Browsing by Author "Young, Chelsie M."
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Item A longitudinal examination of the associations between shyness, drinking motives, alcohol use, and alcohol-related problems(Alcoholism: Clinical, and Experimental Research, 2015-09) Young, Chelsie M.; DiBello, Angelo M.; Traylor, Zachary K.; Zvolensky, Michael J.; Neighbors, ClaytonBackground: The current study evaluated the roles of drinking motives and shyness in predicting problem alcohol use over two years. Methods: First-year college student drinkers (N=818) completed assessments of alcohol use and related problems, shyness, and drinking motives every six months over a two year period. Results: Generalized linear mixed models indicated that shyness was associated with less drinking, but more alcohol-related problems. Further, shyness was associated with coping, conformity, and enhancement drinking motives, but was not associated with social drinking motives. However, when examining coping motives, moderation analyses revealed that social drinking motives were more strongly associated with coping motives among individuals higher in shyness. In addition, coping, conformity, and enhancement motives, but not social motives, mediated associations between shyness and alcohol-related problems over time. Finally, coping motives mediated the association between the interaction of shyness and social motives and alcohol-related problems. Conclusions: Together, the results suggest that shy individuals may drink to reduce negative affect, increase positive affect, and fit in with others in social situations, which may then contribute to greater risk for subsequent alcohol-related problems.Item A multisite randomized trial of normative feedback for heavy drinking: Social comparison versus social comparison plus correction of normative misperceptions(Journal of Consulting and Clinical Psychology, 2016-03) Neighbors, Clayton; Lewis, Melissa A.; LaBrie, Joseph W.; DiBello, Angelo M.; Young, Chelsie M.; Rinker, Dipali; Litt, Dana M.; Rodriguez, Lindsey M.; Knee, C. Raymond; Hamor, Ezekiel; Jerabeck, Jessica M.; Larimer, Mary E.Objective: Given widespread alcohol misuse among college students, numerous intervention programs have been developed, including personalized normative feedback (PNF). Most research evaluating PNF assumes that presenting one's own perceived norms is necessary to correct normative misperceptions and thereby reduce drinking. Alternatively, simply providing social comparison information showing that one drinks more than others may be sufficient. The present study evaluated the efficacy of full PNF (one's own drinking, campus drinking rates, and perceived norms) and a partial personalized social comparison feedback (PSCF; one's own drinking and campus drinking rates) in a randomized trial among heavy-drinking college students. Method: Participants included 623 heavy-drinking students from three universities. Assessments occurred at baseline and three- and six-months post-baseline. Results: Primary analyses examined differences across four drinking outcomes (drinks per week, total drinks past month, frequency of past month drinking, and negative alcohol-related consequences) at three- and six-month follow-ups controlling for the baseline variable. Results revealed significant reductions across all alcohol consumption outcomes at three months in both intervention conditions compared to attention-control. Mediation analyses demonstrated significant indirect effects of the intervention on six-month drinking through changes in perceived norms at three months. Moreover, evidence emerged for changes in drinking at three months as a mediator of the association between PSCF and six-month perceived norms. Conclusions: The present research suggests PNF may not require explicit consideration of one's perceived norms in order to be effective and that direct social comparison provides an alternative theoretical mechanism for PNF efficacy.Item Benefit finding as a moderator of the relationship between spirituality/religiosity and drinking(Addictive Behaviors, 2013-11) Foster, Dawn W.; Quist, Michelle C.; Young, Chelsie M.; Bryan, Jennifer L.; Nguyen, Mai-Ly; Neighbors, ClaytonThis study evaluated benefit finding as a moderator of the relationship between spiritual and religious attitudes and drinking. Previous research indicates that undergraduates who drink heavily experience negative alcohol-related consequences. Literature also suggests that spirituality and religiosity (S/R) is protective against heavy drinking (e.g., Yonker, Schnabelrauch, & DeHaan, 2012) and that finding meaning, which is conceptually related to benefit finding, is negatively associated with alcohol use (e.g., Wells, 2010). Seven hundred undergraduate students completed study materials including measures of drinking, benefit finding, and S/R. Based on previous research, we expected that S/R and benefit finding would be negatively associated with drinking. Furthermore, we expected that benefit finding would moderate the association between S/R and drinking, such that S/R would be more negatively associated with drinking among those higher in benefit finding. Consistent with expectations, a negative association between S/R and drinking was present, and was stronger among those high in benefit finding. These findings extend previous research by demonstrating that the protective effect of S/R on drinking appears to be particularly true among those who find benefit following traumatic experiences. This study extends previous research showing that S/R is negatively associated with drinking by evaluating benefit finding (measured via the Post-Traumatic Growth Inventory; Tedeschi & Calhoun, 1996) as a potential moderator of the relationship between S/R and drinking. This study contributes to the alcohol literature seeking to understand and identify individual factors in drinking and