The relationship between depressed mood, self-efficacy and affective states during the drinking driving sequence

Dill, Patricia L.; Wells‐Parker, Elisabeth; Cross, Ginger W.; Williams, Martha R.; Mann, Robert E.; Stoduto, Gina; Shuggi, Rania

doi:10.1016/j.addbeh.2006.11.011

Cited by 14 publications

(7 citation statements)

References 6 publications

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“…Additionally, the baseline depression scores were good predictors of treatment entry, with the high depression group much more likely to seek and enter treatment than the low depression group. These results support the prior studies (see; Dill et al, 2007; Wells-Parker et al, 2007; Wells-Parker et al, 2006), and suggest that negative affect may be an important indicator of potential readiness to change.…”

Section: Discussionsupporting

confidence: 90%

“…The current study sample consisted of individuals who were referred from specific courts in a Mid-Western city of medium size. However, there has been some consistency in findings concerning psychiatric distress in various geographic areas of the United Staes (Lapham, C’deBaca, McMillan, & Lapidus, 2006; Lapham, Smith, C’de Baca, Chang, Skipper, Baum, & Hunt, 2001; Wells-Parker et al, 2007; Dill et al, 2007; Wells-parker & Williams, 2002). …”

Section: Discussionmentioning

confidence: 99%

“…The authors propose that negative affect, like depression, may actually increase motivation to change behaviors and result in more engagement in the treatment process. Research supporting this correlation has shown that depression can moderate the influence of treatment programs (Wells-Parker & Williams, 2002), and is related to abstinence self-efficacy, higher temptation to drink, greater likelihood of negative mood states during drinking and driving episodes (Dill et al, 2007), and greater likelihood of seeking treatment (Wells-Parker et al, 2006). …”

mentioning

confidence: 99%

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Depression, Readiness for Change, and Treatment Among Court-Mandated DUI Offenders

Nochajski

Stasiewicz²,

Patterson

2013

Journal of Dual Diagnosis

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Objective The current study is part of a larger study that was designed to evaluate the impact of brief interventions on subsequent alcohol and drug use of individuals convicted of driving under the influence (DUI). This element considers the interaction of depression levels with treatment on subsequent substance use and problems related to substance use. Methods Subjects were referred to the Research Institute on Addictions from various courts in the Western New York area for clinical evaluation and treatment referral, if further treatment was indicated. A total of 765 individuals were referred to the program, with 549 agreeing to participate. Participants were assessed at baseline using a number of different measures, with depression and readiness to change among them. A follow-up assessment took place 18–24 months following the baseline, with subsequent treatment experiences being one of the primary measures of interest for this study. A total of 443 participants were successfully interviewed at follow-up. Results The high depression group had greater readiness to change and a greater likelihood of entering treatment than the low depression group (p’s < .001). ANCOVAs showed depression by treatment interactions for drug problem severity, drug use, DUI risk, alcohol expectancies, abstinence self-efficacy, and psychiatric distress (all p’s < .05). Furthermore, the treated high depression group made the largest positive gains across all outcomes (all p’s < .01). Conclusions The readiness to change, treatment entry, and ANCOVA results, all support Wells-Parker and her colleagues’ approach that depression may be a strong indicator of DUI offenders’ readiness to change their substance use behavior.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Depression, Readiness for Change, and Treatment Among Court-Mandated DUI Offenders

Nochajski

Stasiewicz²,

Patterson

2013

Journal of Dual Diagnosis

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“…Another benefit of addressing depression as part of DWI prevention is that individuals with depression tend to have higher motivation for changing their problematic behaviors than do individuals without depression, 13,35,36 but they have lower confidence and self-efficacy in alcohol-related treatments they receive. 37,38 …”

