Printer Friendly
The Free Library
22,728,043 articles and books

Decisional balance and collegiate drinking.



ABSTRACT

The study examined the perceived benefits and costs of alcohol use among undergraduates (N = 462) perceiving their drinking as normal or abnormal as well as those undergraduates who met or did not meet the DSM-IV-TR DSM-IV-TR Diagnostic and Statistical Manual of Mental Disorders-Fourth Edition (Text Revision) (American Psychiatric Association)  criteria for an alcohol disorder. A 2x2 MANOVA MANOVA Multivariate Analysis of the Variance  and univariate analyses on the benefits (pros) and costs (cons) scales of the Alcohol Decisional Balances Scale (ADBS ADBS Association des Professionnels de l'Information et de la Documentation
ADBS All Day Breakfast Show (podcast)
ADBS Advanced Data Broadcasting System
ADBS Action Driven Balanced Scorecard
) revealed significantly higher perceived benefits of alcohol use among students reporting normal drinking behaviors and meeting the DSM-IV-TR diagnostic criteria. A significant interaction revealed that students who met the DSM-IV-TR criteria but perceived their drinking as normal reported the highest perceived benefits of drinking. Findings supported prior research highlighting the link between perceived benefits of alcohol use and problematic drinking.

Key words: alcohol, college, attitudes, DSM-IV-TR, decisional balance

Recent estimates report that 10 percent to 31 percent of the approximately 8 million college students (ages 18-24) meet the Diagnostic and Statistical Manual of Mental Disorders Diagnostic and Statistical Manual of Mental Disorders /Di·ag·nos·tic and Sta·tis·ti·cal Man·u·al of Men·tal Dis·or·ders/ (DSM) a categorical system of classification of mental disorders, published by the American Psychiatric Association, that delineates objective  (DSM-IV-TR; American Psychiatric Association The American Psychiatric Association (APA) is the main professional organization of psychiatrists and trainee psychiatrists in the United States, and the most influential world-wide. Its some 148,000 members are mainly American but some are international. , 2000) criteria for alcohol abuse. Another six percent to 11 percent meet the DSM-IV-TR criteria for alcohol dependence (Clements, 1999; Knight, Wechsler, Kuo, Siebring, Weitzman, & Schuckit, 2002). Heavy drinking
  • Heavy drinking may mean drinking large amounts of water or alcohol.
  • Heavy drinking may also mean drinking alcohol to the point of Drunkenness.
 leads to negative events such as sleep disruption, academic difficulties, and violence (Wechsler, Lee, & Kuo, 2000). Consequently, heavy collegiate col·le·giate  
adj.
1. Of, relating to, or held to resemble a college.

2. Of, for, or typical of college students.

3. Of or relating to a collegiate church.
 alcohol use and the associated negative consequences continue to be recognized as a significant problem on college campuses (NIAAA NIAAA National Institute on Alcohol Abuse and Alcoholism (National Institutes of Health)
NIAAA National Interscholastic Athletic Administrators Association
NIAAA Northwestern Illinois Area Agency on Aging
, Alcoholism alcoholism, disease characterized by impaired control over the consumption of alcoholic beverages. Alcoholism is a serious problem worldwide; in the United States the wide availability of alcoholic beverages makes alcohol the most accessible drug, and alcoholism is  Advisory Council, 2002).

The significance of these negative consequences influenced colleges to implement primary alcohol prevention programs (Wechsler, Kelley, & Weitzman, 2000) that typically utilize alcohol education, alcohol-free activities or alcohol-free living quarters (e.g., dry residence halls), and greater enforcement of campus alcohol policies (Larimer & Cronce, 2002; Wechsler, Seibring, Liu, & Ahl, 2004). However, these programs are typically ineffective because the students do not perceive their drinking as being problematic (Vik, Culbertson, & Sellers, 2000). Gintner and Choate (2007) underscore The underscore character (_) is often used to make file, field and variable names more readable when blank spaces are not allowed. For example, NOVEL_1A.DOC, FIRST_NAME and Start_Routine.

(character) underscore - _, ASCII 95.
 the fact that, although the collegiate drinking research emphasizes a need to understand the motivations of collegiate drinkers, most college campuses still rely upon primary prevention and alcohol psychoeducation.

These primary prevention programs are being utilized with problematic college drinkers mandated to treatment for campus alcohol policy infractions, a scenario on the rise in recent years (Tevyaw, Borsari, Colby, & Monti, 2007). For instance, Anderson and Gadaleto (2006) surveyed 196 colleges and universities and found that 74 percent of these campuses mandated participation in an alcohol education/primary prevention program for alcohol policy violators. Consequently, college/university counseling centers must provide services to individuals mandated to treatment while also providing a welcoming resource for a population that typically does not volunteer for assistance with alcohol problems.

One intervention that moves beyond primary prevention and education by targeting the motivations of the collegiate drinker is motivational interviewing Motivational interviewing refers to a counseling approach initially developed by clinical psychologists Professor William R Miller, Ph.D. and Professor Stephen Rollnick, Ph.D.  (MI; Miller & Rollnick, 2002). Motivational interviewing may reduce problematic drinking by demonstrating the discrepancies between drinking behaviors and goals. The concept of MI originates in the Transtheoretical Model The transtheoretical model of change in health psychology explains or predicts a person's success or failure in achieving a proposed behavior change, such as developing different habits. It attempts to answer why the change "stuck" or alternatively why the change was not made.  of Behavior Change Behavior change refers to any transformation or modification of human behavior. Such changes can occur intentionally, through behavior modification, without intention, or change rapidly in situations of mental illness.  (Prochaska & DiClemente, 1986) which theorizes several stages of motivation (precontemplation, contemplation Contemplation
Compleat Angler, The

Izaak Walton’s classic treatise on the Contemplative Man’s Recreation. [Br. Lit.: The Compleat Angler]

Thinker, The

sculpture by Rodin, depicting contemplative man.
, preparation, action, and maintenance) to change a problematic behavior. Each stage represents an increased degree of motivation for change with the action stage reflecting a willingness to change behavior. However, most college students are not ready to initiate change, especially if the drinking behavior is not perceived as problematic. Thus, it is crucial to motivate and guide the individual to the action stage so behavior change may begin.