determine how S/R and benefit finding relate to drinking.Item Blood is thicker than booze: Examining the role of familism and gender in alcohol use and related consequences among Hispanic college students(Journal of Ethnicity in Substance Abuse, 2016) DiBello, Angelo M.; Gonzales, Rubi G.; Young, Chelsie M.; Rodriguez, Lindsey M.; Neighbors, ClaytonThe present study evaluated cultural, ethnic, and gender differences in drinking and alcohol-related problems among Hispanic students. Familism protects against negative outcomes in Hispanic populations, thus we expected familism to buffer against alcohol problems. Participants (N =623; 53% female) completed a battery of measures. Results suggested that familism was protective against drinking. Furthermore, alcohol use mediated the association between familism and alcohol-related problems. In sum, understanding that culture plays an important role in people’s behaviors and identifying protective factors is critical to inform culturally sensitive prevention and intervention efforts.Item Cultural differences and shame in an expressive writing alcohol intervention(Journal of Ethnicity in Substance Abuse, 10/07/16) Rodriguez, Lindsey M.; Young, Chelsie M.; Neighbors, Clayton; Tou, Reese; Lu, QianThe present study evaluates the relationships between shame, culture, and drinking behavior in predicting drinking intentions in the context of an expressive writing intervention. Theory and empirical findings have generally found that shame is maladaptive and can lead to anxiety, depression, and problematic alcohol use. However, research on cultural differences suggests that shame may be differentially damaging to individuals of collectivist, Asian cultures. Previous research evaluating expressive writing as a brief alcohol intervention has shown promising results such as reduced drinking intentions and increased readiness to change drinking behavior. The present study tested the hypothesis that feelings of shame after writing about a negative heavy drinking event would be associated with greater alcohol use generally and that this effect would differ for Caucasian compared to Asian individuals. We also explored whether this differed for light and heavy drinkers. Two hundred sixty-four undergraduates (74% female) who drank at least one alcoholic beverage in the past month completed measures of demographics, baseline drinking, event-related shame and guilt, pre- and postwriting affect, and drinking intentions. Results revealed that, independent of affect, social desirability, and event-related guilt, shame was generally negatively associated with drinking intentions for Caucasians and light drinking Asians. However, for heavy drinking Asians, shame was associated with increased drinking intentions. Results suggest that interventions that elicit shame are differentially effective and should be targeted accordingly.Item Drink refusal self-efficacy and implicit drinking identity: An evaluation of moderators of the relationship between self-awareness and drinking behavior(Addictive Behaviors, 2014-01) Foster, Dawn W.; Neighbors, Clayton; Young, Chelsie M.This study evaluated the roles of drink refusal self-efficacy (DRSE), implicit drinking identity, and self-awareness in drinking. Self-awareness (assessed by public and private self-consciousness), DRSE, and implicit drinking identity (measured via an implicit association test; IAT) were expected to interact in predicting self-reported drinking. This research was designed to consider mixed findings related to self-awareness and drinking. Hypotheses were: 1) alcohol-related outcomes would be negatively associated with self-awareness; 2) implicit drinking identity would moderate the association between self-awareness and alcohol consumption; and 3) this association would depend on whether participants were higher or lower in drink refusal self-efficacy. Participants included 218 undergraduate students. Results revealed that drinking behavior was not associated with self-awareness but was positively associated with implicit drinking identity. Of the four drinking variables (peak drinking, drinking frequency, drinks per week, and alcohol-related problems), only alcohol-related problems were positively associated with self-awareness. Furthermore, a significant two-way interaction emerged between private (but not public) self-consciousness and drinking identity to predict drinking. Consistent with expectations, three-way interactions emerged between self-awareness, implicit drinking identity, and DRSE in predicting drinking. For participants low in DRSE: 1) high implicit drinking identity was associated with greater drinking frequency when private self-consciousness was low; and 2) high implicit drinking identity was associated with greater drinks per week and peak drinks when public self-consciousness was low. This suggests that alcohol-related IATs may be useful tools in predicting drinking, particularly among those low in self-awareness and DRSE.Item Evaluating guilt and shame in an expressive writing alcohol intervention(Alcohol, 2015-08) Rodriguez, Lindsey M.; Young, Chelsie M.; Neighbors, Clayton; Campbell, Michelle T.; Lu, QianExpressive writing interventions have shown positive physical and psychological health benefits over time, with the presumed mechanism being emotional disclosure. However, work utilizing expressive writing in behavior change has been minimal. The current research applied the expressive writing paradigm to reduce drinking intentions among college students, and evaluated the role of event-related guilt and shame in intervention effects. College students (N = 429) completed a baseline survey and were randomly assigned to one of three conditions: Negative (write about a heavy drinking event that was negative); Positive (write about a heavy drinking event that was positive); or Neutral (write about their first day of college). After