Skip to main content

Advertisement

Log in

Drinking Motives Mediate the Relationship Between Facets of Mindfulness and Problematic Alcohol Use

  • ORIGINAL PAPER
  • Published:
Mindfulness Aims and scope Submit manuscript

Abstract

Mindfulness is a multi-faceted construct, and research suggests that certain components (e.g., Acting with Awareness, Nonjudging) are associated with less problematic alcohol use. Recent research has examined whether specific drinking motives mediate the relationship between facets of mindfulness and alcohol use. The current study sought to extend this research by examining whether certain drinking motives would mediate the relationship between facets of mindfulness and problematic alcohol use in a sample of 207 college students classified as engaging in problematic drinking. Participants completed the Five Facet Mindfulness Questionnaire (FFMQ), Drinking Motives Questionnaire-Revised (DMQ-R), and Alcohol Use Disorders Identification Test (AUDIT). Results indicated that lower levels of Coping motives significantly mediated the relationship between greater Acting with Awareness and lower AUDIT score and between greater Nonjudging and lower AUDIT score. Lower levels of Conformity motives significantly mediated the relationship between greater Acting with Awareness and lower AUDIT score. These findings offer insight into specific mechanisms through which mindfulness is linked to less problematic drinking, and also highlight associations among mindfulness, drinking motives, and alcohol use among a sample of problematic college student drinkers. Future research should determine whether interventions that emphasize Acting with Awareness and Nonjudging facets of mindfulness and/or target coping and conformity motives could be effective for reducing problematic drinking in college students.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  • Adams, C. E., Cano, M. A., Heppner, W. L., Stewart, D. W., Correa-Fernández, V., Vidrine, J. I., & Wetter, D. W. (2015). Testing a moderated mediation model of mindfulness, psychosocial stress, and alcohol use among African American smokers. Mindfulness, 6, 315–325.

    Article  PubMed  PubMed Central  Google Scholar 

  • Aertgeerts, B., Buntinx, F., Bande-Knops, J., Vandermeulen, C., Roelants, M., Ansoms, S., & Fevery, J. (2000). The value of CAGE, CUGE, and AUDIT in screening for alcohol abuse and dependence among college freshman. Alcoholism: Clinical and Experimental Research, 24, 53–57.

    Article  Google Scholar 

  • Arch, J. J., & Craske, M. G. (2006). Mechanisms of mindfulness: emotion regulation following a focused breathing induction. Behaviour Research and Therapy, 44, 1849–1858. doi:10.1016/j.brat.2005.12.007.

    Article  PubMed  Google Scholar 

  • Arch, J. J., & Craske, M. G. (2010). Laboratory stressors in clinically anxious and non-anxious individuals: the moderating role of mindfulness. Behaviour Research and Therapy, 48, 495–505. doi:10.1016/j.brat.2010.02.005.

    Article  PubMed  Google Scholar 

  • Babor, T.F., Higging-Biddle, J.C., Saunders, J.B., & Monteiro, M.G. (2001). AUDIT: The alcohol use disorders identification test: Guidelines for use in primary care. Guidelines for use in primary care: World Health Organization.

  • Baer, J. S., Kivahan, D. R., Blume, A. W., McKnight, P., & Marlatt, G. A. (2001). Brief intervention for heavy-drinking college students: 4-year follow-up and natural history. American Journal of Public Health, 91, 1310–1316.

    Article  PubMed  PubMed Central  Google Scholar 

  • Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13, 27–45. doi:10.1177/1073191105283504.

    Article  PubMed  Google Scholar 

  • Baker, T. B., Piper, M. E., McCarthy, D. E., Majeskie, M. R., & Fiore, M. C. (2004). Addiction motivation reformulated: an affective processing model of negative reinforcement. Psychological Review, 111, 33–51. doi:10.1037/0033-295X.111.1.33.

    Article  PubMed  Google Scholar 

  • Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., & Devins, G. (2004). Mindfulness: a proposed operational definition. Clinical Psychology: Science and Practice, 11, 230–241. doi:10.1093/clipsy/bph077.

    Google Scholar 

  • Black, D. S., Semple, R. J., Pokhrel, P., & Grenard, J. L. (2011). Component processes of executive function—mindfulness, self-control, and working memory—and their relationships with mental and behavioral health. Mindfulness, 2, 179–185. doi:10.1007/s12671-011-0057-2.

