Affective Risk for Problem Drinking: Reciprocal Influences Among Negative Urgency, Affective Lability, and Rumination

Author(s): Emily A. Atkinson*, Anna M.L. Ortiz, Gregory T. Smith*

Journal Name: Current Drug Research Reviews
(Formerly Current Drug Abuse Reviews)

Volume 12 , Issue 1 , 2020

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Graphical Abstract:


Background: Affective disturbances have long been implicated in the onset and maintenance of problematic alcohol use. Affective risk theory for problem drinking has moved beyond early documentation that negative affect broadly confers risk to models specifying specific affectbased risk processes.

Objective: This paper provides a theory-driven review of recent literature on the role of affect-based factors in the etiology of problematic alcohol use. First, we review recent advances in the understanding of affect-based risk for problem drinking. Second, we highlight the importance of three specific affect-based risk factors: urgency, affective lability, and rumination. Third, we offer hypotheses regarding the reciprocal relationships between specific risk factors and drinking problems. Finally, we suggest possible avenues for future research.

Conclusion: Recent advances in the understanding of reciprocal prediction between affect-based risk factors and problem drinking have set the stage for important new avenues of investigation into the risk process. Affect-based risk processes appear to influence each otherover time, and they influence and are influenced by problem drinking. Further understanding of these processes will pave the way for a new generation of intervention strategies.

Keywords: Affect, emotion, problem drinking, personality, risk, alcoholism.

