Binge Drinking and Alcohol Misuse Among College Students and Young Adults Rachel P. Winograd · Kenneth J. Sher Advances in Psychotherapy Evidence-Based Practice
Binge Drinking and Alcohol Misuse
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Binge Drinking and Alcohol Misuse Among College Students and Young Adults
Rachel P. Winograd · Kenneth J. Sher
Advances in Psychotherapy
Evidence-Based Practice
Binge Drinking and Alcohol Misuse Among College Students and Young Adults
This document is for personal use only. Reproduction or distribution is not permitted. From R. P. Winograd & K. J. Sher: Binge Drinking and Alcohol Misuse Among College Students and Young Adults (ISBN 9781616764036) © 2015 Hogrefe Publishing.
This document is for personal use only. Reproduction or distribution is not permitted. From R. P. Winograd & K. J. Sher: Binge Drinking and Alcohol Misuse Among College Students and Young Adults (ISBN 9781616764036) © 2015 Hogrefe Publishing.
About the authors
Rachel P. Winograd, MA, is a graduate student in clinical psychology at the University of Missouri-Columbia, where she studies the acute effects of alcohol intoxication on behavior and emotion. She received a National Research Service Award from the National Institute of Health to conduct her dissertation work investigating “drunk personality” and geospatial characteristics of college students’ recent drinking episodes. She is part of a program development group creating an evidence-based intervention for heavy drinking college students and has experience working with a range of individuals experiencing alcohol and other substance-related problems. She is a member of the Research Society on Alcoholism and the American Psychological Association.
Kenneth J. Sher, PhD, is a Curators’ Distinguished Professor of Psychological Sciences at the University of Missouri-Columbia. He has published extensively on the etiology and course of substance use disorders (particularly alcohol use disorders) in later adolescence and young adulthood, and is the principal investigator on two large longitudinal studies following student drinkers during their college years and beyond. His research is funded by the National Institute of Health, and he has received over 20 awards for his teaching, mentorship, and research activities, including the Research Society on Alcoholism’s Young Investigator Award, Distinguished Researcher Award, and G. Alan Marlatt Mentoring Award, as well as the American Psychological Association’s Division on Addiction’s Distinguished Scientific Contributions Award.
Advances in Psychotherapy – Evidence-Based Practice
Series Editor Danny Wedding, PhD, MPH, School of Medicine, American University of Antigua, St. Georges,
Antigua
Associate Editors Larry Beutler, PhD, Professor, Palo Alto University / Pacific Graduate School of Psychology,
Palo Alto, CA Kenneth E. Freedland, PhD, Professor of Psychiatry and Psychology, Washington University
School of Medicine, St. Louis, MO Linda C. Sobell, PhD, ABPP, Professor, Center for Psychological Studies, Nova Southeastern
University, Ft. Lauderdale, FL David A. Wolfe, PhD, RBC Chair in Children’s Mental Health, Centre for Addiction and Mental
Health, University of Toronto, ON
The basic objective of this series is to provide therapists with practical, evidence-based treatment guidance for the most common disorders seen in clinical practice – and to do so in a reader-friendly manner. Each book in the series is both a compact “how-to” reference on a particular disorder for use by professional clinicians in their daily work and an ideal educational resource for students as well as for practice-oriented continuing education. The most important feature of the books is that they are practical and easy to use: All are structured similarly and all provide a compact and easy-to-follow guide to all aspects that are relevant in real-life practice. Tables, boxed clinical “pearls,” marginal notes, and summary boxes assist orientation, while checklists provide tools for use in daily practice.
This document is for personal use only. Reproduction or distribution is not permitted. From R. P. Winograd & K. J. Sher: Binge Drinking and Alcohol Misuse Among College Students and Young Adults (ISBN 9781616764036) © 2015 Hogrefe Publishing.
