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Internalizing and externalizing subtypes of alcohol misuse and their relation to drinking motives.

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Title: Internalizing and externalizing subtypes of alcohol misuse and their relation to drinking motives.
Authors: Savage, Jeanne E.1,2 (AUTHOR) j.e.savage@vu.nl, Dick, Danielle M.3,4,5,6 (AUTHOR), Spit for Science Working Group (CORPORATE AUTHOR)
Source: Addictive Behaviors. Jan2023, Vol. 136, pN.PAG-N.PAG. 1p.
Subject Terms: *Alcoholism, *Delinquent behavior, *Young adults, *Motivation (Psychology), *Anxiety, Binge drinking, Sensation seeking, Alcohol, Alcohol drinking, Ethanol
Abstract: Background: Several typologies have proposed two etiological pathways involved in the development of alcohol misuse which are associated with the internalizing and externalizing domains of psychopathology, respectively. This study's aim was to investigate this typology in a young adult sample, and test whether drinking motives, specifically drinking for negative or positive reinforcement, may provide a plausible mechanism characterizing these pathways.Method: Mixture modeling was conducted on a set of internalizing (anxiety, depression, neuroticism), externalizing (antisocial behavior, conscientiousness, sensation seeking, drug use), and alcohol misuse items (binge drinking, alcohol use disorder symptoms [AUDsx]) measured by self-report in a sample of 9,807 college students. Linear regression and chi-square tests were used to determine how latent class membership was associated with drinking motives, demographics, and personality characteristics.Results: The model identified 3 latent classes: a Low Risk class (70%), an Internalizing class (19%) with elevated levels of internalizing traits/symptoms and AUDsx, and an Externalizing class (10%) with elevated levels of externalizing traits/symptoms and both binge drinking and AUDsx. All drinking motives were substantially elevated in the Internalizing and Externalizing (vs Low Risk) classes (p < 3.0E-10), while positive reinforcement motives were specifically elevated in the Externalizing (vs Internalizing) class (p < 2.0E-55). Personality comparisons further emphasized the relevance of class distinctions.Conclusions: These findings provide additional support for both a specific internalizing and a broadband externalizing association with subtypes of alcohol misuse. Drinking motives may be useful intermediate indicators of these different risk processes. [ABSTRACT FROM AUTHOR]
Copyright of Addictive Behaviors is the property of Pergamon Press - An Imprint of Elsevier Science and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Internalizing and externalizing subtypes of alcohol misuse and their relation to drinking motives.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Savage%2C+Jeanne+E%2E%22&quot;&gt;Savage, Jeanne E.&lt;/searchLink&gt;&lt;relatesTo&gt;1,2&lt;/relatesTo&gt; (AUTHOR)&lt;i&gt; j.e.savage@vu.nl&lt;/i&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Dick%2C+Danielle+M%2E%22&quot;&gt;Dick, Danielle M.&lt;/searchLink&gt;&lt;relatesTo&gt;3,4,5,6&lt;/relatesTo&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Spit+for+Science+Working+Group%22&quot;&gt;Spit for Science Working Group&lt;/searchLink&gt; (CORPORATE AUTHOR)
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Addictive+Behaviors%22&quot;&gt;Addictive Behaviors&lt;/searchLink&gt;. Jan2023, Vol. 136, pN.PAG-N.PAG. 1p.
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  Data: *&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Alcoholism%22&quot;&gt;Alcoholism&lt;/searchLink&gt;&lt;br /&gt;*&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Delinquent+behavior%22&quot;&gt;Delinquent behavior&lt;/searchLink&gt;&lt;br /&gt;*&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Young+adults%22&quot;&gt;Young adults&lt;/searchLink&gt;&lt;br /&gt;*&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Motivation+%28Psychology%29%22&quot;&gt;Motivation (Psychology)&lt;/searchLink&gt;&lt;br /&gt;*&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Anxiety%22&quot;&gt;Anxiety&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Binge+drinking%22&quot;&gt;Binge drinking&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Sensation+seeking%22&quot;&gt;Sensation seeking&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Alcohol%22&quot;&gt;Alcohol&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Alcohol+drinking%22&quot;&gt;Alcohol drinking&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Ethanol%22&quot;&gt;Ethanol&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: &lt;bold&gt;Background: &lt;/bold&gt;Several typologies have proposed two etiological pathways involved in the development of alcohol misuse which are associated with the internalizing and externalizing domains of psychopathology, respectively. This study&#39;s aim was to investigate this typology in a young adult sample, and test whether drinking motives, specifically drinking for negative or positive reinforcement, may provide a plausible mechanism characterizing these pathways.&lt;bold&gt;Method: &lt;/bold&gt;Mixture modeling was conducted on a set of internalizing (anxiety, depression, neuroticism), externalizing (antisocial behavior, conscientiousness, sensation seeking, drug use), and alcohol misuse items (binge drinking, alcohol use disorder symptoms [AUDsx]) measured by self-report in a sample of 9,807 college students. Linear regression and chi-square tests were used to determine how latent class membership was associated with drinking motives, demographics, and personality characteristics.&lt;bold&gt;Results: &lt;/bold&gt;The model identified 3 latent classes: a Low Risk class (70%), an Internalizing class (19%) with elevated levels of internalizing traits/symptoms and AUDsx, and an Externalizing class (10%) with elevated levels of externalizing traits/symptoms and both binge drinking and AUDsx. All drinking motives were substantially elevated in the Internalizing and Externalizing (vs Low Risk) classes (p&#160;&lt;&#160;3.0E-10), while positive reinforcement motives were specifically elevated in the Externalizing (vs Internalizing) class (p&#160;&lt;&#160;2.0E-55). Personality comparisons further emphasized the relevance of class distinctions.&lt;bold&gt;Conclusions: &lt;/bold&gt;These findings provide additional support for both a specific internalizing and a broadband externalizing association with subtypes of alcohol misuse. Drinking motives may be useful intermediate indicators of these different risk processes. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: &lt;i&gt;Copyright of Addictive Behaviors is the property of Pergamon Press - An Imprint of Elsevier Science and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1016/j.addbeh.2022.107461
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      – Code: eng
        Text: English
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        PageCount: 1
        StartPage: N.PAG
    Subjects:
      – SubjectFull: Alcoholism
        Type: general
      – SubjectFull: Delinquent behavior
        Type: general
      – SubjectFull: Young adults
        Type: general
      – SubjectFull: Motivation (Psychology)
        Type: general
      – SubjectFull: Anxiety
        Type: general
      – SubjectFull: Binge drinking
        Type: general
      – SubjectFull: Sensation seeking
        Type: general
      – SubjectFull: Alcohol
        Type: general
      – SubjectFull: Alcohol drinking
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      – SubjectFull: Ethanol
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      – TitleFull: Internalizing and externalizing subtypes of alcohol misuse and their relation to drinking motives.
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            NameFull: Savage, Jeanne E.
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            NameFull: Dick, Danielle M.
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            – D: 01
              M: 01
              Text: Jan2023
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              Y: 2023
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