Ian P. Albery

Alcohol Consumption and Hiv Risk Behaviours: Integrating the Theories of Alcohol Myopia and Outcome-Expectancies

Reports have indicated that the use of alcohol is related to HIV risk related sexual behaviour (e.g. non-use of condoms during sexual intercourse). Studies suffer from methodological limitations such that causal conclusions about the role of alcohol in sexual risk taking are limited. Theories describing the association between alcohol and increased sexual risk behaviour have been suggested. Empirical findings may be limited and require re-examination within the theoretical context of the psychological processes that influence sexual decision-making. If processes are not explored and understood within theoretical boundaries, little advantage can be gained in the development of related interventions (e.g. health promotion) or significant clarification of the alcohol-sexual behaviour relationship. This paper discusses evidence from the alcohol expectancy literature and the alcohol myopia literature and emphasises the dynamic relationship between these sources. Relevant evidence is presented and integrated to provide a more comprehensive appreciation of possible psychological processes involved in sexual decision-making after the consumption of alcohol.

The addiction Stroop task: examining the fast and slow effects of smoking and marijuana-related cues

Abstract Research has shown that attentional bias toward smoking-related stimuli is related to the maintenance of smoking behaviour and the chance of a relapse during a quit attempt. Effects of smoking attentional bias can occur both during smoking stimulus presentation (fast effect) and on stimuli that immediately follow smoking stimuli (slow effect). The current research builds on these findings by closely examining the temporal aspects of these fast and slow effects across groups of different smoking status. In Experiment 1 (n = 64), smokers, smokers attempting to quit (SATQ) and non-smokers completed an addiction Stroop task using smoking related, negative emotion and neutral stimuli. In Experiment 2 (n = 32), marijuana smokers and non-marijuana smokers completed an addiction Stroop task using marijuana and neutral stimuli. Results showed fast effects across all smoking groups (except non-smokers) and slow effects in SATQ and marijuana smokers. Furthermore, marijuana smokers showed slow effects over extended periods of time. Results also show a relationship between anxiety, nicotine dependence and attentional bias in SATQ. The implications of these findings are discussed.

Measuring therapeutic attitude among drug workers.

A reluctance of nonspecialists to work with drug and alcohol misusers have focused upon belief-based systems, including therapeutic commitment (TC) and situation-specific constraints. This paper describes the development and assessment of a theoretical model for nonspecialist drug workers, characterised as a synthesis of attitudinal and constraints explanations. A cohort of 189 nonspecialist drug workers completed self-report measures of overall TC and situational constraints scales. Predictive analysis of associations between TC, role security (RS), role requirements, and situational constraints was performed to explore direct and indirect effects. Such assessment allowed for the identification of a predictive process by which TC may be established, manipulated, and maintained. Levels of TC were found to be explained by the direct effects of self-esteem (SE), situational constraints, role support, and RS. Role support and situational constraints were also found to have indirect effects. Experience with working with drug users and education on drug-related issues were found to have predominantly indirect effects on TC via situational constraints and RS. Findings show the synthesised model to be partially supported. Implications for the development of a process-driven theoretical understanding of TC and situational constraints are discussed, and applied recommendations for training intervention are presented.

Understanding the Impact of Mortality-Related Health-Risk Information: A Terror Management Theory Perspective:

Four studies explored the effects of providing mortality-related health-risk information from a terror management theory perspective. Study 1 (N = 48) revealed that exposure to information about the mortality-related risks of driving made mortality salient for young male drivers. Studies 2 (N = 60) and 3 (N = 139) demonstrated that young male drivers who perceived driving (fast) to be beneficial for self-esteem reported higher intentions to take driving risks (Study 2) and drive fast (Study 3) after exposure to such information compared to controls. Study 3 further demonstrated that the inclusion of a prime to behave responsibly eliminated this effect. Study 4 (N = 92) revealed that exposure to this prime alongside the mortality-related information generated increased accessibility of responsibility-related constructs and reduced accessibility of mortality-related constructs among young male drivers. The implications of these findings for terror management theory are discussed.

The identification and management of substance misuse problems by general practitioners

Central policy has increasingly encouraged general practitioners to be involved in treating patients with problems of substance misuse. A postal questionnaire was sent to all 416 general practitioners in the South East London Health Authority area to explore the extent of their identification and management of patients who smoke, or misuse alcohol or illicit opiates. A high response rate (78%) was achieved over three waves. Most doctors reported asking their patients about smoking and drinking and offering advice where a problem is found. Two-thirds of the general practitioners reported having seen at least one opiate misusing patient in the previous four weeks. More than a quarter reported always or often prescribing medication such as methadone for opiate misusing patients. Our findings differ from previous surveys and suggest that general practitioners may be becoming more active in the treatment of patients with problems of substance misuse.

