Skip to main content
Log in

Alcohol-related outcome expectancies: construct overview and implications for primary and secondary prevention

  • Articles
  • Published:
Journal of Primary Prevention Aims and scope Submit manuscript

Abstract

Alcohol-related outcome expectancies, or just alcohol expectancies for short, represent individually-held expectations regarding alcohol's anticipated positive and negative effects. Alcohol expectancies arise through social learning influences (e.g., modeling), are modified by drinking experiences, and have been shown to predict problem drinking behavior. Following an overview of the alcohol expectancy construct and a brief review of the literature on expectancy-drinking relations, implications of expectancy research for the primary and secondary prevention of problem drinking are discussed. The studies by Kraus et al. (1994) and Darkes and Goldman (1993) are highlighted as they represent prototypical expectancy-based prevention efforts. Limitations of and future directions for expectancy-based prevention research are discussed.

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.

Similar content being viewed by others

References

  • Abrams, D. B., & Niaura, R. S. (1987). Social learning theory. In H. T. Blane and K. E. Leonard (Eds.),Psychological theories of drinking and alcoholism (pp. 131–178). New York: Guilford Press.

    Google Scholar 

  • Abrams, D. B., & Wilson, G. T. (1983). Alcohol, sexual arousal and self-control.Journal of Personality and Social Psychology, 45, 188–198.

    Google Scholar 

  • Adams, S. L., & McNeil, D. W. (1991). Negative alcohol expectancies reconsidered.Psychology of Addictive Behavior, 5, 9–14.

    Google Scholar 

  • Austin, E. W., & Meili, H. K. (1994). Effect of interpretations of televised alcohol portrayals on children's alcohol beliefs.Journal of Broadcasting & Electronic Media, 38, 417–435.

    Google Scholar 

  • Beck, A. T. (1987). Cognitive models of depression.Journal of Cognitive Psychotherapy: An International Quarterly, 1, 5–37.

    Google Scholar 

  • Brown, S. A. (1985a). Expectancies versus background in the prediction of college drinking patterns.Journal of Consulting and Clinical Psychology, 53, 123–130.

    Google Scholar 

  • Brown, S. A. (1985b). Context of drinking and reinforcement from alcohol: Alcoholic patterns.Addictive Behaviors, 10, 191–196.

    Google Scholar 

  • Brown, S. A. (1985c). Reinforcement expectancies and alcoholism treatment outcome after a one-year follow-up.Journal of Studies on Alcohol, 46, 304–308.

    Google Scholar 

  • Brown, S. A., Goldman, M. S., & Christiansen, B. A. (1985). Do alcohol expectancies mediate drinking patterns of adults?Journal of Consulting and Clinical Psychology, 53, 512–519.

    Google Scholar 

  • Brown, S. A., Millar, A., & Passman, L. (1988). Utilizing expectancies in alcohol treatment.Psychology of Addictive Behavior, 2, 59–65.

    Google Scholar 

  • Christiansen, B. A., & Goldman, M. S. (1983). Alcohol-related expectancies versus demographic/background variables in the prediction of adolescent drinking.Journal of Consulting and Clinical Psychology, 51, 249–257.

    Google Scholar 

  • Christiansen, B. A., Goldman, M. S., & Inn, A. (1982). Development of alcohol-related expectancies in adolescents: Separating pharmacological from social learning influences.Journal of Consulting and Clinical Psychology, 50, 336–344.

    Google Scholar 

  • Christiansen, B. A., Smith, G. T., Roehling, P. V., & Goldman, M. S. (1989). Using alcohol expectancies to predict adolescent drinking behavior after one year.Journal of Consulting and Clinical Psychology, 57, 93–99.

    Google Scholar 

  • Connors, G. J., Maisto, S. A., & Derman, K. H. (1992). Alcohol-related expectancies and their applications to treatment. In R. R. Watson (Ed.),Drug and alcohol abuse reviews: Vol. 3. Alcohol abuse treatment (pp. 203–231). Totowa, NJ: Humana Press.

    Google Scholar 

  • Cooper, M. L., Russell, M., & George, W. H. (1988). Coping, expectancies, and alcohol abuse: A test of social learning formulations.Journal of Abnormal Psychology, 97, 218–230.

    Google Scholar 

  • Cooper, M. L., Russell, M., Skinner, J. B., & Windle, M. (1992). Development and validation of a three-dimensional measure of drinking motives.Psychological Assessment, 4, 123–132.

    Google Scholar 

  • Darkes, J., & Goldman, M. S. (1993). Expectancy challenge and drinking reduction: Experimental evidence for a mediational process.Journal of Consulting and Clinical Psychology, 61, 344–353.

    Google Scholar 

  • Dillin, J. (1975). TV drinking: How networks pour liquor into your living room.Christian Science Monitor, June30, 1–6.

