Cognitive Predictors of Alcohol Involvement and Alcohol Consumption-Related Consequences in a Sample of Drunk-Driving Offenders

Motivational theories of alcohol involvement emphasize a wide range of cognitive factors as precursors to "heavy" or high-risk drinking. Central to this consideration has been expectancies, drinking urges, triggers, and situational cues, all of which can synergistically or independently st...

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Veröffentlicht in:Substance use & misuse 2008-01, Vol.43 (14), p.2089-2115
Hauptverfasser: Scheier, Lawrence M., Lapham, Sandra C., C'de Baca, Janet
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creator Scheier, Lawrence M.
Lapham, Sandra C.
C'de Baca, Janet
description Motivational theories of alcohol involvement emphasize a wide range of cognitive factors as precursors to "heavy" or high-risk drinking. Central to this consideration has been expectancies, drinking urges, triggers, and situational cues, all of which can synergistically or independently stimulate drinking. Unfortunately, empirical studies have scrutinized low-level or moderate drinkers drawn from the general population, and less is known about the role of cognitive factors as precursors to high-risk drinking. The present study examines the unique contribution of several measures of cognitive motivation to harmful alcohol use in a sample of convicted drunk drivers. Confirmatory factor analysis indicated the psychometric soundness of a model positing four latent predictor constructs assessing drinking urges/triggers, situational cues, positive and negative expectancies and outcome constructs assessing harmful alcohol use and perceived consequences of harmful drinking. A structural equation model indicated that each motivational construct was associated uniquely with both drinking and perceived consequences, with the largest overall effect in both cases associated with situational cues. Results are discussed in terms of identifying prominent cognitive factors that may foster harmful drinking among high-risk populations and their implications for treatment.
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source MEDLINE; Sociological Abstracts; Applied Social Sciences Index & Abstracts (ASSIA); Taylor & Francis Medical Library - CRKN; Access via Taylor & Francis
subjects Addictive behaviors
Adult
Adult and adolescent clinical studies
Aged
Alcohol Abuse
Alcohol consumption
alcohol involvement
Alcoholic Intoxication - etiology
Alcoholism
Alcoholism and acute alcohol poisoning
Automobile Driving
Binge drinking
Biological and medical sciences
Cognition
Cognitive aspects
cognitive motivators
confirmatory modeling
Drinking Behavior
drinking urges/triggers
Drug addiction
Drunk Driving
Drunken drivers
DWI
expectancies
Factor Analysis, Statistical
Female
Follow-Up Studies
High risk
Humans
Interviews as Topic
Male
Medical sciences
Middle Aged
Motivation
Offenders
Psychology. Psychoanalysis. Psychiatry
Psychometric Analysis
Psychopathology. Psychiatry
Situational cues
Toxicology
United States
title Cognitive Predictors of Alcohol Involvement and Alcohol Consumption-Related Consequences in a Sample of Drunk-Driving Offenders
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