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Refusal self-efficacy and alcohol-related behaviours in community samples: a systematic review and meta-analysis

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Abstract

This meta-analysis summarizes the association between Refusal Self-efficacy (RSE) (or resistance self-efficacy or self-regulatory efficacy) and alcohol consumption, binge-drinking, and alcohol-related problems in community samples. A total of 67 studies (74 samples) met the inclusion criteria and were synthesized. Pearson’s correlation coefficients (r) were extracted as a measure of effect size. A random-effects model was used to estimate the mean effect size. Heterogeneity between studies was calculated, and the possibility of publication bias and the influence of each study on the overall effect size. The main results show a negative association between RSE and frequency of alcohol consumption (r = -.35), quantity of alcohol consumption(r = -.29), and frequency-quantity alcohol index(r = -.22); binge-drinking (r = -.32); and alcohol-related problems(r = -.35). Age moderated the relationship between RSE and quantity alcohol consumption. No significant moderation effects were found due to self-efficacy scale length, year of publication, publication status and geographic location. The moderating effect of the research design (longitudinal vs transversal) was not analysed due to the insufficient number of longitudinal correlations available. The findings of this meta-analysis contribute to systematizing our knowledge about the role of cognitive mechanisms in regulating alcohol-related behaviours.

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Data availability

The datasets generated during and/or analysed during the current study are available from the corresponding author on reasonable request.

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Acknowledgements

This paper is dedicated to the Memory of Albert Bandura.

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Authors and Affiliations

  1. Department of Social and Developmental Psychology, Sapienza University of Rome, Rome, Italy

    Maryluz Gómez Plata, Fiorenzo Laghi & Marta Zammuto

  2. Faculty of Health Sciences, University of Magdalena, Santa Marta, Colombia

    Maryluz Gómez Plata

  3. Department of Psychology, Sapienza University of Rome, Rome, Italy

    Concetta Pastorelli

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Appendices

APPENDIX A

The search strategies

  1. 1.

    (Refusal self-efficacy [Title/Abstract] AND Alcohol abuse [Title/Abstract]

  2. 2.

    (Refusal self-efficacy [Title/Abstract] AND Alcohol Use [Title/Abstract]

  3. 3.

    (Refusal self-efficacy [Title/Abstract] AND Alcohol Alcohol‐related [Title/Abstract]

  4. 4.

    (Refusal self-efficacy [Title/Abstract] AND Alcohol Binge Drinking [Title/Abstract]

  5. 5.

    (Refusal self-efficacy [Title/Abstract] AND Drinker [Title/Abstract]

  6. 6.

    (Refusal self-efficacy [Title/Abstract] AND Drinking Behavior [Title/Abstract]

  7. 7.

    (Refusal self-efficacy [Title/Abstract] AND Heavy Drinking [Title/Abstract]

  8. 8.

    (Regulatory self-efficacy [Title/Abstract] AND Alcohol abuse [Title/Abstract]

  9. 9.

    (Regulatory self-efficacy [Title/Abstract] AND Alcohol Use [Title/Abstract]

  10. 10.

    (Regulatory self-efficacy [Title/Abstract] AND Alcohol Alcohol‐related [Title/Abstract]

  11. 11.

    (Regulatory self-efficacy [Title/Abstract] AND Alcohol Binge Drinking [Title/Abstract]

  12. 12.

    (Regulatory self-efficacy [Title/Abstract] AND Drinker [Title/Abstract]

  13. 13.

    (Regulatory self-efficacy [Title/Abstract] AND Drinking Behavior [Title/Abstract]

  14. 14.

    (Regulatory self-efficacy [Title/Abstract] AND Heavy Drinking [Title/Abstract]

  15. 15.

    (Resistance self-efficacy [Title/Abstract] AND Alcohol abuse [Title/Abstract]

  16. 16.

    (Resistance self-efficacy [Title/Abstract] AND Alcohol Use [Title/Abstract]

  17. 17.

    (Resistance self-efficacy [Title/Abstract] AND Alcohol Alcohol‐related [Title/Abstract]

  18. 18.

    (Resistance self-efficacy [Title/Abstract] AND Alcohol Binge Drinking [Title/Abstract]

  19. 19.

    (Resistance self-efficacy [Title/Abstract] AND Drinker [Title/Abstract]

  20. 20.

    (Resistance self-efficacy [Title/Abstract] AND Drinking Behavior [Title/Abstract]

  21. 21.

    (Resistance self-efficacy [Title/Abstract] AND Heavy Drinking [Title/Abstract]

APPENDIX B

Forest plot 1

Frequency of alcohol consumption and refusal self-efficacy

figure a

Forest plot 2

Quantity of alcohol consumption and refusal self-efficacy

figure b

Forest plot 3

Frequency-quantity index and refusal self-efficacy

figure c

Forest plot 4

Binge drinking and refusal self-efficacy

Forest plot 5

Alcohol related problems and refusal self-efficacy

figure e

APPENDIX C

Funnel plot 1

Publication bias alcohol consumption studies

figure f

Funnel plot 2

Publication bias binge drinking studies

figure g

Funnel plot 3

Publication bias alcohol related-problems studies

figure h

APPENDIX D

Figs.

Fig. 2
figure 2

Sensitive analysis for frequency of alcohol consumption and refusal self-efficacy. Note: The graph shows the impact of the removal of each study on the summary effect size

Full size image

2,

Fig. 3
figure 3

Sensitive analysis for quantity of alcohol consumption and refusal self-efficacy. Note: The graph shows the impact of the removal of each study on the summary effect size

Full size image

3,

Fig. 4
figure 4

Sensitive analysis for frequency-quantity index of alcohol consumption and refusal self-efficacy. Note: The graph shows the impact of the removal of each study on the summary effect size

Full size image

4,

Fig. 5
figure 5

Sensitive analysis for binge-drinking and refusal self-efficacy. Note: The graph shows the impact of the removal of each study on the summary effect size

Full size image

5 and

Fig. 6
figure 6

Sensitive analysis for alcohol related problems and refusal self-efficacy. Note: The graph shows the impact of the removal of each study on the summary effect size

Full size image

6

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Gómez Plata, M., Laghi, F., Zammuto, M. et al. Refusal self-efficacy and alcohol-related behaviours in community samples: a systematic review and meta-analysis. Curr Psychol 42, 29349–29376 (2023). https://doi.org/10.1007/s12144-022-03954-7

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