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International Journal of Mental Health and Addiction

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01-10-2021 | Original Article

Determining the Pathways to Alcohol Use Consequences: a Chained Mediation Approach

Authors: Jesus Chavarria, Chelsea Ennis, Allison Moltisanti, Nicholas P. Allan, Jeanette Taylor

Published in: International Journal of Mental Health and Addiction | Issue 5/2021

Abstract

Research has attempted to explain how emotion dysregulation and impulsivity relate to alcohol use problems. This study extended the literature by testing different pathways to problem alcohol use. We hypothesized that approach impulsivity/disinhibition and alcohol use frequency would mediate the relationship between emotion dysregulation and negative alcohol use consequences. We also hypothesized that alcohol use frequency would mediate the relationship between sensation seeking/reward sensitivity and negative alcohol use consequences. A cross-sectional chained mediation effects model was tested using data from 508 Amazon Mechanical Turk workers who resided in the USA (mean age = 33.66, standard deviation = 11.70, 59.6% female). Significant simple mediation effects from emotion dysregulation to alcohol use consequences through approach impulsivity/disinhibition, and from sensation seeking/reward sensitivity to alcohol use consequences through alcohol use frequency were found. There were no chained mediation effects. Two distinct pathways to alcohol use consequences are identified: one from emotion dysregulation through approach impulsivity/disinhibition, and another from sensation seeking/reward sensitivity through alcohol use frequency. This study highlights the importance of understanding the different pathways to problem drinking, as it can be crucial for developing refined treatment techniques.

Arditte, K. A., Çek, D., Shaw, A. M., & Timpano, K. R. (2016). The importance of assessing clinical phenomena in Mechanical Turk research. Psychological Assessment, 28, 684–691.PubMed

Bardeen, J. R., Fergus, T. A., & Orcutt, H. K. (2012). An examination of the latent structure of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 34, 382–392.

Bentler, P. M. (1990). Comparative fit indexes in structural models. Psychological Bulletin, 107, 238–246.PubMed

Bentler, P. M., & Bonett, D. G. (1980). Significance tests and goodness of fit in the analysis of covariance structures. Psychological Bulletin, 88, 588–606.

Berinsky, A. J., Huber, G. A., & Lenz, G. S. (2012). Evaluating online labor markets for experimental research: Amazon.com’s Mechanical Turk. Political Analysis, 20, 351–368.

Berking, M., Margraf, M., Ebert, D., Wupperman, P., Hofmann, S. G., & Junghanns, K. (2011). Deficits in emotion-regulation skills predict alcohol use during and after cognitive–behavioral therapy for alcohol dependence. Journal of Consulting and Clinical Psychology, 79, 307–318.PubMedPubMedCentral

Buhrmester, M., Kwang, T., & Gosling, S. D. (2011). Amazon’s Mechanical Turk: a new source of inexpensive, yet high-quality, data? Perspectives on Psychological Science, 6, 3–5.PubMed

Castellanos-Ryan, N., Rubia, K., & Conrod, P. J. (2011). Response inhibition and reward response bias mediate the predictive relationships between impulsivity and sensation seeking and common and unique variance in conduct disorder and substance misuse. Alcoholism: Clinical and Experimental Research, 35, 140–155.

Cheung, G. W., & Lau, R. S. (2008). Testing mediation and suppression effects of latent variables: bootstrapping with structural equation models. Organizational Research Methods, 11, 296–325.

Cooper, M. L. (1994). Motivations for alcohol use among adolescents: development and validation of a four-factor model. Psychological Assessment, 6, 117.

Cooper, M. L., Frone, M. R., Russell, M., & Mudar, P. (1995). Drinking to regulate positive and negative emotions: a motivational model of alcohol use. Journal of Personality and Social Psychology, 69, 990–1005.PubMed

Coskunpinar, A., Dir, A. L., & Cyders, M. A. (2013). Multidimensionality in impulsivity and alcohol use: a meta-analysis using the UPPS model of impulsivity. Alcoholism: Clinical and Experimental Research, 37, 1441–1450.

