Drinking To Cope With Depressed Mood In College And Non-College Young Adults
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Co-occurring depressed mood and risky alcohol use are prevalent during emerging adulthood, a critical development period ranging from approximately 18 to 25 years of age linking adolescence and adulthood and characterized by identity exploration, instability, self-focus, and opportunity (Arnett, 2005).
Three-quarters of individuals with a lifetime history of mood disorders have their first onset by the age of 24 (Kessler et al., 2005), and emerging adulthood is associated with peak lifetime drinking risk (Patrick & Schulenberg, 2011; Sussman & Arnett, 2014). Depressed mood and risky drinking tend to co-occur. Depressed individuals are susceptible to consuming alcohol to avoid or regulate negative internal states (Abrams & Niaura, 1987; Maisto, Carey, & Bradizza, 1999)even though drinking to cope fails to effectively resolve problems and may contribute to chronic drinking problems over time (Baer, 2002; Littlefield, Sher, & Wood, 2010; Merrill & Read, 2010).
Although drinking to cope has emerged as a strong mediator in the relationship linking depressive symptoms with subsequent negative alcohol consequences among college students (Bravo, Pearson, Stevens, & Henson, 2016; Clerkin, Werntz, Magee, Lindgren, & Teachman, 2014; Gonzalez, Bradizza, & Collins, 2009; Kenney, Jones, & Barnett, 2015; Tomaka, Morales-Monks, & Shamaley, 2013; Vernig & Orsillo, 2015), research to date has largely neglected non-college emerging adults. Nationally, one in five eighth graders drop out of high school (Heckman & Lafontaine, 2010), and among high school graduates, less than half matriculate into 4-year colleges the following fall (Aud et al., 2011).
In the current study, we aimed to fill a prominent gap in the existing literature by examining if the pathways linking depressive symptoms with alcohol outcomes were similar when comparing 341 current college (65%) and non-college (35%) community-recruited emerging adult drinkers (mean age = 21; 51% male; 68% White). The results showed that college and non-college emerging adults reported similar levels of drinking, alcohol problems, and drinking to cope with negative affect, and drinking to cope was associated with alcohol-related problems in both samples. Moreover, consistent with the hypothesis and prior research (e.g., Kenney et al., 2015; Vernig & Orsillo, 2015), the relationship between depression and alcohol problems was mostly or fully mediated by the use of alcohol for coping among college students. However, drinking to cope did not mediate the pathway among non-college emerging adults.
It is possible that different situational contexts may uniquely impact individuals’ use of alcohol to alleviate negative mood states specifically. Drinking to cope in order to enhance mood may be particularly appealing for college students with fewer adult roles and ample opportunity to drink in a heavy drinking normative culture. Accessibility and availability of alcohol may make decisions to drink easier for depressed students. Given that students who drink to alleviate depressive symptoms face a heightened risk for alcohol-related negative consequences even though they do not necessarily drink at greater levels than non-depressed peers may indicate deficits in emotional regulation or volitional control. Protective behavioral skills training targeted at emerging adults who rely on drinking to cope may be helpful.
Still, drinking to cope was directly associated with alcohol-related problems among non-college participants. This finding highlights the need to examine predictors other than depressed mood in this population. Given that emerging adults without college degrees are more likely to have a history of adverse experiences than those with college degrees (Monnat & Chandler, 2015), examining the role of adverse experiences in non-college emerging adults’ alcohol-related motivational pathways may be needed.
In sum, the current findings caution against extending college-based findings to non-college populations and underscore the need to better understand the role of coping motives and other intervening factors in pathways linking depressed mood and alcohol-related risk in non-college emerging adults.
These findings are described in the article entitled Drinking to cope mediates the relationship between depression and alcohol risk: Different pathways for college and non-college young adults, recently published in the journal Addictive Behaviors. This work was conducted by Shannon R. Kenney, Bradley J. Anderson, and Michael D. Stein from Butler Hospital.