Binge Drinking and Alcohol Misuse Among College Students and Young Adults
Rachel P. Winograd Department of Psychological Sciences, University of Missouri-Columbia, Missouri
Kenneth J. Sher Department of Psychological Sciences, University of Missouri-Columbia, Missouri
Autism Spectrum Disorder Lisa Joseph [Author: add current affiliation]
Latha Soorya Autism Assessment Research Treatment and Services (AARTS) Center at Rush University Medical Center (RUMC), Chicago, Illinois
Audrey Thurm Pediatrics and Developmental Neuroscience (PDN), National Institute of Mental Health (NIMH), Bethesda, Maryland [Author: affiliation and location correct?]
This document is for personal use only. Reproduction or distribution is not permitted. From R. P. Winograd & K. J. Sher: Binge Drinking and Alcohol Misuse Among College Students and Young Adults (ISBN 9781616764036) © 2015 Hogrefe Publishing.
This document is for personal use only. Reproduction or distribution is not permitted. From R. P. Winograd & K. J. Sher: Binge Drinking and Alcohol Misuse Among College Students and Young Adults (ISBN 9781616764036) © 2015 Hogrefe Publishing.
Library of Congress Cataloging in Publication information for the print version of this book is available via the Library of Congress Marc Database under the Library of Congress Control Number 2014956330
Library and Archives Canada Cataloguing in Publication Winograd, Rachel P., 1984-, author Binge drinking and alcohol misuse among college students and young adults / Rachel P. Winograd (Department of Psychological Sciences, University of Missouri-Columbia, Missouri), Kenneth J. Sher (Department of Psychological Sciences, University of Missouri-Columbia, Missouri).
(Advances in psychotherapy--evidence-based practice ; v. 32) Includes bibliographical references. Issued in print and electronic formats. ISBN 978-0-88937-403-4 (pbk.).--ISBN 978-1-61676-403-6 (pdf).-- ISBN 978-1-61334-403-3 (html)
1. College students--Alcohol use. 2. Young adults--Alcohol use. 3. Binge drinking. 4. Binge drinking--Epidemiology. 5. Binge drinking--Treatment. I. Sher, Kenneth J., author II. Title. III. Series: Advances in psychotherapy-- evidence-based practice ; v. 32
HV5135.B55 2015 362.292084’2 C2014-907716-5 C2014-907717-3
© 2015 by Hogrefe Publishing http://www.hogrefe.com
PUBLISHING OFFICES USA: Hogrefe Publishing Corporation, 38 Chauncy Street, Suite 1002, Boston, MA 02111
Phone (866) 823-4726, Fax (617) 354-6875; E-mail [email protected] EUROPE: Hogrefe Publishing GmbH, Merkelstr. 3, 37085 Göttingen, Germany
Phone +49 551 99950-0, Fax +49 551 99950-111; E-mail [email protected]
SALES & DISTRIBUTION USA: Hogrefe Publishing, Customer Services Department,
30 Amberwood Parkway, Ashland, OH 44805 Phone (800) 228-3749, Fax (419) 281-6883; E-mail [email protected]
UK: Hogrefe Publishing, c/o Marston Book Services Ltd., 160 Eastern Ave., Milton Park, Abingdon, OX14 4SB, UK Phone +44 1235 465577, Fax +44 1235 465556; E-mail [email protected]
EUROPE: Hogrefe Publishing, Merkelstr. 3, 37085 Göttingen, Germany Phone +49 551 99950-0, Fax +49 551 99950-111; E-mail [email protected]
OTHER OFFICES CANADA: Hogrefe Publishing, 660 Eglinton Ave. East, Suite 119-514, Toronto, Ontario, M4G 2K2 SWITZERLAND: Hogrefe Publishing, Länggass-Strasse 76, CH-3000 Bern 9
Hogrefe Publishing Incorporated and registered in the Commonwealth of Massachusetts, USA, and in Göttingen, Lower Saxony, Germany
No part of this book may be reproduced, stored in a retrieval system or transmitted, in any form or by any means, electronic, mechanical, photocopying, microfilming, recording or otherwise, without written permission from the publisher.
