Alcohol expectancies, problem drinking, and adverse health consequences

Werner, Mark; Walker, Lynn S.; Greene, John W.

doi:10.1016/1054-139x(93)90116-7

Cited by 39 publications

(24 citation statements)

References 24 publications

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“…Positive expectancies accounted for a higher proportion of variance in predicting hazardous alcohol use at both time points than did negative expectancies. This finding is consistent with prior cross-sectional research [27], which showed that overall positive expectancies, not negative expectancies, were predictive of drinking frequency/quantity and consumptionrelated problems among college students. This is also consistent with prior longitudinal work [28] which showed that problem drinkers endorsed high levels of positive alcohol expectancies over time.…”

Section: Discussionsupporting

confidence: 94%

Do Good Things Come to Those Who Drink? A Longitudinal Investigation of Drinking Expectancies and Hazardous Alcohol Use in Female College Athletes

Zamboanga

Horton

Leitkowski

et al. 2006

Journal of Adolescent Health

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Section: Discussionsupporting

confidence: 94%

Do Good Things Come to Those Who Drink? A Longitudinal Investigation of Drinking Expectancies and Hazardous Alcohol Use in Female College Athletes

Zamboanga

Horton

Leitkowski

et al. 2006

Journal of Adolescent Health

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“…In contrast, negative expectancies (i.e., beliefs that alcohol produces adverse effects) either tend not to be related signifi cantly to alcohol use (Neighbors et al, 2007;Read and O'Connor, 2006;Werner et al, 1993) or are related to lower levels of use in young adults (Anderson et al, 2003;Fromme et al, 1993;Leigh and Stacy, 1993). These fi ndings are consistent with learning theory (Jones et al, 2001).…”

Section: Alcohol-related Expectanciessupporting

confidence: 80%

“…Signifi cant relationships between positive expectancies and alcohol-related problems have been reported in models including both types of expectancies (Ham, 2009;Ham and Hope, 2006; but for nonsignifi cant results, see Leeman et al, 2009b;Neighbors et al, 2007). In another study, positive expectancies, although signifi cant, were weaker predictors of alcohol-related problems than negative expectancies (Werner et al, 1993). In contrast, most young adult studies reporting signifi cant relationships between positive expectancies and alcohol-related problems tested models omitting negative expectancies (Fearnow-Kenny et al, 2001;Vik et al, 2000;Wood et al, 2001).…”

Section: Alcohol-related Expectanciesmentioning

confidence: 95%

“…Negative expectancies have been associated with alcoholrelated problems (i.e., negative consequences and dependence symptoms; White and Labouvie, 1989) in young adults (Leeman et al, 2009b;Neighbors et al, 2007;Read and O'Connor, 2006; but see Ham, 2009;Ham and Hope, 2006;Thompson et al, 2009;and Werner et al, 1993, for nonsignifi cant fi ndings). Signifi cant relationships between positive expectancies and alcohol-related problems have been reported in models including both types of expectancies (Ham, 2009;Ham and Hope, 2006; but for nonsignifi cant results, see Leeman et al, 2009b;Neighbors et al, 2007).…”

Section: Alcohol-related Expectanciesmentioning

confidence: 99%

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Cluster Analysis of Undergraduate Drinkers Based on Alcohol Expectancy Scores

Leeman¹,

Kulesza

Stewart³

et al. 2012

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: Expectancies of alcohol's effects have been associated with problem drinking in undergraduates. If subgroups can be classifi ed based on expectancies, this may facilitate identifying those at highest risk for problem drinking. Method: Undergraduates (N = 612) from two state universities completed a web-based survey. Responses to the Comprehensive Effects of Alcohol scale were analyzed using kmeans cluster analysis separately within each university sample. Results: Hartigan's heuristic was used to determine that fi ve was the optimal number of clusters in each sample. Clusters were distinguishable based on their overall magnitude of expectancy endorsement and by a tendency to endorse stronger positive than negative expectancies. Subsequent analyses were conducted to compare clusters on alcohol involvement and trait disinhibition. A cluster characterized by endorsement of positive and negative expectancies ("strong expectancy") was associated with a particularly problematic risk profi le, specifi cally concerning diffi culties with self-control (i.e., trait disinhibition and impaired control over alcohol use). A cluster with higher positive and lower negative expectancies reported frequent heavy drinking but appeared to be at lower risk than the strong expectancy cluster in a number of respects. Negative expectancy endorsement appeared to represent added risk above and beyond positive expectancies. Conclusions: Results suggest that both the magnitude and combination of expectancies endorsed by subgroups of undergraduate drinkers may relate to their risk level in terms of alcohol involvement and personality traits. These fi ndings may have implications for interventions with young adult drinkers. (J. Stud. Alcohol Drugs, 73, 238-249, 2012)

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“…At the individual level, risk factors include early alcohol use, perceived peer and adult alcohol use, peer models for alcohol use, peer pressure to drink, cigarette smoking and marijuana use, poor relationships with parents, low self-esteem, poor academic achievement, and perceived peer approval of drinking (Jessor, Costa, Krueger, & Turbin, 2006;Reifman & Watson, 2003;Werner, Walker, & Greene, 1993). Socioenvironmental risk factors also predict alcohol use.…”

Section: Alcohol Intake and Drinking Environments Among College Youthmentioning

confidence: 96%

A Conceptual Framework for Studying Alcohol Intake and Blood Pressure on Historically Black College and University Campuses

et al. 2009

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Drinking increases the risk of elevated blood pressure, a risk factor for chronic ailments such as hypertension and cardiovascular disease. The experience of elevated blood pressure in young adulthood may be critical for the development of these diseases later in life. College campuses are venues replete with young adults, and drinking is a popular activity in these settings. Because Historically Black Colleges and Universities (HBCU) produce a large proportion of black college graduates, understanding the social context of drinking among young blacks attending HBCUs is important in understanding the role and characteristics of drinking as a risk factor for the development of elevated blood pressure. This article reviews existing literature on alcohol and blood pressure and proposes a conceptual framework linking socioenvironmental factors, stress, and alcohol consumption at HBCUs in the context of elevated blood pressure among young blacks. Recommendations for future research are also proposed.

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Alcohol expectancies, problem drinking, and adverse health consequences

Cited by 39 publications

References 24 publications

Do Good Things Come to Those Who Drink? A Longitudinal Investigation of Drinking Expectancies and Hazardous Alcohol Use in Female College Athletes

Do Good Things Come to Those Who Drink? A Longitudinal Investigation of Drinking Expectancies and Hazardous Alcohol Use in Female College Athletes

Cluster Analysis of Undergraduate Drinkers Based on Alcohol Expectancy Scores

A Conceptual Framework for Studying Alcohol Intake and Blood Pressure on Historically Black College and University Campuses

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