OBJECTIVE: One predictor of negative drinking outcomes in college populations is impulsivity. Individual differences in the reinforcing efficacy of alcohol, which reflects willingness to drink despite potential costs, may serve as a mechanism by which impulsivity is associated with alcohol-related problems. The purpose of this study was to determine whether two measures of the reinforcing efficacy of alcohol-demand intensity (consumption when drinks are free) and Omax (maximum expenditure on alcohol)-statistically mediated the associations between four facets of impulsivity and negative drinking outcomes. METHOD: We gave 202 undergraduate social drinkers a hypothetical task in which they indicated how many drinks they would consume across a range of prices. They also completed measures of impulsivity, alcohol use, and alcohol-related problems. RESULTS: Path models revealed that two facets of impulsivity-sensation seeking and urgency-were associated with higher reinforcing efficacy and worse alcohol problems. Moreover, the associations between both of these impulsivity facets and alcohol-related problems were sequentially mediated by reinforcing efficacy and alcohol use. CONCLUSIONS: Individuals who respond impulsively to negative emotions or have sensation-seeking tendencies may exhibit greater willingness to consume and purchase alcohol. As a result, they may in fact drink more, leading to worse drinking-related problems. These findings suggest a need for more research into the mechanisms of interventions that successfully reduce problem drinking. They also indicate that more study is needed on whether decreasing the availability of low-cost alcohol reduces alcohol-related problems in impulsive individuals.
OBJECTIVE: One predictor of negative drinking outcomes in college populations is impulsivity. Individual differences in the reinforcing efficacy of alcohol, which reflects willingness to drink despite potential costs, may serve as a mechanism by which impulsivity is associated with alcohol-related problems. The purpose of this study was to determine whether two measures of the reinforcing efficacy of alcohol-demand intensity (consumption when drinks are free) and Omax (maximum expenditure on alcohol)-statistically mediated the associations between four facets of impulsivity and negative drinking outcomes. METHOD: We gave 202 undergraduate social drinkers a hypothetical task in which they indicated how many drinks they would consume across a range of prices. They also completed measures of impulsivity, alcohol use, and alcohol-related problems. RESULTS: Path models revealed that two facets of impulsivity-sensation seeking and urgency-were associated with higher reinforcing efficacy and worse alcohol problems. Moreover, the associations between both of these impulsivity facets and alcohol-related problems were sequentially mediated by reinforcing efficacy and alcohol use. CONCLUSIONS: Individuals who respond impulsively to negative emotions or have sensation-seeking tendencies may exhibit greater willingness to consume and purchase alcohol. As a result, they may in fact drink more, leading to worse drinking-related problems. These findings suggest a need for more research into the mechanisms of interventions that successfully reduce problem drinking. They also indicate that more study is needed on whether decreasing the availability of low-cost alcohol reduces alcohol-related problems in impulsive individuals.
Authors: Ivori Zvorsky; Tyler D Nighbor; Allison N Kurti; Michael DeSarno; Gideon Naudé; Derek D Reed; Stephen T Higgins Journal: Prev Med Date: 2019-08-07 Impact factor: 4.018
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