Psychology Commons^™

Assessment Of Simultaneous Alcohol And Cannabis Use And Its Related Consequences And Cognitions In College Students: A Narrative Review, Jennifer L. Shipley, Abby L. Braitman

Psychology Faculty Publications

As rates of students using cannabis continue to rise, simultaneous use of alcohol and cannabis (such that their effects overlap; commonly referred to as simultaneous alcohol and marijuana [SAM] use) is prevalent among college students who use both substances. Although research focusing on SAM use and related cognitions and consequences continues to grow, there are no common established measures, as approaches vary across studies. This narrative review identifies current methods for assessing SAM use and measures of SAM-related consequences and cognitions (motives and expectancies) among college students, evaluates how they were developed, identifies gaps in the literature, and provides recommendations …

Criterion Validity Of Protective Behavioral Strategies For Alcohol Consumption Among College Students, Abby L. Braitman, Amy Stamates, Melissa Colangelo, Sarah J. Ehlke, Jordan Ortman, Kristin E. Heron, Kate B. Carey

Psychology Faculty Publications

Background: Protective behavioral strategies (PBS), or behaviors used to reduce harm associated with alcohol use, are often associated with lower levels of alcohol consumption, lower engagement in high-risk drinking behaviors, and fewer alcohol-related consequences. Although the majority of studies have found significant associations between higher PBS use and lower consumption or consequences, some studies have found nonsignificant or even positive associations. One explanatory hypothesis is that the mixed findings are due to differential content in PBS measures. Objectives: The current study examined the criterion validity of two widely-used PBS measures, the PBSS and the SQ. In a multi-institution online …

Binge Drinking And Protective Behavioral Strategies Among Greek And Non-Greek College Students, Maria Niitepold

Antioch University Full-Text Dissertations & Theses

One of the most problematic habits of college students, binge drinking, has been of particular interest among researchers as a result of the increased risk of harm experienced by students engaging in this high-risk behavior. Fraternity and sorority students have also come under scrutiny for habitually engaging in binge drinking and experiencing significant levels of negative consequences as a result. Little is currently understood about the differences between Protective Behavioral Strategy (PBS) use of Greek and non-Greek students. The aim of this study was to examine the differences in rates of binge drinking and PBS use among Greek and non-Greek …

Protective Behavioral Strategies And Negative Consequences Of Alcohol Use Among College Athletes, Nirmala Jayaraman

Antioch University Full-Text Dissertations & Theses

Alcohol use is associated with a variety of negative consequences among young adults (Benton et al., 2004). Current studies are considering how protective behavioral strategies (PBS), such as acting as a designated driver, alternating with a non-alcoholic beverage, or watching out for a friend at a party, can be analyzed to better understand what factors contribute to alcohol consumption and drinking behavior (Borden et al., 2011). The purpose of this study was to further understand the relationship between the use of specific protective behavior strategies and negative consequences related to drinking alcohol among college athletes. The present study used survey …

Savoring As A Protective Behavioral Strategy For Cannabis Use, Maha Noor Mian

Legacy Theses & Dissertations (2009 - 2024)

Protective behavioral strategies (PBS) aim to mitigate harms related to substance use. Many individuals use cannabis for relief, but little work has focused on strategies to enhance therapeutic benefit safely. The present paper includes two studies that test a novel theoretical model positing enhancement of subjective effects as a protective strategy against cannabis-related harms. Enhancement was operationalized as savoring, a facet of mindfulness, as a potential PBS to mitigate cannabis-related negative consequences and alter subjective effects associated with use. Study I was a cross sectional survey examining relations of savoring, PBS, and cannabis use outcomes as well as the feasibility …

Intention-Behavior Discrepancies For Alcohol Consumption Among College Students, Emily Kaye Junkin

Psychology Theses & Dissertations

Unplanned drinkers may experience elevated risk for drinking-related harm. Research examining unplanned drinking focuses on the unplanned nature of a drinking episode (i.e., did the student drink when no drinking was planned), yet this does not capture the importance of the unintended quantity consumed. For instance, a discrepancy between drinking intentions and actual consumption has the potential to differentially impact alcohol-related outcomes beyond what is accounted for by unplanned drinking episodes. Further, research has not investigated how college students’ unintended drinking is associated with alcohol-related consequences. Moreover, utilization of protective behavioral strategies (PBS) has been shown to decrease negative outcomes …

Depressive Symptoms And Marijuana Outcomes In College Students: The Mediating Role Of Protective Behavioral Strategies For Marijuana, Nicholas Militello