Barnes GE. Clinical and prealcoholic personality characteristics The biology of alcoholism. New York: Plenum 1983; Vol. 6: pp. 113-95.
Finn PR, Pihl RO. Men at high risk for alcoholism: The effect of alcohol on cardiovascular response to unavoidable shock. J Abnorm Psychol 1987; 96(3): 230-6.
[] [PMID: 3680762]
Sher KJ, Trull TJ. Personality and disinhibitory psychopathology: Alcoholism and antisocial personality disorder. J Abnorm Psychol 1994; 103(1): 92-102.
[] [PMID: 8040486]
Riley EN, Smith GT. Childhood drinking and depressive symptom level predict harmful personality change. Clin Psychol Sci 2017; 5(1): 85-97.
[] [PMID: 28392979]
Smith GT, Cyders MA. Integrating affect and impulsivity: The role of positive and negative urgency in substance use risk. Drug Alcohol Depend 2016; 163(Suppl. 1): S3-S12.
[] [PMID: 27306729]
Simons JS. Differential prediction of alcohol use and problems: The role of biopsychological and social-environmental variables. Am J J Subst Abuse Treat 2003; 29(4): 861-79.
[] [PMID: 14713144]
Simons JS, Carey KB, Gaher RM. Lability and impulsivity synergistically increase risk for alcohol-related problems. Am J Drug Alcohol Abuse 2004; 30(3): 685-94.
[] [PMID: 15540500]
Caselli G, Ferretti C, Leoni M, Rebecchi D, Rovetto F, Spada MM. Rumination as a predictor of drinking behaviour in alcohol abusers: A prospective study. Addiction 2010; 105(6): 1041-8.
[] [PMID: 20331550]
Nolen-Hoeksema S, Harrell ZA. Rumination, depression, and alcohol use: Tests of gender differences. Alcohol 2002; 16(4): 391-403.
Selby EA, Anestis MD, Joiner TE. Understanding the relationship between emotional and behavioral dysregulation: Emotional cascades. Behav Res Ther 2008; 46(5): 593-611.
[] [PMID: 18353278]
Smith GT, Guller L, Zapolski TC. A comparison of two models of urgency: Urgency predicts both rash action and depression in youth. Clin Psychol Sci 2013; 1(3): 266-75.
[] [PMID: 25419495]
Heilig M, Egli M, Crabbe JC, Becker HC. Acute withdrawal, protracted abstinence and negative affect in alcoholism: Are they linked? Addict Biol 2010; 15(2): 169-84.
[] [PMID: 20148778]
Kuo PH, Gardner CO, Kendler KS, Prescott CA. The temporal relationship of the onsets of alcohol dependence and major depression: Using a genetically informative study design. Psychol Med 2006; 36(8): 1153-62.
[] [PMID: 16734951]
Prescott CA, Aggen SH, Kendler KS. Sex-specific genetic influences on the comorbidity of alcoholism and major depression in a population-based sample of US twins. Arch Gen Psychiatry 2000; 57(8): 803-11.
[] [PMID: 10920470]
Simons JS, Wills TA, Neal DJ. The many faces of affect: A multilevel model of drinking frequency/quantity and alcohol dependence symptoms among young adults. J Abnorm Psychol 2014; 123(3): 676-94.
[] [PMID: 24933278]
Hussong AM, Gould LF, Hersh MA. Conduct problems moderate self-medication and mood-related drinking consequences in adolescents. J Stud Alcohol Drugs 2008; 69(2): 296-307.
[] [PMID: 18299772]
Boden JM, Fergusson DM. Alcohol and depression. Addiction 2011; 106(5): 906-14.
[] [PMID: 21382111]
Wang J, Patten SB. Prospective study of frequent heavy alcohol use and the risk of major depression in the Canadian general population. Depress Anxiety 2002; 15(1): 42-5.
[] [PMID: 11816052]
Brook DW, Brook JS, Zhang C, Cohen P, Whiteman M. Drug use and the risk of major depressive disorder, alcohol dependence, and substance use disorders. Arch Gen Psychiatry 2002; 59(11): 1039-44.
[] [PMID: 12418937]
Baker TB, Piper ME, McCarthy DE, Majeskie MR, Fiore MC. Addiction motivation reformulated: An affective processing model of negative reinforcement. Psychol Rev 2004; 111(1): 33-51.
[] [PMID: 14756584]
