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Alcohol related problems as a mediator of the association between alcohol use and subsequent psychosocial functioning
Descriptive
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Title
Alcohol related problems as a mediator of the association between alcohol use and subsequent psychosocial functioning
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Noh
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Suyeon
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Suyeon Noh
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author
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Clifford
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Patrick R
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Patrick R Clifford
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Advisory Committee
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chair
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Davis
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Christine M
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Christine M Davis
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Advisory Committee
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internal member
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Steinberg
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Marc L
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Marc L Steinberg
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Advisory Committee
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internal member
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Hagman
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Brett T
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Brett T Hagman
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Advisory Committee
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outside member
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Rutgers University
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School of Graduate Studies
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theses
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2021
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2021-01
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English
Abstract
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Alcohol use disorder (AUD) is characterized by both physical (e.g., withdrawal symptoms) and psychosocial (e.g., alcohol use interfering with major obligations at school, work, or home) characteristics. Furthermore, it has been shown that alcohol use and alcohol related problems tend to be reciprocal, at least amongst individuals suffering AUD. More in-depth understanding of the associations among alcohol use, alcohol problems, and subsequent psychosocial functioning has important clinical as well as theoretical implications regarding post AUD intervention/treatment clinical course and intervention/treatment delivery. Given this background, secondary data analyses were conducted, using data from the outpatient arm of Project MATCH (N=952), to examine post AUD treatment initiation associations among alcohol use, alcohol related problems, and subsequent psychosocial functioning; mediation and moderated-mediation analyses were conducted to explore these relationships. In addition, analyses were conducted to examine the associations between post AUD treatment initiation drinking behavior stability and psychosocial functioning.
Study results showed that greater alcohol use post AUD treatment initiation was associated with a greater occurrence of alcohol problems, and that a greater occurrence of alcohol problems, in turn, was associated with poorer psychosocial functioning (i.e., alcohol related problems mediated the association between alcohol use and subsequent psychosocial functioning). In addition, drinker stability analyses revealed substantial stability throughout the follow-up period, while simultaneously reflecting considerable instability. With respect to drinker stability, individuals classified within abstainer or moderate drinker groups reported better psychosocial functioning than individuals classified within the heavy drinker group. Study results indicate that alcohol related problems are important determinants of psychosocial functioning and that the avoidance of frequent heavy drinking is associated with better psychosocial functioning.
Study results showed that greater alcohol use post AUD treatment initiation was associated with a greater occurrence of alcohol problems, and that a greater occurrence of alcohol problems, in turn, was associated with poorer psychosocial functioning (i.e., alcohol related problems mediated the association between alcohol use and subsequent psychosocial functioning). In addition, drinker stability analyses revealed substantial stability throughout the follow-up period, while simultaneously reflecting considerable instability. With respect to drinker stability, individuals classified within abstainer or moderate drinker groups reported better psychosocial functioning than individuals classified within the heavy drinker group. Study results indicate that alcohol related problems are important determinants of psychosocial functioning and that the avoidance of frequent heavy drinking is associated with better psychosocial functioning.
Subject
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Topic
Psychosocial functioning
Subject
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Topic
Alcoholism -- Psychological aspects
Subject
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Topic
Public Health
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Rutgers University Electronic Theses and Dissertations
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ETD_11407
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1 online resource (ix, 107 pages)
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Ph.D.
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Includes bibliographical references
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ETD doctoral
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School of Graduate Studies Electronic Theses and Dissertations
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rucore10001600001
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doi:10.7282/t3-3fje-j993
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The author owns the copyright to this work.
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Noh
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Suyeon
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Permission or license
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2021-01-01 01:09:01
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Suyeon Noh
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Rutgers University. School of Graduate Studies
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Author Agreement License
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I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
Copyright
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Copyright protected
Availability
Status
Open
Reason
Permission or license
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2021-01-07T01:10:26
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2021-01-07T01:10:26
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