    Google Scholar 

  • Ellis, A. (1962).Reason and emotion in psychotherapy. New York: Lyle Stuart.

    Google Scholar 

  • Fromme, K., Kivlahan, D. R., & Marlatt, G. A. (1986). Alcohol expectancies, risk identification, and secondary prevention with problem drinkers.Advances in Behaviour Research and Therapy, 8, 237–251.

    Google Scholar 

  • Fromme, K., Marlatt, G. A., Baer, J. S., & Kivlahan, D. R. (1994). The Alcohol Skills Training Program: A group intervention for young adult drinkers.Journal of Substance Abuse Treatment, 11, 143–154.

    Google Scholar 

  • Futch, E. J., Lisman, S. A., & Geller, M. I. (1984). An analysis of alcohol portrayal on prime-time television.International Journal of the Addictions, 19, 403–410.

    Google Scholar 

  • Goldman, M. S. (1994). The alcohol expectancy concept: Applications to assessment, prevention, and treatment of alcohol abuse.Applied and Preventive Psychology, 3, 131–144.

    Google Scholar 

  • Goldman, M. S., Brown, S. A., & Christiansen, B. A. (1987). Expectancy theory: Thinking about drinking. In H. T. Blane and K. E. Leonard (Eds.),Psychological theories of drinking and alcoholism (pp. 181–226). New York: Guilford Press.

    Google Scholar 

  • Goldman, M. S., Brown, S. A., Christiansen, B. A., & Smith, G. T. (1991). Alcoholism etiology and memory: Broadening the scope of alcohol expectancy research.Psychological Bulletin, 110, 137–146.

    Google Scholar 

  • Goldman, M. S., & Klisz, D. K. (1982). Behavioral treatment of an alcoholic: The unvarnished story. In W. M. Hay and P. E. Nathan (Eds.),Clinical case studies in the behavioral treatment of alcoholism (pp. 23–48). New York: Plenum Press.

    Google Scholar 

  • Gottheil, E. A., McLellan, A. T., & Druley, K. A. (Eds.). (1981).Matching patient needs and treatment methods in alcoholism and drug abuse. Springfield, IL: Charles C. Thomas.

    Google Scholar 

  • Gustafson, R. (1986). Can straight-forward information change alcohol-related expectancies?Perceptual and Motor Skills, 63, 937–938.

    Google Scholar 

  • Hawkins, J. D., Catalano, R. F., & Miller, J. Y. (1992). Risk and protective factors for alcohol and other drug problems in adolescence and early adulthood: Implications for substance abuse prevention.Psychological Bulletin, 112, 64–105.

    Google Scholar 

  • Henderson, M. J., Goldman, M. S., Coovert, M. D., & Carnevalla, N. (1994). Covariance structure models of expectancy.Journal of Studies on Alcohol, 55, 315–326.

    Google Scholar 

  • Institute of Medicine (1992). Prevention and treatment of alcohol-related problems: Research opportunities.Journal of Studies on Alcohol, 53, 5–16.

    Google Scholar 

  • Kadden, R. M., Cooney, N. L., Getter, H., & Litt, M. D. (1990). Matching alcoholics to coping skills or interactional therapies: Post treatment results.Journal of Consulting and Clinical Psychology, 57, 698–704.

    Google Scholar 

  • Kivlahan, D. R., Marlatt, G. A., Fromme, K., Coppell, D. B., & Williams, E. (1990). Secondary prevention with college drinkers: Evaluation of an alcohol skills training program.Journal of Consulting and Clinical Psychology 58, 805–810.

    Google Scholar 

  • Kraus, D., Smith, G. T., & Ratner, H. H. (1994). Modifying alcohol-related expectancies in grade-school children.Journal of Studies on Alcohol, 55, 535–542.

    Google Scholar 

  • Leigh, B. C. (1987). Beliefs about the effects of alcohol on self and others.Journal of Studies on Alcohol, 48, 467–475.

    Google Scholar 

  • Leigh, B. C., & Stacy, A. W. (1993). Alcohol outcome expectancies: Scale construction and predictive utility in higher order confirmatory models.Psychological Assessment, 5, 216–229.

    Google Scholar 

  • Levine, B., & Goldman, M. S. (August, 1989).Situational variations in expectancies. Paper presented at the annual convention of the American Psychological Association, New Orleans.

  • Mackie, D. M., Asuncion, A. G., & Russelli, F. (1992). The impact of positive affect on persuasion processes. In M. S. Clark (Ed.),Emotion and social behavior. Newbury Park, CA: Sage.

    Google Scholar 

  • Marlatt, G. A., Baer, J. S., Donovan, D. M., & Kivlahan, D. R. (1988). Addictive behaviors: Etiology and treatment.Annual Review of Psychology, 39, 223–252.

