Understanding Rates of Marijuana Use and Consequences Among Adolescents in a Changing Legal Landscape.

Purpose of Review:There is not one answer to address whether marijuana use has increased, decreased, or stayed the same given changes in state legalization of medical and non-medical marijuana in the USA. Recent Findings:Evidence suggests some health benefits for medical marijuana; however, initiation of marijuana use is a risk factor for developing problem cannabis use. Though use rates have remained stable over recent years, about one in three 10th graders report marijuana use, most adolescents do not view the drug as harmful, and over 650,000 youth aged 12 to 17 struggle with cannabis use disorder. Summary:Although the health benefits of medical marijuana are becoming better understood, more research is needed. Intervention and prevention programs must better address effects of marijuana, acknowledging that while there may be some benefits medically, marijuana use can affect functioning during adolescence when the brain is still developing

A Within-Subjects Validation of a Group-Administered Timeline Followback for Alcohol Use

Objective The current study uses a within-subjects randomized design with the Timeline Followback (TLFB) method administered in groups or to individuals to determine the equivalence of these methods. Method One hundred and four male and female college students who reported drinking at least once in the past 3 months completed the TLFB during a one-on-one interview, as well as in a group setting days apart. The two administrations were counterbalanced among the participants. Drinking variables assessed were drinking days, average drinks, total drinks, and maximum drinks consumed both during a 3-month (90 days) and a 1-month (30 days) period. Results Repeated measures analyses revealed no differences within subjects between the individual TLFB and the group TLFB on any of the four assessed drinking variables in the past 3 months and the past 1 month. Pearson’s correlation coefficients revealed strong and significant correlations between the two administration styles. Heavy episodic drinking behavior was similar across administration styles as well. No differences between administration styles were consistent regardless of which administration was received first. Conclusions The study suggests that the group TLFB yields similarly accurate results to the previously validated individual TLFB. The group-administered TLFB could be used in clinical and research settings as an efficient means of collecting information from large numbers of individuals

Drinking game participation among college students: Gender and ethnic implications

Participation in drinking games by college students has recently sparked research attention. While previous research indicates that women play drinking games at lower frequencies than men, the current study reveals that college women may be playing games at rates similar to college men. In a sample of 105 coed college students, participants completed a 3-month Timeline Followback recording every drinking event and quantity consumed. They then were prompted to identify which drinking events involved drinking games and how much alcohol was consumed during game playing. Both men and women engaged in drinking games at similar rates and consumed more drinks on game playing days than on non-game drinking days. However, drinking game participation was related to alcohol-related consequences in women only. Further, while Caucasian participants played drinking games more often than non-Caucasian participants, an association between game participation and alcohol-related consequences emerged in non-Caucasian participants

Before You Slip into the Night, You’ll Want Something to Drink: Exploring the Reasons for Prepartying Behavior Among College Student Drinkers

Prepartying among college students is an emerging topic of research and clinical focus. Unfortunately for some students, prepartying, or quick drinking before going out for the primary event of the evening, can lead to high blood alcohol levels, further drinking, and subsequent consequences. The present study was designed to explore the reasons for prepartying among a sample of 444 male and female students. Males and females reported arriving to a social event already under the influence, saving money, and making the night more interesting as their most highly endorsed reasons for prepartying. Males endorsed reasons relating to increased social and sexual facilitation with opposite sex peers to a greater extent than females. Although underage and legal drinking age participants did not differ in prepartying frequency or typical quantity, underage students reached higher estimated blood alcohol levels during prepartying. Finally, alcohol-related consequences were significantly and positively associated with nearly all reasons for prepartying for both men and women