    Article  PubMed  PubMed Central  Google Scholar 

  • Borsari, B., & Carey, K. B. (2000). Effects of a brief motivational intervention with college student drinkers. Journal of Consulting and Clinical Psychology, 68, 728–733. doi:10.1037/0022-006X.68.4.728.

    Article  PubMed  Google Scholar 

  • Bowen, S., & Enkema, M. C. (2014). Relationship between dispositional mindfulness and substance use: findings from a clinical sample. Addictive Behaviors, 39, 532–537. doi:10.1016/j.addbeh.2013.10.026.

    Article  PubMed  PubMed Central  Google Scholar 

  • Bowen, S., Chawla, N., Collins, S., Witkiewitz, K., Hsu, S., Grow, J., & Marlatt, G. A. (2009). Mindfulness-based relapse prevention for substance use disorders: a pilot efficacy trial. Substance Abuse, 30, 295–305. doi:10.1080/08897070903250084.

    Article  PubMed  PubMed Central  Google Scholar 

  • Bowen, S., Chawla, N., & Marlatt, G. A. (2011). Mindfulness-based relapse prevention for addictive behaviors: a clinician’s guide. New York: Guilford Press.

    Google Scholar 

  • Bowen, S., Witkiewitz, K., Clifasefi, S., Grow, J., Chawla, N., Hsu, S., & Larimer, M. E. (2014). Relative long-term efficacy of mindfulness-based relapse prevention, standard relapse prevention and treatment as usual for substance use disorders. JAMA Psychiatry, 71, 547–565.

    Article  PubMed  PubMed Central  Google Scholar 

  • Brewer, J. A., Sinha, R., Chen, J. A., Michalsen, R. N., Babuscio, T. A., Nich, C., & Rounsaville, B. J. (2009). Mindfulness training and stress reactivity in substance abuse: results from a randomized, controlled stage I pilot study. Substance Abuse, 30, 306–317. doi:10.1080/08897070903250241.

    Article  PubMed  PubMed Central  Google Scholar 

  • Brewer, J. A., Mallik, S., Babuscio, T. A., Nich, C., Johnson, H. E., Deleone, C. M., & Rounsaville, B. J. (2011). Mindfulness training for smoking cessation: results from a randomized controlled trial. Drug and Alcohol Dependence, 119, 72–80. doi:10.1016/j.drugalcdep.2011.05.027.

    Article  PubMed  PubMed Central  Google Scholar 

  • Britton, W. B., Shahar, B., Szepsenwol, O., & Jacobs, W. J. (2012). Mindfulness-based cognitive therapy improves emotional reactivity to social stress: results from a randomized controlled trial. Behavior Therapy, 43, 365–380. doi:10.1016/j.beth.2011.08.006.

    Article  PubMed  PubMed Central  Google Scholar 

  • Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84, 822–848. doi:10.1037/0022-3514.84.4.822.

    Article  PubMed  Google Scholar 

  • Buckner, J. D., Heimberg, R. G., Ecker, A. H., & Vinci, C. (2013). A biopsychosocial model of social anxiety and substance use. Depression and Anxiety, 30, 276–284. doi:10.1002/da.22032.

    Article  PubMed  Google Scholar 

  • Chiesa, A., & Serretti, A. (2014). Are mindfulness-based interventions effective for substance use disorders? A systematic review of the evidence. Substance Use and Misuse, 49, 492–521. doi:10.3109/10826084.2013.770027.

    Article  PubMed  Google Scholar 

  • Comeau, N., Stewart, S. H., & Loba, P. (2001). The relations of trait anxiety, anxiety sensitivity, and sensation seeking to adolescents’ motivations for alcohol, cigarette, and marijuana use. Addictive Behaviors, 26, 1–24. doi:10.1016/S0306-4601(01)00238-6.

    Article  Google Scholar 

  • Conger, J. J. (1956). Reinforcement theory and the dynamics of alcoholism. Quarterly Journal of Studies on Alcohol, 18, 296–305.

    Google Scholar 

  • Cooper, M.L. (1994). Motivations for alcohol use among adolescents: development and validation of a four-factor model. Psychological Assessment, 6, 117–128. doi: 1040-3590/94.

  • Cooper, M. L., Frone, M. R., Russell, M., & Mudar, P. (1995). Drinking to regulate positive and negative emotions: a motivational model of alcohol use. Journal of Personality and Social Psychology, 69, 990–1005.

