Abstract
The current longitudinal study tested pathways between alcohol expectancies at baseline and both perceived drinking risk and alcohol use trajectories over a five-year period through adolescence. An adolescent community sample (N = 243; Wave 1 demographics: 45% female, 51% non-white, 49% white, mean age = 13.06 years) completed self-report questionnaires annually for five years. Measures included the Alcohol Expectancy Questionnaire – Adolescent Brief Version, one Youth Risk Behavior Survey (YRBS) item assessing annual perceived drinking risk, an adapted item from the YRBS assessing annual alcohol use, the Revised Children’s Anxiety and Depression Scale, and the Disruptive Behavior Disorders Rating Scale. We specified dual latent growth curves to estimate trajectories of change in perceived drinking risk and alcohol use over time. Alcohol use significantly increased, while perceived drinking risk significantly decreased. More positive alcohol expectancies at baseline predicted a less steep decline in perceived drinking risk (β = 0.31, p = .009), whereas more negative expectancies at baseline predicted a steeper decline in perceived risk (β = −0.26, p = .03). Alcohol expectancies did not directly predict alcohol use, but instead operated indirectly via the starting point of the perceived drinking risk trajectory. Specifically, greater positive expectancies (B = -0.19, p < .001) and lower negative expectancies (B = 0.17, p = 0.006) predicted a lower risk perception trajectory starting point, which then predicted a greater alcohol use trajectory starting point (B = -1.41, p < .001). Findings underscore the starting point of perceived drinking risk trajectories as one factor linking alcohol expectancies and alcohol use. Prevention efforts aimed at shifting these starting points and altering early cognitive factors may be appropriate targets for minimizing alcohol use risk.
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References
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: Author.
Banks, D. E., & Zapolski, T. C. B. (2017). Racial differences in the link between alcohol expectancies and adolescent drinking. Addictive Behaviors, 67, 34–37. https://doi.org/10.1016/j.addbeh.2016.12.005
Barnow, S., Schultz, G., Lucht, M., Ulrich, I., Preuss, U. W., & Freyberger, H. J. (2004). Do alcohol expectancies and peer delinquency/substance use mediate the relationship between impulsivity and drinking behaviour in adolescence? Alcohol and Alcoholism, 39(3), 213–219. https://doi.org/10.1093/alcalc/agh048
Bekman, N. M., Anderson, K. G., Trim, R. S., Metrik, J., Diulio, A. R., Myers, M. G., & Brown, S. A. (2011). Thinking and drinking: Alcohol-related cognitions across stages of adolescent alcohol involvement. Psychology of Addictive Behaviors, 25(3), 415–425. https://doi.org/10.1037/a0023302
Benthin, A., Slovic, P., & Severson, H. (1993). A psychometric study of adolescent risk perception. Journal of Adolescence, 16(2), 153–168. https://doi.org/10.1006/jado.1993.1014
Borges, A. M., Lejuez, C. W., & Felton, J. W. (2018). Positive alcohol use expectancies moderate the association between anxiety sensitivity and alcohol use across adolescence. Drug and Alcohol Dependence, 187, 179–184. https://doi.org/10.1016/j.drugalcdep.2018.02.029
Boyd, S. J., Sceeles, E. M., Tapert, S. F., Brown, S. A., & Nagel, B. J. (2018). Reciprocal relations between positive alcohol expectancies and peer use on adolescent drinking: An accelerated autoregressive cross-lagged model using the NCANDA sample. Psychology of Addictive Behaviors, 32(5), 517–527. https://doi.org/10.1037/adb0000371
Brandon, T. H., Herzog, T. A., Irvin, J. E., & Gwaltney, C. J. (2004). Cognitive and social learning models of drug dependence: Implications for the assessment of tobacco dependence in adolescents. Addiction, 99(Suppl1), 51–77. https://doi.org/10.1111/j.1360-0443.2004.00737.x
Brener, N. D., Collins, J. L., Kann, L., Warren, C. W., & Williams, B. I. (1995). Reliability of the youth risk behavior survey questionnaire. American Journal of Epidemiology, 141(6), 575–580.
Cameron, C. A., Stritzke, W. G. K., & Durkin, K. (2003). Alcohol expectancies in late childhood: An ambivalence perspective on transitions toward alcohol use. Journal of Child Psychology and Psychiatry, 44(5), 687–698. https://doi.org/10.1111/1469-7610.00155
Campbell, J. M., & Oei, T. P. (2010). A cognitive model for the intergenerational transference of alcohol use behavior. Addictive Behaviors, 35, 73–83. https://doi.org/10.1016/j.addbeh.2009.09.013
Chassin, L., Hussong, A., & Beltran, I. (2009). Adolescent substance use. In R. M. Lerner & L. Steinberg (Eds.), Handbook of adolescent psychology: Individual bases of adolescent development (p. 723–763). John Wiley & Sons Inc.. https://doi.org/10.1002/9780470479193.adlpsy001022
Chassin, L., Sher, K.J., Hussong, A., & Curran, P. (2013). The developmental psychopathology of alcohol use and alcohol disorders: Research achievements and future directions. Development and psychopathology, 25(4, Pt 2), 1567-1584. doi: https://doi.org/10.1017/S0954579413000771.