One component of MI is decisional balance (DB), derived from the decision-making model by Janis and Mann (1977), which reviews how decision-making entails careful consideration of all options while producing a "balance sheet" of potential benefits (pros) and costs (cons) of engaging in the behavior (Velicer, DiClemente, Prochaska, & Brandenburg, 1985). DB provides the individual an opportunity to articulate ambivalence ambivalence (ămbĭv`ələns), coexistence of two opposing drives, desires, feelings, or emotions toward the same person, object, or goal. The ambivalent person may be unaware of either of the opposing wishes.  regarding current behavior by endorsing the benefits (pros) and costs (cons) of that behavior (Miller, 1999). Research reports mixed results with studies advocating or refuting the potential efficacy of DB as a mechanism to facilitate change in problematic drinking behaviors.

Prior research of the positive and negative aspects of alcohol use (Migneault, Velicer, Prochaska, & Stevenson, 1999) found a strong positive relationship between positive aspects of alcohol use and problematic drinking coupled with a smaller negative relationship between negative aspects of alcohol use and problematic drinking. LaBrie, Pedersen, Earleywine, and Olsen (2006) found that one-month after completing a DB exercise the participants reported a statistically significant increase in desire to change drinking behavior. Noar, LaForge, Maddock and Wood (2003) found that college students who believed in the negative costs of alcohol use were less likely to drink or drink heavily. The research also suggests that negative elements of alcohol use may not directly influence problematic drinking behavior, highlighting the need for further study of the costs (cons) of alcohol use in the DB process. Despite research highlighting the potential for DB in reducing problematic drinking, two recent studies found no support for DB effectiveness on changing problematic drinking behaviors (Carey, Carey, Maisto, & Henson, 2006; Collins & Carey, 2005).

We could find no published studies that utilized the DSM-IV-TR criteria of alcohol abuse/dependence in studying DB and college alcohol use. Considering the mixed results of the DB research and the absence of DSM-IV-TR criteria within the research, one area of further inquiry entails DB differences between college drinkers presenting with and without a DSM-IV-TR alcohol use disorder. Although recent meta-analytic work reports that brief motivational interventions (which include the use of MI and DB) are not intended for individuals meeting the DSM-IV-TR diagnostic criteria for alcohol abuse or dependence (Moyer, Finney, Swearingen, & Vergun, 2002), there does exist ample empirical evidence underscoring the utilization and efficacy of MI with substance abusers in treatment (e.g., Martino, Carroll, Nich, & Rounsaville, 2006). Thus, a study of brief motivational intervention components (such as DB) seems warranted in a college student population where it is estimated that upwards of forty percent meets the DSM-IV-TR alcohol abuse or dependence criteria (Clements, 1999; Knight et al., 2002). Research on the benefits (pros) and costs (cons) of alcohol use with college students meeting or not meeting the DSM-IV-TR criteria for alcohol use disorder could illuminate il·lu·mi·nate  
v. il·lu·mi·nat·ed, il·lu·mi·nat·ing, il·lu·mi·nates

v.tr.
1. To provide or brighten with light.

2. To decorate or hang with lights.

3.
 the issues associated with the use of DB in designing the secondary prevention programs that Gintner et al. (2007) argue are needed on college campuses. Furthermore, this population typically does not voluntarily seek assistance for problematic drinking behaviors (Nye, Agnostelli, & Smith, 1999). Therefore, a study of students who do or do not consider themselves problematic drinkers also seems warranted.

This study proposes three hypotheses. First, those meeting the DSM-IV-TR diagnostic criteria for abuse/dependence would report significantly greater benefits (pros) and significantly fewer costs (cons) of alcohol use than those not meeting the DSM-IV-TR diagnostic criteria. Second, those reporting abnormal drinking behavior would exhibit significantly greater benefits (pros) and significantly fewer costs (cons) of alcohol use than those reporting drinking behavior as normal. Third, those meeting the DSM-IV-TR abuse/dependence criteria and not reporting drinking behavior as abnormal would exhibit significantly greater benefits (pros) and significantly fewer costs (cons) of alcohol use as compared to the other experimental conditions.

METHOD

Participants

Undergraduate student volunteers in a Psychology Department participant pool (N=462) participated in this study. Students were enrolled in the participant pool because they were in a psychology course. Participants were given the option in their course of registering for studies being run by the Department of Psychology or reading various psychology articles and answering questions about the research (for those who objected to research participation). Research participation (whether through study participation or reading the psychology articles) was for course credit.

Most of the sample were freshmen (43.1%) with the remainder consisting of sophomores (19.0%), juniors (16.5%), and seniors (20.8%). Consistent with the demographics The attributes of people in a particular geographic area. Used for marketing purposes, population, ethnic origins, religion, spoken language, income and age range are examples of demographic data.  of this northeastern university Northeastern University, at Boston, Mass.; coeducational; founded 1898 as a program within the Boston YMCA, inc. 1916, university status 1922, fully independent of the YMCA 1948. , the majority of the sample was female (71.6%) and Caucasian (87.2%) whereas 5.6% identified as Hispanic, 2.4% as African-American, 1.9% as Asian, and 1.9% as other. Most lived on campus in university housing (46.1%) with others living off campus with friends/roommates (18.0%), family (25.1%), spouse/significant other (6.5%), or alone (2.2%). Average age was 20.43 years (SD = 4.77) and average GPA GPA
abbr.
grade point average

Noun 1. GPA - a measure of a student's academic achievement at a college or university; calculated by dividing the total number of grade points received by the total number attempted
 (on a four-point scale) was 3.26 (SD = 0.48; Table 1).

