Abstract
Many college students reduce hazardous drinking (HD) following graduation without treatment. Identifying cognitive mechanisms facilitating this “natural” reduction in HD during this transition is crucial. We evaluated drinking identity as a potential mechanism and tested whether within-person changes in one’s social network’s drinking were linked to within-person changes in drinking identity and subsequent within-person changes in HD. A sample of 422 undergraduates reporting HD was followed from six months before until two years after graduation. Their drinking, drinking identity, and social networks were assessed online. Within-person changes in drinking identity did not mediate the relationship between within-person changes in social network drinking and personal HD, though significant positive between-person associations among all constructs were found. Instead, there was some evidence that within-person changes in drinking identity followed changes in HD, suggesting that drinking identity may function as a marker versus mechanism of “natural” HD reduction during transition out of college.
Keywords: drinking identity, implicit drinking identity, college student drinking, social networks, self-concept, maturing out
College student hazardous drinking (HD; heavy alcohol consumption and experiencing alcohol-related problems) is risky and costly to students and to those around them (Grant et al., 2017; Hingson, Zha, and White, 2017; Merrill & Carey, 2016; Schulenberg et al., 2020), representing a significant public health burden. The developmental period tied to college for the majority of students (i.e., young adulthood; ages 18–25) coincides with the period in which alcohol use is at its lifetime peak, with young adults drinking more frequently and also drinking more per occasion than any other age group (Schulenberg et al., 2020). Although drinking during college can have social benefits, it is also associated with substantial negative consequences, such as experiencing physical fights, injuries, emergency department visits, and other legal problems (Grant et al., 2017; Hingson, Zha, and Weitzman 2009; Hingson et al., 2017; Schulenberg et al., 2020). At the same time, for many students, HD is also a temporary phenomenon, with most “maturing out” or making a “natural” transition out of HD following college graduation without receiving formal treatment (Chan et al., 2007; Dawson et al., 2004; Prince, Read, and Colder, 2019; Vergés et al., 2012). This natural reduction in HD raises important questions about what cognitive mechanisms help people to do so. This study evaluates one’s level of identification with drinking, also referred to as drinking identity, as a potential cognitive mechanism that mediates the transition out of college and subsequent reductions in HD.
Developmental transitions have been identified as drivers of changes in drinking, and a key developmental transition—leaving college—is associated with decreases in HD. Role shifts that accompany leaving college, such as beginning full-time employment, getting married, and becoming a parent, are associated with declines in HD (Gotham et al., 1997; O’Malley, 2004). Similarly, changes in individuals’ social contexts and social networks, such as moving away from friends are also associated with leaving college and with reductions in HD (Arnett, 2000; Reed et al., 2007; Schulenberg & Maggs, 2002). When considering specific psychosocial factors that accompany these transitions, changes in personality (i.e., shifts in neuroticism or impulsivity: Littlefield, Sher, and Wood, 2009, 2010) and changes in motives for consuming alcohol (Littlefield et al., 2010) have been identified as factors that accompany and, in some cases, mediate changes in HD. We propose that changes in drinking identity—may also accompany and mediate changes in HD during the transition out of college.
Drinking Identity
Drinking identity refers to the extent to which one associates oneself with drinking and can be thought of as a facet of the broader self-concept. Drinking identity is influenced by individuals’ direct experiences, their environment (including the behaviors and attitudes of their family and friends), and the larger cultural context (see Lindgren, Neighbors, Gasser, et al., 2016, for a more extensive discussion).
Basic personality and social psychology theories have emphasized the functions of the self-concept1 as a central organizing system (Markus, 1977). Both theory and research indicate that self-concept is dynamic, and that self-concept activation is context-dependent (Joe is a drinker when he is with friends, but a student when he is in class; cf., Brown, 1998), can change across the lifespan (Chantel does not identify as a drinker at age 5, strongly identifies as a drinker at age 20, and weakly identifies as a drinker at age 40; cf., Markus & Wurf, 1987), and may be more chronically versus temporarily activated (Yuichi frequently identifies as a drinker, Cheryl rarely identifies as a drinker; cf., Srull & Wyer, 1989). The dynamic nature of drinking identity, combined with its ability to predict drinking behaviors (Lindgren et al., 2019), may point to its role as a mechanism that could help account for changes in HD, such as the normative decline in drinking after college. This viewpoint is consistent with studies on recovery from alcohol dependence (Beckwith et al., 2015) and smoking cessation (Meijer et al., 2017, 2018; Vangeli & West, 2012) that have revealed substantial changes in substance-related identity among those in recovery and/or who quit using.
