Changes in ambivalence mediate the relation between entering treatment and change in alcohol use and problems

Oser, Megan; McKellar, John; Moos, Bernice S.; Moos, Rudolf H.

doi:10.1016/j.addbeh.2009.10.024

Cited by 66 publications

(21 citation statements)

References 15 publications

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“…Our first expectation was that ambivalence would be positively associated with drinking and problems, and results supported this prediction for both correlational and regression main effect analyses. This is consistent with previous studies that suggest ambivalence is linked with heavier alcohol use (Hernandez et al, 2010; Oser et al, 2010). As such, the perspective that ambivalence may have some predictive utility with respect to addictive behaviors is supported.…”

Section: Discussionsupporting

confidence: 93%

“…The ambivalence and alcohol literature demonstrates that ambivalence predicts addictive behaviors including heavy alcohol use (Hernandez, Salerno, & Bottoms, 2010; Oser, McKellar, Moos, & Moos, 2010), desire to quit substance use (Lipkus, Green, Feaganes, & Sedikides, 2001) and smoking relapse (Menninga, Dijkstra, & Gebhardt, 2011). Further, ambivalence has been shown to mediate the relationship between treatment and heavy drinking (Oser et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

“…Further, ambivalence has been shown to mediate the relationship between treatment and heavy drinking (Oser et al, 2010). Although the literature indicates that ambivalence might have some predictive utility with respect to behaviors, some research contrarily indicates that ambivalent attitudes are worse predictors of behavior than attitudes which are unequivocal (Armitage, 2003; Conner, Povey, Sparks, James, & Shepherd, 2003).…”

Section: Introductionmentioning

confidence: 99%

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Drinking motives as moderators of the effect of ambivalence on drinking and alcohol-related problems

Foster

Neighbors

Prokhorov

2014

Addictive Behaviors

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The current study seeks to evaluate relationships between drinking motives and alcohol-related ambivalence in the prediction of problem drinking. We expected that: 1) main effects would emerge such that alcohol-related ambivalence would be positively associated with peak drinking and problems; drinking motives would be positively associated with drinking and problems, and 2) interactions would emerge between motives and ambivalence in predicting problematic drinking such that drinking motives would be positively associated with peak drinking and problems, especially among those high in ambivalence over drinking. Six hundred sixty-nine undergraduate students (mean age = 22.95, SD = 5.47, 82.22% female) completed study materials. Results showed that consistent with expectations, ambivalence was positively associated with peak drinking and problems. Further, consistent with expectations, drinking motives were positively associated with peak drinking and problems. Additionally, ambivalence was positively associated with drinking motives. Significant interactions emerged between drinking motives (social and coping) and ambivalence when predicting peak drinking and alcohol-related problems. These findings highlight the importance of considering motives in the relationship between ambivalence and drinking. Clinical implications include the need for tailoring interventions to target individual difference factors that increase risk for heavy drinking and associated problems. This is especially important among college students who may be at risk for problematic behavior.

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Drinking motives as moderators of the effect of ambivalence on drinking and alcohol-related problems

Foster

Neighbors

Prokhorov

2014

Addictive Behaviors

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“…The conceptual and empirical literature suggests that recognizing one’s own addiction problems may be a first step in deciding what to do about them (Oser et al, 2010; Redko et al, 2007; Saunders et al, 2006; Sexton et al, 2008). Prevention programs (van Gemert et al, 2011), brief alcohol interventions (Dimeff, 1999), and motivational enhancement therapies (Miller, 1995) educate people about AUD symptoms, such as pharmacologic tolerance, as an effort to elucidate their patterns of problematic use.…”

Section: Introductionmentioning

confidence: 99%

Alcohol problem recognition and help seeking in adolescents and young adults at varying genetic and environmental risk

Glass

Grant

Yoon

et al. 2015

Drug and Alcohol Dependence

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Introduction Alcohol use disorder symptoms frequently occur in adolescents and younger adults who seldom acknowledge a need for help. We identified sociodemographic, clinical, and familial predictors of alcohol problem recognition and help seeking in an offspring of twins sample. Method We analyzed longitudinal data from the Children of Alcoholics and Twins as Parents studies, which are combinable longitudinal data sources due to their equivalent design. We analyzed respondents (n=1,073, 56.0% of the total sample) with alcohol use disorder symptoms at the baseline interview. Familial characteristics included perceptions of alcohol problems and help seeking for alcohol problems within the immediate family and a categorical variable indicating genetic and environmental risk. We used logistic regression to examine predictors of alcohol problem recognition and help seeking. Results Approximately 25.9% recognized their alcohol problems and 26.7% sought help for drinking. In covariate-adjusted analyses, help seeking among family members predicted problem recognition, several clinical characteristics predicted both problem recognition and help seeking, and familial risk predicted help seeking. Alcohol problem recognition mediated the association between alcohol use disorder symptoms and incident help seeking. Conclusions Facilitating the self-recognition of alcohol use disorder symptoms, and perhaps the awareness of family members’ help seeking for alcohol problems, may be potentially promising methods to facilitate help seeking.

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“…Similarly, in a study of recent Veterans with an "invisible injury" (i.e., mental-health concern), 66% did not perceive a need for mental health care, including SUD treatment (Rieckhoff et al, 2012). Ambivalence-perceiving both benefits and drawbacks of change or of treatment-is also common among people with SUD, including justice-involved individuals (M. D. Clark, Walters, Gingerich, & Meltzer, 2006) and Veterans (Oser, McKellar, Moos, & Moos, 2010). Accordingly, a lack of awareness of or ambivalence about the need for SUD treatment might serve as a key barrier to access and engagement in these services for justice-involved Veterans.…”

Section: Lack Of Awareness or Ambivalence About The Need For Sud Treamentioning

confidence: 99%

Facilitating Treatment Access and Engagement for Justice-Involved Veterans With Substance Use Disorders

Glynn

Kendra

Timko

et al. 2014

Criminal Justice Policy Review

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More than one half of U.S. military Veterans with criminal-justice involvement report problematic substance use, but less than one third ever receive or engage in treatment for substance use disorders (SUDs), despite access to the Veterans Health Administration (VA). This underutilization of services places an already vulnerable population at risk of negative outcomes, such as poor physical and mental health, intimate partner violence, homelessness, suicide, and criminal recidivism. These risks and harms can be reduced through connection with SUD treatment services, and many Veterans already qualify for care through the VA and other agencies. In this review, we outline the known and likely barriers to SUD treatment access and engagement for justice-involved Veterans, suggest policy responses to these barriers, and describe current efforts within the VA and community organizations to address access and engagement in this population. A summary of current knowledge is provided, and directions for future research are suggested.

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Changes in ambivalence mediate the relation between entering treatment and change in alcohol use and problems

Cited by 66 publications

References 15 publications

Drinking motives as moderators of the effect of ambivalence on drinking and alcohol-related problems

Drinking motives as moderators of the effect of ambivalence on drinking and alcohol-related problems

Alcohol problem recognition and help seeking in adolescents and young adults at varying genetic and environmental risk

Facilitating Treatment Access and Engagement for Justice-Involved Veterans With Substance Use Disorders

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