Watson D, Clark LA, Tellegen A. Development and validation of brief measures of positive and negative affect: The PANAS scales. J Pers Soc Psychol 1988; 54(6): 1063-70.
[] [PMID: 3397865]
Costa PT, McCrae RR. The five-factor model of personality and its relevance to personality disorders. J Pers Disord 1992; 6(4): 343-59.
Clark LA. Temperament as a unifying basis for personality and psychopathology. J Abnorm Psychol 2005; 114(4): 505-21.
[] [PMID: 16351374]
Shiner RL. Linking childhood personality with adaptation: Evidence for continuity and change across time into late adolescence. J Pers Soc Psychol 2000; 78(2): 310-25.
[] [PMID: 10707337]
Isen AM, Daubman KA. The influence of affect on categorization. J Pers Soc Psychol 1984; 47(6): 1206-17.
Isen AM, Niedenthal PM, Cantor N. An influence of positive affect on social categorization. Motiv Emot 1992; 16(1): 65-78.
Greene TR, Noice H. Influence of positive affect upon creative thinking and problem solving in children. Psychol Rep 1988; 63(3): 895-8.
Isen AM, Daubman KA, Nowicki GP. Positive affect facilitates creative problem solving. J Pers Soc Psychol 1987; 52(6): 1122-31.
[] [PMID: 3598858]
Dreisbach G, Goschke T. How positive affect modulates cognitive control: Reduced perseveration at the cost of increased distractibility. J Exp Psychol Learn Mem Cogn 2004; 30(2): 343-53.
[] [PMID: 14979809]
Cyders MA, Smith GT. Emotion-based dispositions to rash action: positive and negative urgency. Psychol Bull 2008; 134(6): 807-28.
[] [PMID: 18954158]
Cyders MA, Zapolski TC, Combs JL, Settles RF, Fillmore MT, Smith GT. Experimental effect of positive urgency on negative outcomes from risk taking and on increased alcohol consumption. Psychol Addict Behav 2010; 24(3): 367-75.
[] [PMID: 20853921]
Holub A, Hodgins DC, Peden NE. Development of the temptations for gambling questionnaire: A measure of temptation in recently quit gamblers. Addict Res Theory 2005; 13: 179-91.
Kahn BE, Isen AM. The influence of positive affect on variety seeking among safe, enjoyable products. J Consum Res 1993; 20(2): 257-70.
Yuen KS, Lee TM. Could mood state affect risk-taking decisions? J Affect Disord 2003; 75(1): 11-8.
[] [PMID: 12781345]
Zapolski TBC, Cyders MA, Rainer S, Smith GT. Examination of the relationship between positive urgency, drug use, and risky sex. The Annual Meeting of the American Psychological Association.. San Francisco, CA 2007.
Davidson RJ. Affective neuroscience and psychophysiology: Toward a synthesis. Psychophysiology 2003; 40(5): 655-65.
[] [PMID: 14696720]
McCrae RR, Zonderman AB, Costa PT, Bond MH, Paunonen SV. Evaluating replicability of factors in the revised NEO personality inventory: Confirmatory factor analysis versus procrustes rotation. J Pers Soc Psychol 1996; 70(3): 552-66.
Paunonen SV. Hierarchical organization of personality and prediction of behavior. J Pers Soc Psychol 1998; 74: 538-56.
Paunonen SV, Ashton MC. Big five factors and facets and the prediction of behavior. J Pers Soc Psychol 2001; 81(3): 524-39.
[] [PMID: 11554651]
Edwards JR. Multidimensional constructs in organizational behavior research: An integrative analytical framework. Organ Res Methods 2001; 4(2): 144-92.
McGrath RE. Conceptual complexity and construct validity. J Pers Assess 2005; 85(2): 112-24.
[] [PMID: 16171410]
Smith GT, Fischer S, Fister SM. Incremental validity principles in test construction. Psychol Assess 2003; 15(4): 467-77.
[] [PMID: 14692843]
Strauss ME, Smith GT. Construct validity: Advances in theory and methodology. Annu Rev Clin Psychol 2009; 5: 1-25.
[] [PMID: 19086835]
Cyders MA, Smith GT. Mood-based rash action and its components: Positive and negative urgency and their relations with other impulsivity-like constructs. Pers Individ Dif 2007; 43: 839-50.