Master's Theses

The present study evaluated the sequentially mediating role of protective behavioral strategies for marijuana (PBSM) and marijuana use frequency on the relationships depressive symptoms had with hazardous marijuana use and marijuana-related negative consequences in college students Participants were 338 (50.3% male) undergraduate college students age 18 to 25 (M = 22.10; SD = 1.97) who reported marijuana use in the past 30 days. Participants reported their gender and completed measures of depressive symptoms, PBSM use, marijuana use frequency, marijuana-related negative consequences, and hazardous marijuana use through an online survey from a 2018 project. Depressive symptoms were positively associated with …

Understanding The Association Between Social Networks, College Student Alcohol Use, And Protective Behavioral Strategy Use And Beliefs, Melissa Roberts Colangelo

Psychology Theses & Dissertations

Heavy drinking and alcohol-related problems are a growing concern for American college students (Jun, Agley, Huang, & Gassman, 2015). Social networks, or peer groups, have demonstrated predictive associations with college students’ alcohol outcomes (Neighbors, Lee, Lewis, Fossos, & Larimer, 2007). Protective behavioral strategies (PBS), defined as behaviors used to reduce negative alcohol-related consequences, are often assessed as a mechanism of change and predictor of alcohol outcomes (Martens, Taylor, Damann, Page, Mowry, & Cimini, 2004). Still, the association between social networks’ and college students’ own PBS use has yet to be explored. The current study was designed to address this gap …

Posttraumatic Stress Symptoms And Alcohol Outcomes: The Mediating Role Of Drinking Motives And Protective Behavioral Strategies, Hallie R. Jordan

Dissertations

The present study evaluated the sequentially mediating role of drinking motives (i.e. social, enhancement, coping, conformity) and alcohol protective behavioral strategy (PBSA) subtypes (i.e. serious harm reduction [SHR], stopping/limiting drinking [SLD], manner of drinking [MOD]) on the relationships posttraumatic stress symptoms had with hazardous drinking and alcohol-related negative consequences in college students. Participants were 492 (50.8% men) traditional age (i.e. 18 to 25 years old) college students reporting past 30 day alcohol consumption and the experience of at least one potentially traumatic event over their lifetime. Participants reported their gender and completed measures of posttraumatic stress symptoms, drinking motives, PBS …

The Mediating Effects Of Drinking Refusal Self-Efficacy On The Associations Between Alcohol Protective Behavioral Strategies And Alcohol Use Outcomes, Kray Scully

Dissertations

Alcohol use continues to pose a serious public health problem at universities across the U.S., largely due to the extent of consumption and frequency of negative consequences experienced among college students. Alcohol protective behavioral strategies (PBS-A) are an empirically supported repertoire of safe drinking behaviors college students can use to monitor and control their alcohol consumption as well as limit harm while drinking. However, there remains a need to better understand how cognitive mechanisms, such as drinking refusal self-efficacy (DRSE), help explain college student safe alcohol use behaviors to enhance evidenced-based intervention and prevention efforts. Recently, studies that examined the …

Further Validation Of The Treatment Self-Regulation Questionnaire For Assessing Motivations For Responsible Drinking: A Test Of Self-Determination Theory, Dylan Richards

Open Access Theses & Dissertations

Alcohol protective behavioral strategies (PBS) are cognitive-behavioral strategies used before, during, and/or after drinking to reduce alcohol use and alcohol-related problems. Self-determination theory (SDT) provides a potentially useful framework to understand motivations for responsible drinking, which is operationalized in the present study as PBS use. In the present study, the relation of motivations for responsible drinking, as assessed by the Treatment Self-Regulation Questionnaire (TSRQ), with other SDT constructs (psychological need satisfaction and dispositional autonomy) and PBS use, alcohol use, and alcohol-related problems were examined among college students drinkers. A sample of 507 college students who reported consuming alcohol at least …

Perfectionism And Alcohol Use Outcomes In College Students: The Moderating Role Of Alcohol Protective Behavioral Strategies, Tiara Watson

Honors Theses

The purpose of this study was to evaluate the moderating role of alcohol-protective behavioral strategy (PBS) types (stopping/limiting drinking – SLD; manner of drinking – MOD; serious harm reduction – SHR) on the relationships adaptive and maladaptive perfectionism have with alcohol misuse and alcohol-related negative consequences. Participants included 526 traditional-aged college students (M_age = 19.77, 80.7% female, 60.2% Caucasian/White non-Hispanic) who reported alcohol consumption in the past thirty days and completed measures of perfectionism, typical weekly drinking, alcohol-related negative consequences, and PBS use. PBS-SHR moderated the relationships between adaptive perfectionism and typical weekly drinking such that the negative …

