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Psychopharmacology

, Volume 231, Issue 22, pp 4271–4279 | Cite as

Effects of acute alcohol tolerance on perceptions of danger and willingness to drive after drinking

  • Michael T. Amlung
  • David H. Morris
  • Denis M. McCarthy
Original Investigation

Abstract

Rationale

Drinking and driving is associated with elevated rates of motor vehicle accidents and fatalities. Previous research suggests that alcohol impairs judgments about the dangers of risky behaviors; however, how alcohol affects driving-related judgments is less clear. Impairments have also been shown to differ across limbs of the blood alcohol concentration (BAC) curve, which is known as acute tolerance.

Objectives

The objectives of this study were to examine whether perceptions about the dangerousness of driving after drinking and willingness to drive differed across the ascending and descending limbs of the BAC curve and to test whether reductions in perceived danger were associated with willingness to drive on the descending limb.

Methods

Fifty-six participants were randomly assigned to receive either a moderate dose of alcohol (peak BAC = 0.10 g%) or placebo. We assessed perceived dangerousness and willingness to drive at matched BACs (~0.067–0.068 g%) on the ascending and descending limbs.

Results

Both perceived danger and willingness to drive showed acute tolerance in the alcohol group. Participants judged driving to be significantly less dangerous and were more willing to drive on the descending limb compared to the ascending limb. The magnitude of change in perceived danger significantly predicted willingness to drive on the descending limb.

Conclusions

Decreased impairment associated with acute tolerance may lead individuals to underestimate the dangerousness of driving after drinking and in turn make poor decisions regarding driving. This study further emphasizes the descending limb as a period of increased risk and offers support for enhancing prevention efforts by targeting drivers at declining BAC levels.

Keywords

Drinking and driving Perceived danger Alcohol administration Acute tolerance Descending limb 

Notes

Acknowledgments

This research was supported by grants (R01 AA019546, T32 AA013526) from the National Institute of Alcohol Abuse and Alcoholism. The authors thank Dr. Chia-Lin Tsai for contributions to data analysis.

Conflict of interest

The authors have no conflicts of interest in conducting this research. This study complies with the laws of the United States of America.