Printed and bound in the USA
ISBN 978-0-88937-403-4 (print) • ISBN 978-1-61676-403-6 (PDF) • ISBN 978-1-61334-403-3 (EPUB) http://doi.org/10.1027/00403-000
This document is for personal use only. Reproduction or distribution is not permitted. From R. P. Winograd & K. J. Sher: Binge Drinking and Alcohol Misuse Among College Students and Young Adults (ISBN 9781616764036) © 2015 Hogrefe Publishing.
Library of Congress Cataloging information for the print version of this book is available via the Library of Congress Marc Database
Library and Archives Canada Cataloguing in Publication Winograd, Rachel P., 1984-, author Binge drinking and alcohol misuse among college students and young adults / Rachel P. Winograd (Department of Psychological Sciences, University of Missouri-Columbia, Missouri), Kenneth J. Sher (Department of Psychological Sciences, University of Missouri-Columbia, Missouri).
(Advances in psychotherapy--evidence-based practice ; v. 32) Includes bibliographical references. Issued in print and electronic formats. ISBN 978-0-88937-403-4 (pbk.).--ISBN 978-1-61676-403-6 (pdf).-- ISBN 978-1-61334-403-3 (html)
1. College students--Alcohol use. 2. Young adults--Alcohol use. 3. Binge drinking. 4. Binge drinking--Epidemiology. 5. Binge drinking--Treatment. I. Sher, Kenneth J., author II. Title. III. Series: Advances in psychotherapy-- evidence-based practice ; v. 32
HV5135.B55 2015 362.292084’2 C2014-907716-5 C2014-907717-3
© 2015 by Hogrefe Publishing http://www.hogrefe.com
PUBLISHING OFFICES USA: Hogrefe Publishing Corporation, 38 Chauncy Street, Suite 1002, Boston, MA 02111
Phone (866) 823-4726, Fax (617) 354-6875; E-mail [email protected] EUROPE: Hogrefe Publishing GmbH, Merkelstr. 3, 37085 Göttingen, Germany
Phone +49 551 99950-0, Fax +49 551 99950-111; E-mail [email protected]
SALES & DISTRIBUTION USA: Hogrefe Publishing, Customer Services Department, 30 Amberwood Parkway, Ashland, OH 44805
Phone (800) 228-3749, Fax (419) 281-6883; E-mail [email protected] UK: Hogrefe Publishing, c/o Marston Book Services Ltd., 160 Eastern Ave., Milton Park, Abingdon, OX14 4SB, UK
Phone +44 1235 465577, Fax +44 1235 465556; E-mail [email protected] EUROPE: Hogrefe Publishing, Merkelstr. 3, 37085 Göttingen, Germany
Phone +49 551 99950-0, Fax +49 551 99950-111; E-mail [email protected]
OTHER OFFICES CANADA: Hogrefe Publishing, 660 Eglinton Ave. East, Suite 119-514, Toronto, Ontario, M4G 2K2 SWITZERLAND: Hogrefe Publishing, Länggass-Strasse 76, CH-3000 Bern 9
Copyright Information The e-book, including all its individual chapters, is protected under international copyright law. The unauthorized use or distribu- tion of copyrighted or proprietary content is illegal and could subject the purchaser to substantial damages. The user agrees to recognize and uphold the copyright.
License Agreement The purchaser is granted a single, nontransferable license for the personal use of the e-book and all related files.
Making copies or printouts and storing a backup copy of the e-book on another device is permitted for private, personal use only.
Other than as stated in this License Agreement, you may not copy, print, modify, remove, delete, augment, add to, publish, transmit, sell, resell, create derivative works from, or in any way exploit any of the e-book’s content, in whole or in part, and you may not aid or permit others to do so. You shall not: (1) rent, assign, timeshare, distribute, or transfer all or part of the e-book or any rights granted by this License Agreement to any other person; (2) duplicate the e-book, except for reasonable backup copies; (3) remove any proprietary or copyright notices, digital watermarks, labels, or other marks from the e-book or its contents; (4) transfer or sublicense title to the e-book to any other party.