Instruments

Decisional balance. Decisional balance was measured using the 16-item Alcohol Decisional Balance Scale (ADBS; Maddock, 1997). The ADBS consists of eight items that assess the benefits (pros) of alcohol use and eight items that assess the costs (cons) of alcohol use. The scale asks "How important to you are the following statements in your decision about how much to drink?" and respondents' answer 1 (not at all important) to 5 (extremely important) on the benefits (pros) and costs (cons) scales. Items include "Drinking gives me courage" and "I feel happier when I drink" on the benefits (pros) scale, and "Drinking could get me addicted ad·dict·ed
adj.
1. Physiologically or psychologically dependent on a habit-forming substance.

2. Compulsively or habitually involved in a practice or behavior, such as gambling.
" and "I can hurt people close to me when I drink too much" on the costs (cons) scale. Reliability was strong for both the benefits (pros; [alpha] =. 93) and costs (cons; [alpha] = .94) scales within this study sample.

Alcohol abuse or dependence. Alcohol use disorder was measured using a self-report checklist based on the DSM-IV-TR criteria for alcohol abuse or dependence. To meet the DSM-IV-TR criteria for alcohol abuse a student must experience at least one of the following symptoms in the past 12 months: (1) Failure to fulfill obligations (e.g., poor grades, missing class); (2) drinking in hazardous situations (e.g., while on medication or while driving); (3) legal problems (e.g., arrested for underage drinking, fighting, penalty for violating campus alcohol policy, violent or sexual assault); (4) interpersonal in·ter·per·son·al  
adj.
1. Of or relating to the interactions between individuals: interpersonal skills.

2.
 problems (e.g., repeated conflicts with friends or significant other).

Alcohol dependence is met by experiencing three of more of the following symptoms in the past 12 months: (1)Tolerance (e.g., increasing number of drinks needed for intoxication intoxication, condition of body tissue affected by a poisonous substance. Poisonous materials, or toxins, are to be found in heavy metals such as lead and mercury, in drugs, in chemicals such as alcohol and carbon tetrachloride, in gases such as carbon monoxide, and ); (2) withdrawal (e.g., physical symptoms in the absence of alcohol use); (3) drinking larger quantities than intended; (4) persistent desire and/or unsuccessful attempts to control drinking; (5) significant time and effort spent in obtaining alcohol, drinking and recovering from drinking; (6) reducing non-alcohol related activities (e.g., hobbies, school, job); (7) continued drinking despite physical and/or psychological consequences. Respondents In the context of marketing research, a representative sample drawn from a larger population of people from whom information is collected and used to develop or confirm marketing strategy.  endorsed a yes or no to the questions directly derived from the DSM-IV-TR language and criteria for alcohol abuse or dependence. In addition, we asked the participants (via a dichotomous di·chot·o·mous  
adj.
1. Divided or dividing into two parts or classifications.

2. Characterized by dichotomy.



di·chot
 yes/no variable) if they felt their drinking behavior was normal.

Data Collection

Participants voluntarily signed-up for a study on "college health." Alcohol was not mentioned in the study title or the brief study description in an effort to eliminate any self-selection in or out of the study based on alcohol experiences and/or attitudes. As a component of the study the participants completed the DSM-IV-TR checklist for alcohol abuse or dependence. Following the completion of data collection, the checklist was computed to produce the two experimental groups of presence or absence of a DSM-IV-TR alcohol use disorder. An individual cannot possess both abuse and dependence diagnoses for the same substance; thus, for sake of simplicity, the variables of abuse and dependence were collapsed into one level.

All participants were encouraged, through a detailed verbal and written debriefing de·brief·ing  
n.
1. The act or process of debriefing or of being debriefed.

2. The information imparted during the process of being debriefed.

Noun 1.
 process, to contact the university counseling center if they felt their drinking was problematic and/or their participation in the study triggered self-reflection on their drinking behaviors. All research assistants received training in confidentiality and ethics ethics, in philosophy, the study and evaluation of human conduct in the light of moral principles. Moral principles may be viewed either as the standard of conduct that individuals have constructed for themselves or as the body of obligations and duties that a  pertaining per·tain  
intr.v. per·tained, per·tain·ing, per·tains
1. To have reference; relate: evidence that pertains to the accident.

2.
 to research in general as well as research issues relevant to substance use disorders. The study was reviewed and approved by the university Institutional Review Board.

RESULTS

Alcohol Problem Analyses

The participants (N = 462) were nearly evenly split on whether they met (51.9%; n = 240) or did not meet (48.1%; n = 222) the DSM 1. DSM - Data Structure Manager.

An object-oriented language by J.E. Rumbaugh and M.E. Loomis of GE, similar to C++. It is used in implementation of CAD/CAE software. DSM is written in DSM and C and produces C as output.
 diagnostic criteria for alcohol abuse or dependence. Two-thirds of the sample felt they were normal drinkers (66.7%; n = 308). To better understand the relationship between self-report of normal or abnormal drinking and whether drinking behavior meets the DSM-IV-TR diagnostic criteria for abuse or dependence, a chi-square with risk estimates was performed. The analysis was significant, [chi square chi square (kī),
n a nonparametric statistic used with discrete data in the form of frequency count (nominal data) or percentages or proportions that can be reduced to frequencies.
] (1) = 20.48, p < .001. Risk estimates indicate that participants were not willing to admit and/or were aware of their problematic drinking. The relative risk of a self-reported normal drinker not meeting the DSM-IV-TR diagnostic criteria was .64 (95% CI for risk estimate = .53 to .77) whereas the relative risk of a self-reported normal drinker meeting the DSM-IV-TR diagnostic criteria was 1.61 (95% CI for risk estimate = 1.28 to 2.02).