Cox, W. M., & Klinger, E. (2004). A motivational model of alcohol use: determinants of use and change. In W. M. Cox & E. Klinger (Eds.), Handbook of motivational counseling: concepts, approaches, and assessment (pp. 121–138). New York: John Wiley & Sons Ltd..

Dawe, S., Gullo, M. J., & Loxton, N. J. (2004). Reward drive and rash impulsiveness as dimensions of impulsivity: Implications for substance misuse. Addictive Behaviors, 29(7), 1389–1405.PubMed

Dvorak, R. D., Sargent, E. M., Kilwein, T. M., Stevenson, B. L., Kuvaas, N. J., & Williams, T. J. (2014). Alcohol use and alcohol-related consequences: associations with emotion regulation difficulties. The American Journal of Drug and Alcohol Abuse, 40, 125–130.PubMed

Emery, N. N., Simons, J. S., Clarke, C. J., & Gaher, R. M. (2014). Emotion differentiation and alcohol-related problems: the mediating role of urgency. Addictive Behaviors, 39(10), 1459–1463.PubMedPubMedCentral

Fox, H. C., Hong, K. A., & Sinha, R. (2008). Difficulties in emotion regulation and impulse control in recently abstinent alcoholics compared with social drinkers. Addictive Behaviors, 33, 388–394.PubMed

Franken, I. H. A., & Muris, P. (2006). Gray’s impulsivity dimension: a distinction between reward sensitivity versus rash impulsiveness. Personality and Individual Differences, 40, 1337–1347.

Garofalo, C., & Velotti, P. (2015). Alcohol misuse in psychiatric patients and nonclinical individuals: the role of emotion dysregulation and impulsivity. Addiction Research & Theory, 23, 294–300.

Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26, 41–54.

Gray, J.A. (1987). The psychology of fear and stress. CUP Archive.

Gullo, M. J., Loxton, N. J., & Dawe, S. (2014). Impulsivity: four ways five factors are not basic to addiction. Addictive Behaviors, 39, 1547–1556.PubMed

Hu, L.t., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6, 1–55.

Jacob, G. A., Gutz, L., Bader, K., Lieb, K., Tüscher, O., & Stahl, C. (2010). Impulsivity in borderline personality disorder: impairment in self-report measures, but not behavioral inhibition. Psychopathology, 43, 180–188.PubMed

Johnson, S. L., Turner, R. J., & Iwata, N. (2003). BIS/BAS levels and psychiatric disorder: an epidemiological study. Journal of Psychopathology and Behavioral Assessment, 25, 25–36.

Kahler, C. W., Hustad, J., Barnett, N. P., Strong, D. R., & Borsari, B. (2008). Validation of the 30-day version of the brief young adult alcohol consequences questionnaire for use in longitudinal studies. Journal of Studies on Alcohol and Drugs, 69, 611–615.PubMed

Kassel, J. D., Jackson, S. I., & Unrod, M. (2000). Generalized expectancies for negative mood regulation and problem drinking among college students. Journal of Studies on Alcohol, 61, 332–340.PubMed

Kassel, J. D., Hussong, A. M., Wardle, M. C., Veilleux, J. C., Heinz, A., Greenstein, J. E., & Evatt, D. P. (2010). Affective influences in drug use etiology. In L. Scheier (Ed.), Handbook of drug use etiology: theory, methods, and empirical findings (pp. 183–205). Washington, DC US: American Psychological Association.

Kenny, D. A., & McCoach, D. B. (2003). Effect of the number of variables on measures of fit in structural equation modeling. Structural Equation Modeling: A Multidisciplinary Journal, 10, 333–351.

Kim, H. S., & Hodgins, D. C. (2017). Reliability and validity of data obtained from alcohol, cannabis, and gambling populations on Amazon’s Mechanical Turk. Psychology of Addictive Behaviors, 31, 85–94.PubMed

Kline, R. B. (2015). Principles and practice of structural equation modeling. New York, NY: Guilford publications.