References

  1. Ajzen I (2011) The theory of planned behaviour: reactions and reflections. Psychol Health 26:1113–1127. doi: 10.1080/08870446.2011.613995 PubMedCrossRefGoogle Scholar
  2. Beirness DJ (1987) Self-estimates of blood alcohol concentration in drinking-driving context. Drug Alcohol Depend 19:79–90. doi: 10.1016/0376-8716(87)90089-5 PubMedCrossRefGoogle Scholar
  3. Bingham CR, Elliott MR, Shope JT (2007) Social and behavioral characteristics of young adult drink/drivers adjusted for level of alcohol use. Alcohol Clin Exp Res 31:655–664. doi: 10.1111/j.1530-0277.2007.00350.x PubMedPubMedCentralGoogle Scholar
  4. Cromer JR, Cromer JA, Maruff P, Snyder PJ (2010) Perception of alcohol intoxication shows acute tolerance while executive functions remain impaired. Exp Clin Psychopharmacol 18:329–339. doi: 10.1037/a0019591 PubMedCrossRefGoogle Scholar
  5. Curtin JJ, Fairchild BA (2003) Alcohol and cognitive control: implications for regulation of behavior during response conflict. J Abnorm Psychol 112:424–436. doi: 10.1037/0021-843X.112.3.424 PubMedCrossRefGoogle Scholar
  6. Dal Cin S, MacDonald TK, Fong GT et al (2006) Remembering the message: the use of a reminder cue to increase condom use following a safer sex intervention. Health Psychol 25:438–443. doi: 10.1037/0278-6133.25.3.438 PubMedCrossRefGoogle Scholar
  7. Davis KC, Hendershot CS, George WH et al (2007) Alcohol’s effects on sexual decision making: an integration of alcohol myopia and individual differences. J Stud Alcohol Drugs 68:843–851PubMedGoogle Scholar
  8. Fairlie AM, Quinlan KJ, Dejong W et al (2010) Sociodemographic, behavioral, and cognitive predictors of alcohol-impaired driving in a sample of U.S. college students. J Health Commun 15:218–232. doi: 10.1080/10810730903528074 PubMedCrossRefGoogle Scholar
  9. Fell JC, Voas RB (2013) Deterring DUI behavior in the first place. Criminol Public Policy 12:203–211. doi: 10.1111/1745-9133.12035 CrossRefGoogle Scholar
  10. Fillmore MT, Marczinski CA, Bowman AM (2005) Acute tolerance to alcohol effects on inhibitory and activational mechanisms of behavioral control. J Stud Alcohol 66:663–672PubMedGoogle Scholar
  11. Fillmore MT, Vogel-Sprott M (1998) Behavioral impairment under alcohol: cognitive and pharmacokinetic factors. Alcohol Clin Exp Res 22:1476–1482. doi: 10.1111/j.1530-0277.1998.tb03938.x PubMedGoogle Scholar
  12. Fromme K, D’Amico EJ, Katz EC (1999) Intoxicated sexual risk taking: an expectancy or cognitive impairment explanation? J Stud Alcohol Drugs 60:54–63Google Scholar
  13. Fromme K, Katz E, D’Amico E (1997) Effects of alcohol intoxication on the perceived consequences of risk taking. Exp Clin Psychopharmacol 5:14–23. doi: 10.1037/1064-1297.5.1.14 PubMedCrossRefGoogle Scholar
  14. Goldman MS, Del Boca FK, Darkes J (1999) Alcohol expectancy theory: the application of cognitive neuroscience. In: Leonard KE, Blane HT (eds) Psychological theories of drinking and alcoholism. Guilford, New York, pp 203–245Google Scholar
  15. Grube JW, Voas RB (1996) Predicting underage drinking and driving behaviors. Addiction 91:1843–1858. doi: 10.1046/j.1360-0443.1996.911218438.x PubMedCrossRefGoogle Scholar
  16. Hingson R, Winter M (2003) Epidemiology and consequences of drinking and driving. Alcohol Res Health 27:63–78PubMedGoogle Scholar
  17. Johnston LD, O’Malley PM, Bachman JG, Schulenberg JE (2011) Monitoring the future. National results on adolescent drug use: overview of key findings, 2010. National Insttute on Drug Abuse, Ann Arbor, MIGoogle Scholar
  18. Jones AW (1990) Status of alcohol absorption among drinking drivers. J Anal Toxicol 14:198–200PubMedCrossRefGoogle Scholar
  19. Jones BT, Corbin W, Fromme K (2001) A review of expectancy theory and alcohol consumption. Addiction 96:57–72. doi: 10.1046/j.1360-0443.2001.961575.x PubMedCrossRefGoogle Scholar
  20. Kleinjan M, Strick M, Lemmers L, Engels RCME (2012) The effectiveness of a cue-reminder intervention to reduce adolescents’ alcohol use in social contexts. Alcohol Alcohol 47:451–457. doi: 10.1093/alcalc/ags038 PubMedCrossRefGoogle Scholar
  21. Levine B, Smialek JE (2000) Status of alcohol absorption in drinking drivers killed in traffic accidents. J Forensic Sci 45:3–6PubMedGoogle Scholar
