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The Role of Positive Expectancies in Risk Behavior

An Exploration of Alcohol Use and Nonsuicidal Self-Injury

Published Online: Doi: https://doi.org/10.1027/0227-5910/a000417

Abstract.Background: Alcohol use and nonsuicidal self-injury (NSSI) appear to share a conceptual overlap in functions (e.g., tension reduction). Alcohol use has been identified as a risk factor for NSSI, and higher rates of alcohol use have been documented among those with NSSI history. Aims: This study examined whether NSSI-related alcohol expectancies affect relations between NSSI and alcohol use. Method: Participants were 367 college students (73% female) asked to complete an online survey about their drinking behavior and lifetime NSSI. Results: NSSI and alcohol use were highly prevalent in this sample: 56% endorsed lifetime NSSI and 74% endorsed current alcohol use. Of note, 43% (n = 147) endorsed both behaviors. Positive NSSI-related alcohol expectancies showed a significant association with lifetime NSSI. In addition, positive NSSI-related alcohol expectancies were associated with more frequent drinking behavior for individuals with a history of NSSI, particularly those who had engaged in two or more methods of lifetime NSSI. Conclusion: Alcohol use and NSSI represent high-risk behaviors commonly employed to regulate unwanted affective states. Interventions targeting substance use and/or NSSI may consider assessing positive NSSI and substance use expectancies, as the presence of these beliefs suggests a higher risk profile.

References

  • Agrawal, A., Dick, D. M., Bucholz, K. K., Madden, P.A., Cooper, M. L., Sher, K. J., & Heath, A. C. (2008). Drinking expectancies and motives: A genetic study of young adult women. Addiction, 103, 194–204. 10.1111/j.1360-0443.2007.02074.x. First citation in articleCrossref MedlineGoogle Scholar

  • Arnett, J. J. (2000). Emerging adulthood: A theory of development from the late teens through the twenties. American Psychologist, 55, 469–480. 10.1037//0003-0066X.55.5.469 First citation in articleCrossref MedlineGoogle Scholar

  • Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84, 191–215. First citation in articleCrossref MedlineGoogle Scholar

  • Batejan, K. L., Swenson, L. P., Jarvi, S. M., & Muehlenkamp, J. J. (2015). Perceptions of the functions of non-suicidal self-injury in a college sample. Crisis, 36, 338–344. 10.1027/0227-5910/a000332 First citation in articleLinkGoogle Scholar

  • Bentley, K. H., Nock, M. K., & Barlow, D. H. (2014). The four-function model of nonsuicidal self-injury: Key directions for future research. Clinical Psychological Science, 2, 638–656. 10.1177/2167702613514563 First citation in articleCrossrefGoogle Scholar

  • Bolen, R. M., Winter, V. R., & Hodges, L. (2013). Affect and state dysregulation as moderators of the relationship between childhood sexual abuse and nonsuicidal self-injury. Journal of Interpersonal Violence, 28, 201–228. 10.1177/0886260512448844 First citation in articleCrossref MedlineGoogle Scholar

  • Bracken-Minor, K. L., McDevitt-Murphy, M. E., & Parra, G. R. (2012). Profiles of non-suicidal self-injurers and associated patterns of alcohol use. Journal of Psychopathology and Behavioral Assessment, 34, 552–563. 10.1007/s10862-012-9306-5 First citation in articleCrossrefGoogle Scholar

  • Brown, S. A., Goldman, M. S., & Christiansen, B. A. (1985). Do alcohol expectancies mediate drinking patterns of adults? Journal of Consulting and Clinical Psychology, 53, 512–519. First citation in articleCrossref MedlineGoogle Scholar

  • Carey, K. B. (1995). Alcohol-related expectancies predict quantity and frequency of heavy drinking among college students. Psychology of Addictive Behaviors, 9, 236–241. First citation in articleCrossrefGoogle Scholar

  • Catanzaro, S., & Laurent, J. (2004). Perceived family support, negative mood regulation expectancies, coping, and adolescent alcohol use: Evidence of mediation and moderation effects. Addictive Behaviors, 29, 1779–1797. First citation in articleCrossref MedlineGoogle Scholar

  • Donovan, J. E., Molina, B. S. G., & Kelly, T. M. (2009). Alcohol outcome expectancies as socially shared and socialized beliefs. Psychology of Addictive Behaviors, 23, 248–259. 10.1037/a0015061 First citation in articleCrossref MedlineGoogle Scholar

  • Favazza, A. (1987). Bodies under siege: Self-mutilation in culture and psychiatry. Baltimore, MD: Johns Hopkins University Press. First citation in articleGoogle Scholar

  • Fromme, K., Stroot, E., & Kaplan, D. (1993). Comprehensive effects of alcohol: Dependent and psychometric assessment of a new expectancy questionnaire. Psychological Assessment, 5, 19–26. First citation in articleCrossrefGoogle Scholar

  • Gilles, D. M., Turk, C. L., & Fresco, D. M. (2006). Social anxiety, alcohol expectancies, and self-efficacy as predictors of heavy drinking in college students. Addictive Behaviors, 31, 388–398. First citation in articleCrossref MedlineGoogle Scholar

