Does Self-Esteem Moderate the Associations between Protective Behavioral Strategies and Negative Outcomes Associated with Alcohol Consumption?

Abstract

Previous research has shown that protective behavioral strategies tend to be associated with lower levels of alcohol consumption and fewer negative alcohol-related consequences. The purpose of the present study was to examine whether self-esteem would moderate the association between protective behavioral strategies and alcohol-related outcomes. Participants were undergraduates (94 men and 363 women) between the ages of 18–25 who reported that they had consumed alcohol within the past 30 days. Results showed that greater use of protective behavioral strategies was associated with lower rates of alcohol consumption, less harmful drinking patterns, and fewer negative consequences for everyone except men with low self-esteem. The implications of these findings for understanding the link between protective behavioral strategies and alcohol-related outcomes are discussed.

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References

Aiken

L. S.

, & West

S. G.

(1991). Multiple regression: Testing and interpreting interactions. Thousand Oaks, CA: Sage.

Benton

S. L.

Schmidt

J. L.

Newton

F. B.

Shin

Benton

S. A.

, & Newton

D. W.

(2004). College student protective strategies and drinking consequences. Journal of Studies on Alcohol, 65, 115–121.

Blaskovich

, & Tomaka

(1991). Measures of self-esteem. In Robinson

J. P.

Shaver

P. R.

, & Wrightsman

L. S.

(Eds.), Measures of personality and social psychological attitudes (Vol. 1, pp. 115–160). New York: Academic.

Borden

L. A.

Martens

M. P.

McBride

M. A.

Sheline

K. T.

Bloch

K. K.

, & Dude

(2011). The role of college students' use of protective behavioral strategies in the relation between binge drinking and alcohol-related problems. Psychology of Addictive Behaviors, 25(2), 346–351.

Borsari

Murphy

J. G.

, & Barnett

N. P.

(2007). Predictors of alcohol use during the first year of college: Implications for prevention. Addictive Behaviors, 32, 2062–2086.

Bradley

K. A.

Bush

K. R.

McDonell

M. B.

Malone

, & Fihn

S. D.

(1998). Screening for problem drinking: Comparison of CAGE and AUDIT. Journal of General Internal Medicine, 13, 379–388.

Cohen

West

S. G.

, & Aiken

L. S.

(2003). Applied multiple regression/correlation analysis for the behavioral sciences (3rd ed.). Mahwah, NJ: Lawrence Erlbaum Associates.

Collins

R. L.

Parks

G. A.

, & Marlatt

G. A.

(1985). Social determinants of alcohol consumption: The effects of social interaction and model status on the self-administration of alcohol. Journal of Consulting and Clinical Psychology, 53, 189–200.

Fiellin

D. A.

Reid

M. C.

, & O'Connor

P. G.

(2000). Screening for alcohol problems in primary care: A systematic review. Archives of Internal Medicine, 160, 1977–1989.

10.

Gerrard

Gibbons

F. X.

Reis-Bergan

, & Russell

D. W.

(2000). Self-esteem, self-serving cognitions, and health risk behavior. Journal of Personality, 68, 1177–1201.

11.

Greenbaum

P. E.

Del Boca

F. K.

Wang

, & Goldman

M. S.

(2005). Variation in the drinking trajectories of freshman college students. Journal of Consulting and Clinical Psychology, 73, 229–238.

12.

Grekin

E. R.

, & Sher

K. J.

(2006). Alcohol dependence symptoms among college freshmen: Prevalence, stability and person-environment interactions. Experimental and Clinical Psychopharmacology, 14, 329–338.

13.

Hammer

, & Pape

(1997). Alcohol-related problems in young people: How are such problems linked to gender, drinking levels, and cannabis use? Journal of Drug Issues, 27, 713–731.

14.

Hingson

Zha

, & Weitzman

(2009). Magnitude of and trends in alcohol-related mortality and morbidity among US college students ages 18–24, 1998–2005. Journal of Studies on Alcohol and Drugs, Suppl. 16, 12–20.

15.

Johnston

L. D.

O'Malley

P. M.

Bachman

J. G.

, & Schulenberg

J. E.

(2009). Monitoring the Future national survey results on drug use, 1975?2008: Volume II, College students and adults ages 19–45 (NIH Publication No. 09–7402). Bethesda, MD: National Institute on Drug Abuse.

16.

Johnston

L. D.

O'Malley

P. M.

Bachman

J. G.

, & Schulenberg

J. E.

(2011). Monitoring the Future national survey results on drug use, 1975–2010. Volume II: College students and adults ages 19–50. Ann Arbor: Institute for Social Research, The University of Michigan.

17.