The effects of responsible drinking messages on attentional allocation and drinking behaviour

AIMS Four experiments were conducted to assess the acute impact of context and exposure to responsible drinking messages (RDMs) on attentional allocation and drinking behaviour of younger drinkers and to explore the utility of lab-based methods for the evaluation of such materials. METHODS A simulated bar environment was used to examine the impact of context, RDM posters, and brief online responsible drinking advice on actual drinking behaviour. Experiments one (n = 50) and two (n = 35) comprised female non-problem drinkers, whilst Experiments three (n = 80) and 4 (n = 60) included a mixed-gender sample of non-problem drinkers, recruited from an undergraduate student cohort. The Alcohol Use Disorders Identification Test (AUDIT) was used to assess drinking patterns. Alcohol intake was assessed through the use of a taste preference task. RESULTS Drinking in a simulated bar was significantly greater than in a laboratory setting in the first two studies, but not in the third. There was a significant increase in alcohol consumption as a result of being exposed to RDM posters. Provision of brief online RDM reduced the negative impact of these posters somewhat; however the lowest drinking rates were associated with being exposed to neither posters nor brief advice. Data from the final experiment demonstrated a low level of visual engagement with RDMs, and that exposure to posters was associated with increased drinking. CONCLUSIONS Poster materials promoting responsible drinking were associated with increased consumption amongst undergraduate students, suggesting that poster campaigns to reduce alcohol harms may be having the opposite effect to that intended. Findings suggest that further research is required to refine appropriate methodologies for assessing drinking behaviour in simulated drinking environments, to ensure that future public health campaigns of this kind are having their intended effect.

Modeling the contribution of personality, social identity and social norms to problematic Facebook use in adolescents

Facebook is the most popular social networking site in the world providing the opportunity to maintain and/or establish relationships, to share media contents and experiences with friends, and to easily communicate with them. Despite the resources and the innovative social features offered by Facebook research has emerged indicating that its use may become problematic, with negative consequences on personal psycho-social well-being, especially among adolescents and young adults. The main aim of this study was to examine the unique contribution of personality traits and social influence processes (i.e. subjective norms, group norms, and social identity) to perceived frequency of Facebook Use and Problematic Facebook Use in a sample of adolescents. A total of 968 Italian adolescents participated in the study. Structural equation modeling showed that emotional stability, extraversion, conscientiousness and norms directly predicted Problematic Facebook Use, whereas gender, group norms and social identity predicted perceived frequency of Facebook use. In conclusion, both personal and social variables appear to explain perceived frequency of Facebook use and Problematic Facebook Use among adolescents, and should be taken into account by researchers and educational practitioners.

Comparative optimism about health and nonhealth events in 8- and 9-year-old children

Comparative optimism has been studied extensively in adults and is a significant component of social- cognitive models about health. In contrast, little is known about comparative optimism in children or about the wider social- cognitive processes that underpin their health-related behavior. This study investigated comparative optimism for health- and nonhealth-related topics in 101 children 8 or 9 years of age, the youngest ages that have been investigated so far. Children were shown to be unrealistically optimistic for health and nonhealth events. The implications of these findings for understanding comparative optimism in children are discussed.

'Neknomination': Predictors in a sample of UK university students

Objectives To identify prevalence and predictors of participation in the online drinking game ‘neknomination’ amongst university students. Method A convenience sample of 145 university students participated in a study about drinking behaviours, completing a questionnaire about their participation in neknomination, the Alcohol Use Disorders Identification Test, and the Resistance to Peer Influence Scale. Results Out of 145 students sampled, 54% took part in neknomination in the previous month. Mann–Whitney U tests revealed significantly higher scores on the Alcohol Use Disorders Identification Test, and significantly lower scores on the Resistance to Peer Influence Scale, for those who had participated in neknomination. A significant correlation was also shown between specific peer pressure to neknominate, and engagement in neknomination. A logistic regression analysis indicated that scores on the Alcohol Use Disorders Identification Test, but not the Resistance to Peer Influence Scale, predicted classification as an individual who participated in neknomination. Conclusions We found that over half of respondents had participated in a neknomination game in the past month, with almost all male respondents having done so. Participation in neknomination was strongly associated with general hazardous drinking behaviour but not with resistance to peer influence. Further research is needed to understand the role of engagement with social media in drinking games and risky drinking.

Testing a frequency of exposure hypothesis in attentional bias for alcohol-related stimuli amongst social drinkers

Aims To examine whether a group of social drinkers showed longer response latencies to alcohol-related stimuli than neutral stimuli and to test whether exposure to 1) an alcohol-related environment and 2) consumption related cues influenced the interference from alcohol-related stimuli. Methods A 2 × 2 × 2 × 5 factorial design with Exposure Group (high, low) and Consumption Group (high, low) as between-participant factors and Word Type (alcohol, neutral) and Block (1–5) as within-participant factors was used. Forty-three undergraduate university students, 21 assigned to a high exposure group and 22 to a low exposure group, took part in the experiment. Exposure Group was defined according to whether or not participants currently worked in a bar or pub. Consumption Group was defined according to a median split on a quantity–frequency measure derived from two questions of the Alcohol Use Disorders Identification Test (AUDIT) questionnaire. A modified computerised Stroop colour naming test was used to measure response latencies. Results Exposure and consumption factors interacted to produce greater interference from alcohol-related stimuli. In particular, the low consumption group showed interference from alcohol-related stimuli only in the high exposure condition. Exposure did not affect the magnitude of interference in the high consumption group. Conclusions Attentional bias is dependent upon exposure to distinct types of alcohol-related cues.