Automatic processes in at-risk adolescents: the role of alcohol-approach tendencies and response inhibition in drinking behavior
Article first published online: 28 AUG 2012
© 2012 The Authors. Addiction © 2012 Society for the Study of Addiction
Volume 107, Issue 11, pages 1939–1946, November 2012
How to Cite
Peeters, M., Wiers, R. W., Monshouwer, K., van de Schoot, R., Janssen, T. and Vollebergh, W. A. M. (2012), Automatic processes in at-risk adolescents: the role of alcohol-approach tendencies and response inhibition in drinking behavior. Addiction, 107: 1939–1946. doi: 10.1111/j.1360-0443.2012.03948.x
- Issue published online: 5 OCT 2012
- Article first published online: 28 AUG 2012
- Accepted manuscript online: 25 MAY 2012 08:24AM EST
- Manuscript Accepted: 15 MAY 2012
- Manuscript Revised: 30 NOV 2011
- Manuscript Received: 14 OCT 2011
- Dutch Health Care Research Organization. Grant Number: 60-600-97-172
- alcohol-approach tendencies;
- response inhibition
This study examined the association between automatic processes and drinking behavior in relation to individual differences in response inhibition in young adolescents who had just started drinking. It was hypothesized that strong automatic behavioral tendencies toward alcohol-related stimuli (alcohol-approach bias) were associated with higher levels of alcohol use, especially amongst adolescents with relatively weak inhibition skills.
To test this hypothesis structural equation analyses (standard error of mean) were performed using a zero inflated Poisson (ZIP) model. A well-known problem in studying risk behavior is the low incidence rate resulting in a zero dominated distribution. A ZIP-model accounts for non-normality of the data.
Adolescents were selected from secondary Special Education schools (a risk group for the development of substance use problems).
Participants were 374 adolescents (mean age of M = 13.6 years).
Adolescents completed the alcohol Approach Avoidance Task (a-AAT), the Stroop Colour Naming Task (Stroop) and a questionnaire that assessed alcohol use.
The ZIP-model established stronger alcohol-approach tendencies for adolescent drinkers (P < 0.01) and the interaction revealed a stronger effect of alcohol-approach tendencies on alcohol use in the absence of good inhibition skills (P < 0.05).
Automatically-activated cognitive processes are associated with the drinking behavior of young, at-risk adolescents. It appears that alcohol-approach tendencies are formed shortly after the initiation of drinking and particularly affect the drinking behavior of adolescents with relatively weak inhibition skills. Implications for the prevention of problem drinking in adolescents are discussed.