Do Cognitive Metaphors Moderate The Effectiveness Of Protective Behavioral Strategies?, Skyler M. Hoover

Honors Undergraduate Theses

Past research has shown a positive relationship between alcohol consumption and alcohol related consequences. Protective behavioral strategies (PBS) are able to lower the negative effects of drinking alcohol, however, the protective effects of PBS at times is moderated by situational circumstances or individual differences. This study looks at the cognitive metaphor of being a Head or Heart person and the moderating effects it has on PBS and alcohol consumption and alcohol related consequences. Participants completed the AUDIT-C to measure drinking habits, the PBSS to asses strategy usage, the YAAQC to measure drinking problems and a self-report single item measure for …

Posttraumatic Stress And Hazardous Alcohol Use In College Students: The Moderating Role Of Alcohol Protective Behavioral Strategies, Hallie R. Jordan

Master's Theses

The present study evaluated the moderating role of alcohol protective behavioral strategy subtypes (Al-PBS; Serious Harm Reduction [SHR], Manner of Drinking [MOD], Stopping/Limiting Drinking [SLD]) and gender on the relationships between traumatic stress symptoms and both hazardous drinking and alcohol-related negative consequences. Participants were 915 traditional age (18 to 25 years old) college students from nine universities in the United States who reported drinking in the past. All participants reported their gender and completed measures of traumatic stress symptoms, Al-PBS use, hazardous drinking, and alcohol-related negative consequences through an online survey. Experiencing greater traumatic stress symptoms was associated with both …

The Moderating Role Of Pbs In The Relationship Between Positive Expectancies And Alcohol-Related Negative Consequences, Kray Scully

Master's Theses

Hazardous drinking college students have become an increasingly focused upon group within alcohol research, especially considering the extent of negative consequences they experience. Recently, increased positive expectancies has been identified as an influential contributor to increased hazardous drinking and alcohol-related negative consequences. However, more comprehensive evaluation of the domains of positive expectancies (e.g., sociability, tension reduction, sexual enhancement, liquid courage) is warranted to ascertain which types are more salient in predicting hazardous drinking and alcohol-related negative consequences. Further, research has yet to explore how protective behavioral strategies (PBS) affect the strength of the associations between specific positive expectancies and alcohol-related …

A Deviance Regulation Theory Intervention To Reduce Alcohol Problems Among First-Year College Students, Angelina V. Leary

Honors Undergraduate Theses

OBJECTIVE: An alcohol-drinking culture exists among first-time-in-college students, where many of these students come to their university relatively inexperienced with alcohol, which may increase alcohol-related consequences. Several interventions exist to combat this campus problem. The current study investigates the use of a Deviance Regulation Theory (DRT) intervention, presented in a web-based manner, to increase alcohol Protective Behavioral Strategies (PBS), such as monitoring drinks, using a designated driver, and drinking water in between alcoholic beverages, among college freshmen. METHOD: College freshmen participants (N = 157) completed web-based surveys examining alcohol behaviors once a week for six weeks. Participants were randomly …

Protective Behavioral Strategies As A Context-Specific Mediator: A Multilevel Examination Of Within- And Between-Person Associations Of Daily Drinking, Abby L. Braitman, Ashley N. Linden-Carmichael, James M. Henson

Psychology Faculty Publications

Research indicates that a drinker’s environmental and social context can be differentially associated with drinking outcomes. Further, although many researchers have identified that more frequent use of protective behavioral strategies (PBS) is associated with lower alcohol consumption and negative consequences, scant research has examined how one’s drinking context may promote or hinder PBS use. The present study examined how the context of drinking each day (i.e., where and with whom) is associated with level of consumption and reported alcohol-related problems among n = 284 college drinkers (69.0% female) directly, as well as indirectly through the use of PBS. Two different …

Personalized Boosters For A Computerized Intervention Targeting College Drinking: The Influence Of Protective Behavioral Strategies, Abby L. Braitman, James M. Henson

Psychology Faculty Publications

Objective: Computerized interventions are cost-effective and can quickly deliver individual feedback to many students. However, in-person interventions are more efficacious. The current study sought to improve the efficacy of a popular online intervention via e-mailed boosters with personalized feedback.

Participants: Participants were 213 student drinkers at a southeastern public university, ages 18-24. Methods: Students were randomized into (1) intervention only, or (2) intervention plus booster. Alcohol consumption and related problems were assessed at baseline, 2weeks post, and 4weeks post.