These conditions are also applicable to any audio or other files belonging to the e-book. Should the print edition of this book include electronic supplementary material then all this material (e.g., audio, video, pdf files) is also available in the e-book-edition.
Format: PDF
Table of Contents
1 Description of Young-Adult Alcohol Misuse. . . . . . . . . . 1 1.1 Terminology and Definitions. . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1.1.1 Consumption . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1.1.2 Alcohol Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 1.1.3 Alcohol Dependence and Alcohol-Related Disorders. . . . . . . . . 6 1.1.4 Diagnosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 1.2 Epidemiology and Course . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 1.2.1 Greek Organizations and Sexual Assaults on College
Campuses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 1.3 Differential Diagnosis and Comorbidities . . . . . . . . . . . . . . . . . . 14 1.3.1 Comorbidities. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 1.4 Diagnostic Procedures and Documentation. . . . . . . . . . . . . . . . . 20
2 Theories and Models of Alcohol Misuse . . . . . . . . . . . . . 22 2.1 Affect Regulation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 2.2 Behavioral Undercontrol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 2.3 Pharmacological Vulnerability. . . . . . . . . . . . . . . . . . . . . . . . . . . 26
3 Assessment and Treatment Indications. . . . . . . . . . . . . . 28 3.1 General Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 3.1.1 Self-Report Measures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 3.1.2 Assessment Types and Options . . . . . . . . . . . . . . . . . . . . . . . . . . 28 3.1.3 Alcohol-Related Consequences Measures. . . . . . . . . . . . . . . . . . 31 3.2 Diagnosing an Alcohol Use Disorder . . . . . . . . . . . . . . . . . . . . . 33 3.3 Other Assessment Domains . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 3.4 Expectancies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 3.5 Drinking Motives. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 3.6 Readiness to Change . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 3.7 Influential Factors for Treatment. . . . . . . . . . . . . . . . . . . . . . . . . 38 3.7.1 Current and Past Mental and Physical Health Problems. . . . . . . 38 3.7.2 Treatment History . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 3.7.3 Identifying the Appropriate Treatment . . . . . . . . . . . . . . . . . . . . 40
4 Treatment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41 4.1 Methods of Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41 4.1.1 Evidence-Based and Empirically Supported Treatment . . . . . . . 41 4.1.2 Overview of Existing Treatment Components . . . . . . . . . . . . . . 41 4.2 Mechanisms of Action and Efficacy of Individual Approaches . 42 4.2.1 Intervention Approach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42 4.2.2 Intervention Content . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 4.2.3 Intervention Formats . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55 4.2.4 Intervention Style. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58 4.3 Specific Implementation, Variation, and Combination
of Methods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
This document is for personal use only. Reproduction or distribution is not permitted. From R. P. Winograd & K. J. Sher: Binge Drinking and Alcohol Misuse Among College Students and Young Adults (ISBN 9781616764036) © 2015 Hogrefe Publishing.
This document is for personal use only. Reproduction or distribution is not permitted. From R. P. Winograd & K. J. Sher: Binge Drinking and Alcohol Misuse Among College Students and Young Adults (ISBN 9781616764036) © 2015 Hogrefe Publishing.
