Alan R. Lang

Effects of Deviant Child Behavior on Parental Distress and Alcohol Consumption in Laboratory Interactions

Levels of adult distress and ad lib alcohol consumption following interactions with child confederates were investigated in parents of children with no diagnosable psychiatric disorders. Sixty parents (20 married couples and 20 single mothers) interacted with boys trained to enact behaviors characteristic of either normal children or “deviant” children with externalizing behavior disorders — attention-deficit hyperactivity disorder (ADHD), conduct disorder (CD), and oppositional defiant disorder (ODD). Relative to the normal child role, interactions with deviant confederates were rated as significantly more unpleasant, resulted in feelings of role inadequacy, and produced significantly more anxiety, depression, and hostility. After the interactions, parents were given the opportunity to drink as much of their preferred alcoholic beverage as they desired while anticipating a second interaction with the same child. The participants consumed more alcohol following exposure to deviant as opposed to normal confederates.

Alcohol Affects Emotion Through Cognition

Determining how cognition and emotion interact is pivotal to an understanding of human behavior and its disorders. Available data suggest that changes in emotional reactivity and behavior associated with drinking are intertwined with alcohols effects on cognitive processing. In the study reported here, we demonstrated that alcohol dampens anticipatory fear and response inhibition in human participants not by directly suppressing subcortical emotion centers, as posited by traditional tension-reduction theories, but instead by impairing cognitive-processing capacity. During intoxication, reductions in fear response (assessed via startle potentiation) occurred only under dual-stimulus conditions, and coincided with reduced attentional processing of threat cues as evidenced by brain response (assessed via P3 event-related potentials). The results are consistent with higher cortical mediation of alcohols effects on fear, and illustrate more broadly how disruption of a cognitive process can lead to alterations in emotional reactivity and adaptive behavior.

Depression and anxiety in parents of children with ADHD and varying levels of oppositional defiant behaviors: modeling relationships with family functioning.

This study investigated the relation between parental anxiety and family functioning. Parental anxiety and depression, child attention deficit hyperactivity disorder (ADHD), and oppositional defiant disorder (ODD) symptoms were all included as predictors of 3 measures of family functioning to examine the independent contributions of each. Using a self-report battery completed by 45 mother-father pairs, 3 family functioning factors were derived: Parental Warmth and Positive Involvement, Intrusiveness and Negative Discipline, and Social Distress. Multilevel modeling simultaneously estimated the unique contributions of parental and child symptoms on family functioning. Results indicated that parental anxiety was negatively associated with Parental Warmth and Positive Involvement, Intrusiveness and Negative Discipline, and Social Distress; parental depression was only negatively associated with Social Distress. Child ODD symptoms had independent associations with all outcomes; no relations were found with ADHD. Sex moderated the effects of parental anxiety on Parental Warmth and Positive Involvement such that only for mothers did greater anxiety lead to less Parental Warmth and Positive Involvement.

Assessment of Substance Cue Reactivity: Advances in Reliability, Specificity, and Validity

An arousal-control and cross-over design was used to evaluate the reliability, specificity, and validity of the Normative Appetitive Picture System (NAPS), a cue exposure protocol with sets of visual alcohol, cigarette, and control cues. The authors also examined the utility of conceptualizing cue reactivity as a multidimensional phenomenon involving independent approach and avoidance dimensions. University student participants (n=369) rated multiple cue images in terms of arousing properties and capacity to elicit separate approach and avoidance inclinations. They also completed a battery of substance-related individual-difference measures. Results indicated that NAPS protocol reactivity profiles had good reliability and high specificity across cue types and individuals with different substance use histories. Avoidance reactivity independently predicted self-reports of substance-related behaviors, after controlling for approach reactivity.

Aggression in boys with attention deficit-hyperactivity disorder: methylphenidate effects on naturalistically observed aggression, response to provocation, and social information processing

High and low-aggressive boys with attention deficit-hyperactivity disorder (ADHD) were compared and the effects of methylphenidate were examined on measures from three domains of aggression: (1) directly observed verbal and nonverbal aggressive behaviors exhibited in the context of a day treatment program, (2) aggressive responding when provoked during a laboratory task, and (3) social information processing patterns exhibited on tasks designed to tap the putative cognitive components of aggression. The high-aggressive (HA) and low-aggressive (LA) subgroups differed significantly on observational measures of aggression and on the laboratory provocation task, but the HA group showed more deviant cognitions on only one of the numerous measures of social information processing. Regarding medication effects on the direct observation measures, methylphenidate decreased aggression for both subgroups. On the laboratory provocation task, methylphenidate had only minimal effects. Significant drug effects were obtained on only two recall social information processing measures.

