Objective: While college student drinking has been studied utilizing many different theories and approaches, it is unclear how these theories may overlap in their explanation of problematic drinking. Rather than relying on one theory, examining overlap between multiple theories of alcohol use may lead to a better understanding of the motivational process underlying drinking behavior. The current study proposes that the Ambivalence Model of Craving, Behavioral Economics, and Alcohol Outcome Expectancy Theory account for the same underlying anticipatory process and sought to demonstrate this by establishing motivational profiles utilizing constructs within each theory. Methods: A total of 318 college student drinkers completed a series of surveys assessing their drinking behavior and the measures pertaining to each theory (i.e., Approach and Avoidance of Alcohol Questionnaire, Alcohol Purchase Task, Alcohol Expectancy Questionnaire). A latent profile analysis was used to establish profiles of motivational tendencies. Results: Results from the latent profile analysis indicated four profiles emerged, three of which were consistent with our hypotheses: approach, avoidance, and indifferent. The fourth motivational profile appeared to represent drinkers with an emerging approach tendency but relatively newer to drinking. The lack of ambivalent profile suggests that avoidant tendencies may develop later in response to an accumulation of experience with drinking. Lastly, these profiles demonstrated expected relationships with drinking behavior. Conclusion: This study is unique in its attempt to highlight similarities between theories. Results provide a useful integration of theories to allow for a more generalized understanding of motivational tendencies that develop in response to drinking experiences.
AsparouhovT.MuthénB. (2013). Auxiliary variables in mixture modeling: 3-Step Approaches Using Mplus.
2.
BickelW. K.JarmolowiczD. P.MuellerE. T.GatchalianK. M. (2011). The behavioral economics and neuroeconomics of reinforcer pathologies: Implications for etiology and treatment of addiction. Current Psychiatry Reports, 13(5), 406–415. https://doi.org/10.1007/s11920-011-0215-1
3.
BickelW. K.JohnsonM. W.KoffarnusM. N.MackillopJ.MurphyJ. G. (2014). The behavioral economics of substance use disorders: Reinforcement pathologies and their repair. Annual Review of Clinical Psychology, 10, 641–677. https://doi.org/10.1146/annurev-clinpsy-032813-153724
4.
BreinerM. J.StritzkeW. G.LangA. R. (1999). Approaching avoidance: A step essential to the understanding of craving. Alcohol Research & Health, 23(3), 197–206.
5.
CahalanD.CisinI.CrossleyH. (1969). American drinking practices: A national study of drinking behavior and attitudes(Monograph No. 6.). College & University Press, Rutgers Center of Alcohol Studies.
DarkesJ.GoldmanM. S. (1993). Expectancy challenge and drinking reduction: Experimental evidence for a mediational process. Journal of Consulting and Clinical Psychology, 61(2), 344–353. https://doi.org/10.1037/0022-006X.61.2.344
8.
GoldmanM. S.DarkesJ. (2004). Alcohol expectancy multiaxial assessment: A memory network-based approach. American Psychological Association.
9.
GoldmanM. S.Del BocaF. K.DarkesJ. (1999). Alcohol expectancy theory: The application of cognitive neuroscience. In LeonardK. E.,BlaneH. T. (Eds.), Psychological theories of drinking and alcoholism (2nd ed, pp. 231–246). Guilford Press.
10.
HagmanB. T.CohnA. M.SchonfeldL.MooreK.BarrettB. (2014). College students who endorse a sub-threshold number of DSM-5 alcohol use disorder criteria: Alcohol, tobacco, and illicit drug use in DSM-5 diagnostic orphans. The American Journal on Addictions, 23(4), 378–385. https://doi.org/10.1111/j.1521-0391.2014.12120.x
KiselicaA. M.WebberT. A.BornovalovaM. A. (2016). Validity of the alcohol purchase task: A meta-analysis. Addiction, 111(5), 806–816. https://doi.org/10.1111/add.13254
13.