    Article  PubMed  Google Scholar 

  • Davis, J. M., Goldberg, S., Anderson, M. C., Manley, A., Smith, S., & Baker, S. (2014). Randomized trial on mindfulness training for smokers targeted to a disadvantaged populations. Substance Use and Misuse, 49, 571–585. doi:10.3109/10826084.2013.770025.

    Article  PubMed  PubMed Central  Google Scholar 

  • Devos-Comby, L., & Lange, J. E. (2008). Standardized measures of alcohol-related problems: a review of their use among college students. Psychology of Addictive Behaviors, 22, 349–361. doi:10.1037/0893-164X.22.3.349.

    Article  PubMed  Google Scholar 

  • Eisenlohr, T. A., Walsh, E. C., Charnigo, R. J., Lynam, D. R., & Baer, R. A. (2012). That “what” and the “how” of dispositional mindfulness: using interactions among subscales of the five-facet mindfulness questionnaire to understand its relation to substance use. Assessment, 19, 276–286. doi:10.1177/1073191112446658.

    Article  Google Scholar 

  • Feldman, G., Greeson, J., & Senville, J. (2010). Differential effects of mindful breathing, progressive muscle relaxation, and loving-kindness meditation on decentering and negative reactions to repetitive thoughts. Behaviour Research and Therapy, 48, 1002–1011. doi:10.1016/j.brat.2010.06.006.

    Article  PubMed  PubMed Central  Google Scholar 

  • Fernandez, A. C., Wood, M. D., Stein, A. R., & Rossi, J. S. (2010). Measuring mindfulness and examining its relationship with alcohol use and negative consequences. Psychology of Addictive Behaviors, 24, 608–616. doi:10.1037/a0021742.

    Article  PubMed  PubMed Central  Google Scholar 

  • Garland, E. L., Manusov, E. G., Froeliger, B., Kelly, A., Williams, J. M., & Howard, M. O. (2014). Mindfulness-oriented recovery enhancement for chronic pain and prescription opioid misuse: results from an early-stage randomized controlled trial. Journal of Consulting and Clinical Psychology, 82, 448–459. doi:10.1037/a0035798.

    Article  PubMed  PubMed Central  Google Scholar 

  • Grant, B. F., Hasin, D. S., Blanco, C., Stinson, F. S., Chou, S. P., Goldstein, R. B., & Huang, B. (2005). The epidemiology of social anxiety disorders in the United States: results from the National Epidemiologic Survey on alcohol and related conditions. Journal of Clinical Psychiatry, 66, 1351–1361. doi:10.4088/JCP.v66n1102.

    Article  PubMed  Google Scholar 

  • Grant, S., Hempel, S., Colaiaco, B., Motala, A., Shanman, R.M., Booth, M., & Sorbero, M.E. (2015). Mindfulness-based relapse prevention for substance use disorders: a systematic review. Santa Monica, CA: RAND Corporation. http://www.rand.org/pubs/research_reports/RR1031.html.

  • Ham, L. S., & Hope, D. A. (2003). College students and problematic drinking: a review of the literature. Clinical Psychology Review, 23, 719–759. doi:10.1016/S0272-7358(03)00071-0.

    Article  PubMed  Google Scholar 

  • Ham, L. S., Bonin, M., & Hope, D. A. (2007). The role of drinking motives in social anxiety and alcohol use. Journal of Anxiety Disorders, 21, 991–1003. doi:10.1016/j.janxdis.2006.10.014.

    Article  PubMed  Google Scholar 

  • Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis. New York: Guilford Press.

    Google Scholar 

  • Himelstein, S., Saul, S., & Garcia-Romeu, A. (2015). Does mindfulness meditation increase effectiveness of substance abuse treatment with incarcerated youth? A pilot randomized controlled trial. Mindfulness. doi:10.1007/s12671-015-0431-6.

    Google Scholar 

  • Jennison, K. M. (2004). The short-term effects and unintended long-term consequences of binge drinking in college: a 10-year follow-up study. The American Journal of Drug and Alcohol Abuse, 30, 659–684. doi:10.1081/ADA-200032331.

    Article  PubMed  Google Scholar 

  • Kabat-Zinn, J. (1994). Wherever you go, there you are: mindfulness meditation in everyday life. New York: Hyperion.

    Google Scholar 

  • Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005). Lifetime prevalence and age-of-onset in the national comorbidity survey replication. Archives of General Psychiatry, 62, 593–602. doi:10.1001/archpsyc.62.6.593.