MANOVA Results

A 2 (DSM diagnostic status) x 2 (self-perception of being a normal drinker) MANOVA was conducted on two dependent measures: The benefits (pros) and costs (cons) scales of the ADBS. The MANOVA procedure was chosen, rather than two individual 2x2 ANOVAs with a Bonferroni alpha-adjustment procedure, to avoid the drop in power associated with alpha-adjustment techniques (Sedlmeier & Gigerenzer, 1989).

Box's M was not significant (Box's M = 13.75, p = .14), providing insufficient evidence insufficient evidence n. a finding (decision) by a trial judge or an appeals court that the prosecution in a criminal case or a plaintiff in a lawsuit has not proved the case because the attorney did not present enough convincing evidence.  that the covariance Covariance

A measure of the degree to which returns on two risky assets move in tandem. A positive covariance means that asset returns move together. A negative covariance means returns vary inversely.
 matrices differ. Thus, these data were appropriate for the MANOVA procedure. MANOVA results revealed significant main effects for diagnostic status, Hotelling's Trace = .12, F (2, 442) = 25.61, p < .001, as well as for self-report of abnormal drinking behavior, Hotelling's Trace = .11, F (2, 442) = 23.42, p < .001. Results found a marginally significant interaction effect, Hotelling's Trace = .01, F (2, 442) = 2.66, p=.07 (see Table 2). Considering the highly significant two main effects, we chose to review the univariate results for the interaction in addition to the main effects for both benefits (pros) and costs (cons) scores in regard to alcohol use.

Benefits (pros). Univariate results revealed significant main effects for diagnostic status, F (1,443) = 49.39, p < .001, as well as for self-report o f abnormal drinking behavior, F (1,443) = 44.05, p < .001. Those who met the DSM-IV-TR criteria for alcohol abuse or dependence reported significantly greater benefits (pros) scores regarding alcohol use (M = 22.77, SE = .52) as compared to those not meeting the DSM-IV-TR criteria (M = 17.81, SE=.47). Those who self-reported normal drinking behavior reported significantly greater benefits (pros) scores (M = 22.63, SE = .40) as compared to those reporting abnormal drinking behavior (M = 17.95, SE = .58). Univariate results also revealed a significant interaction effect, F (1,443) = 5.22, p < .05, where those who believed they engaged in normal drinking (regardless of DSM-IV-TR diagnostic status) produced the highest benefits (pros) scores on alcohol use. Furthermore, those who reported normal drinking behaviors but met the DSM-IV-TR criteria for alcohol abuse or dependence registered the highest benefits (pros) scores for alcohol use (see Figure 1).

Costs (cons). Univariate results revealed only one significant main effect for self-report of normal drinking behavior, F (1,443) = 5.20, p < .05, with those self-reporting normal drinking behaviors (M = 27.24, SE = .82) scoring significantly higher on the costs (cons) toward alcohol use as compared with those reporting abnormal drinking behavior (M = 24.97, SE = .57). Statistical significance was not reached for either the main effect of DSM-IV-TR diagnostic criteria, F (1,443) = .60, p =.44, or the interaction between self-report of abnormal drinking behavior and DSM-IV-TR diagnostic criteria, F (1,443) = .02, p = .90.

DISCUSSION

We examined the attitudes of alcohol use among college students who viewed their drinking behaviors as normal or abnormal as well as those who met or did not meet the DSM-IV-TR diagnostic criteria for alcohol abuse/dependence. A 2x2 MANOVA was performed to test the following hypotheses: 1) Those meeting the DSM-IV-TR diagnostic criteria for abuse/dependence would exhibit significantly greater benefits (pros) scores and significantly fewer costs (cons) scores than those not meeting the DSM-IV-TR diagnostic criteria; 2) those reporting abnormal drinking behavior would exhibit significantly greater benefits (pros) scores and significantly fewer costs (cons) scores than those reporting drinking behavior as normal; 3) those meeting the DSM-IV-TR abuse/dependence criteria and not reporting drinking behavior as abnormal would exhibit significantly greater benefits (pros) scores and significantly fewer costs (cons) scores as compared to the other experimental conditions. MANOVA and subsequent univariate results supported all three hypotheses for the benefits (pros) scores, whereas only one hypothesis was supported for the costs (cons) scores.

Consistent with past research (Migneault et al., 1999; Noar et al., 2003) the benefits (pros) of alcohol use, and not the costs (cons), were linked with problematic drinking. However, unlike prior published findings, this study extended the DB research on collegiate alcohol use by demonstrating the same relationship when the DSM-IV-TR diagnostic criteria for alcohol abuse or dependence were met as for self-reports of normal drinking behavior. Considering the broad array of measurement strategies within the literature used to evaluate problematic drinking, the finding that benefits (pro) of alcohol use is more strongly linked with problematic drinking seems robust.

Although those who felt they were not problematic drinkers reported significantly higher costs (con) of alcohol use scores than those who did self-report abnormal drinking, there were no significant costs (con) score differences between those meeting or not meeting the DSM-IV-TR diagnostic criteria. Drinkers who met the DSM-IV-TR criteria regarded the costs (cons) of alcohol use the same as those not meeting the diagnostic criteria. Furthermore, the difference between these scores was quite small (less than one point on an 8 to 40 point scale). This finding may underscore the tendency to under-estimate the problematic nature of drinking behavior based on distorted campus norms regarding alcohol consumption (Neighbors, Dillard, Lewis, Bergstrom, & Neil, 2006). Participants may not have perceived their drinking as abnormal when compared to their peers, but when evaluated using the DSM-IV-TR diagnostic criteria, many who endorsed having normal drinking behavior were found to meet the diagnostic criteria.