Kahler

C. W.

Strong

D. R.

, & Read

J. P.

(2005). Toward efficient and comprehensive measurement of the alcohol problems continuum in college students: The Brief Young Adult Alcohol Consequences Questionnaire. Alcoholism: Clinical and Experimental Research, 29, 1180–1189.

18.

Kuntsche

Knibbe

Gmel

, & Engels

(2005). Why do young people drink? A review of drinking motives. Clinical Psychology Review, 25, 841–861.

19.

LaBrie

J. W.

Kenney

S. R.

Lac

Garcia

J. A.

, & Ferraiolo

(2009). Mental and social health impacts the use of protective behavioral strategies in reducing risky drinking and alcohol consequences. Journal of College Student Development, 50, 35–49.

20.

Larimer

M. E.

, & Cronce

J. M.

(2007). Identification, prevention and treatment revisited: Individual-focused college drinking prevention strategies 1999–2006. Addictive Behaviors, 32, 2439–2468.

21.

Luhtanen

R. K.

, & Crocker

(2005). Alcohol use in college students: Effects of level of self-esteem, narcissism, and contingencies of self-worth. Psychology of Addictive Behaviors, 19, 99–103.

22.

Martens

M. P.

Ferrier

A. G.

, & Cimini

(2007a). Do protective behavioral strategies mediate the relationship between drinking motives and alcohol use in college students. Journal of Studies on Alcohol and Drugs, 68, 106–114.

23.

Martens

M. P.

Ferrier

A. G.

Sheehy

M. J.

Corbett

Anderson

D. A.

, & Simmons

(2005). Development of the Protective Behavioral Strategies Survey. Journal of Studies on Alcohol, 66, 698–705.

24.

Martens

M. P.

Martin

J. L.

Hatchett

Fowler

R. M.

Fleming

K. M.

Karakashian

M. A.

. (2008). Protective behavioral strategies and the relationship between depressive symptoms and alcohol-related negative consequences among college students. Journal of Counseling Psychology, 55, 535–541.

25.

Martens

M. P.

Pederson

E. R.

LaBrie

J. W.

Ferrier

A. G.

, & Cimini

(2007b). Measuring alcohol-related protective behavioral strategies among college students: Further examination of the Protective Behavioral Strategies Scale. Psychology of Addictive Behaviors, 21, 307–315.

26.

Martens

M. P.

Taylor

K. K.

Damann

K. M.

Page

J. C.

Mowry

E. S.

, & Cimini

(2004). Protective behavioral strategies when drinking alcohol and their relationship to negative alcohol-related consequences in college students. Psychology of Addictive Behaviors, 18, 390–393.

27.

McGee

, & Williams

(2000). Does low self-esteem predict health compromising behaviours among adolescents. Journal of Adolescence, 23, 569–582.

28.

Neighbors

O'Connor

Lewis

M. A.

Chawla

Lee

C. M.

, & Fossos

(2000). The relative impact of injunctive norms on college student drinking: The role of reference group. Psychology of Addictive Behaviors, 22, 576–581.

29.

Neumann

C. A.

Leffingwell

T. R.

Wagner

E. F.

Mignona

, & Mignona

(2009). Self-esteem and gender influence the response to risk information among alcohol using college students. Journal of Substance Use, 14, 353–363.

30.

Perkins

H. W.

, & Craig

D. W.

(2006). A successful social norms campaign to reduce alcohol misuse among college student-athletes. Journal of Studies on Alcohol, 67, 880–889.

31.

Reinert

D. F.

, & Allen

J. P.

(2002). The Alcohol Use Disorders Identification Test (AUDIT): A review of recent research. Alcoholism: Clinical and Experimental Research, 26, 272–279.

32.

Rosenberg

(1965). Society and the adolescent self-image. Princeton, NJ: Princeton University Press.

33.

Saunders

J. B.

Aasland

O. G.

Babor

T. F.

De La Fuente

J. R.

, & Grant

(1993). Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption. Addiction, 88, 791–804.

34.

Trzesniewski

Donnellan

Moffitt

Robins

Poulton

, & Caspi

(2006). Low self-esteem during adolescence predicts poor health, criminal behavior, and limited economic prospects during adulthood. Developmental Psychology, 42, 381–390.

35.

Weitzman

E. R.

(2004). Poor mental health, depression, and associations with alcohol consumption, harm, and abuse in a national sample of young adults in college. Journal of Nervous and Mental Disease, 192(4), 269–277.

36.

Wilsnack

R. W.

Wilsnack

S. C.

Kristjanson

A. F.

Vogeltanz-Holm

N. D.

, & Gmel

(2010). Gender and alcohol consumption: Patterns from the multinational GENACIS project. Addiction, 104, 1487–1500.

37.

Zeigler-Hill

(2011). The connections between self-esteem and psychopathology. Journal of Contemporary Psychotherapy, 41, 157–164.