    Article  PubMed  Google Scholar 

  • Kokotailo, P. K., Egan, J., Gangnon, R., Brown, D., Mundt, M., & Fleming, M. (2004). Validity of the alcohol use disorders identification test in college students. Alcoholism: Clinical and Experimental Research, 28(6), 914–920. doi:10.1097/01.ALC.0000128239.87611.F5.

    Article  Google Scholar 

  • Kulesza, M., Apperson, M., Larimer, M. E., & Copeland, A. L. (2010). Brief alcohol intervention for college drinkers: how brief is brief? Addictive Behaviors, 35, 730–733. doi:10.1016/j.addbeh.2010.03.011.

    Article  PubMed  Google Scholar 

  • Kulesza, M., McVay, M. A., Larimer, M. E., & Copeland, A. L. (2013). A randomized clinical trial comparing the efficacy of two active conditions of a brief intervention for heavy college drinkers. Addictive Behaviors, 38, 2094–2101. doi:10.1016/j.addbeh.2013.01.008.

    Article  PubMed  Google Scholar 

  • Kuntsche, E., Knibbe, R., Gmel, G., & Engels, R. (2005). Why do young people drink? A review of drinking motives. Clinical Psychology Review, 25, 841–861. doi:10.1016/j.cpr.2005.06.002.

    Article  PubMed  Google Scholar 

  • Leigh, J., & Neighbors, C. (2009). Enhancement motives mediate the positive associations between mind/body awareness and college student drinking. Journal of Social and Clinical Psychology, 28(5), 650–669. doi:10.1521/jscp.2009.28.5.650.

    Article  PubMed  PubMed Central  Google Scholar 

  • Lewis, M. A., Hove, M. C., Whiteside, U., Lee, C. M., Kirkby, B. S., Oster-Aaland, L., & Larimer, M. E. (2008). Fitting in and feeling fine: conformity and coping motives as mediators of the relationship between social anxiety and problematic drinking. Psychology of Addictive Behaviors, 22, 58–67. doi:10.1037/0893-164X.22.1.58.

    Article  PubMed  Google Scholar 

  • MacLean, M. G., & Lecci, L. (2000). A comparison of models of drinking motives in a university sample. Psychology of Addictive Behaviors, 14(1), 83–87. doi:10.1037/0893-164X.14.1.83.

    Article  PubMed  Google Scholar 

  • Menses-Gaya, C., Zuardi, A. W., Loureiro, S. R., & Crippa, J. A. S. (2009). Alcohol use disorders identification test (AUDIT): an updated systematic review of psychometric properties. Psychology & Neuroscience, 2, 83–97. doi:10.3922/j.psns.2009.1.12.

    Article  Google Scholar 

  • Murphy, C., & MacKillop, J. (2011). Living in the here and now: interrelationships between impulsivity, mindfulness, and alcohol misuse. Psychopharmacology, 219, 527–536. doi:10.1007/s00213-011-2573-0.

    Article  PubMed  Google Scholar 

  • Ostafin, B. D., & Marlatt, G. A. (2008). Surfing the urge: experiential acceptance moderates the relation between automatic alcohol motivation and hazardous drinking. Journal of Social and Clinical Psychology, 27(4), 404–418.

    Article  Google Scholar 

  • Ostafin, B. D., Bauer, C., & Myxter, P. (2012). Mindfulness decouples the relation between automatic alcohol motivation and heavy drinking. Journal of Social and Clinical Psychology, 31(7), 729–745.

    Article  Google Scholar 

  • Perkins, H. W. (2002). Surveying the damage: a review of research on consequences of alcohol misuse in college populations. Journal of Studies on Alcohol, 14, 91–139.

    Article  Google Scholar 

  • Reynolds, A., Keough, M. T., & O’Connor, R. M. (2015). Is being mindfulness associated with reduced risk for internally-motivated drinking and alcohol use among undergraduates? Addictive Behaviors, 42, 222–226. doi:10.1016/j.addbeh.2014.11.027.

    Article  PubMed  Google Scholar 

  • Roos, C. R., Pearson, M. R., & Brown, D. B. (2015). Drinking motives mediate the negative associations between mindfulness facets and alcohol outcomes among college students. Psychology of Addictive Behaviors. doi:10.1037/a0038529.

    PubMed Central  Google Scholar 

  • Slutske, W. S. (2005). Alcohol use disorders among US college students and their non-college-attending peers. Archives of General Psychiatry, 62, 321–327. doi:10.1001/archpsyc.62.3.321.