Lahat, A., Pérez-Edgar, K., Degnan, K. A., Guyer, A. E., Lejuez, C. W., Ernst, M., Pine, D. S., & Fox, N. A. (2012). Early childhood temperament predicts substance use in young adults. Translational Psychiatry, 2, e157.PubMedPubMedCentral

Lejuez, C. W., Magidson, J. F., Mitchell, S. H., Sinha, R., Stevens, M. C., & De Wit, H. (2010). Behavioral and biological indicators of impulsivity in the development of alcohol use, problems, and disorders. Alcoholism: Clinical and Experimental Research, 34, 1334–1345.

Littlefield, A. K., Sher, K. J., & Steinley, D. (2010). Developmental trajectories of impulsivity and their association with alcohol use and related outcomes during emerging and young adulthood I. Alcoholism: Clinical and Experimental Research, 34, 1409–1416.

MacKinnon, D. P., Lockwood, C. M., & Williams, J. (2004). Confidence limits for the indirect effect: distribution of the product and resampling methods. Multivariate Behavioral Research, 39, 99–128.PubMedPubMedCentral

Magid, V., MacLean, M. G., & Colder, C. R. (2007). Differentiating between sensation seeking and impulsivity through their mediated relations with alcohol use and problems. Addictive Behaviors, 32, 2046–2061.PubMedPubMedCentral

McCarthy, D. E., Curtin, J. J., Piper, M. E., & Baker, T. B. (2010). Negative reinforcement: possible clinical implications of an integrative model. In J. D. Kassel (Ed.), Substance abuse and emotion (pp. 15–42). Washington, DC US: American Psychological Association.

Merrill, J. E., & Read, J. P. (2010). Motivational pathways to unique types of alcohol consequences. Psychology of Addictive Behaviors, 24, 705.PubMedPubMedCentral

Michie, S., Whittington, C., Hamoudi, Z., Zarnani, F., Tober, G., & West, R. (2012). Identification of behaviour change techniques to reduce excessive alcohol consumption. Addiction, 107, 1431–1440.PubMed

Moeller, F. G., Barratt, E. S., Dougherty, D. M., Schmitz, J. M., & Swann, A. C. (2001). Psychiatric aspects of impulsivity. American Journal of Psychiatry, 158, 1783–1793.

Moshagen, M. (2012). The model size effect in SEM: inflated goodness-of-fit statistics are due to the size of the covariance matrix. Structural Equation Modeling: A Multidisciplinary Journal, 19, 86–98.

Muthen, L. K., & Muthen, B. O. (1998-2017). Mplus (8th ed.). Los Angeles, CA: Muthen & Muthen.

National Institute on Alcohol Abuse and Alcoholism. Alcohol Facts and Statistics. (2016).

Park, C. L., & Grant, C. (2005). Determinants of positive and negative consequences of alcohol consumption in college students: alcohol use, gender, and psychological characteristics. Addictive Behaviors, 30(4), 755–765.PubMed

Patrick, C. J., Curtin, J. J., & Tellegen, A. (2002). Development and validation of a brief form of the Multidimensional Personality Questionnaire. Psychological Assessment, 14, 150–163.PubMed

Pearson, M. R., & Henson, J. M. (2013). Unplanned drinking and alcohol-related problems: a preliminary test of the model of unplanned drinking behavior. Psychology of Addictive Behaviors, 27, 584–595.PubMed

Pearson, M. R., Kite, B. A., & Henson, J. M. (2012). Unique direct and indirect effects of impulsivity-like traits on alcohol-related outcomes via protective behavioral strategies. Journal of Drug Education, 42, 425–446.PubMed

Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879–891.PubMed

Puente, C. P., González GutiéRrez, J. L., Abellán, I. C., & López, A. L. (2008). Sensation seeking, attitudes toward drug use, and actual use among adolescents: testing a model for alcohol and ecstacy use. Substance Use & Misuse, 43, 1615–1627.

Quinn, P. D., & Harden, K. P. (2013). Differential changes in impulsivity and sensation seeking and the escalation of substance use from adolescence to early adulthood. Development and Psychopathology, 25, 223–239.PubMed

Romanczyk, R. G. (1974). Self-monitoring in the treatment of obesity: parameters of reactivity. Behavior Therapy, 5, 531–540.