Chorpita, B.F., Yim, L., Moffitt, C., Umemoto, L.A., & Francis, S.E. (2000). Assessment of symptoms of DSM-IV anxiety and depression in children: A revised child anxiety and depression scale. Behaviour Research and Therapy, 38(8), 835–855. doi: https://doi.org/10.1016/S0005- 7967(99)00130-8.
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(3), 336–344. https://doi.org/10.1037/0022-006X.50.3.336
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(1), 93–99. https://doi.org/10.1037/0022-006X.57.1.93
Clark, H. K., Ringwalt, C. L., & Shamblen, S. R. (2011). Predicting adolescent substance use: The effects of depressed mood and positive expectancies. Addictive Behaviors, 36(5), 488–493. https://doi.org/10.1016/j.addbeh.2011.01.018
Colder, C. R., O'Connor, R. M., Read, J. P., Eiden, R. D., Lengua, L. J., Hawk Jr., L. W., & Wieczorek, W. F. (2014). Growth trajectories of alcohol information processing and associations with escalation of drinking in early adolescence. Psychology of Addictive Behaviors, 28(3), 659–670. https://doi.org/10.1037/a0035271
Colder, C. R., Shyhalla, K., Frndak, S., Read, J. P., Lengua, L. J., Hawk, L. W., & Wieczorek, W. (2017). The prospective association between internalizing symptoms and adolescent alcohol involvement and the moderating role of age and externalizing symptoms. Alcoholism: Clinical and Experimental Research, 41(12), 2185–2196. https://doi.org/10.1111/acer.13512
Connor, J. P., George, S. M., Gullo, M. J., Kelly, A. B., & Young, R. M. (2011). A prospective study of alcohol expectancies and self-efficacy as predictors of young adolescent alcohol misuse. Alcohol and Alcoholism, 46(2), 161–169. https://doi.org/10.1093/alcalc/agr004
Curran, P. J., Bauer, D. J., & Willoughby, M. T. (2004). Testing Main effects and interactions in latent curve analysis. Psychological Methods, 9(2), 220–237. https://doi.org/10.1037/1082-989X.9.2.220
DeWit, D. J., Adlaf, E. M., Offord, D. R., & Ogborne, A. C. (2000). Age at first alcohol use: A risk factor for the development of alcohol disorders. The American Journal of Psychiatry, 157(5), 745–750. https://doi.org/10.1176/appi.ajp.157.5.745
Felton, J. W., Shadur, J. M., Havewala, M., Gonçalves, S., & Lejuez, C. W. (2019). Impulsivity moderates the relation between depressive symptoms and substance use across adolescence. Journal of Clinical Child and Adolescent Psychology, 49, 365–377. https://doi.org/10.1080/15374416.2018.1537189
Flory, K., Lynam, D., Milich, R., Leukefeld, C., & Clayton, R. (2004). Early adolescent through young adult alcohol and marijuana use trajectories: Early predictors, young adult outcomes, and predictive utility. Development and Psychopathology, 16(1), 193–213. https://doi.org/10.1017/S0954579404044475
Gibbons, F. X., Eggleston, T. J., & Benthin, A. C. (1997). Cognitive reactions to smoking relapse: The reciprocal relation between dissonance and self-esteem. Journal of Personality and Social Psychology, 72(1), 184–195. https://doi.org/10.1037/0022-3514.72.1.184
Goldman, M. S. (1994). The alcohol expectancy concept: Applications to assessment, prevention, and treatment of alcohol abuse. Applied & Preventive Psychology, 3(3), 131–144. https://doi.org/10.1016/S0962-1849(05)80066-6
Grevenstein, D., Nagy, E., & Kroeninger-Jungaberle, H. (2015). Development of risk perception and substance use of tobacco, alcohol and cannabis among adolescents and emerging adults: Evidence of directional influences. Substance Use & Misuse, 50(3), 376–386. https://doi.org/10.3109/10826084.2014.984847
Grunbaum, J. A., Kann, L., Kinchen, S. A., Williams, B., Ross, J. G., Lowry, R., & Kolbe, L. (2002). Youth risk behavior surveillance – United States 2001. Journal of School Health, 72(8), 313–328. https://doi.org/10.1111/j.1746-1561.2002.tb07917.x
Haller, M.M., & Chassin, L. (2010). The reciprocal influences of perceived risk for alcoholism and alcohol use over time: Evidence for aversive transmission of parental alcoholism. Journal of studies on alcohol and drugs, 71(4), 588–596. Doi: https://doi.org/10.15288/jsad.2010.71.588.
