Feedback from both pharmacists and patient participants suggests that there is uncertainty in the degree to which pharmacists can and should confront the prescription opioid epidemic directly. Ambiguities in the pharmacist's role may be best clarified through structured training promoting enhanced between-party communication.
Objective: Hazardous drinking in the armed forces is a signifi cant problem. Alcohol use motivations, known risk factors for problem drinking, have been underexplored in this population. Our study extends knowledge about drinking motives among current and former U.S. service members and provides recommendations on their utility in identifying alcohol-related problems by examining the factor structure of multidimensional drinking motives and their association to alcohol use. Method: Post-9/11 separated service members and current reservists were recruited from 35 Oregon employers to participate in a workplace study of supervisor support. The resulting sample (N = 509; 84% male; mean age = 39) completed a baseline assessment, which included a comprehensive drinking motives assessment. Results: Drinkers comprised 88% of the sample, with a mean Alcohol Use Disorders Identifi cation Test (AUDIT) score of 5.4 (SD = 4.6); 23.9% scored 8 or more. The four-factor structure of the Drinking Motives Questionnaire-Revised, short form (DMQ-R-SF) was affi rmed through confi rmatory factor analysis. Internal drinking motives related to enhancement (positive) and coping (negative) were most predictive of alcohol use; coping motives were uniquely predictive of alcohol-related problems, when drinking quantity/frequency, as well as psychological distress, were controlled for. Coping motives also mediate the relationship between psychological distress and AUDIT scores. Results thus demonstrated the generalizability of the DMQ-R-SF motives measure for use with separated service members and reservists. Conclusions: Drinking motives, assessed by the DMQ-R-SF, represent reliable and important predictors of drinking and associated problems among service members. Inclusion of motivated drinking questions may enhance screening for alcohol-related problems among current and former service members. (J. Stud. Alcohol Drugs, 79, 79-87, 2018)
Students drank more socially in the evening following daytime increases in negative social interactions, relative to evenings following fewer such exchanges (b = .23, p < .001). At the between-person level, students who reported stronger confidence in refusing to drink drank less socially compared to those who reported less confidence in drinking refusal (b = -.53, p < .001). Yet, those with higher social self-efficacy, which is typically a health-protective factor, drank more socially compared to their counterparts (b = .32, p < .05). Conclusions and Importance: Japanese college students increased their social drinking in response to daily negative social interactions, consistent with the notion that this drinking pattern represents efforts to make amends to others. Interventions targeted toward increasing students' confidence in refusing to drink may be beneficial in reducing social drinking in this population.
This chapter focuses on the role of leadership in hiring and retaining military veterans in civilian organizations—both the leadership experience and abilities a veteran brings to an employer and the importance of civilian workplace supervisors. Supervisors are key in supporting and recognizing the unique knowledge, skills, and abilities that veterans bring to the workplace, enhancing not only the quality of business outcomes but also the social relationships within organizations. This chapter begins with a focus on the importance of managers and supervisors providing a culture of support for veterans by addressing how such support leads to improvements in self-efficacy, health, well-being, and job outcomes, such as increased retention of veterans in the civilian workplace. It then addresses the importance of both the leadership skills and qualities brought to the workplace by our veterans—and how organizations can recognize, utilize, and maximize the leadership skills of veterans.
As many as 50% of full time students are employed for pay while enrolled in secondary education (Condition of Education; Planty et al., 2009). It is well documented that college is a vulnerable time for heavy drinking, and similarly, increased consumption among the workforce continues to rise. Student workers, who occupy both roles, therefore may be particularly at risk. The present research explored potential factors related to this stressful dual role experience, which was hypothesized be related to increased alcohol consumption. One such factor proposed was the self-conscious emotion of shame. According to Hull's (1981) Self Awareness Model, individuals may drink to decrease levels of self-awareness in light of real or perceived failure or intensely negative emotional experiences. Based on this theory, both state and trait shame (shameproneness) have been linked with alcohol consumption. In line with the literature, it was hypothesized that individuals higher in shame-proneness would report recent experiences of shame, as well higher levels of alcohol consumption. It was additionally proposed that this process might be exacerbated for individuals experiencing workplace role ambiguity.Role ambiguity obfuscates both the process necessary for achieving favorable work outcomes, as well as whether those outcomes are or are not actually achieved. Therefore, individuals experiencing high levels of role ambiguity may exist in a continuous experience of wondering if they are doing their jobs correctly or well. The relation between shame-proneness (a trait) and experiences of shame (a state) was proposed to be moderated by the experience of role ambiguity. The present study revealed, however, that there were no direct, indirect, or conditional effects. The discussion explores possible SHAME-PRONENESS, DRINKING BEHAVIORS, AND ROLE AMBIGUITY ii reasons for these outcomes, and offers thoughts regarding future research directions for further exploring these questions.
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