title: The reciprocal influences of perceived risk for alcoholism and alcohol use over time: evidence for aversive transmission of parental alcoholism.
abstract: OBJECTIVE
  This study examined how perceived risk for alcoholism and alcohol use influenced each other over time. We hypothesized an aversive transmission mechanism, by which some children of alcoholics may reduce their drinking because they perceive themselves to be at risk for future alcohol problems because of their parents' alcoholism.
  
  
  METHODS
  Using participants (N = 804, 47% female) from an ongoing longitudinal study of children of alcoholics (e.g., Chassin et al., 1991), we examined the reciprocal prospective relations between perceived risk for alcoholism and drinking across three measurement occasions, and also tested whether perceived risk for alcoholism mediated the effect of perceived parental alcoholism on subsequent drinking.
  
  
  RESULTS
  Mediation analyses provided evidence for aversive transmission, in which the effect of perceived parental alcoholism on alcohol use during young adulthood was decreased to the extent that perceived parental alcoholism predicted higher levels of perceived risk for alcoholism during emerging adulthood. Results indicated reciprocal effects between perceived risk for alcoholism and drinking over time, such that higher levels of perceived risk were associated with lower levels of drinking. Results were replicated using both self-report and collateral-report of alcohol use, and using both actual and perceived parental alcoholism.
  
  
  CONCLUSIONS
  Young adults may avoid drinking when they perceive their parent(s) to be alcoholic, and consequently perceive themselves to be at elevated risk for alcoholism. Given that beliefs about risk for alcoholism are potentially modifiable, increasing self-perceived risk for alcoholism may be one feasible way to reduce the intergenerational transmission of alcohol disorders within families.
authors.affiliation: Department of Psychology, Arizona State University, 950 S. McAllister, P.O. Box 871104, Tempe, Arizona 85287-1104, USA. moira.haller@asu.edu
authors.forename: Moira M
authors.initials: MM
authors.lastname: Haller
authors.forename: Laurie
authors.initials: L
authors.lastname: Chassin
mesh_terms: D000293:Adolescent; D000428:Alcohol Drinking / Q000009:adverse effects / Q000517:prevention & control / Q000523:psychology*; D000437:Alcoholism / Q000150:complications / Q000517:prevention & control / Q000523:psychology*; D016241:Child of Impaired Parents / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D010287:Parent-Child Relations; D012307:Risk Factors; D012649:Self Concept; D013997:Time Factors; D055815:Young Adult