KozlowskiL. T.WilkinsonD. A. (1987). Use and misuse of the concept of craving by alcohol, tobacco, and drug researchers. British Journal of Addiction, 82(1), 31–36. https://doi.org/10.1111/j.1360-0443.1987.tb01430.x
14.
MacKillopJ.MurphyJ. G.TideyJ. W.KahlerC. W.RayL. A.BickelW. K. (2009). Latent structure of facets of alcohol reinforcement from a behavioral economic demand curve. Psychopharmacology, 203(1), 33–40. https://doi.org/10.1007/s00213-008-1367-5
15.
McEvoyP. M.StritzkeW. G. K.FrenchD. J.LangA. R.KettermanR. (2004). Comparison of three models of alcohol craving in young adults: A cross-validation. Addiction, 99(4), 482–497. https://doi.org/10.1111/j.1360-0443.2004.00714.x
16.
MurphyJ. G.CorreiaC. J.ColbyS. M.VuchinichR. E. (2005). Using behavioral theories of choice to predict drinking outcomes following a brief intervention. Experimental and Clinical Psychopharmacology, 13(2), 93–101. https://doi.org/10.1037/1064-1297.13.2.93
17.
MurphyJ. G.MackillopJ. (2006). Relative reinforcing efficacy of alcohol among college student drinkers. Experimental and Clinical Psychopharmacology, 14(2), 219–227. https://doi.org/10.1037/1064-1297.14.2.219
NealD. J.CorbinW. R.FrommeK. (2006). Measurement of alcohol-related consequences among high school and college students: Application of item response models to the Rutgers Alcohol Problem Index. Psychological Assessment, 18(4), 402–414. https://doi.org/10.1037/1040-3590.18.4.402
O’MalleyP. M. (2004). Maturing out of problematic alcohol use. Alcohol Research & Health, 28(4), 202–204.
22.
RamirezJ. J.DennhardtA. A.BaldwinS. A.MurphyJ. G.LindgrenK. P. (2016). Alcohol-approach inclinations and drinking identity as predictors of behavioral economic demand for alcohol. Experimental and Clinical Psychopharmacology, 24(5), 356–366. https://doi.org/10.1037/pha0000086
23.
ReichR. R.GoldmanM. S. (2015). Decision making about alcohol use: The case for scientific convergence. Addictive Behaviors, 44, 23–28. https://doi.org/10.1016/j.addbeh.2014.12.001
24.
RohsenowD. J. (1983). Drinking habits and expectancies about alcohol's effects for self versus others. Journal of Consulting and Clinical Psychology, 51(5), 752–756. https://doi.org/10.1037/0022-006X.51.5.752
25.
SchlauchR. C.RiceS. L.ConnorsG. J.LangA. R. (2015). Ambivalence model of craving: A latent profile analysis of cue-elicited alcohol craving in an inpatient clinical sample. Journal of Studies on Alcohol and Drugs, 76(5), 764–772. https://doi.org/10.15288/jsad.2015.76.764
26.
StritzkeW. G.McevoyP. M.WheatL. R.DyerK. R.FrenchD. J. (2007). The yin and yang of indulgence and restraint: The ambivalence model of craving. In O'nealP. W. (Ed.), Motivation of health behavior (pp. 31–47). Nova Science Publishers.
27.
TabachnickB. G.FidellL. S. (2001). Using multivariate statistics. Allyn & Bacon.
28.
VuchinichR. E.TuckerJ. A. (1988). Contributions from behavioral theories of choice to an analysis of alcohol abuse. Journal of Abnormal Psychology, 97(2), 181–195. https://doi.org/10.1037/0021-843X.97.2.181
29.
WhiteA.HingsonR. (2014). The burden of alcohol use: Excessive alcohol consumption and related consequences among college students. Alcohol Research: Current Reviews, 35(2), 201–218.