Effects of social anxiety and alcohol expectancies on stress-induced drinking.

The utility of trait social anxiety and alcohol expectancies in predicting increased alcohol consumption under socially stressful conditions was investigated. Forty-two male and 42 female undergraduates participated in a 2-day study, serving as their own controls. In each session, participants consumed their preferred alcoholic beverage during a 30-min drinking period. The 1st session established baseline consumption under nonstressful conditions, while in the 2nd session, participants drank while anticipating the required delivery of a speech. Measures of social anxiety and alcohol expectancies were completed. Participants consumed more absolute alcohol during the stressful session, but those with high trait social anxiety and men expecting alcohol to increase assertiveness were most likely to show this effect. These findings suggest specificity in the connection between individual characteristics and stress-induced drinking.

Deleterious effects of alcohol intoxication: Diminished cognitive control and its behavioral consequences.

The authors tested the hypothesis that impaired behavioral performance during intoxication results partly from alcohols deleterious effects on cognitive control. The impact of alcohol on perseverative behavior was examined with an n-back working memory task that included manipulations of task complexity and prepotency of inclinations to respond or withhold responding. Thirty-two social drinkers (16 men) participated in either an alcohol (.075g/100ml) or a no-alcohol condition. Alcohol increased perseveration of prepotent, task-inappropriate response patterns only under cognitively demanding (heavy memory load) conditions. This effect was evident for both commission errors (response persistence despite contingencies altered to require restraint) and omission errors (failure to respond when contingencies were revised to encourage action). Findings suggested that alcohol-induced perseveration arises from impairments in cognitive control.

A direct assessment of the role of state and trait negative emotion in aggressive behavior

Affective priming of aggression was examined in groups low and high in trait negative emotionality (NEM) using a Buss aggression paradigm. Negative affect was induced by exposure to aversive air blasts during some intervals (threat) and not others (safe). Phasic negative affect was assessed using startle reflex potentiation, and tonic distress was indexed by startle sensitization. Participants delivered shocks faster during threat versus safe intervals, indicating that phasic distress primed aggression. Following initial exposure to air blasts, high NEM participants showed enhanced tonic distress and delivered persistently more intense shocks than low NEM participants. These findings indicate that sustained negative affect biases high stress-reactive individuals toward more intense acts of aggression, with phasic distress affecting the rapidity of aggressive response.

Parental alcohol consumption and deviant child behavior: Laboratory studies of reciprocal effects

Abstract A series of laboratory experiments that examine the relationship between parental alcohol consumption and deviant child behavior is reviewed. The studies were designed to evaluate the familial influences that two disinhibitory disorders, parental alcohol problems and childhood attention deficit hyperactivity disorder (ADHD), may have on one another. The studies provide evidence of bidirectional effects. Specifically, (a) alcohol consumption has deleterious effects on the management strategies that parents use to control childrens deviant behavior, and (b) childrens deviant behavior increases parental distress and alcohol consumption. These effects may vary as a function of such variables as parental gender, marital status (for women), familial risk for alcohol problems, and parent and child psychopathology.

Effects of Deviant Child Behavior on Parental Alcohol Consumption Stress-Induced Drinking in Parents of ADHD Children

Distress and ad lib alcohol consumption after interactions with child confederates were investigated in parents of children with externalizing disorders--attention-deficit hyperactivity disorder (ADHD), conduct disorder (CD), or oppositional defiant disorder (ODD). Sixty subjects interacted with boys trained to act like either normal children or children with ADHD/CD/ODD. Interactions with deviant confederates resulted in feelings of inadequacy and produced negative affect but had no effect on alcohol consumption. Post hoc analyses showed that parents with a family history of alcohol problems (FH+) showed increased drinking after interaction with a deviant confederate, compared with FH+ parents who interacted with the normal confederate. FH- parents showed the opposite pattern of results.