Advances in Psychotherapy: Binge Drinking and Alcohol Misusevi
4.3.1 Brief Alcohol Screening and Intervention for College Students . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
4.3.2 Other Intervention Avenues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68 4.4 Course of Young-Adult Alcohol Misuse . . . . . . . . . . . . . . . . . . . 70 4.5 Emerging Treatments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71 4.6 Problems Carrying Out Treatment. . . . . . . . . . . . . . . . . . . . . . . . 72 4.6.1 Preintervention Obstacles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72 4.6.2 In-Session Obstacles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73 4.6.3 Postintervention Obstacles. . . . .…
Rachel P. Winograd · Kenneth J. Sher
Advances in Psychotherapy
Evidence-Based Practice
Binge Drinking and Alcohol Misuse Among College Students and Young Adults
This document is for personal use only. Reproduction or distribution is not permitted. From R. P. Winograd & K. J. Sher: Binge Drinking and Alcohol Misuse Among College Students and Young Adults (ISBN 9781616764036) © 2015 Hogrefe Publishing.
This document is for personal use only. Reproduction or distribution is not permitted. From R. P. Winograd & K. J. Sher: Binge Drinking and Alcohol Misuse Among College Students and Young Adults (ISBN 9781616764036) © 2015 Hogrefe Publishing.
About the authors
Rachel P. Winograd, MA, is a graduate student in clinical psychology at the University of Missouri-Columbia, where she studies the acute effects of alcohol intoxication on behavior and emotion. She received a National Research Service Award from the National Institute of Health to conduct her dissertation work investigating “drunk personality” and geospatial characteristics of college students’ recent drinking episodes. She is part of a program development group creating an evidence-based intervention for heavy drinking college students and has experience working with a range of individuals experiencing alcohol and other substance-related problems. She is a member of the Research Society on Alcoholism and the American Psychological Association.
Kenneth J. Sher, PhD, is a Curators’ Distinguished Professor of Psychological Sciences at the University of Missouri-Columbia. He has published extensively on the etiology and course of substance use disorders (particularly alcohol use disorders) in later adolescence and young adulthood, and is the principal investigator on two large longitudinal studies following student drinkers during their college years and beyond. His research is funded by the National Institute of Health, and he has received over 20 awards for his teaching, mentorship, and research activities, including the Research Society on Alcoholism’s Young Investigator Award, Distinguished Researcher Award, and G. Alan Marlatt Mentoring Award, as well as the American Psychological Association’s Division on Addiction’s Distinguished Scientific Contributions Award.
Advances in Psychotherapy – Evidence-Based Practice
Series Editor Danny Wedding, PhD, MPH, School of Medicine, American University of Antigua, St. Georges,
Antigua
Associate Editors Larry Beutler, PhD, Professor, Palo Alto University / Pacific Graduate School of Psychology,
Palo Alto, CA Kenneth E. Freedland, PhD, Professor of Psychiatry and Psychology, Washington University
School of Medicine, St. Louis, MO Linda C. Sobell, PhD, ABPP, Professor, Center for Psychological Studies, Nova Southeastern
University, Ft. Lauderdale, FL David A. Wolfe, PhD, RBC Chair in Children’s Mental Health, Centre for Addiction and Mental
Health, University of Toronto, ON
The basic objective of this series is to provide therapists with practical, evidence-based treatment guidance for the most common disorders seen in clinical practice – and to do so in a reader-friendly manner. Each book in the series is both a compact “how-to” reference on a particular disorder for use by professional clinicians in their daily work and an ideal educational resource for students as well as for practice-oriented continuing education. The most important feature of the books is that they are practical and easy to use: All are structured similarly and all provide a compact and easy-to-follow guide to all aspects that are relevant in real-life practice. Tables, boxed clinical “pearls,” marginal notes, and summary boxes assist orientation, while checklists provide tools for use in daily practice.
This document is for personal use only. Reproduction or distribution is not permitted. From R. P. Winograd & K. J. Sher: Binge Drinking and Alcohol Misuse Among College Students and Young Adults (ISBN 9781616764036) © 2015 Hogrefe Publishing.