Section: Discussionmentioning

confidence: 99%

Depression, Alcohol Dependence and Abuse, and Drinking and Driving Behavior

Zhang¹,

Sloan²

2014

J Behav Health

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Background Alcohol dependence/abuse and depression are positively related. Prior studies focused on relationships between drinking and driving and alcohol dependence/abuse, drinking and driving and problem drinking, or drinking and driving and depression separately. No study has addressed how depression is linked to drinking and driving through various underlying channels in the same study. Methods This study investigated relationships between depression, alcohol dependence/abuse, and the number of self-reported drinking and driving episodes. We also explored underlying behavioral channels between depression and alcohol dependence/abuse and binge drinking, reducing drinking amounts when planning to drive, and use of designated drivers. Data on 1,634 drinkers came from a survey fielded in eight U.S. cities. We employed ordinary least squares regression (OLS) and path analysis to assess drinking and driving and underlying channels. Results With OLS, being depressed increased the number of drinking and driving episodes during the past year by 0.572. This increase decreased to 0.411 episodes/year increase after adding socio-demographic characteristics and household income and lost statistical significance after controlling for alcohol dependence/abuse. The path analysis showed that depression is positively associated with drinking and driving, indirectly operating through not using a designated driver, but is not directly associated with drinking and driving. Alcohol dependence/abuse is directly associated with drinking and driving, and indirectly with drinking and driving through binge drinking. Conclusion Our results suggest that treatment should focus on helping individuals with depression to obtain assistance from others, such as obtaining a designated driver. Since self-control of drinking in anticipation of driving did not significantly reduce drinking and driving episodes, this study finds no empirical support for emphasizing improved self-control when the treatment objective is reducing drinking and driving frequency. While binge drinking is associated with drinking and driving, the more appropriate way to influence binge drinking is treating alcohol dependence/abuse rather than depression per se.

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“…In addition, among teens and adults who are diagnosed with SUDs, substance use and relapse often occur as a direct result of affective distress (Anderson, Frissell, & Brown, 2007; Marlatt, 1996). Depressed mood is associated with lower alcohol abstinence confidence among DUI offenders (Dill, et al, 2007) and a diagnosis of depression is negatively associated with self-efficacy to refrain from smoking among nicotine dependent individuals (Haukkala, Uutela, Vartiainen, Mcalister, & Knekt, 2000; John, Meyer, Rumpf, & Hapke, 2004). Thus, similar pathways by which these two constructs influence substance use following a period of abstinence are posited across age groups.…”

Section: Present Studymentioning

confidence: 99%

Self-efficacy Mediates the Relationship Between Depression and Length of Abstinence After Treatment Among Youth but Not Among Adults

Ramo

Myers

Brown

2010

Substance Use & Misuse

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We present two studies testing whether self-efficacy mediates the relationship between depression symptoms and initial abstinence duration after substance abuse treatment in adolescents and adults. Study 1: Adolescents (N = 208) were recruited from substance abuse treatment in an urban/ suburban area in the United States between 1999-2005, and followed monthly after discharge. Measures used were affective state (depression symptoms), drug-taking coping self-efficacy, and length of abstinence after treatment. Self-efficacy fully mediated the relationship between depression and time to use. Study 2: In a similar study design, adult Veterans (N = 160) in outpatient substance abuse treatment were interviewed during treatment and monthly following treatment. Depression was negatively associated with self-efficacy, and self-efficacy predicted time to first substance use, but there was no mediation. Study implications and limitations are noted. KeywordsRelapse; comorbidity; self-efficacy; depression; developmental psychopathology Addressing the process of relapse to addictive behaviors has been challenging for researchers, clinicians and others who seek to understand and treat these behaviors. Cognitive-behavioral models of relapse have emphasized the importance of cognitive and affective factors in predicting the rapidity and severity of return to use following substance abuse treatment among adults and adolescents. These models conceptualize the behavioral process as starting with a "lapse," or initial use of a substance, which, based on many factors, can result in a relapse, or return to problematic use. Previous studies have characterized various factors that increase the likelihood that a lapse will result in a relapse (Brown & Ramo, 2006;Witkiewitz & Marlatt, 2004). However, all of the work leading to our understanding of the relapse process to date has been conducted on adult or adolescent samples separately, resulting in an inability to make direct comparisons between these developmental stages. In order to most effectively examine whether there are distinct differences in the relapse process for youth and adults, it is important to study this process simultaneously in both age groups. The two studies presented here addresses this issue by * Corresponding Author. Tel: +1-415-476-7816; fax: +1-415-476-7375. danielle.ramo@ucsf.edu (D.E. Ramo).. NIH Public Access Author ManuscriptSubst Use Misuse. Author manuscript; available in PMC 2011 January 31. NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript comparing the role of self-efficacy and depression symptoms in the posttreatment relapse process in teens and adults using an similar study design. Coping self-efficacy and relapseA key variable incorporated within most relapse models is coping self-efficacy, which has been found to influence the course of treatment and patterns of addictive behavior relapse. Defined by Bandura (1995) as "one's capacity to organize and execute courses of action required to manage prospective situations,...

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The relationship between depressed mood, self-efficacy and affective states during the drinking driving sequence

Cited by 14 publications

References 6 publications

Depression, Readiness for Change, and Treatment Among Court-Mandated DUI Offenders

Depression, Readiness for Change, and Treatment Among Court-Mandated DUI Offenders

Depression, Alcohol Dependence and Abuse, and Drinking and Driving Behavior

Self-efficacy Mediates the Relationship Between Depression and Length of Abstinence After Treatment Among Youth but Not Among Adults

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