Results: Boosters yielded reductions in drinking, but not alcohol-related problems. Boosters were associated with significant reductions for drinking frequency, heavy drinking …

The Efficacy Of A Standalone Protective Behavioral Strategies Intervention For Students Accessing Mental Health Services, Joseph W. Labrie, Lucy Napper, Elizabeth M. Grimaldi, Shannon R. Kenney, Andrew Lac

Heads Up!

Objective

Students with poor mental health are at increased risk for problematic alcohol use. These students also tend to underutilize alcohol-related protective behavioral strategies (PBS). Cross-sectional studies indicate that PBS use may be particularly useful for students with mental health challenges; however, it is unclear whether training these students to use PBS is an effective approach for reducing alcohol use and consequences. The current study evaluated the efficacy of a standalone PBS skills training and personalized feedback (PBS-STPF) intervention among students accessing mental health services.

Method

Participants (N = 251) were randomly assigned to either an individual facilitator-led PBS-STPF …

Testing A Model Of Caffeinated Alcohol-Specific Expectancies, Ashley N. Linden-Carmichael, Cathy Lau-Barraco, Amy L. Stamates

Psychology Faculty Publications

Introduction- The present study sought to further understand the association between caffeinated alcoholic beverage (CAB) use and alcohol-related risks. In particular, we focused on the role of two identified expectancies specific to CAB use: intoxication enhancement and avoidance of negative consequences. Although outcome expectancies are consistent predictors of substance use, limited research has examined expectancies related to CAB use and their association with alcohol-related behaviors, such as protecting themselves from alcohol-related harms. Consequently, the present study examined CAB-specific expectancies and protective behavioral strategies (PBS) as mediators of CAB use and negative consequences.

Methods- Participants were 322 (219 women) college drinkers …

Examining The Efficacy Of A Brief Group Protective Behavioral Strategies Skills Training Alcohol Intervention With College Women, Shannon R. Kenney, Lucy Napper, Joseph W. Labrie, Matthew P. Martens

Psychological Science Faculty Works

College students’ use of protective behavioral strategies (PBS; e.g., determining not to exceed a set number of drinks, avoiding drinking games) is related to lower levels of alcohol consumption and problems. The present study evaluated the efficacy of a novel brief, single-session group PBS skills training intervention aimed at increasing college students’ use of PBS and reducing risky drinking and consequences. Participants (N = 226) were heavy-drinking incoming first-year college women randomized to either a PBS skills training intervention or study skills control condition. Participants attended a 45-min group session and completed online surveys pre- and postintervention (1 month …

A Cross-Lagged Panel Model Examining Protective Behavioral Strategies: Are Types Of Strategies Differentially Related To Alcohol Use And Consequences?, Lucy E. Napper, Shannon R. Kenney, Andrew Lac, Leslie J. Lewis, Joseph W. Labrie

Heads Up!

Protective behavioral strategies (PBS) are skills that can be used to reduce the of risk alcohol-related negative consequences. Studies have shown that, in general, PBS are related to less alcohol consumption and fewer negative consequences; however, other studies have suggested that not all types of PBS (e.g., stopping/limiting drinking [SLD], manner of drinking [MOD] and serious harm reduction [SHR]) are equally effective at reducing alcohol risk. In addition, few studies have explored the longitudinal relationships among PBS, alcohol use and consequences. Using a sample of heavy drinking college students (N = 338), the current study examined PBS use, alcohol consumption …

Protective Behavioral Strategies, Alcohol Expectancies, And Drinking Motives In A Model Of College Student Drinking, Ashley N. Linden, Cathy Lau-Barraco, Robert J. Milletich

Psychology Faculty Publications

An extensive body of research asserts alcohol expectancies, or beliefs regarding the effects of alcohol, as an important influence on drinking. However, the extent to which expectancies are related to drinking motives and protective behavioral strategies (PBS) has yet to be examined. Existing alcohol mediational models suggest associations between expectancies and drinking motives as well as positive drinking motives and PBS use. Thus, it is possible that drinking motives and PBS use act as intervening factors in the relationship between expectancies and alcohol outcomes. Consequently, the cross-sectional study presented here aimed to test the indirect effect of expectancies (i.e., social …

Use Of Protective Behavioral Strategies And Reduced Alcohol Risk: Examining The Moderating Effects Of Mental Health, Gender And Race, Shannon R. Kenney, Joseph W. Labrie

Heads Up!