writing, readiness to change and future drinking intentions were assessed. Results revealed intervention effects on intended drinks per week and intended number of drinks during peak and typical drinking occasions. Participants in the negative condition also displayed higher levels of event-related guilt and shame. Results showed that guilt mediated intervention effects on readiness to change, which also mediated the association between guilt-reparative behavior and drinking intentions. Results provide initial support for an expressive writing intervention on alcohol use and underscore the importance of eliciting emotions associated with reparative behavior when considering negative past experiences and future behavior change.Item Exercise and alcohol consumption: What we know, what we need to know, and why it is important(Frontiers in Psychiatry, 2015-11) Leasure, J. Leigh; Neighbors, Clayton; Henderson, Craig E.; Young, Chelsie M.Exercise provides a wealth of benefits to brain and body, and is regarded as a protective factor against disease. Protective factors tend to cluster together – that is, people who engage in one healthy behavior, such as exercise, also engage in other healthy behaviors, such as maintaining a nutritious diet and getting sufficient sleep. In contrast to exercise, alcohol consumption is not typically regarded as a health-promoting behavior, although moderate intake has been associated with a lower risk of cardiovascular disease. Surprisingly, several large, population-based studies have shown a positive association between physical activity and alcohol intake. The present review focuses on what is known about this relationship, including potential neural bases as well as moderating factors, and discusses important directions for further study, such as a more thorough characterization of people who both drink and exercise. We focus on ramifications for intervening with people who have alcohol use disorders, as exercise has been assessed as both a treatment and preventive measure, with mixed results. We believe that, in order for such interventions to be effective, clinical trials must distinguish treatment-seeking populations from non-treatment-seeking ones, as well as ensure that the use of exercise as a tool to decrease alcohol consumption is made explicit. We posit that a better understanding of the relationship between physical activity and alcohol intake will maximize intervention efforts by informing the design of clinical trials and research-driven prevention strategies, as well as enable individuals to make educated decisions about their health behaviors.Item Exercise and alcohol consumption: What we know, what we need to know, and why it is important(Frontiers in Psychiatry, 2015) Leasure, J. Leigh; Neighbors, Clayton; Henderson, Craig E.; Young, Chelsie M.Exercise provides a wealth of benefits to brain and body, and is regarded as a protective factor against disease. Protective factors tend to cluster together – that is, people who engage in one healthy behavior, such as exercise, also engage in other healthy behaviors, such as maintaining a nutritious diet and getting sufficient sleep. In contrast to exercise, alcohol consumption is not typically regarded as a health-promoting behavior, although moderate intake has been associated with a lower risk of cardiovascular disease. Surprisingly, several large, population-based studies have shown a positive association between physical activity and alcohol intake. The present review focuses on what is known about this relationship, including potential neural bases as well as moderating factors, and discusses important directions for further study, such as a more thorough characterization of people who both drink and exercise. We focus on ramifications for intervening with people who have alcohol use disorders, as exercise has been assessed as both a treatment and preventive measure, with mixed results. We believe that, in order for such interventions to be effective, clinical trials must distinguish treatment-seeking populations from non-treatment-seeking ones, as well as ensure that the use of exercise as a tool to decrease alcohol consumption is made explicit. We posit that a better understanding of the relationship between physical activity and alcohol intake will maximize intervention efforts by informing the design of clinical trials and research-driven prevention strategies, as well as enable individuals to make educated decisions about their health behaviors.Item Expressive writing as a brief intervention for reducing drinking intentions(Addictive Behaviors, 2013-12) Young, Chelsie M.; Rodriguez, Lindsey M.; Neighbors, ClaytonThe present study examined the effectiveness of expressive writing in reducing drinking behavior. We expected that students prompted to write about negative drinking experiences would show greater decreases in future drinking intentions compared to the neutral and the positive writing conditions. We also expected that decreases in drinking intentions following the writing prompts might differ based on current drinking and AUDIT scores. Participants included 200 (76% female) undergraduates who completed measures of their current drinking behavior. They were then randomly assigned to either write about: a time when they had a lot to drink that was a good time (Positive); a time when they had a lot to drink that was a bad time (Negative); or their first day of college (Neutral), followed by measures assessing intended drinking over the next three months. Results revealed that participants intended to drink significantly fewer drinks per week and engage in marginally fewer heavy drinking occasions after writing about a negative drinking occasion when compared to control. Interactions provided mixed findings suggesting that writing about a positive event was associated with higher drinking intentions for heavier drinkers. Writing about a negative