Stress and alcohol use: moderating effects of gender, coping, and alcohol expectancies.

A stressor vulnerability model of stress-induced drinking was tested in a stratified random sample of 1,316 Black and White adult drinkers. Stressors were highly predictive of both alcohol use and drinking problems among men who relied on avoidant forms of emotion coping or held strong positive expectancies for alcohol's effects and accounted for more than 35% of the variance in alcohol use among the subgroup of men who were high in both vulnerability factors. In contrast, stressors were negatively related among men who were low in both and were unrelated among women regardless of their coping or expectancies. These findings suggest that tension reduction theories of alcohol use are overly broad and that individual characteristics must be considered to account for stress-related effects on alcohol use and abuse.

[1]  Sheldon Cohen,et al.  Positive Events and Social Supports as Buffers of Life Change Stress , 1983 .

[2]  H. White,et al.  Gender role orientation and styles of pathology among adolescents. , 1987, Journal of health and social behavior.

[3]  J. Jaccard,et al.  Interaction effects in multiple regression , 1992 .

[4]  Bruce G. Link,et al.  Mental Illness in the United States: Epidemiological Estimates. , 1982 .

[5]  B. Dohrenwend,et al.  Sex Differences and Psychiatric Disorders , 1976, American Journal of Sociology.

[6]  S. Folkman,et al.  Stress, appraisal, and coping , 1974 .

[7]  P. D. Farber,et al.  A factor analytic study of reasons for drinking: Empirical validation of positive and negative reinforcement dimensions. , 1980 .

[8]  D. Strickler,et al.  The effects of relaxation instructions on drinking behavior in the presence of stress. , 1979, Behaviour research and therapy.

[9]  A W Stacy,et al.  Validity of self-reports of alcohol and other drug use: a multitrait-multimethod assessment. , 1985, Journal of personality and social psychology.

[10]  C. Herman,et al.  Alcohol and tension reduction. A review. , 1972, Quarterly journal of studies on alcohol.

[11]  L. Cohen,et al.  Life events and psychological functioning : theoretical and methodological issues , 1988 .

[12]  G. Marlatt,et al.  Provocation to anger and opportunity for retaliation as determinants of alcohol consumption in social drinkers. , 1975, Journal of abnormal psychology.

[13]  D. Abrams,et al.  Effects of alcohol on social anxiety in women: cognitive versus physiological processes. , 1979, Journal of abnormal psychology.

[14]  D. Cahalan,et al.  American drinking practices: A national study of drinking behavior and attitudes. , 1970 .

[15]  M. L. Cooper,et al.  Coping, expectancies, and alcohol abuse: a test of social learning formulations. , 1988, Journal of abnormal psychology.

[16]  M. Rosenberg Society and the adolescent self-image , 1966 .

[17]  M. Lieberman,et al.  The stress process. , 1981, Journal of health and social behavior.

[18]  S. Brown,et al.  Extroversion, anxiety and the perceived effects of alcohol. , 1987, Journal of studies on alcohol.

[19]  L. Radloff The CES-D Scale , 1977 .

[20]  J. Neff Race and vulnerability to stress: an examination of differential vulnerability. , 1985, Journal of personality and social psychology.

[21]  Kenneth E. Leonard,et al.  Psychological Theories of Drinking and Alcoholism , 1986 .

[22]  M. L. Cooper,et al.  Development and validation of a three-dimensional measure of drinking motives. , 1992 .

[23]  S. Folkman,et al.  Coping as a mediator of emotion. , 1988, Journal of personality and social psychology.

[24]  G. Huba,et al.  Depression, alcohol use, and smoking over one year: a four-wave longitudinal causal model. , 1983, Journal of abnormal psychology.

[25]  R. Moos,et al.  The process of recovery from alcoholism. II. Comparing spouses of alcoholic patients and matched community controls. , 1982, Journal of studies on alcohol.

[26]  C. Holahan,et al.  Personal and contextual determinants of coping strategies. , 1987, Journal of personality and social psychology.

[27]  S. S. Belk,et al.  Alcohol and drug use in stressful times: The influence of the masculine role and sex-related personality attributes , 1987 .

[28]  S. Folkman,et al.  Stress and adaptational outcomes. The problem of confounded measures. , 1985, The American psychologist.

[29]  D. A. Kenny,et al.  The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. , 1986, Journal of personality and social psychology.

[30]  Charles D. Spielberger,et al.  The experience and expression of anger : Construction and validation of an anger expression scale , 1985 .

[31]  T. Oei,et al.  The tension reduction hypothesis revisited: an alcohol expectancy perspective. , 1990, British journal of addiction.

[32]  R. Michels,et al.  Diagnostic and Statistical Manual of Mental Disorders, 3rd ed , 1981 .

[33]  H. Mulford,et al.  PREOCCUPATION WITH ALCOHOL AND DEFINITIONS OF ALCOHOL. A REPLICATION STUDY OF TWO CUMULATIVE SCALES. , 1963, Quarterly journal of studies on alcohol.

