This study examined the correspondence between parent and adolescent reports of the adolescent's substance use in a population of parents concerned about, and experiencing problems resulting from, their teen's substance use. Seventy-five parents and their adolescent (76% not in treatment; 24% in treatment) were interviewed separately regarding the teen's recent use of cigarettes, alcohol, marijuana, and other illicit drugs. Irrespective of adolescent treatment status, fair-to-good congruence was found on cigarette and marijuana use, alcohol use frequency, and overall substance use frequency. Poor congruence was found on the incidence of alcohol and other illicit drug use, and the quantity of alcohol consumed per drinking day. Multiple regression analysis revealed that poorer congruence on substance use frequency occurred when the teen was younger, when the parent scored low on monitoring and high on psychological distress, and when the parent used alcohol more frequently. Results indicate that parental awareness of teen substance use varies with the substance used and its measurement. In the absence of a cooperative teen, however, parental report of the frequency of adolescent substance use appears to serve as a fair-to-good proxy.

Underage drinkers typically have not developed regular patterns of drinking and so are likely to exhibit situational variation in alcohol intake, including binge drinking. Information about such variation is not well captured by quantity/frequency (QF) measures, which require that drinkers blend information over time to derive a representative estimate of "typical" drinking. The Timeline Followback (TLFB) method is designed to retrospectively capture situational variations in drinking during a specific period of time. We compared our newly developed Self-administered TLFB (STLFB) measure to a QF measure for reporting alcohol intake. Our sample of 429 (men = 204; women = 225) underage (i.e., age 18-20 years) drinkers completed the two drinking measures and reported on alcohol problems. The STLFB and QF measures converged in assessing typical daily intake, but the STLFB provided more information about situational variations in alcohol use and better identification of regular versus intermittent binge drinkers. Regular binge drinkers reported more alcohol problems. The STLFB is an easy-to-administer measure of variations in alcohol intake, which can be useful for understanding drinking behavior. (c) 2007 Elsevier Ltd. All rights reserved.

The authors examined whether the reciprocal relationship between alcohol consumption and distress unfolded over time in 2 samples of social drinkers. Participants monitored their alcohol intake and their cognitive and emotional responses to that drinking on hand-held computers. On mornings after drinking, those who had violated their self-imposed limits the day before reported more guilt, even after controlling for acute negative symptoms of drinking and amount consumed. Reciprocally, guilt led to poorer self-regulation of alcohol intake: Greater distress over alcohol consumption was linked to more intake, intoxication, and more limit violations. Individual differences moderated the relationships among limit violations, distress, and drinking. Consistent with the limit violation effect, violating a limit produced distress over consumption among social drinkers, and they responded to that distress by drinking more.

Adult social drinkers used handheld computers to monitor alcohol intake as well as the precursors and consequences of drinking over a 2-week period. The within-person relationship between mood and amount of alcohol consumed was examined, as well as the role of individual differences. When individuals made internal attributions for their greater than average consumption, they were in a more negative mood after drinking. Individuals who experienced a negative mood after drinking consumed more subsequently. This dysregulatory process may help explain the progression from social drinking to more problematic drinking; indeed, the relationship between mood and alcohol intake was stronger for heavier drinkers. Likewise, gender and trait temptation and restriction moderated this process. The results are consistent with the Limit Violation Effect model (R. L. Collins, 1993) of mood and regulation of alcohol intake.

This article reports on the generalizability, reliability, and construct validity of the Parent Situation Inventory (PSI), a role-play measure of coping skills in parents experiencing problems from an adolescent's drug and alcohol use. Generalizability was robust (.80) and alternate form and test-retest reliability were satisfactory. PSI skillfulness was negatively related to the parent's own substance use and to the adolescent's alcohol use. The PSI shows promise as a reliable and potentially valid measure of coping in this population and has direct implications for developing and evaluating skill-based parent training programs.

This report discusses the development of a coping skill training program for parents of substance-abusing adolescents and presents preliminary data on the effects of the program on parent functioning and adolescent substance use. The behavioral–analytic model of program development was used to sample representative problematic situations experienced by parents of substance-abusing adolescents, obtain an effectiveness-scaling of responses to these situations, and derive alternate forms of a situational role-play measure of parental coping. These situations and scoring guidelines were then used to create the skill training program. Parents of substance-abusing adolescents not in treatment subsequently were randomly assigned in a pilot investigation to either a skill training or delayed treatment condition. Skill training resulted in significant improvement in parental coping skills relative to delayed treatment. Moderate to large improvement in the parent's report of their own functioning, family communication, and the teen's marijuana use also favored the skill training group.

The authors tested a restraint-based model that binge drinking is a function of being tempted to drink alcohol while also being concerned about avoiding excessive alcohol intake. Underage (18- to 20-year-olds, 204 men and 225 women) college student drinkers completed measures that assessed the attraction to alcohol (e.g., temptation to drink, alcohol expectancies), concern about regulating alcohol intake (e.g., restriction of alcohol intake, reasons for limiting drinking), and alcohol-related outcomes (binge drinking, alcohol problems). In separate hierarchical multiple regressions, the attraction to alcohol accounted for significant amounts of additional variance in each of the alcohol outcomes. Concern about regulating alcohol intake accounted for additional variance, above that explained by attraction to alcohol. The results suggest that interventions for underage binge drinking should include training in the skills for regulating alcohol intake.

We assessed the prevalence of licit (e.g. alcohol) and illicit (e.g. cocaine) drug use, as well as prescription (e.g. tranquillizers) and over-the-counter medications (e.g. analgesics), in a regional sample of female nurses. Surveys were mailed to a random sample of 4000 nurses in Western New York. The survey focused on lifetime and current use of substances, negative consequences of alcohol consumption and dependence. Three mailings resulted in a return of 2400 (60%) surveys, of which 1951 (49%) were usable. We examined lifetime and current use in each of the four classes of substances in the context of nursing related-factors (e.g. type of nurse, nursing specialty, work setting) and demographic characteristics (e.g. age, marital status). There were significant differences within each of the different groupings. Lifetime experience of negative consequences were relatively rare and few nurses reported dependence on substances other than tobacco and caffeine.

We assessed predictors of self-reported excessive drinking (> 5 drinks) in a sample of heavy drinkers. Participants were randomly assigned to moderation training or a waiting-list control condition. They were trained in ecological momentary assessment (EMA) involving self-monitoring of drinking and other variables on a small hand-held computer, the electronic diary (ED). During the 8-week study, participants were compliant in their use of the ED for both random prompts and the entry of data related to specific drinking episodes. Generalized estimating equations were used to fit models involving predictors related to past history of drinking, aspects of the training program, drinking restraint, and episode-specific mood. The models indicated robust predictors of decreased and increased drinking. Our results suggest that EMA is a useful methodology for assessing drinking and related behaviors.

As women enter the work force, they are exposed to new or additional sources of stress, which may result in substance use. This chapter presents results from a National Institute on Drug Abuse (NIDA)-funded research project on work stress, coping, and substance use among a regional sample of female nurses. It includes a summary of data on the prevalence of substance use among these nurses and a test of models of the relationships among personality, work stress, coping, and substance use in a subsample of female nurses. Findings from this research will enhance understanding of the complex issues involved in women’s use of a variety of substances.