event was associated with higher intentions among heavier drinkers, but lower intentions among those with higher AUDIT scores. This research builds on previous expressive writing interventions by applying this technique to undergraduate drinkers. Preliminary results provide some support for this innovative strategy but also suggest the need for further refinement, especially with heavier drinkers.Item Friends in low places: The impact of companions and locations on 21st birthday drinking(Addictive Behaviors, 2016-01) Rodriguez, Lindsey M.; Young, Chelsie M.; Tomkins, Mary; DiBello, Angelo M.; Krieger, Heather; Neighbors, ClaytonThe present research examined how various locations and companions were associated with hazardous drinking during 21st birthday celebrations. The sample included 912 college students (57% female) who completed an online survey to examine 21st birthday drinking. Locations included bars, friends’ houses, restaurants, outdoor barbecues, homes, parents’ homes, Fraternity/Sorority houses, and other. Companions included friends, family members, casual acquaintances, roommates, significant others, Fraternity/Sorority members, and none (alone). Participants consumed an average of 7.6 drinks and reached an average eBAC of .15 during their 21st birthday celebrations. Locations accounted for 20%/18% of the variance in number of drinks and eBAC, respectively, whereas companions accounted for 23%/20% of the variance. Drinking with romantic partners was associated with less drinking, whereas drinking with Fraternity/Sorority members was associated with more drinking. Stepwise regressions combining locations and companions suggested that, overall, celebrating in a bar setting and with Fraternity and Sorority members were the strongest variables associated with drinking. With the exception of a bar setting, companions were the most important contextual factors associated with 21st birthday drinking.Item I like people who drink like me: Perceived appeal as a function of drinking status(Addictive Behaviors, 2016-02) Young, Chelsie M.; DiBello, Angelo M.; Nguyen, Mai-Ly; Quist, Michelle C.; Foster, Dawn W.; Bryan, Jennifer L.; Neighbors, ClaytonIntroduction: Individuals rate opposite sex faces as more attractive after consuming or being primed with alcohol. However, other traits such as intelligence and likeability have not been examined and might vary as a function of information about one's drinking habits. We expected social drinkers to be rated more positively than heavy drinkers, abstainers, or recovering alcoholics. We further hypothesized that faces with similar drinking habits to participants would be rated as more appealing. Methods: Five hundred ninety-four undergraduates viewed 25 opposite sex faces randomly paired with drinking information, and rated each face on perceived appeal. Results: Hierarchical linear models revealed that social drinkers were rated as most appealing, as expected. Unexpectedly, recovering alcoholics were rated as the next most appealing, followed by abstainers, then heavy drinkers. The interaction between drinker type and participants’ own drinking predicting ratings indicated that the heavier the participant drinks, the more favorably they rated heavy drinkers compared to other types of drinkers. Thus, as expected, ratings varied as a function of participants’ own drinking; however, ratings did not vary as a function of participants’ alcohol-related problems. Conclusions: Findings support hypotheses in that social drinkers were generally perceived as appealing compared to other drinker types, and ratings tended to be influenced by participants’ own drinking. Individuals’ prototypes and norms regarding drinking may influence how they perceive others when others’ drinking habits are known. This might be especially important to consider with heavy drinkers who may seek out others who drink similarly, which could reinforce problematic drinking.Item Tears in your beer: Gender differences in coping drinking motives, depressive symptoms and drinking(International Journal Of Mental Health And Addiction, 2014-12) Foster, Dawn W.; Young, Chelsie M.; Nguyen, Mai-Ly; Quist, Michelle C.; Bryan, Jennifer L.; Neighbors, ClaytonThis study evaluates associations between coping drinking motives (CDM; drinking to regulate negative affect), depressive symptoms, and drinking behavior and extends the literature by also taking into account gender differences. Two hundred forty-three college students (Mean age = 22.93, SD = 6.29, 82% female) participated. Based on previous research, we expected that CDM would be positively associated with drinking and problems, particularly among those higher in depressive symptoms, as individuals experiencing higher levels of negative affect (i.e. depressive symptoms) and who drink to cope are likely to drink more and experience more alcohol-related problems. Lastly, based on established gender differences, we expected that CDM would be positively associated with drinking and problems, especially among females higher in depressive symptoms. Unexpectedly, findings suggested that CDMs were positively related to peak drinking, especially among those lower in depressive symptoms. Results further revealed a significant three-way interaction between CDM, depressive symptoms, and gender when predicting alcohol-related problems and drinking frequency. Specifically, we found that CDM were more strongly associated with problems among women who were lower in depressive symptoms; whereas CDM were more strongly associated with problems among men who were higher in depressive symptoms. These findings offer a more comprehensive depiction of the relationship between depressive symptoms, CDM, and drinking behavior by taking into account the importance of gender differences. These results provide additional support for considering gender when designing and implementing alcohol intervention strategies.