Alcohol Use in Context: a Psychosocial Investigation of Drinking Behaviors in a Diverse Community Sample in the United States
Personality characteristics, psychopathology, and other individual factors (e.g., motivation) are strongly associated with problematic drinking, but the extent to which these predict drinking behavior in a naturalistic setting, or how social aspects contribute to drinking behaviors in a diverse sample, is less understood. We sought to identify psychosocial variables linked to problematic alcohol use and examined real-time alcohol-related decision making in a naturalistic setting in a 2-day study involving a structured clinical interview, self-report measures, and an ad-lib social drinking task (following a 15-min mingling period, participants choose an alcoholic or non-alcoholic beverage to consume in a 30-min period). Fifty-one European American and African American community-based individuals (Mage = 23.78) in the Southeastern United States, classified as either “social” or “problematic” drinkers, participated. Those screening positively for major depression and antisocial personality disorder and those endorsing internal drinking motives reported greater problematic drinking. Individuals screening positive for major depression were more likely to choose alcohol in a social context, whereas impulsivity and social drinking motives were not predictive of beverage choice. Those engaging in social interaction during the social drinking task were more likely to choose alcohol regardless of initial preference. Results suggest social interaction not only influences drinking behavior, but impacts real-time decisions to drink alcohol, which is an area that has been largely overlooked in the literature.
KeywordsProblematic drinking Mental health Social interaction Impulsivity Drinking motivation
Data was collected in accordance to UGARF. UGARF had no role in study design, data collection, analysis or interpretation, or writing of the manuscript.
Authors have contributed significantly to the preparation of this manuscript in accordance with the ethical guidelines and legal requirements.
The University of Georgia’s Research Foundation (UGARF) funded this research.
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they have no conflict of interest.
- American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders: DSM-IV-TR. Washington, DC: American Psychiatric Association.Google Scholar
- Chartier, K., & Caetano, R. (2010). Ethnicity and health disparities in alcohol research. Alcohol Research & Health, 33(1–2), 152–60.Google Scholar
- Dom, G., de Wilde, B., Hulstijn, W., van den Brink, W., & Sabbe, B. (2006). Behavioral aspects of impulsivity in alcoholics with and without Cluster-B personality disorder. Alcohol and Alcoholism, 41(4), 412–1420. https://doi.org/10.1093/alcalc/agl030.
- Gibbons, F., Etcheverry, P., Stock, M., Gerrard, M., Weng, C., Kiviniemi, M., & O’Hara, R. (2010). Exploring the link between racial discrimination and substance abuse: What mediates? What buffers? Journal of Personality and Social Psychology, 99(5), 785–801.PubMedPubMedCentralCrossRefGoogle Scholar
- Grant, B., Stinson, F., Dawson, D., Chou, S., Ruan, W., & Pickering, R. P. (2004). Co-occurrence of 12-month alcohol and drug use disorders and personality disorders in the United States: Results from the National Epidemiologic Survey on alcohol and related conditions. Archives of General Psychiatry, 61(4), 361–368.PubMedCrossRefGoogle Scholar
- Hasin, D., Stinson, F., Ogburn, E., & Grant, B. (2007). Prevalence, correlates, disability, and comorbidity of DSM-IV alcohol abuse and dependence in the United States: Results from the National Epidemiologic Survey on alcohol and related conditions. Archives of General Psychiatry, 64(7), 830–842.PubMedCrossRefGoogle Scholar
- Larimer, M., Kaysen, D., Lee, C., Kilmer, J., Lewis, M., Dillworth, T., . . . Neighbors, C. (2009). Evaluating level of specificity of normative referents in relation to personal drinking behavior. Journal of Studies on Alcohol and Drugs, S(16), 115–121. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2701099/.
- Lewis, M. A., Hove, M. C., Whiteside, U., Lee, C. M., Kirkeby, B. S., Oster-Aaland, L., et al. (2008). Fitting in and feeling fine: Conformity and coping motives as mediators of the relationship between social anxiety and problematic drinking. Psychology of Addictive Behaviors, 22, 58–67.PubMedCrossRefGoogle Scholar
- Paulhus, D. L., & Vazire, S. (2007). The self-report method. In R. W. Robins, R. C. Fraley, & R. F. Krueger (Eds.), Handbook of research methods in personality psychology (pp. 224–239). New York: Guilford Press.Google Scholar
- Peterson, J., Morey, J., & Higgins, D. (2005). You drink, I drink: Alcohol consumption, social context and personality. Individual Differences Research, 3, 23–35.Google Scholar
- Pihl, R. O., & Peterson, J. B. (1995). Alcoholism: The role of different motivational systems. Journal of Psychiatric Neuroscience, 20, 372–396.Google Scholar
- Robins, L., Cottler, L., Bucholz, K., Compton, W., North, CS, & Rourke, K. (2000). Diagnostic Interview Schedule for the DSM-IV (DIS-IV). Retrieved from http://epidemiology.phhp.ufl.edu/assessments/c-dis-iv/faqs/.
- Schnabel, E., Hargutt, V., & Kruger, H. (2010). Meta-analysis of empirical studies concerning the effects of alcohol on safe driving. Retrieved from http://www.druid-project.eu/Druid/EN/deliveraleslist/downloads/Deliverable_1_1_2.pdf?__blob=publicationFile&v=1.
- West, R. (2006). Theory of addiction. Oxford: Blackwell Publishing.Google Scholar
- Whiteside, S., & Lynam, D. (2009). Understanding the role of impulsivity and externalizing psychopathology in alcohol abuse: Application of the UPPS Impulsive Behavior Scale. Personality Disorders: Theory, Research, and Treatment, S(1), 69–79.Google Scholar
- Zuckerman, M., & Kuhlman, M. D. (2000). Personality and risk-taking: Common biosocial factors. Journal of Personality, 68(6), 999–1029. https://doi.org/10.1111/1467-6494-00124.