Aspects of the self-concept can be assessed in multiple ways, and measures have been developed that can assess them more directly (e.g., self-report questionnaires that ask about how one sees oneself in relation to drinking) and more indirectly (e.g., reaction time [RT] tasks that measure how quickly one associates the self with categories like being a drinker or non-drinker). We conceptualize both the more direct and indirect measures of drinking identity as reflecting individuals’ current, overarching sense of themselves in relation to drinking (Lindgren, Ramirez, et al., 2018). We also note that the development of the indirect measures originally occurred in the context of cognitive models known as dual-process models (Greenwald & Banaji, 1995; Strack & Deutsch, 2004). Support for these models has waned (see, for example, Hommel & Wiers, 2017; Melnikoff & Bargh, 2018) in favor of more dynamic, interacting process models (Cunningham et al., 2007; Teachman et al., 2019), and there is considerable debate about how best to conceptualize the underlying cognitive processes and measures used to assess aspects of the self-concept indirectly. Here, we elect to retain the use of the term “implicit associations” and “implicit [drinking] identity” and define them as links between constructs in memory (e.g., the self and drinking) that are involuntarily activated and can influence subsequent cognitions, emotions, and behavior (Lindgren et al., 2019); we use the term “explicit [drinking] identity” to refer to the self-report measure of drinking and self-concept. We also, in this paper, are agnostic with respect to the larger underlying cognitive model. We note that both dual-process models and more recent formulations related to alcohol/drinking conceptualize cognitive processes (including cognitions about identity or the self) as context-dependent and dynamic (Cunningham et al., 2007; Lindgren et al., 2019; Teachman et al., 2019).
Findings from studies assessing measures of implicit and explicit drinking identity indicate that both predict unique variance in college student HD, including alcohol consumption and problems, risk of alcohol use disorders, and craving (Lindgren et al., 2013). Moreover, measures of implicit and explicit drinking identity predict college student HD cross-sectionally and over time (Lindgren et al., 2013, 2016). Further, consistent with psychological theories about the self as a central organizing system, implicit drinking identity is consistently the strongest predictor of U.S. college student drinking outcomes when compared to other, well-validated implicit alcohol cognitions (Lindgren et al., 2013, 2016). Finally, recent findings among college students in their first and second year of college (a key developmental period for initiation of drinking and increases in HD) indicate that increases in implicit drinking identity lead to increases in consumption over time and vice-versa (Lindgren et al., 2018). Collectively, these findings point to the probability that changes in drinking identity may be an important cognitive factor that accompanies transitioning out of HD after college graduation. To our knowledge, the present study is the first to evaluate whether changes in implicit and/or explicit drinking identity are associated with transitioning out of HD after college. Further, it is among the first (see Shono et al., in press, for an exception) to disentangle drinking identity at the between- and within-person level and test whether within-person changes in drinking identity are associated with within-person changes in HD. Isolating within-person change allows for the evaluation of whether changes in an individual’s drinking identity (vs. groups of individuals) are associated with subsequent changes in the individual’s drinking (vs. groups of individuals). Within-person change is conceptually the kind of change that is often invoked in our theories about how and why drinking reduces following college (e.g., if Joe’s drinking identity is weaker than it was before, that change should then lead to Joe drinking less; for a similar discussion in adolescents, see Meisel et al., 2018).
Social Networks
When considering specific factors that may lead to within-person change in drinking identity during the transition out of college, we suggest that within-person change in social networks (e.g., friends, acquaintances, co-workers, families, etc.) may be precipitants. Peers play a large role in college student HD and drinking identity. For example, heavy drinkers associate with other heavy drinkers (Borsari & Carey, 2001). Identification with groups perceived as heavy drinkers is associated with one’s own drinking (Neighbors et al., 2010; Reed et al., 2007). Perceptions of friends’ drinking and approval have stronger associations with one’s own drinking and alcohol-related problems than perceptions of peers’ drinking and approval more generally (LaBrie et al., 2010; Lewis et al., 2010). Further, lower drink refusal self-efficacy in social situations (which we assume is partly a function of one’s social network) is associated with stronger explicit drinking identity (Foster, Yeung, & Neighbors, 2014).