This finding also highlighted why psychoeducation for campus alcohol infractions does not work (Gintner et al., 2007) because drinkers who met or did not meet the DSM-IV-TR diagnostic criteria already understood and knew the negatives associated with alcohol use. For years, social psychological research has underscored that, if a message recipient does not have a strong desire to attend to a message, the information conveyed will not be processed and retained (see Petty & Cacioppo, 1986). Consequently, this finding supports the call (Gintner et al., 2007) for a targeted secondary-prevention strategy that addresses the personal underlying reasons why alcohol is used, as opposed to primary-prevention educational methods reporting the hazards of drinking.

Alcohol counseling within a college/university counseling center is a considerable challenge (Birky, 2005), with one of the obstacles being students not willing to seek services for problematic drinking (Nye et al., 1999). Many of the students who do report for alcohol services are doing so due to an administrative mandate (Anderson et al., 2006). Consequently, students may not seek services because they believe they do not have an alcohol problem. This paper supported this scenario, as students who self-reported normal drinking had a relative risk of meeting the DSM-IV-TR diagnostic criteria for alcohol abuse or dependence approximately 2.5 times greater (risk estimates of 1.61 versus 0.64) than those self-reporting abnormal drinking behavior. Whether this was due to the core addiction element of denial (Yalisove, 1998), social norms for campus drinking behaviors (see Neighbors, Lee, Lewis, Fossos, & Larimer, 2007), or some interaction of these two constructs, should be the focus of future research.

Several limitations should be considered when interpreting the present results. The primary limitation, inherent in all laboratory-based psychological research using volunteering undergraduate participants, is that the use of an undergraduate psychology research participant pool threatens external validity External validity is a form of experimental validity.[1] An experiment is said to possess external validity if the experiment’s results hold across different experimental settings, procedures and participants. . Years of research highlights how participants in an undergraduate research pool who voluntarily enter a research study may not be representative of the larger population (Berkowitz & Donnerstein, 1982; Jackson, Procidano, & Cohen cohen
 or kohen

(Hebrew: “priest”) Jewish priest descended from Zadok (a descendant of Aaron), priest at the First Temple of Jerusalem. The biblical priesthood was hereditary and male.
, 1989; Sears, 1986). The present research (conducted with 462 students from one northeastern university) is no exception. Though the present research was a good first step in taking DB/alcohol research in a new direction, the one university sample impedes our generalizing the findings across universities nationwide. Future research with multiple universities of varying size, demographics, and geographical locations would produce a study sample that can better generalize generalize /gen·er·al·ize/ (-iz)
1. to spread throughout the body, as when local disease becomes systemic.

2. to form a general principle; to reason inductively.
 to the larger nationwide collegiate population.

Besides the problem with external validity, the present research has three areas of sampling error and bias that can occur in any undergraduate participant pool sample. One, though the topic of the study was masked A state of being disabled or cut off. , the participants may have self-selected in or out of the study based on the "college health" title. In addition, although we requested that participants not share the alcohol theme of the study with any future participants, we had no way of checking if the true theme of the study leaked out to the other pool members. Thus, other students may have self-selected into or out of the study based on the actual alcohol topic. Two, Miller (1981) stressed that having multiple time-slots may cause some participants to not sign-up as they would not want to divulge sensitive information in a group setting. The present research used time slots Continuously repeating interval of time or a time period in which two devices are able to interconnect.  with up to six appointments per slot. Three, empirical evidence (Masling, O'Neill, & Jayne, 1981; Stevens & Ash, 2001) suggests that when students sign-up for the study (early, mid, or late semester se·mes·ter  
n.
One of two divisions of 15 to 18 weeks each of an academic year.



[German, from Latin (cursus) s
) influences their engagement with the study and the quality of the data. We did not code the data packets by when in the semester the data were collected; thus, we had no way to evaluate any temporal influences on these data.

In addition to these three principle limitations linked to the method of participant recruitment and sampling, other limits warrant discussion. One, although we did not find a statistically significant order effect (by randomizing the sequence of the DSM-IV-TR checklist and normal drinker question) there may be some influence of the DSM-IV-TR checklist on the question of normal drinking behavior. Two, adding a measure of social desirability would help clarify if the self-reported normal drinkers were responding in a manner to protect their image or standing within the university, i.e., respondents less than 21 years-old admitting to violating campus policy and state law. Three, self-report of alcohol use on the DSM checklist needs to be examined in the context of the abundant literature on the reliability of self-report data (see Akinci, Tarter, & Kirisci, 2001). Without a collateral measure true accuracy of alcohol use must be called into question. Fourth, unlike many of the published DB studies, this paper does not utilize longitudinal lon·gi·tu·di·nal
adj.
Running in the direction of the long axis of the body or any of its parts.
 analysis of behavior change or stages of change measures. Consequently, future analyses along this line of inquiry would require an intervention to facilitate changes in drinking behavior as well as assessment of at which stage of change the drinker resides.

Despite these limitations, the present research offers a contribution of being the first examination of how DSM-IV-TR diagnostic status for alcohol abuse or dependence influences self-reported benefits (pros) and costs (cons) of alcohol use using a DB measure in a college-based (non-clinical) sample. In addition, this research highlighted how self-report of normal drinking behavior actually produced a greater relative risk of meeting the DSM-IV-TR diagnostic criteria for alcohol abuse or dependence. Additional studies examining multiple predictors of drinking behavior change using longitudinal designs are the appropriate next step. By understanding the relationship between self-perception of drinking behavior and DSM-IV-TR diagnostic level of problematic drinking, specific and personalized per·son·al·ize  
tr.v. per·son·al·ized, per·son·al·iz·ing, per·son·al·iz·es
1. To take (a general remark or characterization) in a personal manner.