  22. MacDonald TK, Fong GT, Zanna MP, Martineau AM (2000) Alcohol myopia and condom use: Can alcohol intoxication be associated with more prudent behavior? J Pers Soc Psychol 78:605–619. doi: 10.1037/0022-3514.78.4.605 PubMedCrossRefGoogle Scholar
  23. MacDonald TK, Zanna MP, Fong GT (1995) Decision making in altered states: effects of alcohol on attitudes toward drinking and driving. J Pers Soc Psychol 68:973–985. doi: 10.1037/0022-3514.68.6.973 PubMedCrossRefGoogle Scholar
  24. Maisto SA, Carey MP, Carey KB, Gordon CM (2002) The effects of alcohol and expectancies on risk perception and behavioral skills televant to safer sex among heterosexual young adult women. J Stud Alcohol Drugs 63:476–485Google Scholar
  25. Marczinski CA, Fillmore MT (2009) Acute alcohol tolerance on subjective intoxication and simulated driving performance in binge drinkers. Psychol Addict Behav 23:238–247. doi: 10.1037/a0014633 PubMedCrossRefGoogle Scholar
  26. Martin CS, Earleywine M (1990) Ascending and descending rates of change in blood alcohol concentrations and subjective intoxication ratings. J Subst Abus 2:345–352. doi: 10.1016/S0899-3289(10)80006-9 CrossRefGoogle Scholar
  27. McCarthy DM, Lynch AM, Pederson SL (2007) Driving after use of alcohol and marijuana in college students. Psychol Addict Behav 21:425–430. doi: 10.1037/0893-164X.21.3.425 PubMedCrossRefGoogle Scholar
  28. McCarthy DM, Pedersen SL (2009) Reciprocal associations between drinking-and-driving behavior and cognitions in adolescents. J Stud Alcohol Drugs 70:536–542PubMedPubMedCentralGoogle Scholar
  29. McCarthy DM, Pedersen SL, Thompsen DM, Leuty ME (2006) Development of a measure of drinking and driving expectancies for youth. Psychol Assess 18:155–164. doi: 10.1037/1040-3590.18.2.155 PubMedCrossRefGoogle Scholar
  30. Morris DH, Treloar HR, Niculete ME, McCarthy DM (2013) Perceived danger while intoxicated uniquely contributes to driving after drinking. Alcohol Clin Exp Res. doi: 10.1111/acer.12252 PubMedGoogle Scholar
  31. NHTSA (2012) Traffic safety facts 2011: alcohol-impaired driving, DOT HS 811 700. NHTSA, WashingtonGoogle Scholar
  32. NIAAA (2005) National Advisory Council on Alcohol Abuse and Alcoholism—recommended council guidelines on ethyl alcohol administration in human experimentation. NIAAA, Bethedsa, MDGoogle Scholar
  33. Piquero A, Paternoster R (1998) An application of Stafford and Warr’s reconceptualization of deterrence to drinking and driving. J Res Crime Delinq 35:3–39. doi: 10.1177/0022427898035001001 CrossRefGoogle Scholar
  34. Schweizer TA, Vogel-Sprott M (2008) Alcohol-impaired speed and accuracy of cognitive functions: a review of acute tolerance and recovery of cognitive performance. Exp Clin Psychopharmacol 16:240–250. doi: 10.1037/1064-1297.16.3.240 PubMedCrossRefGoogle Scholar
  35. Shults RA, Elder RW, Sleet DA et al (2001) Reviews of evidence regarding interventions to reduce alcohol impaired driving. Am J Prev Med 21:66–88PubMedCrossRefGoogle Scholar
  36. Tabachnick BG, Fidell LS (2001) Using multivariate statistics, 4th edn. Allyn & Bacon, Needham HeightsGoogle Scholar
  37. Taylor SP, Gammon CB (1975) Effects of type and dose of alcohol on human physical aggression. J Pers Soc Psychol 32:169–175. doi: 10.1037/h0076812 PubMedCrossRefGoogle Scholar
  38. Testa M, Fillmore MT, Norris J et al (2006) Understanding alcohol expectancy effects: revisiting the placebo condition. Alcohol Clin Exp Res 30:339–348. doi: 10.1111/j.1530-0277.2006.00039.x PubMedCrossRefPubMedCentralGoogle Scholar
  39. Treloar HR, Morris DH, Pedersen SL, McCarthy DM (2012) Direct and indirect effects of impulsivity traits on drinking and driving in young adults. J Stud Alcohol Drugs 73:794PubMedPubMedCentralGoogle Scholar
  40. Weafer J, Fillmore MT (2012) Acute tolerance to alcohol impairment of behavioral and cognitive mechanisms related to driving: drinking and driving on the descending limb. Psychopharmacology 220:697–706. doi: 10.1007/s00213-011-2519-6 PubMedCrossRefGoogle Scholar
  41. Yi H, Chen CM, Williams GD (2006) Trends in alcohol-related fatal traffic crashes, United States, 1982–2004. NIAAA, Bethedsa, MDGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  • Michael T. Amlung
    • 1
  • David H. Morris
    • 1
  • Denis M. McCarthy
    • 1
  1. 1.Department of Psychological SciencesUniversity of MissouriColumbiaUSA

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