Prominent explanations for reductions in drinking following college emphasize role changes that are directly associated with changes in social networks (Arnett 2000; Bachman 2002; Schulenberg & Maggs, 2002). These may include changes in network members and/or the strength of association with members and, crucially, changes to the drinking behaviors within the network. Relocation and role changes following graduation may reduce the proximity of heavy-drinking friends and acquaintances, resulting in the addition of members to the network who drink less or not at all. Longitudinal examinations of associations between individual drinking and social network drinking from adolescents through adulthood have supported reciprocal pathways representing both influence and selection effects (Bullers, Cooper, & Russell, 2001; Haller et al., 2010; Read, Wood, & Capone, 2005). That is, individuals are influenced by the drinking of their social network members, and individuals also seek to affiliate with individuals who have similar drinking practices. While the present research focuses on the influence pathway (social network → identity → HD), changes in drinking identity are also a plausible, potential mediator of the association between changes in drinking and changes in social network drinking (HD → identity → social network), and we will also evaluate this reverse mediation relationship. In sum, we propose that these social network changes—specifically, changes to the drinking behaviors of the network—will predict changes in one’s drinking identity and, in turn, changes in actual drinking. Thus, we hypothesized that within-person changes in drinking identity would mediate the longitudinal association between within-person changes in social networks and within-person changes in drinking that occur after individuals graduate from college.
Study Overview and Hypotheses
We recruited a large sample of students in their last six months of college who reported HD, and evaluated their drinking identity, HD, and the composition and drinking of their social network (the ten most important people with whom they regularly interact) at approximately 4-month intervals via online assessments. Hypotheses were as follows (the hypotheses and the analytic plan were initially pre-registered but the analytic plan changed based on helpful editor and reviewer feedback; see https://osf.io/tqy5a for the hypotheses and original analysis plan and https://osf.io/d27jp for the original results).
H1: Within-person reductions in implicit/explicit drinking identity will predict within-person reductions in HD.
H2: Within-person reductions in HD within one’s social network will predict within-person reductions in one’s own HD.
H3: Within-person reductions in implicit/explicit drinking identity will mediate the association between within-person social network changes and within-person reductions in one’s own HD.
Method
Participants
We initially recruited 521 full-time undergraduate students from a large public university in the Pacific Northwest six months before their anticipated graduation. To be eligible for the study, individuals had to report expecting to graduate within the next six months, score eight or higher on the Alcohol Use Disorders Identification Test (AUDIT), be age 18–25 (M = 21.50, SD = 0.92), and be fluent in English. Because the study focused on the transition out of college, graduation status was later verified to confirm continued study eligibility and resulted in a final sample of 422 college graduates (58.8% female, 41.2% male; no participants self-identified as transgender or another gender diverse identity). The 99 participants deemed ineligible were then excluded from the study (the majority were ineligible due to a change in their expected graduation date; a minority were dropped due to other disqualifying responses, like completing the assessment multiple times with different responses). All statistics reported hereafter pertain to the 422 participants eligible for the complete study.
Participants reported their race as White/Caucasian (61.6%), Asian (20.9%), Black or African American (1.2%), American Indian/Alaska Native (1.2%), Native Hawaiian or Other Pacific Islander (0.9%), more than one race (12.8%), or unknown (0.7%); the remaining 0.7% declined to answer. A minority of participants (6.9%) identified as Hispanic or Latino. Follow-up assessment retention rates were: 90.5% (Time [T] 2), 89.8% (T3), 86.7% (T4), 84.1% (T5), 81.0% (T6), 80.6% (T7), and 82.0% (T8).
Measures and Materials
All measures were administered at all time points.
Social Network Measure
Social networks were assessed using a version of the Important People Instrument (Longabaugh & Zywiak, 1999) that incorporated modifications by Barnett et al. (2014). Participants were asked to list the initials of the ten most important people they interact with in-person at least once a week and provide the following information about each individual listed: their relationship to the participant, gender, approximate age, closeness, whether the participant has consumed alcohol with them, and which individuals within their network know one another. Participants were also asked to report on each network member’s alcohol consumption (response options: 1 = doesn’t drink alcohol at all, 2 = light drinker, 3 = moderate drinker, 4 = heavy drinker). Network members’ drinking levels were averaged to represent social network drinking at each time point (range: 1–4), with higher scores indicating greater levels of alcohol consumption among one’s social network.
Drinking Identity
Explicit Drinking Identity.
The Alcohol Self-Concept Scale (Corte & Stein, 2007; Lindgren et al., 2013; adapted from Shadel & Mermelstein, 1996) was used to measure explicit drinking identity. Individuals were asked to rate (on a 7-point Likert-type scale from −3 = strongly disagree to +3 = strongly agree) the extent to which they agree or disagree with statements endorsing drinking as being a part of their identity (e.g., “Drinking is a part of my self-image”). Scores were averaged across the five items, with higher scores indicating stronger explicit drinking identity. Cronbach’s alphas at each timepoint ranged from .91 to .94.
Implicit Drinking Identity.
