Sex-related alcohol expectancies predict sexual risk behavior among severely and persistently mentally ill adults.

Three hundred three adults (57% male, average age 42 years) with severe and persistent mental illness receiving treatment at community mental health clinics completed a survey, which included B. C. Leigh's (1990) sex-related alcohol expectancy scale and measures of alcohol use and sexual risk behavior. Hierarchical logistic regression analyses, controlling for drinking behavior, revealed that participants with stronger expectancies that drinking would lead to enhanced sexual experience were more likely to have drank prior to intercourse and that, among participants who drank prior to intercourse, those with stronger expectancies that alcohol would lead to riskier sexual behavior were more likely to have engaged in sexual risk behavior. Implications for preventing HIV infection among people with severe mental illness are discussed.

[1]  K. Carey,et al.  The relation of alcohol use to HIV-risk sexual behavior among adults with a severe and persistent mental illness. , 2001, Journal of consulting and clinical psychology.

[2]  M. Goldman,et al.  Expectancy challenge and drinking reduction: process and structure in the alcohol expectancy network. , 1998, Experimental and clinical psychopharmacology.

[3]  K. Carey,et al.  Effects of a drinking event on behavioral skills and condom attitudes in men: implications for HIV risk from a controlled experiment. , 1997, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[4]  A. Menon,et al.  Substance use during sex and unsafe sexual behaviors among acute psychiatric inpatients. , 1997, Psychiatric services.

[5]  K. Carey,et al.  PREVALENCE OF INFECTION WITH HIV AMONG THE SERIOUSLY MENTALLY ILL: REVIEW OF RESEARCH AND IMPLICATIONS FOR PRACTICE , 1995 .

[6]  M. L. Cooper,et al.  Sex-related alcohol expectancies among adolescents: II. Prediction of drinking in social and sexual situations , 1994 .

[7]  B. Leigh,et al.  Substance use and risky sexual behavior for exposure to HIV. Issues in methodology, interpretation, and prevention. , 1993, The American psychologist.

[8]  D S Rae,et al.  Comorbidity of mental disorders with alcohol and other drug abuse. Results from the Epidemiologic Catchment Area (ECA) Study. , 1990, JAMA.

[9]  B. Leigh,et al.  The relationship of sex-related alcohol expectancies to alcohol consumption and sexual behavior. , 1990, British journal of addiction.

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

[11]  W. George,et al.  Alcohol expectancies and sexuality: a self-fulfilling prophecy analysis of dyadic perceptions and behavior. , 2000, Journal of studies on alcohol.

[12]  M. Goldman,et al.  Alcohol expectancy theory: The application ofcognitive neuroscience , 1999 .

[13]  K. Carey,et al.  Risk for human immunodeficiency virus (HIV) infection among persons with severe mental illnesses. , 1997, Clinical psychology review.