    Google Scholar 

  • Marlatt, G. A., & Gordon, J. R. (Eds.). (1985).Relapse prevention: Maintenance strategies in the treatment of addictive behaviors. New York: Guilford Press.

    Google Scholar 

  • Miller, P. M., Smith, G. T., & Goldman, M. S. (1990). Emergence of alcohol expectancies in childhood: A possible critical period.Journal of Studies on Alcohol, 51, 343–349.

    Google Scholar 

  • Miller, W. R., & Hester, R. K. (1986). Matching problem drinkers with optimal treatments. In W. R. Miller and N. Heather (Eds.),Treating addictive behaviors: Processes of change (pp. 175–203). New York: Plenum Press.

    Google Scholar 

  • Oei, T. P. S., & Baldwin, A. R. (1994). Expectancy theory: A two-process model of alcohol use and abuse.Journal of Studies on Alcohol, 55, 525–534.

    Google Scholar 

  • Oei, T. P. S., & Jones, R. (1986). Alcohol-related expectancies: Have they a role in the understanding and treatment of problem drinking?Advances in Alcohol and Substance Abuse, 6, 89–105.

    Google Scholar 

  • O'Hare, T. M. (1990). Drinking in college: Consumption patterns, problems, sex differences and legal drinking age.Journal of Studies on Alcohol, 51, 536–541.

    Google Scholar 

  • Rather, B. C., Darkes, J., Greenbaum, P. E., & Goldman, M. S. (August, 1992).Maximizing predictive power of alcohol expectancies. Paper presented at the annual convention of the American Psychological Association, Washington, DC.

  • Roehling, P. V., Smith, G. T., Goldman, M. S., & Christiansen, B. A. (August, 1987).Alcohol expectancies predict adolescent drinking: A three-year longitudinal study. Paper presented at the annual convention of the American Psychological Association, New York.

  • Rychtarik, R. G., Fairbank, J. A., Allen, C. M., Foy, D. W., & Drabman, R. S. (1983). Alcohol use in television programming: Effects on children's behavior.Addictive Behaviors, 8, 19–22.

    Google Scholar 

  • Sher, K. J., Walitzer, K. S., Wood, P. K., & Brent, E. E. (1991). Characteristics of children of alcoholics: Putative risk factors, substance use and abuse, and psychopathology.Journal of Abnormal Psychology, 100, 427–448.

    Google Scholar 

  • Smith, G. T. (1994). Psychological expectancy as mediator of vulnerability to alcoholism.Annals of the New York Academy of Sciences, 708, 165–171.

    Google Scholar 

  • Smith, G. T., Goldman, M. S., Greenbaum, P. E., & Christiansen, B. A. (1995). Expectancy for social facilitation from drinking: The divergent paths of high-expectancy and low-expectancy adolescents.Journal of Abnormal Psychology, 104, 32–40.

    Google Scholar 

  • Sobell, M. B., Sobell, L. C., Klajner, F., Pavan, D., & Basian, E. (1986). The relibility of a timeline method for assessing normal drinker college students recent drinking history: Utility for alcohol research.Addictive Behaviors, 11, 149–161.

    Google Scholar 

  • Spiegler, D. L. (1983). Children's attitudes toward alcohol.Jouranl of Studies on Alcohol, 44, 545–548.

    Google Scholar 

  • Stacy, A. W., Widaman, K. F., & Marlatt, G. A. (1990). Expectancy models of alcohol use.Journal of Personality and Social Psychology, 58, 918–928.

    Google Scholar 

  • Stangor, C., & McMillan, D. (1992). Memory for expectancy-congruent and expectancy-in-congruent information: A review of the social and social developmental literatures.Psychological Bulletin, 111, 42–61.

    Google Scholar 

  • Tiffany, S. T. (1990). A cognitive model of drug urges and drug use behavior: Role of automatic and non-automatic processes.Psychological Review, 97, 147–168.

    Google Scholar 

  • Whaley, A. L. (1986). Cognitive processes in adolescent drug use: The role of positivity bias and implications for prevention policy.International Journal of the Addictions, 21, 393–398.

    Google Scholar 

  • Young, R. M., & Knight, R. G. (1989). The Drinking Expectancy Questionnaire: A revised measure of alcohol-related beliefs.Journal of Psychopathology and Behavioral Assessment, 11, 99–112.

    Google Scholar 

  • Young, R. M., & Oei, T. P. S. (1993). Grape expectations: The role of outcome expectancies in the treatment of alcohol problems.International Journal of Psychology, 28, 337–364.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to James B. Hittner.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hittner, J.B. Alcohol-related outcome expectancies: construct overview and implications for primary and secondary prevention. J Primary Prevent 17, 297–314 (1997). https://doi.org/10.1007/BF02248533

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02248533

Key words

Navigation