Relations among protective behavioral strategies, biological sex, and ADHD symptoms on alcohol use and related problems: Who benefits most, and from what type of strategy?

Looby, Alison; Prince, Mark A.; Vasko, John M.; Zimmerman, Lauren; Lefler, Elizabeth K.; Flory, Kate; Canu, Will H.; Hartung, Cynthia M.

doi:10.1016/j.addbeh.2021.106924

Cited by 6 publications

(2 citation statements)

References 33 publications

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“…Further, the implementation of alcohol-related harm reduction interventions may be useful for this population, particularly for students high in inattention who are motivated to drink for enhancement purposes. For example, use of protective behavioral strategies (PBS), which conveys protection against higher levels of alcohol-related consequences among students high in ADHD symptoms (Looby et al, 2021), may provide a means by which students can obtain some enhancement benefit from alcohol use, while minimizing the likelihood of negative consequences. These hypotheses should be tested in future research studies.…”

Section: Discussionmentioning

confidence: 99%

Drinking Motives Mediate the Relation between Attention-Deficit/Hyperactivity Disorder Symptoms and Alcohol-Related Problems among College Students

et al. 2023

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Evidence demonstrates an association between symptoms of attention-deficit/hyperactivity disorder (ADHD) and alcohol outcomes, though mechanisms underlying relations are unclear. Given that drinking motives (coping-anxiety, coping-depression, enhancement, social, and conformity) appear to serve as a mediator through which other factors influence drinking behavior, the current multi-site study examined the relation between ADHD symptoms and alcohol outcomes through motives. Past-month drinkers completed online measures assessing ADHD symptoms, alcohol use and problems, and drinking motives. A multiple-mediator model found inattention symptoms were: 1) positively associated with coping-depression, which positively related to alcohol use, which positively related to alcohol problems; 2) positively associated with enhancement motives, which positively related to use, which positively related to problems; and 3) positively associated with coping-anxiety, which negatively related to use, which positively related to problems. No indirect relations via motives were found for hyperactive-impulsive symptoms. Findings highlight unique associations depending on ADHD symptoms and specific drinking motives.

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Section: Discussionmentioning

confidence: 99%

Drinking Motives Mediate the Relation between Attention-Deficit/Hyperactivity Disorder Symptoms and Alcohol-Related Problems among College Students

et al. 2023

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“…An anticipated hangover significantly moderated this relationship in a way that only ADHD individuals with low hangover expectations showed a correlation between ADHD symptoms and alcohol intake frequency [ 160 ]. Protective behavioural strategies, which are associated with generally lower alcohol consumption, might be more effective in individuals with ADHD symptoms [ 161 ]. Overall, the view that ADHD is associated with higher alcohol consumption and that individuals with ADHD consume alcohol for self-management in other ways than normal individuals, remains controversial [ 154 ].…”

Section: Alcohol For Self-management During the Lifespanmentioning

confidence: 99%

Self-management with alcohol over lifespan: psychological mechanisms, neurobiological underpinnings, and risk assessment

Müller¹,

Schumann²,

Rehm³

et al. 2023

Mol Psychiatry

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Self-management includes all behavioural measures and cognitive activities aimed at coping with challenges arising throughout the lifespan. While virtually all of these challenges can be met without pharmacological means, alcohol consumption has long been instrumentalized as a supporting tool to help coping with problems arising selectively at adolescence, adulthood, and ageing. Here, we present, to our knowledge, the first systematic review of alcohol instrumentalization throughout lifespan. We searched MEDLINE, Google Scholar, PsycINFO and CINAHL (from Jan, 1990, to Dec, 2022) and analysed consumption patterns, goals and potential neurobiological mechanisms. Evidence shows a regular non-addictive use of alcohol to self-manage developmental issues during adolescence, adulthood, and ageing. Alcohol is selectively used to overcome problems arising from dysfunctional personality traits, which manifest in adolescence. A large range of psychiatric disorders gives rise to alcohol use for the self-management of distinct symptoms starting mainly in adulthood. We identify those neuropharmacological effects of alcohol that selectively serve self-management under specific conditions. Finally, we discuss the adverse effects and associated risks that arise from the use of alcohol for self-management. Even well-controlled alcohol use adversely impacts health. Based on these findings, we suggest the implementation of an entirely new view. Health policy action may actively embrace both sides of the phenomenon through a personalized informed use that allows for harm-controlled self-management with alcohol.

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Protective behavioral strategies convey greater protection against alcohol-related problems for members of Greek life than non-members

Zimmerman,

Livingston,

Berry

et al. 2023

Curr Psychol

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Relations among protective behavioral strategies, biological sex, and ADHD symptoms on alcohol use and related problems: Who benefits most, and from what type of strategy?

Cited by 6 publications

References 33 publications

Drinking Motives Mediate the Relation between Attention-Deficit/Hyperactivity Disorder Symptoms and Alcohol-Related Problems among College Students

Drinking Motives Mediate the Relation between Attention-Deficit/Hyperactivity Disorder Symptoms and Alcohol-Related Problems among College Students

Self-management with alcohol over lifespan: psychological mechanisms, neurobiological underpinnings, and risk assessment

Protective behavioral strategies convey greater protection against alcohol-related problems for members of Greek life than non-members

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