Ham, L. S., Zamboanga, B. L., & Bacon, A. K. (2011). Putting thoughts into context: Alcohol expectancies, social anxiety, and hazardous drinking. Journal of Cognitive Psychotherapy, 25(1), 47–60. https://doi.org/10.1891/0889-8391.25.1.47
Handren, L. M., Donaldson, C. D., & Crano, W. D. (2016). Adolescent alcohol use: Protective and predictive parent, peer, and self-related factors. Prevention Science, 17(7), 862–871. https://doi.org/10.1007/s11121-016-0695-7
Hittner, J. B. (1997). Alcohol-related outcome expectancies: Construct overview and implications for primary and secondary prevention. Journal of Primary Prevention, 17, 297–314.
Hussong, A. M., Jones, D. J., Stein, G. L., Baucom, D. H., & Boeding, S. (2011). An internalizing pathway to alcohol use and disorder. Psychology of Addictive Behaviors, 25(3), 390–404. https://doi.org/10.1037/a0024519
Hussong, A. M., Shadur, J., Burns, A., Stein, G., Jones, D., Solis, J., & McKee, L. (2019). An early emerging internalizing pathway to substance use and disorder. In R. A. Zucker & S. A. Brown (Eds.), The Oxford handbook of adolescent substance abuse (pp. 319–343). Oxford University Press. https://doi.org/10.1093/oxfordhb/9780199735662.013.015
Jester, J. M., Wong, M. M., Cranford, J. A., Buu, A., Fitzgerald, H. E., & Zucker, R. A. (2015). Alcohol expectancies in childhood: Change with the onset of drinking and ability to predict adolescent drunkenness and binge drinking. Addiction, 110(1), 71–79. https://doi.org/10.1111/add.12704
Johnston, L. D., Miech, R. A., O’Malley, P. M., Bachman, J. G., Schulenberg, J. E., & Patrick, M. E. (2020). Monitoring the future national survey results on drug use 1975–2019: Overview, key findings on adolescent drug use. Institute for Social Research, University of Michigan.
Jones, B. T., Corbin, W., & Fromme, K. (2001). A review of expectancy theory and alcohol consumption. Addiction, 96(1), 57–72. https://doi.org/10.1046/j.1360-0443.2001.961575.x
Jones, S. C., & Gordon, C. S. (2017). A systematic review of children’s alcohol-related knowledge, attitudes, and expectancies. Preventive Medicine, 105, 19–31. https://doi.org/10.1016/j.ypmed.2017.08.005
Lipari, R. N., Ahrnsbrak, R. D., Pemberton, M. R., & Porter, J. D. (2017). Risk and protective factors and estimates of substance use initiation: Results from the 2016 National Survey on drug use and health. NSDUH Data Review. Retrieved from https://www.samhsa.gov/data/
Magill, M., Colby, S. M., Orchowski, L., Murphy, J. G., Hoadley, A., Brazil, L. A., & Barnett, N. P. (2017). How does brief motivational intervention change heavy drinking and harm among underage young adult drinkers? Journal of Consulting and Clinical Psychology, 85(5), 447–458. https://doi.org/10.1037/ccp0000200
Monk, R. L., & Heim, D. (2013). A critical systematic review of alcohol-related outcome expectancies. Substance Use & Misuse, 48(7), 539–557. https://doi.org/10.3109/10826084.2013.787097
Muthén, L.K. & Muthén, B.O. (1998-2011). Mplus user’s guide. Sixth Edition. Los Angeles, CA.
Nelson, S. E., van Ryzin, M. J., & Dishion, T. J. (2015). Alcohol, marijuana, and tobacco use trajectories from age 12 to 24 years: Demographic correlates and young adult substance use problems. Development and Psychopathology, 27(1), 253–277. https://doi.org/10.1017/S0954579414000650
Oei, T. P. S., & Morawska, A. (2004). A cognitive model of binge drinking: The influence of alcohol expectancies and drinking refusal self-efficacy. Addictive Behaviors, 29(1), 159–179. https://doi.org/10.1016/S0306-4603(03)00076-5
Padovano, H. T., Janssen, T., Sokolovsky, A., & Jackson, K. M. (2020). The altered course of learning: How alcohol outcome expectancies are shaped by first drinking experiences. Psychological Science, 31(12), 1573–1584. https://doi.org/10.1177/0956797620959006
Patrick, M. E., Wray-Lake, L., Finlay, A. K., & Maggs, J. L. (2010). The long arm of expectancies: Adolescent alcohol expectancies predict adult alcohol use. Alcohol and Alcoholism, 45(1), 17–24. https://doi.org/10.1093/alcalc/agp066
Pelham, W. E., Evans, S. W., Gnagy, E. M., & Greenslade, K. E. (1992). Teacher ratings of DSM-III—R symptoms for the disruptive behavior disorders: Prevalence, factor analyses, and conditional probabilities in a special education sample. School Psychology Review, 21(2), 285–299.
