The reinforcing efficacy of alcohol mediates associations between impulsivity and negative drinking outcomes.

Abstract:

OBJECTIVE:One predictor of negative drinking outcomes in college populations is impulsivity. Individual differences in the reinforcing efficacy of alcohol, which reflects willingness to drink despite potential costs, may serve as a mechanism by which impulsivity is associated with alcohol-related problems. The purpose of this study was to determine whether two measures of the reinforcing efficacy of alcohol-demand intensity (consumption when drinks are free) and Omax (maximum expenditure on alcohol)-statistically mediated the associations between four facets of impulsivity and negative drinking outcomes. METHOD:We gave 202 undergraduate social drinkers a hypothetical task in which they indicated how many drinks they would consume across a range of prices. They also completed measures of impulsivity, alcohol use, and alcohol-related problems. RESULTS:Path models revealed that two facets of impulsivity-sensation seeking and urgency-were associated with higher reinforcing efficacy and worse alcohol problems. Moreover, the associations between both of these impulsivity facets and alcohol-related problems were sequentially mediated by reinforcing efficacy and alcohol use. CONCLUSIONS:Individuals who respond impulsively to negative emotions or have sensation-seeking tendencies may exhibit greater willingness to consume and purchase alcohol. As a result, they may in fact drink more, leading to worse drinking-related problems. These findings suggest a need for more research into the mechanisms of interventions that successfully reduce problem drinking. They also indicate that more study is needed on whether decreasing the availability of low-cost alcohol reduces alcohol-related problems in impulsive individuals.

journal_name

J Stud Alcohol Drugs

authors

Kiselica AM,Borders A

doi

10.15288/jsad.2013.74.490

subject

Has Abstract

pub_date

2013-05-01 00:00:00

pages

490-9

issue

3

eissn

1937-1888

issn

1938-4114

journal_volume

74

pub_type

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