  • Glenn, C. R., & Klonsky, E. D. (2009). Assessing the functions of non-suicidal self-injury: Psychometric properties of the Inventory of Statements About Self-injury (ISAS). Journal of Psychopathology and Behavioral Assessment, 31, 215–219. 10.1007/s10862-008-9107-z First citation in articleCrossrefGoogle Scholar

  • Glenn, C. R., & Klonsky, E. D. (2011). One-year test-retest reliability of the Inventory of Statements about Self-Injury (ISAS). Assessment, 18, 375–378. 10.1177/1073191111411669 First citation in articleCrossref MedlineGoogle Scholar

  • Gollust, S. E., Eisenberg, D., & Golberstein, E. (2008). Prevalence and correlates of self-injury among university students. Journal of American College Health, 56, 491–498. 10.3200/JACH.56.5.491-498 First citation in articleCrossref MedlineGoogle Scholar

  • Ham, L. S., Stewart, S. H., Norton, P. J., & Hope, D. A. (2005). Psychometric assessment of the Comprehensive Effects of Alcohol Questionnaire: Comparing a brief version to the original full scale. Journal of Psychopathology and Behavioural Assessment, 27, 141–158. 10.1007/s10862-005-0631-9 First citation in articleCrossrefGoogle Scholar

  • Hamza, C. A., Stewart, S. L., & Willoughby, T. (2012). Examining the link between nonsuicidal self-injury and suicidal behavior: A review of the literature and an integrated model. Clinical Psychological Review, 32, 482–495. 10.1016/j.cpr.2012.05.003 First citation in articleCrossref MedlineGoogle Scholar

  • Hasking, P., Lyvers, M., & Carlopio, C. (2011). The relationship between coping strategies, alcohol expectancies, drinking motives, and drinking behaviour. Addictive Behaviors, 36, 479–487. 10.1016/j.addbeh.2011.01.014 First citation in articleCrossref MedlineGoogle Scholar

  • Jacobson, C., Muehlenkamp, J., Miller, A., & Turner, J. B. (2008). Psychiatric impairment among adolescents engaging in different types of deliberate self-harm. Journal of Clinical Child & Adolescent Psychology, 37, 363–375. 10.1080/15374410801955771 First citation in articleCrossref MedlineGoogle Scholar

  • Jarvi, S. M., Jackson, B., Swenson, L. P., & Crawford, H. (2013). The impact of social contagion on non-suicidal self-injury: A review of the literature. Archives of Suicide Research, 17, 1–19. 10.1080/13811118.2013.748404 First citation in articleCrossref MedlineGoogle Scholar

  • Jones, B., Corbin, W., & Fromme, K. (2001). A review of expectancy theory and alcohol consumption. Addiction, 96, 57–72. First citation in articleCrossref MedlineGoogle Scholar

  • Kaess, M., Brunner, R., Parzer, P., Carli, V., Apter, A., Balazs, J. A., … Wasserman, D. (2014). Risk-behaviour screening for identifying adolescents with mental health problems in Europe. European Child & Adolescent Psychiatry, 23, 611–620. 10.1007/s00787-013-0490-7 First citation in articleCrossref MedlineGoogle Scholar

  • Kahn, J. P., Tubiana, A., Cohen, R. F., Carli, V., Wasserman, C., Hoven, C., … Wasserman, D. (2015). Important variables when screening for students at suicidal risk: Findings from the French cohort of the SEYLE study. International Journal of Environmental Research and Public Health, 12, 12277–12290. 10.3390/ijerph121012277 First citation in articleCrossref MedlineGoogle Scholar

  • Klonsky, E. D. (2011). Non-suicidal self-injury in United States adults: Prevalence, sociodemographics, topography, and functions. Psychological Medicine, 41, 1981–1986. 10.1017/S0033291710002497 First citation in articleCrossref MedlineGoogle Scholar

  • Klonsky, E. D., May, A. M., & Glenn, C. R. (2013). The relationship between nonsuicidal self-injury and attempted suicide: Converging evidence from four samples. Journal of Abnormal Psychology, 122, 231–237. 10.1037/a0030278 First citation in articleCrossref MedlineGoogle Scholar

  • Klonsky, E. D., & Olino, T. (2008). Identifying clinically distinct subgroups of self-injurers among adults: A latent class analysis. Journal of Consulting and Clinical Psychology, 76, 22–27. 10.1037/0022-006X.76.1.22 First citation in articleCrossref MedlineGoogle Scholar

  • Kuntsche, E., Knibbe, R., Engels, R., & Gmel, G. (2007). Drinking motives as mediators of the link between alcohol expectancies and alcohol use among adolescents. Journal of Studies on Alcohol and Drugs, 68, 76–85. First citation in articleCrossref MedlineGoogle Scholar

  • Leigh, B. C. (1989). Confirmatory factor analysis of alcohol expectancy scales. Journal of Studies on Alcohol, 50, 268–277. First citation in articleCrossref MedlineGoogle Scholar