2. To attribute human or personal qualities to; personify.
 interventions can be designed that change problematic drinking behavior over time and may help develop more effective campus-based alcohol interventions.

Correspondence concerning this article should be addressed to: Keith Morgen mor·gen  
n. pl. morgen or mor·gens
A Dutch and South African unit of land area equal to 2.1 acres.



[Dutch, morning (referring to the amount of land that can be plowed in a morning)
, Ph.D., Centenary College Centenary College can refer to:
  • Centenary College of New Jersey, a private college located in Hackettstown, New Jersey.
  • Centenary College of Louisiana, a private college in Shreveport, Louisiana.
, Box #403, 400 Jefferson Street, Hackettstown, NJ 07840, morgenk@centenarycollege.edu.

Acknowledgments: The authors thank Kristina Glowzenski, Lauren Goslin, Leigh-Ann Javas, Lisa Maietta, and Kaitlyn Santangelo for their efforts in data collection and entry. This research was based on the second author's senior thesis. A prior version of this paper was presented at the 2008 Eastern Psychological Association Conference, Boston.

[FIGURE 1 OMITTED]

REFERENCES

Akinci, I.H., Tarter, R.E., Kirisci, L. (2001). Concordance concordance /con·cor·dance/ (-kord´ins) in genetics, the occurrence of a given trait in both members of a twin pair.concor´dant

con·cor·dance
n.
 between verbal report and urine screen of recent marijuana marijuana or marihuana, drug obtained from the flowering tops, stems, and leaves of the hemp plant, Cannabis sativa (see hemp) or C. indica; the latter species can withstand colder climates.  use in adolescents. Addictive Behaviors Addictive behavior is any activity, substance, object, or behavior that has become the major focus of a person's life to the exclusion of other activities, or that has begun to harm the individual or others physically, mentally, or socially. , 26, 613-619.

American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.

Anderson, D.S D.S Drainage Structure (flood protection) . & Gadaleto, A.F. (2006). Results of the 2006 College Alcohol Survey. Comparison with 2003 results, 1994 results, and baseline year. Fairfax, VA: George Mason University Named after American revolutionary, patriot and founding father George Mason, the university was founded as a branch of the University of Virginia in 1957 and became an independent institution in 1972. , Center for the Advancement of Public Health.

Berkowitz, L., & Donnerstein, E. (1982). External validity is more than skin deep: Some answers to criticisms of laboratory experiments. American Psychologist The American Psychologist is the official journal of the American Psychological Association. It contains archival documents and articles covering current issues in psychology, the science and practice of psychology, and psychology's contribution to public policy. , 37, 245-257.

Birky, I.T. (2005). Evidence-based and empirically supported college counseling center treatment of alcohol related issues. Journal of College Student Psychotherapy psychotherapy, treatment of mental and emotional disorders using psychological methods. Psychotherapy, thus, does not include physiological interventions, such as drug therapy or electroconvulsive therapy, although it may be used in combination with such methods. , 20, 7-21.

Carey, K.B., Carey, M.P., Maisto, S.A., & Henson, J.M. (2006). Brief motivational interventions for heavy college drinkers: A randomized controlled trial A randomized controlled trial (RCT) is a scientific procedure most commonly used in testing medicines or medical procedures. RCTs are considered the most reliable form of scientific evidence because it eliminates all forms of spurious causality. . Journal of Consulting and Clinical Psychology The Journal of Consulting and Clinical Psychology (JCCP) is a bimonthly psychology journal of the American Psychological Association. Its focus is on treatment and prevention in all areas of clinical and clinical-health psychology and especially on topics that appeal to a broad , 74, 943-954.

Clements, R. (1999). Prevalence of alcohol-use disorders and alcohol-related problems in a college student sample. Journal of American College American College is the name of:
  • American College Dublin, Dublin, Ireland
  • The American College in Madurai, Tamil Nadu, India
  • The American College of the Immaculate Conception, Leuven (also known as Louvain), Belgium
 Health, 48, 111-118.

Collins, S.E., & Carey, K.B. (2005). Lack of effect for decisional balance as a brief motivational intervention for at-risk college drinkers. Addictive Behaviors, 30, 1425-1430.

Gintner, G.G. & Choate, L.H. (2007). Counseling students who are problem-drinkers: Screening, assessment, and intervention. In J.A. Lippincott & R.B. Lippincott (Eds.), Special populations in college counseling. A handbook for mental health professionals (pp. 157-171). Alexandria, VA: American Counseling Association The American Counseling Association (ACA) is a non-profit, professional organization that is dedicated to the counseling profession. ACA is the world's second largest association exclusively representing professional counselors. .

Jackson, J.M., Procidano, M.E., & Cohen, C.J. (1989). Subject pool sign-up procedures: A threat to external validity. Social Behavior In biology, psychology and sociology social behavior is behavior directed towards, or taking place between, members of the same species. Behavior such as predation which involves members of different species is not social.  and Personality, 17, 29-43.

Janis, I.L., & Mann, L. (1977). Decision making: A psychological analysis of conflict, choice, and commitment. London: Cassel & Collier Macmillan.

Knight, J.R., Wechsler, H., Kuo, M., Siebring, M., Weitzman, E.R., & Schuckit, M.A. (2002). Alcohol abuse and dependence among U.S. college students. Journal of Studies on Alcohol, 63, 263-270.

LaBrie, J.W., Pedersen, E.R., Earleywine, M., & Olsen, H. (2006). Reducing heavy drinking in college males with the decisional balance: Analyzing an element of motivational interviewing. Addictive Behaviors, 31, 254-263.

Larimer, M.E. & Cronce, J.M. (2002). Identification, prevention, and treatment: A review of individual-focused strategies to reduce problematic alcohol consumption by college students. Journal of Studies on Alcohol, Supplement no. 14, 148-163.

