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Drinking Motives Mediate the Relation between Attention-Deficit/Hyperactivity Disorder Symptoms and Alcohol-Related Problems among College Students


Abstract Evidence demonstrates an association between symptoms of attention-deficit/hyperactivity disorder (ADHD) and alcohol outcomes, though mechanisms underlying relations are unclear. Given that drinking motives (coping-anxiety, coping-depression, enhancement, social, and conformity) appear to serve as a mediator through which other factors influence drinking behavior, the current multi-site study examined the relation between ADHD symptoms and alcohol outcomes through motives. Past-month drinkers completed online measures assessing ADHD symptoms, alcohol use and problems, and drinking motives. A multiple-mediator model found inattention symptoms were: 1) positively associated with coping-depression, which positively related to alcohol use, which positively related to alcohol problems; 2) positively associated with enhancement motives, which positively related to use, which positively related to problems; and 3) positively associated with coping-anxiety, which negatively related to use, which positively related to problems. No indirect relations via motives were found for hyperactive-impulsive symptoms. Findings highlight unique associations depending on ADHD symptoms and specific drinking motives.
Authors Caitlin A. Falco University of WyomingORCID , Lauren Zimmerman University of Wyoming , John M. Vasko University of WyomingORCID , Michael C. Meinzer ORCID , Cynthia M. Hartung University of WyomingORCID , Kate Flory ORCID , Alison Looby University of WyomingORCID
Journal Info SAGE Publishing | Emerging Adulthood , vol: 11 , iss: 3 , pages: 535 - 545
Publication Date 1/24/2023
ISSN 2167-6968
TypeKeyword Image article
Open Access closed Closed Access
DOI https://doi.org/10.1177/21676968231152273
KeywordsKeyword Image Attention-Deficit/Hyperactivity Disorder (Score: 0.597204) , ADHD (Score: 0.590223) , Alcohol Dependence (Score: 0.570319) , College Drinking (Score: 0.545637) , Behavioral Problems (Score: 0.514013)