Binge Drinking and Alcohol Misuse Among College Students and Young Adults
Rachel P. Winograd Department of Psychological Sciences, University of Missouri-Columbia, Missouri
Kenneth J. Sher Department of Psychological Sciences, University of Missouri-Columbia, Missouri
Autism Spectrum Disorder Lisa Joseph [Author: add current affiliation]
Latha Soorya Autism Assessment Research Treatment and Services (AARTS) Center at Rush University Medical Center (RUMC), Chicago, Illinois
Audrey Thurm Pediatrics and Developmental Neuroscience (PDN), National Institute of Mental Health (NIMH), Bethesda, Maryland [Author: affiliation and location correct?]
This document is for personal use only. Reproduction or distribution is not permitted. From R. P. Winograd & K. J. Sher: Binge Drinking and Alcohol Misuse Among College Students and Young Adults (ISBN 9781616764036) © 2015 Hogrefe Publishing.
This document is for personal use only. Reproduction or distribution is not permitted. From R. P. Winograd & K. J. Sher: Binge Drinking and Alcohol Misuse Among College Students and Young Adults (ISBN 9781616764036) © 2015 Hogrefe Publishing.
Library of Congress Cataloging in Publication information for the print version of this book is available via the Library of Congress Marc Database under the Library of Congress Control Number 2014956330
Library and Archives Canada Cataloguing in Publication Winograd, Rachel P., 1984-, author Binge drinking and alcohol misuse among college students and young adults / Rachel P. Winograd (Department of Psychological Sciences, University of Missouri-Columbia, Missouri), Kenneth J. Sher (Department of Psychological Sciences, University of Missouri-Columbia, Missouri).
(Advances in psychotherapy--evidence-based practice ; v. 32) Includes bibliographical references. Issued in print and electronic formats. ISBN 978-0-88937-403-4 (pbk.).--ISBN 978-1-61676-403-6 (pdf).-- ISBN 978-1-61334-403-3 (html)
1. College students--Alcohol use. 2. Young adults--Alcohol use. 3. Binge drinking. 4. Binge drinking--Epidemiology. 5. Binge drinking--Treatment. I. Sher, Kenneth J., author II. Title. III. Series: Advances in psychotherapy-- evidence-based practice ; v. 32
HV5135.B55 2015 362.292084’2 C2014-907716-5 C2014-907717-3
© 2015 by Hogrefe Publishing http://www.hogrefe.com
PUBLISHING OFFICES USA: Hogrefe Publishing Corporation, 38 Chauncy Street, Suite 1002, Boston, MA 02111
Phone (866) 823-4726, Fax (617) 354-6875; E-mail [email protected] EUROPE: Hogrefe Publishing GmbH, Merkelstr. 3, 37085 Göttingen, Germany
Phone +49 551 99950-0, Fax +49 551 99950-111; E-mail [email protected]
SALES & DISTRIBUTION USA: Hogrefe Publishing, Customer Services Department,
30 Amberwood Parkway, Ashland, OH 44805 Phone (800) 228-3749, Fax (419) 281-6883; E-mail [email protected]
UK: Hogrefe Publishing, c/o Marston Book Services Ltd., 160 Eastern Ave., Milton Park, Abingdon, OX14 4SB, UK Phone +44 1235 465577, Fax +44 1235 465556; E-mail [email protected]
EUROPE: Hogrefe Publishing, Merkelstr. 3, 37085 Göttingen, Germany Phone +49 551 99950-0, Fax +49 551 99950-111; E-mail [email protected]
OTHER OFFICES CANADA: Hogrefe Publishing, 660 Eglinton Ave. East, Suite 119-514, Toronto, Ontario, M4G 2K2 SWITZERLAND: Hogrefe Publishing, Länggass-Strasse 76, CH-3000 Bern 9
Hogrefe Publishing Incorporated and registered in the Commonwealth of Massachusetts, USA, and in Göttingen, Lower Saxony, Germany
No part of this book may be reproduced, stored in a retrieval system or transmitted, in any form or by any means, electronic, mechanical, photocopying, microfilming, recording or otherwise, without written permission from the publisher.