Maddock, J.E. (1997). Development and validation of decisional balance and process of change for heavy, episodic episodic

sporadic; occurring in episodes. e. falling a paroxymal disorder described in Cavalier King Charles spaniels in which affected dogs, starting at an early age, experience episodes of extensor rigidity, possibly brought on by stress. e.
 drinking. Unpublished master's thesis, Kingston, Rhode Island Kingston is an unincorporated village in the town of South Kingstown, Rhode Island in the United States. The area known as Kingston is about 1.6 square miles in size, with a population of slightly over 5,000 (as of 2002). Kingston sits at 252 feet above sea level at Latitude: 41. : University of Rhode Island History
The University was first chartered as the state's agricultural school in 1888. The site of the school was originally the Oliver Watson Farm, and the original farmhouse still lies on the campus today.
.

Martino, S., Carroll, K.M., Nich, C., & Rounsaville, B.J. (2006). A randomized ran·dom·ize  
tr.v. ran·dom·ized, ran·dom·iz·ing, ran·dom·iz·es
To make random in arrangement, especially in order to control the variables in an experiment.
 controlled pilot study of motivational interviewing for patients with psychotic psychotic /psy·chot·ic/ (si-kot´ik)
1. pertaining to, characterized by, or caused by psychosis.

2. a person exhibiting psychosis.


psy·chot·ic
adj.
 and drug use disorders. Addiction, 101, 1479-1492.

Masling, J., O'Neill, R., & Jayne, C. (1981). Orality orality /oral·i·ty/ (or-al´it-e) the psychic organization of all the sensations, impulses, and personality traits derived from the oral stage of psychosexual development.

o·ral·i·ty
n.
 and latency (1) The time between initiating a request in the computer and receiving the answer. Data latency may refer to the time between a query and the results arriving at the screen or the time between initiating a transaction that modifies one or more databases and its completion.  of volunteering to serve as experimental subjects. Journal of Personality Assessment, 45, 20-22.

Migneault, J.P., Velicer, W.F., Prochaska, J.O., & Stevenson, J.F. (1999). Decisional balance for immoderate im·mod·er·ate  
adj.
Exceeding normal or appropriate bounds; extreme: immoderate spending; immoderate laughter. See Synonyms at excessive.
 drinking in college students. Substance Use and Misuse, 34, 1325-1346.

Miller, A. (1981). A survey of introductory psychology subject pool practices among leading universities. Teaching of Psychology, 8, 211-213.

Miller, W.R. (1999). Enhancing motivation for change in substance abuse treatment. Rockville, MD: U.S. Department of Health and Human Services Noun 1. Department of Health and Human Services - the United States federal department that administers all federal programs dealing with health and welfare; created in 1979
Health and Human Services, HHS
.

Miller, W.R., & Rollnick, S. (2002). Motivational interviewing. Preparing people for change (2nd ed.). New York New York, state, United States
New York, Middle Atlantic state of the United States. It is bordered by Vermont, Massachusetts, Connecticut, and the Atlantic Ocean (E), New Jersey and Pennsylvania (S), Lakes Erie and Ontario and the Canadian province of
: Guilford Press.

Moyer, A., & Finney, J.W., Swearingen, C.E., & Vergun, P. (2002). Brief interventions A Brief intervention is a technique, similar to an intervention, to help reduce alcohol misuse. It work in two ways:
  • by getting people to think differently about their alcohol use so that they begin to think about or make changes in their alcohol consumption.
 for alcohol problems: A meta-analytic review of controlled investigations in treatment-seeking and non-treatment seeking populations. Addiction, 97, 279-292.

National Institute on Alcohol Abuse and Alcoholism The National Institute on Alcohol Abuse and Alcoholism (NIAAA), as part of the U.S. National Institutes of Health, supports and conducts biomedical and behavioral research on the causes, consequences, treatment, and prevention of alcoholism and alcohol-related problems.  (NIAAA). (2002). A call to action: Changing the culture of drinking at U.S. colleges. Rockville, MD: Author, NIH "Not invented here." See digispeak.

NIH - The United States National Institutes of Health.
.

Neighbors, C., Dillard, A.J., Lewis, M.A., Bergstrom, R.L., & Neil, T.A. (2006). Normative nor·ma·tive  
adj.
Of, relating to, or prescribing a norm or standard: normative grammar.



nor
 misperceptions and temporal precedence The order in which an expression is processed. Mathematical precedence is normally:

1. unary + and - signs
2. exponentiation
3. multiplication and division
4.
 of perceived norms and drinking. Journal of Studies on Alcohol, 67, 290-299.

Neighbors, C., Lee, C.M., Lewis, M.A., & Fossos, N. (2007). Are social norms the best predictor of outcomes among heavy-drinking college students? Journal of Studies on Alcohol and Drugs The Journal of Studies on Alcohol and Drugs is a peer-reviewed journal that publishes original research articles on various aspects of the use and misuse of alcohol and other drugs.  68, 556-565.

Noar, S.M., LaForge, R.G., Maddock, J.E., & Wood, M.D. (2003). Rethinking positive and negative aspects of alcohol use: Suggestions from a comparison of alcohol expectancies and decisional balance. Journal of Studies on Alcohol, 64, 60-69.

Nye, E.C., Agnostelli, G., & Smith, J.E. (1999). Enhancing alcohol problem recognition: A self-regulation model for the effect of self focusing and normative information. Journal of Studies on Alcohol, 60, 685-693.

Petty, R.E., & Cacioppo, J.T. (1986). Communication and persuasion PERSUASION. The act of influencing by expostulation or request. While the persuasion is confined within those limits which leave the mind free, it may be used to induce another to make his will, or even to make it in his own favor; but if such persuasion should so far operate on the mind : Central and peripheral routes to attitude change. New York: Springer-Verlag.