A Brief Rutgers Alcohol Problem Index with Less Potential for Bias

The Rutgers Alcohol Problem Index (RAPI), a popular measure of alcohol-related problems in adolescents, varies with many theoretically-relevant measures of individual differences, including sex. The sex differences in RAPI scores fit many models of alcohol problems but could also arise from biased items. In addition, a short form could increase the scale’s utility. The current study examined RAPI scores, an additional inventory of problem drinking, and measures of alcohol consumption in over 2,000 college student drinkers. Analyses revealed items that functioned differentially for men and women. Dropping these items created a shorter scale with almost identical psychometric properties but less potential for bias. Correlations with drinking habits and drinking problems were the same as those for the full scale, and the size of the effect for the difference between men and women’s responses remained essentially the same. These results confirm previous work using different analytic approaches, and suggest that a short form of the RAPI could prove helpful in future research. In addition, these data suggest that analyses of differential item functioning in other scales can reveal important information about the measurement of drug problems

Assessment of perceived and actual alcohol norms in varying contexts: Exploring Social Impact Theory among college students

The social norms approach to college drinking suggests that students misperceive the drinking behavior and attitudes of their peers. While much is known about these misperceptions, research is sparse regarding the context in which perceived and actual norms are assessed. As social influence is pronounced in college, the principles of Social Impact Theory may contribute to differences between assessments performed individually and those completed when surrounded by members of one’s salient reference group. The current study examines 284 members of campus organizations in two contexts (online and group) to determine if individuals endorse different responses to questions of perceived and actual drinking norms across contexts. All participants endorsed higher responses on questions of actual and perceived group behavior and of perceived group attitudes towards drinking during the group assessment. Men and students in Greek organizations may be more influenced by the proximity of their peers when presented with questions regarding perceived alcohol use. These results suggest that context of assessment needs to be considered when collecting self-report data from college students

Reasons for Drinking in the College Student Context: The Differential Role and Risk of the Social Motivator

Objective The present study examines the relationships among reasons for drinking, alcohol consumption, and alcohol-related consequences in two college-aged samples. Personal motivators such as mood enhancement and coping (tension reduction) have consistently been shown to predict problematic alcohol use, but because of the salient nature of social drinking in college, we hypothesized that social reasons for drinking would be most frequently endorsed and, in turn, predict negative consequences. Method Two distinct samples—119 coed adjudicated students sanctioned by the university for violating campus alcohol policy and 106 co-ed volunteer students—completed measures assessing alcohol consumption, reasons for drinking, and consequences. Differential effects between genders were examined. Results Social camaraderie (SC) was the most frequently endorsed reason for drinking. Regression analyses controlling for previous drinking revealed that social reasons for drinking predicted alcohol-related problems among female students in both samples. Additionally, SC was significantly correlated with every drinking measure and problem measure at 1 month for females in both the adjudicated and the volunteer groups. Total drinks, drinking days, and heavy episodic drinking events correlated with SC for males in the adjudicated sample. Conclusions For females, these results suggest a relationship between social reasons for drinking and alcohol-related consequences, which previous research has not identified. More research is needed to explore females’ reasons for drinking, accompanying problems, and the underlying psychosocial traits associated with these reasons

Reducing Alcohol Risk in Adjudicated Male College Students: Further Validation of a Group Motivational Enhancement Intervention

This study examined the effectiveness of a single-session group motivational enhancement alcohol intervention on adjudicated male college students. Over two sequential academic years, 230 students sanctioned by the university for alcohol-related infractions attended a 60- to 75-minute group intervention. The intervention consisted of a timeline followback, social norms education, decisional balance for behavioral change, blood alcohol content (BAC) information, expectancy challenge, and generation of behavioral goals. Participants were followed weekly for three months and showed reductions in drinking (29%) and alcohol-related consequences (32%) at three-month follow-up. The intervention was successful in reducing drinking for both first-year students and upperclassmen, with reductions appearing to be a function of the intervention and not the citation itself. Furthermore, a post hoc control condition revealed that those participants randomly assigned to the intervention group condition reduced drinking (19%) and alcohol-related consequences (44%) more than participants in the control condition over one month. These results provide continued evidence of the effectiveness of group motivational enhancement interventions with adjudicated male college students