title: Can you say no? Examining the relationship between drinking refusal self-efficacy and protective behavioral strategy use on alcohol outcomes.
abstract: Preliminary research has demonstrated reductions in alcohol-related harm associated with increased use of protective behavioral strategies (PBS) and higher levels of drinking refusal self-efficacy (DRSE). To extend research that has evaluated these protective factors independently of one another, the present study examined the interactive effects of PBS use and DRSE in predicting alcohol outcomes. Participants were 1084 college students (63% female) who completed online surveys. Two hierarchical linear regression models revealed that both DRSE and PBS use predicted alcohol use and consequences. Additionally, DRSE moderated the relationship between PBS use and both typical weekly drinking and negative alcohol-related consequences, such that participants who reported lower levels of PBS use and DRSE in the social pressure or emotional regulation dimensions were at greatest risk for heavy drinking and consequences respectively. Interestingly, for those who reported higher levels of social and emotional DRSE, levels of PBS use had no impact on alcohol use or alcohol consequences respectively. These findings demonstrate that DRSE and PBS use differentially reduce risk, suggesting the utility of collegiate, alcohol harm reduction interventions that aim to both increase PBS use and bolster self-efficacy for greater harm reduction.
authors: Department of Psychology, Loyola Marymount University, 1 LMU Drive, Los Angeles, CA 90045, USA. pehret@lmu.edu
authors: Phillip J
authors: PJ
authors: Ehret
authors: Tehniat M
authors: TM
authors: Ghaidarov
authors: Joseph W
authors: JW
authors: LaBrie
mesh_terms: D000293:Adolescent; D000428:Alcohol Drinking / Q000523:psychology; D063425:Binge Drinking / Q000517:prevention & control / Q000523:psychology*; D005260:Female; D040261:Harm Reduction; D006801:Humans; D016014:Linear Models; D008297:Male; D020377:Self Efficacy; D013334:Students / Q000523:psychology; D011795:Surveys and Questionnaires; D013695:Temperance / Q000523:psychology*; D014495:Universities; D055815:Young Adult
references: J Stud Alcohol. 2005 Sep;66(5):698-705
references: 16329461
references: J Drug Educ. 2008;38(3):211-24
references: 19157041
references: J Stud Alcohol Suppl. 2002 Mar;(14):164-72
references: 12022722
references: Psychol Addict Behav. 2007 Sep;21(3):307-15
references: 17874881
references: J Stud Alcohol Drugs. 2007 Sep;68(5):714-21
references: 17690805
references: Alcohol Clin Exp Res. 2010 Aug;34(8):1386-99
references: 20528818
references: J Stud Alcohol Drugs. 2009 Sep;70(5):726-34
references: 19737497
references: J Stud Alcohol. 2003 Jul;64(4):484-94
references: 12921190
references: Drug Alcohol Depend. 2011 Nov 1;118(2-3):504-7
references: 21612879
references: Clin Psychol Rev. 2005 Nov;25(7):841-61
references: 16095785
references: Addict Behav. 2005 May;30(4):755-65
references: 15833579
references: J Am Coll Health. 2000 Mar;48(5):219-26
references: 10778022
references: J Drug Educ. 2010;40(4):361-78
references: 21381463
references: J Nerv Ment Dis. 2004 Apr;192(4):269-77
references: 15060400
references: Am Psychol. 2009 Sep;64(6):527-37
references: 19739882
references: J Stud Alcohol. 2002 Nov;63(6):755-61
references: 12529076
references: J Stud Alcohol. 2001 May;62(3):370-80
references: 11414347
references: Psychol Addict Behav. 2004 Dec;18(4):390-3
references: 15631613
references: J Stud Alcohol. 2006 Mar;67(2):290-9
references: 16562412
references: Addict Behav. 2009 Feb;34(2):232-5
references: 18990500
references: Drug Alcohol Depend. 2007 Mar 16;87(2-3):281-7
references: 16996231
references: J Am Coll Health. 2004 Jul-Aug;53(1):19-26
references: 15266726
references: J Stud Alcohol Drugs. 2007 May;68(3):393-8
references: 17446979
references: Alcohol Alcohol. 2006 Jan-Feb;41(1):70-5
references: 16299109
references: J Stud Alcohol Suppl. 2002 Mar;(14):148-63
references: 12022721
references: J Stud Alcohol Drugs. 2008 Jul;69(4):481-90
references: 18612562
references: J Stud Alcohol. 2006 Jan;67(1):131-8
references: 16536137
references: Addict Behav. 2004 Jul;29(5):843-8
references: 15219328
references: J Consult Clin Psychol. 1998 Aug;66(4):604-15
references: 9735576
references: Psychol Addict Behav. 2009 Dec;23(4):577-85
references: 20025364
references: J Am Coll Health. 2002 Mar;50(5):203-17
references: 11990979
references: J Stud Alcohol Drugs. 2007 Jul;68(4):556-65
references: 17568961
references: Annu Rev Public Health. 2005;26:259-79
references: 15760289
references: Addict Behav. 2007 Apr;32(4):862-8
references: 16919885
references: J Consult Clin Psychol. 1990 Dec;58(6):805-10
references: 2292630
references: Psychol Addict Behav. 2005 Sep;19(3):326-34
references: 16187813
references: Addict Behav. 2007 Nov;32(11):2439-68
references: 17604915
references: J Coll Stud Dev. 2009 Jan;50(1):35-49
references: 25382937
references: J Stud Alcohol Drugs. 2008 May;69(3):412-9
references: 18432384
references: J Consult Clin Psychol. 1985 Apr;53(2):189-200
references: 3998247
references: Addict Behav. 2011 Apr;36(4):354-61
references: 21215529
references: J Stud Alcohol. 1989 Jan;50(1):30-7
references: 2927120
references: Addict Behav. 2007 Nov;32(11):2469-94
references: 17590277
references: J Subst Abuse. 1993;5(4):379-90
references: 8186672
references: J Stud Alcohol Drugs. 2007 Jan;68(1):106-14
references: 17149524
references: J Stud Alcohol Suppl. 2002 Mar;(14):23-39
references: 12022728