Settles RF, Cyders M, Smith GT. Longitudinal validation of the acquired preparedness model of drinking risk. Psychol Addict Behav 2010; 24(2): 198-208.
[] [PMID: 20565146]
Fischer S, Peterson CM, McCarthy D. A prospective test of the influence of negative urgency and expectancies on binge eating and purging. Psychol Addict Behav 2013; 27(1): 294-300.
[] [PMID: 22823545]
Riley EN, Rukavina M, Smith GT. The reciprocal predictive relationship between high-risk personality and drinking: An 8-wave longitudinal study in early adolescents. J Abnorm Psychol 2016; 125(6): 798-804.
[] [PMID: 27505408]
Pearson CM, Wonderlich SA, Smith GT. A risk and maintenance model for bulimia nervosa: From impulsive action to compulsive behavior. Psychol Rev 2015; 122(3): 516-35.
[] [PMID: 25961467]
Cyders MA, Flory K, Rainer S, Smith GT. The role of personality dispositions to risky behavior in predicting first-year college drinking. Addiction 2009; 104(2): 193-202.
[] [PMID: 19149813]
Berg JM, Latzman RD, Bliwise NG, Lilienfeld SO. Parsing the heterogeneity of impulsivity: A meta-analytic review of the behavioral implications of the UPPS for psychopathology. Psychol Assess 2015; 27(4): 1129-46.
[] [PMID: 25822833]
Coskunpinar A, Dir AL, Cyders MA. Multidimensionality in impulsivity and alcohol use: A meta-analysis using the UPPS model of impulsivity. Alcohol Clin Exp Res 2013; 37(9): 1441-50.
[] [PMID: 23578176]
Fischer S, Smith GT, Cyders MA. Another look at impulsivity: A meta-analytic review comparing specific dispositions to rash action in their relationship to bulimic symptoms. Clin Psychol Rev 2008; 28(8): 1413-25.
[] [PMID: 18848741]
Stautz K, Cooper A. Impulsivity-related personality traits and adolescent alcohol use: A meta-analytic review. Clin Psychol Rev 2013; 33(4): 574-92.
[] [PMID: 23563081]
Peterson SJ, Smith GT. Impulsigenic personality: Is urgency an example of the jangle fallacy? Psychol Assess 2019; 31(9): 1135-44.
[] [PMID: 31219278]
Settles RE, Fischer S, Cyders MA, Combs JL, Gunn RL, Smith GT. Negative urgency: A personality predictor of externalizing behavior characterized by neuroticism, low conscientiousness, and disagreeableness. J Abnorm Psychol 2012; 121(1): 160-72.
[] [PMID: 21859164]
Burris JL, Riley E, Puleo GE, Smith GT. A longitudinal study of the reciprocal relationship between ever smoking and urgency in early adolescence. Drug Alcohol Depend 2017; 178: 519-26.
[] [PMID: 28719886]
Kaiser A, Bonsu JA, Charnigo RJ, Milich R, Lynam DR. Impulsive personality and alcohol use. J Stud Alcohol Drugs 2016; 77(3): 473-82.
[] [PMID: 27172580]
Weiss NH, Tull MT, Davis LT, Searcy J, Williams I, Gratz KL. A preliminary experimental investigation of emotion dysregulation and impulsivity in risky behaviours. Behav Change 2015; 32(2): 127-42.
[] [PMID: 28943714]
Zapolski TCB, Smith GT. Pilot Study. J Sch Nurs 2017; 33(3): 198-204.
[] [PMID: 27742897]
Harvey PD, Greenberg BR, Serper MR. The affective lability scales: Development, reliability, and validity. J Clin Psychol 1989; 45(5): 786-93.
[<786:AID-JCLP2270450515>3.0.CO;2-P] [PMID: 2808736]
Veilleux JC, Skinner KD, Reese ED, Shaver JA. Negative affect intensity influences drinking to cope through facets of emotion dysregulation. Pers Individ Dif 2014; 59: 96-101.
Simons JS, Carey KB. An affective and cognitive model of marijuana and alcohol problems. Addict Behav 2006; 31(9): 1578-92.
[] [PMID: 16426771]
Wills TA, Sandy JM, Yaeger AM, Cleary SD, Shinar O. Coping dimensions, life stress, and adolescent substance use: A latent growth analysis. J Abnorm Psychol 2001; 110(2): 309-23.
[] [PMID: 11358025]