Sacks, J. J., Gonzales, K. R., Bouchery, E. E., Tomedi, L. E., & Brewer, R. D. (2015). 2010 national and state costs of excessive alcohol consumption. American Journal of Preventive Medicine, 49(5), e73–e79.PubMed

Saha, T. D., Stinson, F. S., & Grant, B. F. (2007). The role of alcohol consumption in future classifications of alcohol use disorders. Drug and Alcohol Dependence, 89, 82–92.PubMedPubMedCentral

Salovey, P., Mayer, J. D., Goldman, S. L., Turvey, C., & Palfai, T. P. (1995). Emotional attention, clarity, and repair: exploring emotional intelligence using the trait meta-mood scale, emotion, disclosure, & health (pp. 125–154). Washington, DC, US: American Psychological Association.

Shin, S. H., Hong, H. G., & Jeon, S.-M. (2012). Personality and alcohol use: the role of impulsivity. Addictive Behaviors, 37, 102–107.PubMed

Simons, J. S. (2003). Differential prediction of alcohol use and problems: the role of biopsychological and social-environmental variables. American Journal of Drug Abuse, 29, 861–880.

Steiger, J. H. (1990). Structural model evaluation and modification: an interval estimation approach. Multivariate Behavioral Research, 25, 173–180.PubMed

Stein, M. D., & Cyr, M. G. (1997). Women and substance abuse. Medical Clinics of North America, 81, 979–998.

Tragesser, S. L., & Robinson, R. J. (2009). The role of affective instability and UPPS impulsivity in borderline personality disorder features. Journal of Personality Disorders, 23, 370–383.PubMed

Tripp, J. C., McDevitt-Murphy, M. E., Avery, M. L., & Bracken, K. L. (2015). PTSD symptoms, emotion dysregulation, and alcohol-related consequences among college students with a trauma history. Journal of Dual Diagnosis, 11, 107–117.PubMedPubMedCentral

Tucker, L. R., & Lewis, C. (1973). A reliability coefficient for maximum likelihood factor analysis. Psychometrika, 38, 1–10.

Verster, J. C., Herwijnen, J.v., Olivier, B., & Kahler, C. W. (2009). Validation of the Dutch version of the brief young adult alcohol consequences questionnaire (B-YAACQ). Addictive Behaviors, 34, 411–414.

Wechsler, H., Dowdall, G. W., Davenport, A., & Rimm, E. B. (1995). A gender-specific measure of binge drinking among college students. American Journal of Public Health, 85, 982–985.PubMedPubMedCentral

Wechsler, H., Dowdall, G. W., Maenner, G., Gledhill-Hoyt, J., & Lee, H. (1998). Changes in binge drinking and related problems among American college students between 1993 and 1997. Journal of American College Health, 47, 57–68.PubMed

Wei, J., Barnett, N. P., & Clark, M. (2010). Attendance at alcohol-free and alcohol-service parties and alcohol consumption among college students. Addictive Behaviors, 35, 572–579.PubMedPubMedCentral

Whiteside, S. P., & Lynam, D. R. (2003). Understanding the role of impulsivity and externalizing psychopathology in alcohol abuse: application of the UPPS impulsive behavior scale. Experimental and Clinical Psychopharmacology, 11, 210–217.PubMed

Title: Determining the Pathways to Alcohol Use Consequences: a Chained Mediation Approach
Authors: Jesus Chavarria
Chelsea Ennis
Allison Moltisanti
Nicholas P. Allan
Jeanette Taylor
Publication date: 01-10-2021
Publisher: Springer US
Published in: International Journal of Mental Health and Addiction / Issue 5/2021
Print ISSN: 1557-1874
Electronic ISSN: 1557-1882
DOI: https://doi.org/10.1007/s11469-020-00272-6

At a glance: The STEP trials

Springer Medicine

Determining the Pathways to Alcohol Use Consequences: a Chained Mediation Approach

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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