- Abrams, D., & Niaura, R. (1987). Psychological Theories of Drinking and Alcoholism. New York: The Guilford Press.
- Arnett, J. J. (2005). The developmental context of substance use in emerging adulthood. The Journal of Drug Issues.
- Aud, S., Hussar, W., kena, G., Bianco, K., Frohlich, L., Kemp, J., & Tahan, K. (2011). The condition of education 2011 (NCES 2011-033). Washington DC: Government Printing Office.
- Baer, J. S. (2002). Student factors: understanding individual variation in college drinking. J Stud Alcohol Suppl(14), 40-53.
- Bravo, A. J., Pearson, M. R., Stevens, L. E., & Henson, J. M. (2016). Depressive Symptoms and Alcohol-Related Problems Among College Students: A Moderated-Mediated Model of Mindfulness and Drinking to Cope. J Stud Alcohol Drugs, 77(4), 661-666.
- Clerkin, E. M., Werntz, A. J., Magee, J. C., Lindgren, K. P., & Teachman, B. A. (2014). Evaluating age differences in coping motives as a mediator of the link between social anxiety symptoms and alcohol problems. Psychol Addict Behav, 28(3), 880-886. doi:10.1037/a0036813
- Gonzalez, V. M., Bradizza, C. M., & Collins, R. L. (2009). Drinking to cope as a statistical mediator in the relationship between suicidal ideation and alcohol outcomes among underage college drinkers. Psychol Addict Behav, 23(3), 443-451. doi:10.1037/a0015543
- Heckman, J. J., & Lafontaine, P. A. (2010). The American High School Graduation Rate: Trends and Levels. Rev Econ Stat, 92(2), 244-262. doi:10.1162/rest.2010.12366
- Kenney, S. R., Jones, R. N., & Barnett, N. P. (2015). Gender Differences in the Effect of Depressive Symptoms on Alcohol Expectancies,
- Coping Motives, and Alcohol Outcomes in the First Year of College. Journal Of Youth And Adolescence, 44(10), 1884-1897.
- Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 593-602. doi:10.1001/archpsyc.62.6.593
- Littlefield, A. K., Sher, K. J., & Wood, P. K. (2010). Do changes in drinking motives mediate the relation between personality change and “maturing out” of problem drinking? J Abnorm Psychol, 119(1), 93-105. doi:10.1037/a0017512
- Maisto, S. A., Carey, K. B., & Bradizza, C. M. (1999). Psychological theories of drinking and alcoholism In K. E. Leonard & B. T. Howard (Eds.), Social Learning Theory(2nd ed., pp. 106-163). New York: Guilford Press.
- Merrill, J. E., & Read, J. P. (2010). Motivational pathways to unique types of alcohol consequences. Psychol Addict Behav, 24(4), 705-711. doi:10.1037/a0020135
- Monnat, S. M., & Chandler, R. F. (2015). Long Term Physical Health Consequences of Adverse Childhood Experiences. Sociol Q, 56(4), 723-752. doi:10.1111/tsq.12107
- Patrick, M. E., & Schulenberg, J. E. (2011). How trajectories of reasons for alcohol use relate to trajectories of binge drinking: National panel data spanning late adolescence to early adulthood. Dev Psychol, 47(2), 311-317. doi:10.1037/a0021939
- Sussman, S., & Arnett, J. J. (2014). Emerging Adulthood: Developmental Period Facilitative of the Addictions. Eval Health Prof, 37(2), 147-155. doi:10.1177/0163278714521812
- Tomaka, J., Morales-Monks, S., & Shamaley, A. G. (2013). Stress and coping mediate relationships between contingent and global self-esteem and alcohol-related problems among college drinkers. Stress Health, 29(3), 205-213. doi:10.1002/smi.2448
- Vernig, P. M., & Orsillo, S. M. (2015). Drinking motives and college alcohol problems: A prospective study. Journal of Substance Use, 20(5), 340-346.