Cole HA, Peterson SJ, Smith GT. Elementary and middle school predictors of high school drinking problems and maladaptive coping. Addict Behav 2018; 87: 177-82.
[] [PMID: 30048797]
Peterson SJ, Riley EN, Smith GT. Reciprocal relationship between problem drinking and affective lability. The 41st Annual Meeting of the Research Society on Alcoholism.. San Diego, CA 2018.
Nolen-Hoeksema S, Wisco BE, Lyubomirsky S. Rethinking Rumination. Perspect Psychol Sci 2008; 3(5): 400-24.
[] [PMID: 26158958]
Hilt LM, Armstrong JM, Essex MJ. Rumination and moderators of multifinality: Predicting internalizing symptoms and alcohol use during adolescence. J Clin Child Adolesc Psychol 2017; 46(5): 746-53.
[] [PMID: 26514293]
Watkins ER. Constructive and unconstructive repetitive thought. Psychol Bull 2008; 134(2): 163-206.
[] [PMID: 18298268]
Nolen-Hoeksema S, Morrow J. A prospective study of depression and posttraumatic stress symptoms after a natural disaster: the 1989 Loma Prieta Earthquake. J Pers Soc Psychol 1991; 61(1): 115-21.
[] [PMID: 1890582]
Treynor W, Gonzalez R, Nolen-Hoeksema S. Rumination reconsidered: A psychometric analysis. Cognit Ther Res 2003; 27(3): 247-59.
Willem L, Bijttebier P, Claes L, Raes F. Rumination subtypes in relation to problematic substance use in adolescence. Pers Individ Dif 2011; 50(5): 695-9.
Rusting CL, Nolen-Hoeksema S. Regulating responses to anger: Effects of rumination and distraction on angry mood. J Pers Soc Psychol 1998; 74(3): 790-803.
[] [PMID: 9523420]
Anestis MD, Anestis JC, Selby EA, Joiner TE. Anger rumination across forms of aggression. Pers Individ Dif 2009; 46(2): 192-6.
Ciesla JA, Dickson KS, Anderson NL, Neal DJ. Negative repetitive thought and college drinking: Angry rumination, depressive rumination, co-rumination, and worry. Cognit Ther Res 2011; 35(2): 142-50.
Atkinson EA, Peterson SJ, Smith GT. Reciprocal influences among affect based risk factors and problem drinking in college. The 42nd Annual Meeting of the Research Society on Alcoholism.. Minneapolis, MN. 2019.
Hasegawa A, Kunisato Y, Morimoto H, Nishimura H, Matsuda Y. Depressive rumination and urgency have mutually enhancing relationships but both predict unique variance in future depression: A longitudinal study. Cogent Psychol 2018; 5(1)
Maldonado-Molina MM, Reingle JM, Jennings WG. Does alcohol use predict violent behaviors? The relationship between alcohol use and violence in a nationally representative longitudinal sample. Youth Violence Juv Justice 2011; 9(2): 99-111.
[] [PMID: 26413035]
Birkley EL, Zapolski TCB, Smith GT. Racial differences in the transactional relationship between depression and alcohol use from elementary school to middle school. J Stud Alcohol Drugs 2015; 76(5): 799-808.
[] [PMID: 26402361]
Guller L, Smith GT. Individual differences and the prediction of drinking during the transition from middle school to high school. The Annual Meeting of the Research Society on Alcoholism.. San Antonio, Texas 2015.
Settles RE, Smith GT. Toward a developmentally centered approach to adolescent alcohol and substance use treatment. Curr Drug Abuse Rev 2015; 8(2): 134-51.
[] [PMID: 26373847]
De Bellis MD, Clark DB, Beers SR, et al. Hippocampal volume in adolescent-onset alcohol use disorders. Am J Psychiatry 2000; 157(5): 737-44.
[] [PMID: 10784466]
Kushner MG, Abrams K, Borchardt C. The relationship between anxiety disorders and alcohol use disorders: A review of major perspectives and findings. Clin Psychol Rev 2000; 20(2): 149-71.
[] [PMID: 10721495]
Stewart SH, Karp J, Pihl RO, Peterson RA. Anxiety sensitivity and self-reported reasons for drug use. J Subst Abuse 1997; 9: 223-40.
[] [PMID: 9494951]
Stewart SH, Zeitlin SB. Anxiety sensitivity and alcohol use motives. J Anxiety Disord 1995; 9(3): 229-40.