Peterson, S. J., & Smith, G. T. (2019). Application of the expectancy concept to substance use. In R. A. Zucker & S. A. Brown (Eds.), The Oxford handbook of adolescent substance abuse (pp. 373–386). Oxford University Press. https://doi.org/10.1093/oxfordhb/9780199735662.013.017
Preacher, K. J., & Hayes, A. F. (2008). Contemporary approaches to assessing mediation in communication research. In A. F. Hayes, M. D. Slater, & L. B. Snyder (Eds.), The sage sourcebook of advanced data analysis methods for communication research (pp. 13–54). Sage.
Shadur, J. M., Hussong, A. M., & Haroon, M. (2015). Negative affect variability and adolescent self-medication: The role of the peer context. Drug and Alcohol Review, 34(6), 571–580. https://doi.org/10.1111/dar.12260
Shadur, J., & Lejuez, C. W. (2015). Adolescent substance use and comorbid psychopathology: Emotion regulation deficits as a transdiagnostic risk factor. Current Addiction Reports (Topical Collection on Transgenerational Considerations in Addictions), 2(4), 354–363. https://doi.org/10.1007/s40429-015-0070-y
Shamblen, S. R., Ringwalt, C. L., Clark, H. K., & Hanley, S. M. (2014). Alcohol use growth trajectories in young adolescence: Pathways and predictors. Journal of Child & Adolescent Substance Abuse, 23(1), 9–18. https://doi.org/10.1080/1067828X.2012.747906
Sjöberg, L. (1998). Risk perception of alcohol consumption. Alcoholism: Clinical and Experimental Research, 22(Suppl7), 277S–284S. https://doi.org/10.1097/00000374-199807001-00002
Smit, K., Voogt, C., Hiemstra, M., Kleinjan, M., Otten, R., & Kuntsche, E. (2018). Development of alcohol expectancies and early alcohol use in children and adolescents: A systematic review. Clinical Psychology Review, 60, 136–146. https://doi.org/10.1016/j.cpr.2018.02.002
Stein, L. A. R., Katz, B., Colby, S. M., Barnett, N. P., Golemeske, C., Lebeau-Craven, R., & Monti, P. M. (2007). Validity and reliability of the alcohol expectancy questionnaire-adolescent brief. Journal of Child and Adolescent Substance Abuse, 16(2), 115–127. https://doi.org/10.1300/J029v16n02_06
U.S. Department of Health and Human Services (DHHS), (2016) Office of the Surgeon General, Facin Addiction in America: The Surgeon General’s Report on Alcohol, Drugs, and Health. Washington, DC: HHS, November 2016.
Yan, J., & Brocksen, S. (2013). Adolescent risk perception, substance use, and educational attainment. Journal of Risk Research, 16(8), 1037–1055. https://doi.org/10.1080/13669877.2013.788545
Acknowledgements
Funding in support of this work was provided in part by the National Institute on Drug Abuse Grant R01 DA18647-09 (PI: Carl W. Lejuez) and National Institute on Drug Abuse Grant F32 DA039626 (PI: Julia M. Shadur). The authors would like to acknowledge Laura MacPherson for her contributions and feedback on this manuscript.
Funding
Funding in support of this work was provided in part by the National Institute on Drug Abuse Grant R01 DA18647–09 (PI: Carl W. Lejuez) and National Institute on Drug Abuse Grant F32 DA039626 (PI: Julia M. Shadur).
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Julia Shadur conducted all statistical analyses and wrote the first draft of the manuscript. Julia Felton collaborated on the statistical analyses and supported the preparation of the manuscript. Carl Lejuez designed and executed the longitudinal study and provided feedback on the manuscript. All authors commented on multiple drafts and read and approved the final manuscript.
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Shadur, J.M., Felton, J.W. & Lejuez, C.W. Alcohol use and perceived drinking risk trajectories across adolescence: the role of alcohol expectancies. Curr Psychol 42, 8973–8987 (2023). https://doi.org/10.1007/s12144-021-02178-5
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DOI: https://doi.org/10.1007/s12144-021-02178-5