Printed and bound in the USA
ISBN 978-0-88937-403-4 (print) • ISBN 978-1-61676-403-6 (PDF) • ISBN 978-1-61334-403-3 (EPUB) http://doi.org/10.1027/00403-000
This document is for personal use only. Reproduction or distribution is not permitted. From R. P. Winograd & K. J. Sher: Binge Drinking and Alcohol Misuse Among College Students and Young Adults (ISBN 9781616764036) © 2015 Hogrefe Publishing.
Library of Congress Cataloging information for the print version of this book is available via the Library of Congress Marc Database
Library and Archives Canada Cataloguing in Publication Winograd, Rachel P., 1984-, author Binge drinking and alcohol misuse among college students and young adults / Rachel P. Winograd (Department of Psychological Sciences, University of Missouri-Columbia, Missouri), Kenneth J. Sher (Department of Psychological Sciences, University of Missouri-Columbia, Missouri).
(Advances in psychotherapy--evidence-based practice ; v. 32) Includes bibliographical references. Issued in print and electronic formats. ISBN 978-0-88937-403-4 (pbk.).--ISBN 978-1-61676-403-6 (pdf).-- ISBN 978-1-61334-403-3 (html)
1. College students--Alcohol use. 2. Young adults--Alcohol use. 3. Binge drinking. 4. Binge drinking--Epidemiology. 5. Binge drinking--Treatment. I. Sher, Kenneth J., author II. Title. III. Series: Advances in psychotherapy-- evidence-based practice ; v. 32
HV5135.B55 2015 362.292084’2 C2014-907716-5 C2014-907717-3
© 2015 by Hogrefe Publishing http://www.hogrefe.com
PUBLISHING OFFICES USA: Hogrefe Publishing Corporation, 38 Chauncy Street, Suite 1002, Boston, MA 02111
Phone (866) 823-4726, Fax (617) 354-6875; E-mail [email protected] EUROPE: Hogrefe Publishing GmbH, Merkelstr. 3, 37085 Göttingen, Germany
Phone +49 551 99950-0, Fax +49 551 99950-111; E-mail [email protected]
SALES & DISTRIBUTION USA: Hogrefe Publishing, Customer Services Department, 30 Amberwood Parkway, Ashland, OH 44805
Phone (800) 228-3749, Fax (419) 281-6883; E-mail [email protected] UK: Hogrefe Publishing, c/o Marston Book Services Ltd., 160 Eastern Ave., Milton Park, Abingdon, OX14 4SB, UK
Phone +44 1235 465577, Fax +44 1235 465556; E-mail [email protected] EUROPE: Hogrefe Publishing, Merkelstr. 3, 37085 Göttingen, Germany
Phone +49 551 99950-0, Fax +49 551 99950-111; E-mail [email protected]
OTHER OFFICES CANADA: Hogrefe Publishing, 660 Eglinton Ave. East, Suite 119-514, Toronto, Ontario, M4G 2K2 SWITZERLAND: Hogrefe Publishing, Länggass-Strasse 76, CH-3000 Bern 9
Copyright Information The e-book, including all its individual chapters, is protected under international copyright law. The unauthorized use or distribu- tion of copyrighted or proprietary content is illegal and could subject the purchaser to substantial damages. The user agrees to recognize and uphold the copyright.
License Agreement The purchaser is granted a single, nontransferable license for the personal use of the e-book and all related files.
Making copies or printouts and storing a backup copy of the e-book on another device is permitted for private, personal use only.
Other than as stated in this License Agreement, you may not copy, print, modify, remove, delete, augment, add to, publish, transmit, sell, resell, create derivative works from, or in any way exploit any of the e-book’s content, in whole or in part, and you may not aid or permit others to do so. You shall not: (1) rent, assign, timeshare, distribute, or transfer all or part of the e-book or any rights granted by this License Agreement to any other person; (2) duplicate the e-book, except for reasonable backup copies; (3) remove any proprietary or copyright notices, digital watermarks, labels, or other marks from the e-book or its contents; (4) transfer or sublicense title to the e-book to any other party.
