Abstract:
PURPOSE:The objective of this study was to empirically test a theoretical model to determine the cognitive mechanisms that are associated with adolescent alcohol use and alcohol problems. We posited that alcohol outcome expectancies would affect alcohol-refusal self-efficacy through the drinker self-schema. We also posited that alcohol outcome expectancies and the drinker self-schema would affect alcohol use and problems through alcohol-refusal self-efficacy. METHODS:A survey was administered to 225 adolescents in a public junior high school in Taiwan at two-time points, six months apart. Path analysis was used to determine the mechanisms underlying the alcohol-related cognitive constructs on the alcohol use and alcohol problems separately, controlling for appropriate alcohol-related personal and environmental factors. Indirect effects were estimated using the bootstrapping method. RESULTS:Higher positive alcohol outcome expectancies and lower negative alcohol outcome expectancies predicted higher drinker self-schema scores. Higher positive alcohol outcome expectancies and drinker self-schema scores predicted lower alcohol-refusal self-efficacy. Lower alcohol-refusal self-efficacy was associated with a history of drinking and alcohol problems in the past six months. Effects of alcohol outcome expectancies on alcohol use and alcohol problems were partially mediated through the drinker self-schema and alcohol-refusal self-efficacy. CONCLUSIONS:Findings support the proposed theoretical cognitive mechanisms underlying alcohol use and alcohol problems in a sample of Taiwanese adolescents. Given that alcohol-related cognitive constructs are modifiable, the findings also provide a foundation to suggest that interventions to reduce positive alcohol outcome expectations and prevent the formation of a drinker self-schema may facilitate alcohol-refusal self-efficacy and mitigate drinking behaviors in this adolescent population.
journal_name
Addict Behavjournal_title
Addictive behaviorsauthors
Lee CK,Corte C,Stein KF,Feng JY,Liao LLdoi
10.1016/j.addbeh.2020.106349subject
Has Abstractpub_date
2020-06-01 00:00:00pages
106349eissn
0306-4603issn
1873-6327pii
S0306-4603(19)30180-7journal_volume
105pub_type
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journal_title:Addictive behaviors
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abstract:BACKGROUND:Despite concerns over increasing harms associated with prescription opioid injection misuse, there is a paucity of research on the magnitude, characteristics, injection practices, and syringe sources for people who inject prescription opioids; limiting the implementation of targeted policy and programmatic i...
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doi:10.1016/j.addbeh.2017.10.018
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pub_type: 杂志文章
doi:10.1016/j.addbeh.2006.12.011
更新日期:2007-09-01 00:00:00
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journal_title:Addictive behaviors
pub_type: 杂志文章
doi:10.1016/j.addbeh.2004.02.051
更新日期:2004-07-01 00:00:00
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journal_title:Addictive behaviors
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pub_type: 杂志文章
doi:10.1016/j.addbeh.2011.10.006
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更新日期:2021-01-01 00:00:00
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journal_title:Addictive behaviors
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journal_title:Addictive behaviors
pub_type: 杂志文章
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journal_title:Addictive behaviors
pub_type: 杂志文章
doi:10.1016/j.addbeh.2014.11.017
更新日期:2015-04-01 00:00:00
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journal_title:Addictive behaviors
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.addbeh.2008.10.010
更新日期:2009-02-01 00:00:00
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journal_title:Addictive behaviors
pub_type: 临床试验,杂志文章
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更新日期:1986-01-01 00:00:00
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journal_title:Addictive behaviors
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1990-01-01 00:00:00
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journal_title:Addictive behaviors
pub_type: 杂志文章
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更新日期:2021-02-01 00:00:00