[34]  Drinking habits and expectancies about alcohol's effects for self versus others. , 1983, Journal of consulting and clinical psychology.

[35]  Patrick E. Shrout,et al.  "Hassles" in the conceptualization and measurement of life stress variables. , 1985 .

[36]  B. Ekehammar,et al.  Interactionism in personality from a historical perspective. , 1974, Psychological bulletin.

[37]  R. Friend,et al.  Measurement of social-evaluative anxiety. , 1969, Journal of consulting and clinical psychology.

[38]  P. L. Peterson,et al.  Stress, expectancies, and vulnerability to substance abuse: a test of a model among homosexual men. , 1988, Journal of abnormal psychology.

[39]  S. Folkman,et al.  Psychoactive drugs, alcohol, and stress and coping processes in older adults. , 1989, The American journal of drug and alcohol abuse.

[40]  B. Dohrenwend,et al.  Exemplification of a method for scaling life events: the Peri Life Events Scale. , 1978, Journal of health and social behavior.

[41]  P. Brantley,et al.  Acute alcohol intoxication, negative affect, and autonomic arousal in women and men. , 1982, Addictive behaviors.

[42]  R. Moos,et al.  The process of recovery from alcoholism. I. Comparing alcoholic patients and matched community controls. , 1981, Journal of studies on alcohol.

[43]  A. Bandura Social learning theory , 1977 .

[44]  S. Wilsnack,et al.  Drinking and reproductive dysfunction among women in a 1981 national survey. , 1984, Alcoholism, clinical and experimental research.

[45]  C. Carver,et al.  Assessing coping strategies: a theoretically based approach. , 1989, Journal of personality and social psychology.

[46]  S. Folkman,et al.  [An analysis of coping in a middle-aged community sample]. , 1980, Kango kenkyu. The Japanese journal of nursing research.

[47]  Richard S. Lazarus,et al.  Theory-Based Stress Measurement , 1990 .

[48]  T. Revenson,et al.  Does coping help? A reexamination of the relation between coping and mental health. , 1987, Journal of personality and social psychology.

[49]  J. Conger Alcoholism: theory, problem and challenge. II. Reinforcement theory and the dynamics of alcoholism. , 1956, Quarterly journal of studies on alcohol.

[50]  Mark S. Goldman,et al.  Expectancy theory - Thinking about Drinking , 1987 .

[51]  C. Tavris On the wisdom of counting to ten: Personal and social dangers of anger expression. , 1984 .

[52]  R. Kessler,et al.  Stress, social status, and psychological distress. , 1979, Journal of health and social behavior.

[53]  Margaret A. Chesney,et al.  Anger and hostility in cardiovascular and behavioral disorders , 1985 .

[54]  Determinants of the posttreatment functioning of alcoholic patients: a conceptual framework. , 1980 .

[55]  Howard B. Kaplan,et al.  Psychosocial stress : trends in theory and research , 1986 .

[56]  L. Robins,et al.  National Institute of Mental Health Diagnostic Interview Schedule. Its history, characteristics, and validity. , 1981, Archives of general psychiatry.

[57]  S. Folkman,et al.  Stress processes and the misuse of drugs in older adults. , 1987, Psychology and aging.

[58]  L. Pearlin,et al.  The structure of coping. , 1978, Journal of health and social behavior.

[59]  R. Vuchinich,et al.  Alcohol Consumption as a Self-handicapping Strategy , 2022 .

[60]  K. Leonard,et al.  Alcohol expectancies and personality characteristics in young men. , 1988, Addictive behaviors.

[61]  E. Menaghan 4 – Individual Coping Efforts: Moderators of the Relationship between Life Stress and Mental Health Outcomes* , 1983 .

[62]  C. Spielberger,et al.  STAI manual for the State-trait anxiety inventory ("self-evaluation questionnaire") , 1970 .

[63]  M. Hilton Drinking patterns and drinking problems in 1984: results from a general population survey. , 1987, Alcoholism, clinical and experimental research.

[64]  Bruce R. Orvis,et al.  Alcohol problems: Patterns and prevalence in the U.S. Air Force , 1979 .

[65]  T. Wills,et al.  Stress, social support, and the buffering hypothesis. , 1985, Psychological bulletin.

[66]  B. Hailey,et al.  The Anger Expression (AX) Scale: Correlations with the State-Trait Personality Inventory and Subscale Intercorrelations , 1989 .

[67]  B. Leigh In search of the Seven Dwarves: issues of measurement and meaning in alcohol expectancy research , 1989 .

[68]  B. Critchlow The powers of John Barleycorn. Beliefs about the effects of alcohol on social behavior. , 1986, The American psychologist.

[69]  Jacob Cohen,et al.  Applied multiple regression/correlation analysis for the behavioral sciences , 1979 .

[70]  M. L. Cooper,et al.  Work stress and alcohol effects: a test of stress-induced drinking. , 1990, Journal of health and social behavior.

[71]  P. Thoits Social support as coping assistance. , 1986, Journal of consulting and clinical psychology.