These conditions are also applicable to any audio or other files belonging to the e-book. Should the print edition of this book include electronic supplementary material then all this material (e.g., audio, video, pdf files) is also available in the e-book-edition.
Format: PDF
Table of Contents
1 Description of Young-Adult Alcohol Misuse. . . . . . . . . . 1 1.1 Terminology and Definitions. . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1.1.1 Consumption . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1.1.2 Alcohol Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 1.1.3 Alcohol Dependence and Alcohol-Related Disorders. . . . . . . . . 6 1.1.4 Diagnosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 1.2 Epidemiology and Course . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 1.2.1 Greek Organizations and Sexual Assaults on College
Campuses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 1.3 Differential Diagnosis and Comorbidities . . . . . . . . . . . . . . . . . . 14 1.3.1 Comorbidities. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 1.4 Diagnostic Procedures and Documentation. . . . . . . . . . . . . . . . . 20
2 Theories and Models of Alcohol Misuse . . . . . . . . . . . . . 22 2.1 Affect Regulation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 2.2 Behavioral Undercontrol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 2.3 Pharmacological Vulnerability. . . . . . . . . . . . . . . . . . . . . . . . . . . 26
3 Assessment and Treatment Indications. . . . . . . . . . . . . . 28 3.1 General Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 3.1.1 Self-Report Measures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 3.1.2 Assessment Types and Options . . . . . . . . . . . . . . . . . . . . . . . . . . 28 3.1.3 Alcohol-Related Consequences Measures. . . . . . . . . . . . . . . . . . 31 3.2 Diagnosing an Alcohol Use Disorder . . . . . . . . . . . . . . . . . . . . . 33 3.3 Other Assessment Domains . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 3.4 Expectancies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 3.5 Drinking Motives. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 3.6 Readiness to Change . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 3.7 Influential Factors for Treatment. . . . . . . . . . . . . . . . . . . . . . . . . 38 3.7.1 Current and Past Mental and Physical Health Problems. . . . . . . 38 3.7.2 Treatment History . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 3.7.3 Identifying the Appropriate Treatment . . . . . . . . . . . . . . . . . . . . 40
4 Treatment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41 4.1 Methods of Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41 4.1.1 Evidence-Based and Empirically Supported Treatment . . . . . . . 41 4.1.2 Overview of Existing Treatment Components . . . . . . . . . . . . . . 41 4.2 Mechanisms of Action and Efficacy of Individual Approaches . 42 4.2.1 Intervention Approach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42 4.2.2 Intervention Content . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 4.2.3 Intervention Formats . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55 4.2.4 Intervention Style. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58 4.3 Specific Implementation, Variation, and Combination
of Methods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
This document is for personal use only. Reproduction or distribution is not permitted. From R. P. Winograd & K. J. Sher: Binge Drinking and Alcohol Misuse Among College Students and Young Adults (ISBN 9781616764036) © 2015 Hogrefe Publishing.
This document is for personal use only. Reproduction or distribution is not permitted. From R. P. Winograd & K. J. Sher: Binge Drinking and Alcohol Misuse Among College Students and Young Adults (ISBN 9781616764036) © 2015 Hogrefe Publishing.
Advances in Psychotherapy: Binge Drinking and Alcohol Misusevi
4.3.1 Brief Alcohol Screening and Intervention for College Students . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
4.3.2 Other Intervention Avenues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68 4.4 Course of Young-Adult Alcohol Misuse . . . . . . . . . . . . . . . . . . . 70 4.5 Emerging Treatments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71 4.6 Problems Carrying Out Treatment. . . . . . . . . . . . . . . . . . . . . . . . 72 4.6.1 Preintervention Obstacles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72 4.6.2 In-Session Obstacles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73 4.6.3 Postintervention Obstacles. . . . .…
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