    Article  PubMed  Google Scholar 

  • Sobell, L. C., & Sobell, M. B. (2003). Alcohol consumption measures. In J. P. Allen & V. B. Wilson (Eds.), Assessing alcohol problems: a guide for clinicians and researchers (2nd ed., pp. 75–99). Bethesda: U.S. Department for Health and Human Services, National Institute on Alcohol Abuse and Alcoholism; 2003. NIH Publication No. 03–3745.

    Google Scholar 

  • Stewart, S. H., & Devine, H. (2000). Relations between personality and drinking motives in young adults. Personality and Individual Differences, 29, 495–511.

    Article  Google Scholar 

  • Stewart, S. H., & Zeitlin, S. B. (1995). Anxiety sensitivity and alcohol use motives. Journal of Anxiety Disorders, 9, 229–240.

    Article  Google Scholar 

  • Stewart, S. H., Loughlin, H. L., & Rhyno, E. (2001). Internal drinking motives mediate personality domain—drinking relations in young adults. Personality and Individual Differences, 30, 271–286. doi:10.1016/S0191-8869(00)00044-1.

    Article  Google Scholar 

  • Stewart, S. H., Zvolensky, M. J., & Eifert, G. H. (2002). The relations of anxiety sensitivity, experiential avoidance, and alexithymic coping to young adults’ motivation for drinking. Behavior Modification, 26, 274–296. doi:10.1177/0145445502026002007.

    Article  PubMed  Google Scholar 

  • Substance Abuse and Mental Health Services Administration, Results from the 2013 National Survey on Drug Use and Health: Summary of National Findings (2014). NSDUH Series H-48, HHS Publication No. (SMA) 14–4863. NSDUH Series H-41, HHS Publication No. (SMA) 11–4658. Rockville, MD: Substance Abuse and Mental Health Services Administration.

  • Vidrine, J.I., Spears, C.A., Heppner, W.L. Reitzel, L.R., Marcus, M.T., Cinciripini, P.M. & Wetter, D.W. (under review). Efficacy of mindfulness based addiction treatment (MBAT) for smoking cessation: a randomized clinical trial.

  • Vinci, C., Peltier, M. R., Shah, S., Kinsaul, J., Waldo, K., McVay, M., & Copeland, A. L. (2014). Effects of a brief mindfulness intervention on negative affect and urge to drink among college student drinkers. Behaviour Research and Therapy, 59, 82–93. doi:10.1016/j.brat.2014.05.012.

  • Wechsler, H., Lee, J. E., Kuo, M., Seibring, M., Nelson, T. F., & Lee, H. (2002). Trends in college binge drinking during a period of increased prevention efforts. Journal of American College Health, 50(5), 203–217.

    Article  PubMed  Google Scholar 

  • Witkiewitz, K., & Bowen, S. (2010). Depression, craving, and substance use following a randomized trial of mindfulness-based relapse prevention. Journal of Consulting and Clinical Psychology, 78, 362–374. doi:10.1037/a0019172.

    Article  PubMed  PubMed Central  Google Scholar 

  • Witkiewitz, K., Bowen, S., & Donovan, D. M. (2011). Moderating effects of a craving intervention on the relation between negative mood and heavy drinking following treatment for alcohol dependence. Journal of Consulting and Clinical Psychology, 79, 54–63. doi:10.1037/a0022282.

    Article  PubMed  PubMed Central  Google Scholar 

  • Witkiewitz, K., Warner, K., Sully, B., Barricks, A., Stauffer, C., Steckler, G., & Luoma, J. (2014). Randomized trial comparing mindfulness based relapse prevention with relapse prevention for women offenders at a residential addiction treatment center. Substance Use and Misuse, 49, 536–546.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Christine Vinci.

Ethics declarations

All data collection procedures presented here were approved by the university’s institutional review board (IRB) and thus have been performed in accordance with the ethical standards in the 1964 Declaration of Helsinki and its later amendments.

Conflict of Interest

The authors declare that they have no conflict of interest.

Funding

This work was supported by the National Cancer Institute through the University of Texas MD Anderson Cancer Center’s Support Grant CA016672, by the National Institute on Minority Health and Health Disparities under Award Number K99MD010468, and by National Center for Complementary and Integrative Health under Award Number K23AT008442. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Vinci, C., Spears, C.A., Peltier, M.R. et al. Drinking Motives Mediate the Relationship Between Facets of Mindfulness and Problematic Alcohol Use. Mindfulness 7, 754–763 (2016). https://doi.org/10.1007/s12671-016-0515-y

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12671-016-0515-y

Keywords

Navigation