The role of executive function in bridging the intention-behaviour gap for binge-drinking in university students.

BACKGROUND Alcohol consumption contributes to a significant proportion of disease and the high prevalence amongst young adults is a worldwide health concern. PURPOSE To determine which aspects of executive function (EF) distinguish binge-drinkers from non binge-drinkers and to establish the role of EF in predicting behaviour. METHODS Self-report questionnaires, four tests of self-regulation and a behaviour measure were administered to 153 students. RESULTS The Theory of Planned Behaviour model was significant in predicting both intentions and behaviour. Although binge-drinkers and non binge-drinkers were found to differ on three of the four measures of EF, none predicted additional variance in behaviour. Planning ability and inhibition control moderated the relationship between intention and behaviour such that for individuals who intended to binge-drink, those with high planning ability or high inhibitory control were more likely to avoid doing so. CONCLUSIONS Interventions targeting binge-drinking behaviour should aim to develop planning skills and inhibitory control.

[1]  D. A. Grant,et al.  A behavioral analysis of degree of reinforcement and ease of shifting to new responses in a Weigl-type card-sorting problem. , 1948, Journal of experimental psychology.

[2]  B. Mullan,et al.  Predicting breakfast consumption: an application of the theory of planned behaviour and the investigation of past behaviour and executive function. , 2009, British journal of health psychology.

[3]  Colin M. Macleod Half a century of research on the Stroop effect: an integrative review. , 1991, Psychological bulletin.

[4]  Marie Johnston,et al.  Unintentional eating. What determines goal-incongruent chocolate consumption? , 2010, Appetite.

[5]  A. Damasio,et al.  Insensitivity to future consequences following damage to human prefrontal cortex , 1994, Cognition.

[6]  J. Fadardi,et al.  Alcohol-attentional bias and motivational structure as independent predictors of social drinkers' alcohol consumption. , 2008, Drug and alcohol dependence.

[7]  E. A. Berg,et al.  A simple objective technique for measuring flexibility in thinking. , 1948, The Journal of general psychology.

[8]  A. Mokdad,et al.  Binge drinking among US adults. , 2003, JAMA.

[9]  Y. Suchy,et al.  Executive Functioning: Overview, Assessment, and Research Issues for Non-Neuropsychologists , 2009, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[10]  I. Ajzen Constructing a TpB Questionnaire: Conceptual and Methodological Considerations , 2002 .

[11]  E. Higgins,et al.  Social psychology: Handbook of basic principles. , 1996 .

[12]  J. Stroop Studies of interference in serial verbal reactions. , 1992 .

[13]  T. Palfai,et al.  Screening and brief intervention online for college students: the ihealth study. , 2006, Alcohol and alcoholism.

[14]  Richard Cooke,et al.  Predicting binge-drinking behaviour using an extended TPB: examining the impact of anticipated regret and descriptive norms. , 2006, Alcohol and alcoholism.

[15]  P. Gollwitzer Implementation intentions: Strong effects of simple plans. , 1999 .

[16]  M. Conner,et al.  The theory of planned behavior and healthy eating. , 2002, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[17]  M. Goldman,et al.  The influence of alcohol expectancy priming and mood manipulation on subsequent alcohol consumption. , 2000, Journal of abnormal psychology.

[18]  C G McCusker,et al.  Cognitive biases and addiction: an evolution in theory and method. , 2001, Addiction.

[19]  Katherine M. White,et al.  Binge-Drinking: A Test of the Role of Group Norms in the Theory of Planned Behaviour , 2003 .

[20]  T. Palfai Automatic Processes in Self-Regulation: Implications for Alcohol Interventions. , 2004 .

[21]  B. Pennington,et al.  Validity of the Executive Function Theory of Attention-Deficit/Hyperactivity Disorder: A Meta-Analytic Review , 2005, Biological Psychiatry.

[22]  P. Hall,et al.  Temporal self-regulation theory: A model for individual health behavior , 2007 .

[23]  B. Mullan,et al.  Sleep hygiene behaviours: An application of the theory of planned behaviour and the investigation of perceived autonomy support, past behaviour and response inhibition , 2011, Psychology & health.

[24]  J. Catford,et al.  Binge drinking: prevalence, patterns and policy , 1994 .

[25]  P Norman,et al.  Understanding binge drinking among young people: an application of the Theory of Planned Behaviour. , 1998, Health education research.

[26]  P. Lewis Australian guidelines to reduce health risks from drinking alcohol , 2009 .

[27]  F. Gibbons,et al.  Reason and reaction: the utility of a dual-focus, dual-processing perspective on promotion and prevention of adolescent health risk behaviour. , 2009, British journal of health psychology.

[28]  H. Damasio,et al.  The Iowa Gambling Task and the somatic marker hypothesis: some questions and answers , 2005, Trends in Cognitive Sciences.

[29]  M. Johnston,et al.  Missed by an inch or a mile? Predicting the size of intention–behaviour gap from measures of executive control , 2011, Psychology & health.

[30]  I. Ajzen,et al.  Belief, Attitude, Intention, and Behavior: An Introduction to Theory and Research , 1977 .

[31]  A. Bechara,et al.  Decision-making and addiction (part II): myopia for the future or hypersensitivity to reward? , 2002, Neuropsychologia.

[32]  H. Wechsler,et al.  BINGE DRINKING IN COLLEGE: THE IMPACT OF PRICE, AVAILABILITY, AND ALCOHOL CONTROL POLICIES , 1996 .

[33]  G. Kok,et al.  The Theory of Planned Behavior: A Review of its Applications to Health-Related Behaviors , 1996, American journal of health promotion : AJHP.

[34]  Paul Norman,et al.  The theory of planned behaviour and binge drinking: Assessing the moderating role of past behaviour within the theory of planned behaviour. , 2006, British journal of health psychology.

[35]  I. Ajzen The theory of planned behavior , 1991 .

[36]  A. Pfefferbaum,et al.  Pattern of motor and cognitive deficits in detoxified alcoholic men. , 2000, Alcoholism, clinical and experimental research.

[37]  T. Duka,et al.  Acute alcohol effects on cognitive function in social drinkers: their relationship to drinking habits , 2002, Psychopharmacology.

[38]  Lynette J. Epp,et al.  Executive function moderates the intention-behavior link for physical activity and dietary behavior , 2008, Psychology & health.

[39]  M. Conner,et al.  Efficacy of the Theory of Planned Behaviour: a meta-analytic review. , 2001, The British journal of social psychology.

[40]  Kathleen D. Vohs,et al.  Self-regulation and the executive function: The self as controlling agent. , 2007 .

[41]  M. Welsh,et al.  The Development and Preliminary Validation of the Tower of Hanoi-Revised , 2001, Assessment.

[42]  Hanna Damasio,et al.  Decision-making and addiction (part I): impaired activation of somatic states in substance dependent individuals when pondering decisions with negative future consequences , 2002, Neuropsychologia.