Recent research indicates that protective behavioral strategies (PBS)—previously established as effective self-regulating tools for reducing alcohol risk among college students—may be especially useful for students with poor mental health, who are shown to be at heightened risk for alcohol-related harm. The current study examined the moderating influence of mental health (depression and anxiety severity), gender, and race (White, Asian) in the relationship between PBS use and alcohol-related negative consequences. Participants were 1,782 undergraduate students from two West Coast universities who reported past month incidence of heavy episodic drinking. Students reported on their drinking, experience of alcohol-related consequences, use of PBS, …

Examining College Students' Use Of Protective Behavioral Strategies From The Theory Of Planned Behavior, Melissa Ann Bonnell

Dissertations

Previous studies on college alcohol use suggest that approximately 65 - 73 percent of college students drank alcohol within the past 30 days (Johnston, O’Malley, Bachman, & Schulenberg, 2011; Nelson, Xuan, Lee, Weitzman, & Wechsler, 2009). Researchers also suggest that with increasing levels of alcohol consumption, students are more likely to experience alcohol-related consequences such as missing class, involvement with the legal system and expulsion from school. Therefore, prevention efforts have attempted to reduce the associated economic and personal consequences experienced with increased alcohol consumption. Protective behavioral strategies (PBS) such as using a designated driver, setting a predetermined time to …

Unplanned Drinking And Alcohol-Related Problems: A Preliminary Test Of The Model Of Unplanned Drinking Behavior, Matthew R. Pearson, James M. Henson

Psychology Faculty Publications

Much research links impulsivity with alcohol use and problems. In 2 studies, unplanned (or impulsive) drinking is assessed directly to determine whether it has direct effects on alcohol use and alcohol-related problems. In Study 1, we examined whether unplanned drinking serves as a proximal mediator of the effects of impulsivity-like traits on alcohol-related outcomes. With a sample of 211 college student drinkers, we found that the Unplanned Drinking Scale was significantly related to alcohol use, and perhaps more important, had a direct effect on alcohol-related problems even after controlling for frequency and quantity of alcohol use. Furthermore, unplanned drinking partially …

The Assessment Of Protective Behavioral Strategies: Comparing The Absolute Frequency And Contingent Frequency Response Scales, Benjamin A. Kite, Matthew R. Pearson, James M. Henson

Psychology Faculty Publications

The purpose of the present studies was to examine the effects of response scale on the observed relationships between protective behavioral strategies (PBS) measures and alcohol-related outcomes. We reasoned that an "absolute frequency" scale (stem: "how many times..."; response scale: 0 times to 11 + times) conflates the frequency of using PBS with the frequency of consuming alcohol; thus, we hypothesized that the use of an absolute frequency response scale would result in positive relationships between types of PBS and alcohol-related outcomes. Alternatively, a "contingent frequency" scale (stem: "When drinking ... how often ..."; response scale: never to always …

Daily Use Of Protective Behavioral Strategies And Alcohol-Related Outcomes Among College Students, Matthew R. Pearson, Gabrielle M. D'Lima, Michelle L. Kelley

Psychology Faculty Publications

The purpose of the present study was to examine associations between use of protective behavioral strategies (PBS) and alcohol-related outcomes (alcohol consumption, negative alcohol consequences, and positive alcohol consequences) using a daily diary approach. This approach is less affected by retrospective memory biases than typical self-reports of alcohol-related variables and allows the examination of both between-subjects and within-person effects. Using hierarchical linear modeling of data from 40 subjects who completed daily dairies for up to 15 days, we found significant within-person variation in PBS use over time, and each type of PBS had unique relationships with alcohol-related outcomes. For example, …

Protective Behavioral Strategies Mediate The Effect Of Drinking Motives On Alcohol Use Among Heavy Drinking College Students: Gender And Race Differences, Joseph W. Labrie, Andrew Lac, Shannon R. Kenney, Tehniat Mirza

Heads Up!

Objective

This study examined the extent to which protective behavioral strategies (PBS) mediated the influence of drinking motives on alcohol consumption, and if these hypothesized relationships were corroborated across subsamples of gender and race.

Method

Online surveys were completed by 1592 heavy drinking college undergraduates from two universities (49.9% male and 50.1% female; 76.9% Caucasian and 23.1% Asian). Independent samples t-tests compared males and females as well as Caucasians and Asians on measures of drinking motives, PBS use, and alcohol consumption, and structural equation models examined the mediating role of PBS.

Results

Consistent with predictions, t-tests revealed that males reported …