PMID- 33822869
OWN - NLM
STAT- MEDLINE
DCOM- 20211217
LR  - 20220406
IS  - 1464-3502 (Electronic)
IS  - 0735-0414 (Print)
IS  - 0735-0414 (Linking)
VI  - 56
IP  - 6
DP  - 2021 Oct 29
TI  - Affect-Based Problem Drinking Risk: The Reciprocal Relationship between Affective 
      Lability and Problem Drinking.
PG  - 746-753
LID - 10.1093/alcalc/agab024 [doi]
AB  - AIMS: Negative affect has been implicated in risk for the development of 
      problematic drinking behavior. Furthermore, there is evidence for reciprocal 
      relationships between negative affect and problem drinking, such that engagement 
      in problem drinking also predicts increases in negative affect. However, 
      affective models of risk often fail to consider affective lability-the experience 
      of rapidly changing mood. Although affective lability appears to increase risk 
      for problem drinking, it is unknown if this relationship persists above and 
      beyond other affect-related constructs (e.g. depression, anxiety) and if it is 
      reciprocal in nature. Accordingly, we used a longitudinal survey design to 
      examine (a) if affective lability predicts problem drinking above and beyond 
      depression and anxiety and (b) if affective lability and problem drinking 
      demonstrate a reciprocal relationship. METHODS: First-year college students 
      (n = 358) participated in a three wave longitudinal study. We constructed a 
      structural equation model (SEM) of a random intercept cross-lagged panel model to 
      test our hypotheses. RESULTS: Consistent with our hypotheses, affective lability 
      predicted increases in problem drinking while anxiety and depression did not. 
      Problem drinking and affective lability demonstrated a reciprocal relationship in 
      which increases in one predicted increases in the other at subsequent time 
      points. This relationship was present beyond the predictive effects of anxiety or 
      depression. CONCLUSIONS: Affective lability appears to be an important 
      affect-based predictor of problem drinking, and there may be a reciprocal, 
      risk-enhancing relationship between affective lability and problem 
      drinking.Components of negative affect, such as depression or anxiety, have been 
      shown to predict risk for problem drinking, and vice versa. A less considered 
      construct, affective lability, predicted problem drinking while anxiety and 
      depression did not add any predictive power. Problem drinking and affective 
      lability also appeared to demonstrate a reciprocal relationship.
CI  - (c) The Author(s) 2021. Medical Council on Alcohol and Oxford University Press. All 
      rights reserved.
FAU - Peterson, Sarah J
AU  - Peterson SJ
AD  - University of Kentucky, Department of Psychology, 106B Kastle Hall, Lexington, KY 
      40506, USA.
FAU - Atkinson, Emily A
AU  - Atkinson EA
AD  - University of Kentucky, Department of Psychology, 106B Kastle Hall, Lexington, KY 
      40506, USA.
FAU - Riley, Elizabeth N
AU  - Riley EN
AD  - University of Kentucky, Center for Innovation in Population Health, 364 Healthy 
      Kentucky Building, Lexington, KY 40506, USA.
FAU - Davis, Heather A
AU  - Davis HA
AD  - University of Chicago, Department of Psychiatry and Behavioral Neuroscience, 5841 
      S. Maryland Avenue, Chicago, IL 60637, USA.
FAU - Smith, Gregory T
AU  - Smith GT
AD  - University of Kentucky, Department of Psychology, 106B Kastle Hall, Lexington, KY 
      40506, USA.
LA  - eng
GR  - F31 AA027960/AA/NIAAA NIH HHS/United States
GR  - T32 MH082761/MH/NIMH NIH HHS/United States
GR  - T32 AA027488/AA/NIAAA NIH HHS/United States
GR  - 20-111/Lipman Foundation/
PT  - Journal Article
PL  - England
TA  - Alcohol Alcohol
JT  - Alcohol and alcoholism (Oxford, Oxfordshire)
JID - 8310684
SB  - IM
MH  - *Affect
MH  - Alcohol Drinking in College/*psychology
MH  - Alcoholism/*psychology
MH  - Anxiety/psychology
MH  - Depression/psychology
MH  - Female
MH  - Humans
MH  - Latent Class Analysis
MH  - Longitudinal Studies
MH  - Male
MH  - Midwestern United States/epidemiology
MH  - Students/*psychology/statistics & numerical data
MH  - Universities
MH  - Young Adult
PMC - PMC8557663
EDAT- 2021/04/07 06:00
MHDA- 2021/12/18 06:00
PMCR- 2022/04/05
CRDT- 2021/04/06 17:23
PHST- 2020/10/15 00:00 [received]
PHST- 2021/03/09 00:00 [revised]
PHST- 2021/03/09 00:00 [accepted]
PHST- 2021/04/07 06:00 [pubmed]
PHST- 2021/12/18 06:00 [medline]
PHST- 2021/04/06 17:23 [entrez]
PHST- 2022/04/05 00:00 [pmc-release]
AID - 6210034 [pii]
AID - agab024 [pii]
AID - 10.1093/alcalc/agab024 [doi]
PST - ppublish
SO  - Alcohol Alcohol. 2021 Oct 29;56(6):746-753. doi: 10.1093/alcalc/agab024.