Prochaska, J.O., & DiClemente, C.C. (1986). Toward a comprehensive model of change. In W.R. Miller & N. Heather (Eds.), Treating addictive behaviors: Processes of change (pp. 3-27). New York: Plenum In a building, the space between the real ceiling and the dropped ceiling, which is often used as an air duct for heating and air conditioning. It is also filled with electrical, telephone and network wires. See plenum cable.  Press.

Rosenthal, R., & Rosnow, R.L. (1975). The volunteer subject. New York: Wiley.

Sedlmeier, P., & Gigerenzer, G. (1989). Do studies of statistical power have an effect on the power of studies? Psychological Bulletin, 105, 309-316.

Stevens, C.D., & Ash, R.A. (2001). The conscientiousness con·sci·en·tious  
adj.
1. Guided by or in accordance with the dictates of conscience; principled: a conscientious decision to speak out about injustice.

2.
 of students in subject pools: Implications for "laboratory" research. Journal of Research in Personality, 35, 91-97.

Tevyaw, T.O., Borsari, B., Colby, S.M., & Monti, P.M. (2007). Peer enhancement of a brief motivational intervention with mandated college students. Psychology of Addictive Behaviors Psychology of Addictive Behaviors Journal

Psychology of Addictive Behaviors publishes peer-reviewed original articles related to the psychological aspects of addictive behaviors.
, 21, 114-119.

Velicer, W.F., DiClemente, C.C., Prochaska, J.O., & Brandenburg, N. (1985). A decisional balance measure for predicting smoking cessation smoking cessation Public health Temporary or permanent halting of habitual cigarette smoking; withdrawal therapies–eg, hypnosis, psychotherapy, group counseling, exposing smokers to Pts with terminal lung CA and nicotine chewing gum are often ineffective. . Journal of Personality and Social Psychology The Journal of Personality and Social Psychology (often referred to as JPSP) is a monthly psychology journal of the American Psychological Association. It is considered one of the top journals in the fields of social and personality psychology. , 48, 1279-1289.

Vik, P.W. & Culbertson, K.A. (2000). Readiness to change drinking among heavy-drinking college students. Journal of Studies on Alcohol, 61, 674-680.

Wechsler, Kelley, K., & Weitzman, E.R. (2000). What colleges are doing about student binge drinking binge drinking An early phase of chronic alcoholism, characterized by episodic 'flirtation' with the bottle by binges of drinking to the point of stupor, followed by periods of abstinence; BD is accompanied by alcoholic ketoacidosis–accelerated lipolysis and : A survey of college administrators. Journal of American College Health, 48, 219-226.

Wechsler, H., Lee, J.E., & Kuo, M. (2000). College binge drinking in the 1990s: A continuing problem: Results of the Harvard School of Public Health The Harvard School of Public Health is (colloquially, HSPH) is one of the professional graduate schools of Harvard University. Located in Longwood Area of the Boston, Massachusetts neighborhood of Mission Hill, next to Harvard Medical School and Cambridge, Massachusetts,  1999 College Alcohol Study. Journal of American College Health, 48, 199-210.

Wechsler, H., Seibring, M., Liu, I.C., & Ahl, M. (2004). Colleges respond to student binge drinking: Reducing student demand and limiting access. Journal of American College Health, 52, 159-168.

Yalisove, D. (1998). The origin and evolution of the disease concept of treatment. Journal of Studies on Alcohol, 59, 469-472.

Keith Morgen, Ph.D.

Lauren Gunneson

Department of Psychology

Monmouth University For the college in Illinois, see .

For the university in Monmouth, Oregon, see .

Monmouth University is a private university located in West Long Branch, New Jersey.
 
Table 1 Demographics (N = 462)

                Variable                     n      %       M      SD

Gender          Female                      331    71.6
Class
                Freshmen                    199    43.1
                Sophomore                    88    19.0
                Junior                       76    16.5
                Senior                       96    20.8
Ethnicity
                Caucasian                   403    87.2
                Hispanic                     26    5.6
                African-American             11    2.4
Residence
                Dorm/On-Campus              213    46.1
                Family                      116    25.1
                Off Campus with Friends      83    18.0
                Spouse/Significant Other     30    6.5
                Off-Campus Alone             10    2.2
DSM Criteria
                Meets Abuse/
                  Dependence Criteria       240    51.9   20.43   4.77
Self-Report of Normal Drinking
                Normal Drinking
                  Behavior                  308    66.7   3.26    0.48

Table 2
Multivariate and Univariate Analyses of Variance F Ratios for DSM
Criteria x Normal Drinking Self-Report for Benefits (Pros) and Costs
(Cons) of Drinking Measures

                                                ANOVA
                      MANOVA       Benefits     Costs
Variable              F (2, 442)   F(1, 443)    F(l, 443)

DSM Criteria (D)      25.61***     49.39***     0.60

Normal Drinker (N)    23.42***     44.05***     5.20**

D x N                 2.66*        5.22**       0.02

Note. MANOVA F ratios are Hotelling's Trace

* p < .10, ** p < .05, *** p <.001
COPYRIGHT 2008 American Alcohol & Drug Information Foundation
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 2008 Gale, Cengage Learning. All rights reserved.

 Reader Opinion

Title:

Comment:



 

Article Details
Printer friendly Cite/link Email Feedback
Author:Morgen, Keith; Gunneson, Lauren
Publication:Journal of Alcohol & Drug Education
Date:Dec 1, 2008
Words:5235
Previous Article:Explaining small effects of information-based drug prevention: the importance of considering preintervention levels in risk perceptions.
Next Article:Development of a low-alcohol drink similar in sensory properties to a full-alcohol drink.
Topics:

Terms of use | Copyright © 2014 Farlex, Inc. | Feedback | For webmasters