may be related to propensity to develop alcohol use disorders (AUDs). However, the etiological role, if any, played by hangover in AUD is unclear. From a motivational perspective, hangover can be construed as either a deterrent to future alcohol consumption or a setting event for negative reinforcement that could promote deviant drinking practices (e.g., “hair-of-the-dog” drinking). Hangover could be related to AUD risk even if it does not play a direct role in promoting or inhibiting near-term drinking. For example, measures of hangover might serve as symptoms of AUD or as markers of individual differences that more directly account for AUD risk. Empirical evidence (though usually indirect) exists to support contentions that hangover is related to both risk for and protection from AUD. In this article, we briefly address variation in assessment strategies in existing hangover research because measures of hangover frequency and hangover susceptibility may prove to have different correlates. Next, we review the existing, limited evidence on relations between hangover and AUD risk. Finally, we sketch a variety of theoretically-informed hypotheses that might help delineate productive lines of inquiry for this emerging field.

Keywords: hangover, alcohol, alcohol use disorder, risk, individual differences

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