  • Lloyd-Richardson, E., Perrine, N., Dierker, L., & Kelley, M. L. (2007). Characteristics and functions of non-suicidal self-injury in a community sample of adolescents. Psychological Medicine, 37, 1183–1192. 10.1017/2FS003329170700027X First citation in articleCrossref MedlineGoogle Scholar

  • MacLaren, V., & Best, L. (2010). Nonsuicidal self-injury, potentially addictive behaviors, and the Five Factor Model in undergraduates. Personality and Individual Differences, 49, 521–525. 10.1016/j.paid.2010.05.019 First citation in articleCrossrefGoogle Scholar

  • Monk, R. L., & Heim, D. (2013). A critical systematic review of alcohol-related outcome expectancies. Substance Use & Misuse, 48, 539–557. 10.3109/10826084.2013.787097 First citation in articleCrossref MedlineGoogle Scholar

  • Muehlenkamp, J. J., Swenson, L. P., Batejan, K. L., & Jarvi, S. M. (2015). Participating in NSSI survey research: Affective reactions and urges to self-injure. Clinical Psychological Science, 3, 26–37. 10.1177/2167702614531579 First citation in articleCrossrefGoogle Scholar

  • Nock, M. K. (2008). Actions speak louder than words: An elaborated theoretical model of the social functions of self-injury and other harmful behaviors. Applied & Preventive Psychology, 12, 159–168. 10.1016/2Fj.appsy.2008.05.002 First citation in articleCrossref MedlineGoogle Scholar

  • Nock, M. K., & Prinstein, M. J. (2004). A functional approach to the assessment of self-mutilative behavior. Journal of Counseling and Clinical Psychology, 72, 885–890. First citation in articleCrossref MedlineGoogle Scholar

  • Nock, M. K., & Prinstein, M. J. (2005). Contextual features and behavioral functions of self-mutilation among adolescents. Journal of Abnormal Psychology, 114, 140–146. 10.1037/0021-843X.114.1.140 First citation in articleCrossref MedlineGoogle Scholar

  • Ogle, R. L., & Clements, C. M. (2008). Deliberate self-harm and alcohol involvement in college- aged females: A controlled comparison in a nonclinical sample. American Journal of Orthopsychiatry, 78, 442–448. 10.1037/a0014325 First citation in articleCrossref MedlineGoogle Scholar

  • Quigley, L., & Marlatt, G. (1996). Drinking among young adults: Prevalence, patterns, and consequences. Alcohol Health and Research World, 20, 185–191. First citation in articleGoogle Scholar

  • Robertson, C. D., Miskey, H., Mitchell, J., & Nelson-Gray, R. (2013). Variety of self-injury: Is the number of different methods of non-suicidal self-injury related to personality, psychopathology, or functions of self-injury? Archives of Suicide Research, 17, 33–40. 10.1080/13811118.2013.748410 First citation in articleCrossref MedlineGoogle Scholar

  • Saraff, P. D., Trujillo, N., & Pepper, C. M. (2015). Functions, consequences, and frequency of non-suicidal self-injury. Psychiatric Quarterly, 86, 385–393. 10.1007/s11126-015-9338-6 First citation in articleCrossref MedlineGoogle Scholar

  • Sloan, F., Grossman, D., & Platt, A. (2011). Heavy episodic drinking in early adulthood and outcomes in midlife. Journal of Studies on Alcohol and Drugs, 72, 459–470. First citation in articleCrossref MedlineGoogle Scholar

  • Valdivia, I., & Stewart, S. H. (2005). Further examination of the psychometric properties of the Comprehensive Effects of Alcohol Questionnaire. Cognitive Behaviour Therapy, 34, 22–33. First citation in articleCrossref MedlineGoogle Scholar

  • Velazquez, C. E., Pasch, K. E., Perry, C. L., & Komro, K. A. (2011). Do high-risk urban youth also have older friends? Journal of Adolescent Health, 48, 467–472. 10.1016/j.jadohealth.2010.08.002 First citation in articleCrossref MedlineGoogle Scholar

  • Whitlock, J., Eckenrode, J., & Silverman, D. (2006). Self-injurious behaviors in a college population. Pediatrics, 117, 1939–1948. 10.1542/peds.2005-2543 First citation in articleCrossref MedlineGoogle Scholar

  • Whitlock, J., Muehlenkamp, J., Purrington, A., Eckenrode, J., Barreira, P., Baral Abrams, G., … Knox, K. (2011). Non-suicidal self-injury in a college population: General trends and sex differences. Journal of American College Health, 59, 691–698. 10.1080/07448481.2010.529626 First citation in articleCrossref MedlineGoogle Scholar

  • Williams, F., & Hasking, P. (2010). Emotion regulation, coping and alcohol use as moderators in the relationship between non-suicidal self-injury and psychological distress. Prevention Science, 11, 33–41. 10.1007/s11121-009-0147-8 First citation in articleCrossref MedlineGoogle Scholar

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