Hussong AM, Hicks RE, Levy SA, Curran PJ. Specifying the relations between affect and heavy alcohol use among young adults. J Abnorm Psychol 2001; 110(3): 449-61.
[] [PMID: 11502088]
Arseneault L, Moffit TE, Caspi A, Taylor A. The targets of violence committed by young offenders with alcohol dependence, marijuana dependence and schizophrenia-spectrum disorders: Findings from a birth cohort. Crim Behav Ment Health 2002; 12(2): 155-68.
[] [PMID: 12459816]
Cunradi CB, Caetano R, Clark CL, Schafer J. Alcohol-related problems and intimate partner violence among white, black, and Hispanic couples in the U.S. Alcohol Clin Exp Res 1999; 23(9): 1492-501.
[] [PMID: 10512315]
Scott KD, Schafer J, Greenfield TK. The role of alcohol in physical assault perpetration and victimization. J Stud Alcohol 1999; 60(4): 528-36.
[] [PMID: 10463810]
Brown SA, Tapert SF, Granholm E, Delis DC. Neurocognitive functioning of adolescents: Effects of protracted alcohol use. Alcohol Clin Exp Res 2000; 24(2): 164-71.
[] [PMID: 10698367]
Tapert SF, Brown SA. Neuropsychological correlates of adolescent substance abuse: Four-year outcomes. J Int Neuropsychol Soc 1999; 5(6): 481-93.
[] [PMID: 10561928]
Tapert SF, Granholm E, Leedy NG, Brown SA. Substance use and withdrawal: Neuropsychological functioning over 8 years in youth. J Int Neuropsychol Soc 2002; 8(7): 873-83.
[] [PMID: 12405538]
Riley EN, Davis HA, Milich R, Smith GT. Heavy, problematic college drinking predicts increases in impulsivity. J Stud Alcohol Drugs 2018; 79(5): 790-8.
[] [PMID: 30422793]
Smith GT, Fischer S, Cyders MA, Annus AM, Spillane NS, McCarthy DM. On the validity and utility of discriminating among impulsivity-like traits. Assessment 2007; 14(2): 155-70.
[] [PMID: 17504888]
Guller L, Zapolski TC, Smith GT. Personality measured in elementary school predicts middle school addictive behavior involvement. J Psychopathol Behav 2015; 37(3): 523-32.
Kariv D, Heiman T. Task-oriented versus emotion-oriented coping strategies: The case of college students. Coll Stud J 2005; 39(1): 72-85.
Simons JS, Oliver MN, Gaher RM, Ebel G, Brummels P. Methamphetamine and alcohol abuse and dependence symptoms: Associations with affect lability and impulsivity in a rural treatment population. Addict Behav 2005; 30(7): 1370-81.
[] [PMID: 16022933]
Peterson SJ, Davis HA, Smith GT. Personality and learning predictors of adolescent alcohol consumption trajectories. J Abnorm Psychol 2018; 127(5): 482-95.
[] [PMID: 29847977]
Riley EN, Peterson SJ, Smith GT. Towards a developmentally integrative model of personality change: A focus on three potential mechanisms. Adv Psychol Res 2017; 124: 63-84.
[PMID: 29109672]
Chung T, Smith GT, Donovan JE, et al. Drinking frequency as a brief screen for adolescent alcohol problems. Pediatrics 2012; 129(2): 205-12.
[] [PMID: 22218839]
Smith GT, Atkinson EA, Riley EN, Davis HA, Oltmanns JR. The general factor of psychopathology. Annu Rev Clin Psychol 2020.
Carver CS, Johnson SL, Timpano KR. Toward a functional view of the p factor in psychopathology. Clin Psychol Sci 2017; 5(5): 880-9.
[] [PMID: 29057170]
Sauer-Zavala S, Wilner JG, Barlow DH. Addressing neuroticism in psychological treatment. Pers Disord 2017; 8(3): 191-8.
[] [PMID: 29120218]
Weiss NH, Sullivan TP, Tull MT. Explicating the role of emotion dysregulation in risky behaviors: A review and synthesis of the literature with directions for future research and clinical practice. Curr Opin Psychol 2015; 3: 22-9.
[] [PMID: 25705711]

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Year: 2020
Page: [42 - 51]
Pages: 10
DOI: 10.2174/2589977511666191021105154

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