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

Author(s):  
Angelina Pilatti ◽  
Adrian J Bravo ◽  
Yanina Michelini ◽  
Ricardo Marcos Pautassi

Abstract 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.

2019 ◽  
Vol 50 (2) ◽  
pp. 142-156 ◽  
Author(s):  
Matthew R. Pearson ◽  
Adrian J. Bravo ◽  
Bradley T. Conner ◽  
Jamie E. Parnes

This study examined marijuana-use motives and protective behavioral strategies (PBS) as within- and between-subject predictors of marijuana-related outcomes. Furthermore, we explored differences between a specific marijuana-related event (i.e., 4/20) compared with typical weekend/weekday use. Forty-three college student marijuana users (31 females) completed daily surveys for 12 days (April 15–April 26, 2016). Four motives (coping, conformity, enhancement, and social) were associated with more negative consequences within-subjects. Enhancement and conformity motives were also associated with a higher number of use sessions, and expansion motives were associated with higher subjective high. Marijuana PBS use (total score) was associated with fewer sessions and lower subjective high within-subjects. Social motives were higher, whereas PBS use and coping motives were lower on 4/20 compared with other days. Our findings support PBS and certain use motives as promising intervention targets for college student marijuana users.


2017 ◽  
Vol 11 ◽  
pp. 117822181772331 ◽  
Author(s):  
Andrea L Howard ◽  
Tyler R Pritchard

This study examined rates of heavy drinking and alcohol problems in relation to drinking motives and protective behavioral strategies in university students with a documented current diagnosis of attention-deficit/hyperactivity disorder (ADHD; n = 31) compared with students with no history of ADHD (n = 146). Participants completed a Web-based questionnaire, and logistic regression models tested interactions between ADHD/comparison group membership and motives and protective strategies. Group differences in rates of heavy drinking and alcohol problems were not statistically significant, but medium-sized risk ratios showed that students without ADHD reported heavy drinking at a rate 1.44 times higher than students with ADHD and met screening criteria for problematic alcohol use at a rate of 1.54 times higher than students with ADHD. Other key findings were, first, that drinking to enhance positive affect (e.g., drinking because it is exciting), but not to cope with negative affect (e.g., drinking to forget your worries), predicted both heavy drinking and alcohol problems. Second, only protective behavioral strategies that emphasize alcohol avoidance predicted both heavy drinking and alcohol problems. Contrary to expectations, we found no ADHD-related moderation of effects of motives or protective strategies on our alcohol outcomes. Results of this study are limited by the small sample of students with ADHD but highlight tentative similarities and differences in effects of motives and strategies on drinking behaviors and alcohol problems reported by students with and without ADHD.


2017 ◽  
Vol 64 ◽  
pp. 93-100 ◽  
Author(s):  
Diana M. Doumas ◽  
Susan Esp ◽  
Jaime Johnson ◽  
Rhiannon Trull ◽  
Kristen Shearer

Sign in / Sign up

Export Citation Format

Share Document