The Drinking Identity Implicit Association Test (IAT; Lindgren et al., 2013; adapted from Greenwald et al., 1998) was used to evaluate implicit drinking identity. Target concepts (me and not me) and attributes (drinker and non-drinker) are paired on either side of the computer screen (e.g., me and drinker on the left side and not me and non-drinker on the right). Stimuli corresponding to each target concept (i.e., me, my, mine, self; they, them, their, other) and attribute (i.e., drinker, partier, drunk, drink; non-drinker, abstainer, sober, abstain) appear individually center-screen, in a randomized order. Respondents are asked to categorize stimuli into their corresponding target or attribute as quickly and accurately as possible, pressing E on the keyboard for stimuli corresponding to the target or attribute on the left side and I for the target or attribute on the right. If a stimulus is incorrectly categorized, a red “X” appears center-screen, and respondents must correctly reclassify the stimulus before the next stimulus is presented.
The IAT is comprised of seven blocks. After completing practice blocks categorizing target stimuli (Block 1), attribute stimuli (Block 2), and the first target-attribute pairing (Block 3), a longer test block (Block 4) of the same pairing is presented. The position of the target categories is then reversed, and two practice blocks (Blocks 5 and 6) take place before a longer test block (Block 7) of the new target-attribute pairing. The order of pairings is counterbalanced across participants. Please see Figure 1 for example trials from combined target-attribute pairing blocks.
Response latencies from the time a stimulus is presented to the time it is correctly categorized are recorded. Faster accurate response times are expected when paired concepts are perceived to be more strongly associated. Mean latency differences between Blocks 3 and 6 and between Blocks 4 and 7 are calculated into the D1-score. Scores were excluded when > 10% of responses were faster than 300 ms (Greenwald et al., 2003). Higher D-scores indicate stronger associations between me and drinker than me and non-drinker (i.e., stronger implicit drinking identity). Two percent or less of scores at each time point met the exclusion criteria. Internal consistencies were calculated by calculating a D-score for Blocks 3 and 6 as well as Blocks 4 and 7 and correlating them with one another (Greenwald et al., 2003). The correlations ranged from r = .52 to .60 across time points, consistent with those reported for the drinking identity IAT in other samples (Lindgren et al., 2013; Lindgren, Neighbors, Teachman, et al., 2016).
Hazardous Drinking
Alcohol Consumption.
The Daily Drinking Questionnaire (DDQ; Collins et al., 1985) assessed typical weekly alcohol consumption over the past three months. Respondents were asked how many alcoholic drinks they consume each day of a typical week. U.S. standard drink equivalencies were provided for reference. Daily counts were summed to create a weekly total.
Risk of Alcohol Use Disorder (AUD).
The Alcohol Use Disorders Identification Test (AUDIT; Babor et al., 2001) was used to measure the risk of AUD. The ten items assess alcohol use (e.g., “How often do you have a drink containing alcohol?”), dependence (e.g., “How often during the last year have you found that you were not able to stop drinking once you had started?”), and problems (e.g., “Have you or someone else been injured as a result of your drinking?”) over the past year. Responses are scored 0–4, then summed to yield a total score. Higher scores indicate a greater risk of an AUD (Babor et al., 2001). Psychometric studies of the AUDIT indicate that a cut-off score of eight yields a sensitivity (correctly identifying positive cases) in the .90s for identifying problematic drinking and specificity (correctly identifying negative cases) of .80 for identifying non-hazardous drinking (Babor, et al., 2001; Saunders et al., 1993). Thus, to capture the present study’s target population of hazardous drinkers, participants had to meet or exceed this cut-off score of 8 at baseline to be eligible. Cronbach’s alphas were .58 at T1, slightly below typical acceptable levels, and ranged from .71 to.77 following graduation (T2–T8).
Alcohol Problems.
The Rutgers Alcohol Problem Index (RAPI; White & Labouvie, 1989) was used to assess alcohol-related problems. Respondents were asked how many times they experienced various negative consequences (e.g., “passed out or fainted suddenly”) while drinking or because of their alcohol use during the past four months. RAPI assessment interval (originally published as “ever” or “the last three years”) was adapted for the current study to match the study’s 4-month assessment intervals. Response options ranged from never (0) to more than 10 times (4). Two additional items assessing driving under the influence were added to the original 23-item measure. Given the RAPI was created to assess adolescent and young adult problem drinking, the first item (“not able to do your homework or study for a test”) was modified after T2 (i.e., after participants graduated) to “not able to complete your job responsibilities, or do your homework or study for a test.” Responses were summed (range: 0–100). Higher scores indicate more alcohol-related problems. Cronbach’s alphas at each time point ranged from .87 to .92.
Heavy Episodic Drinking.
To assess heavy episodic drinking (HED), participants were asked how many times in the past month they consumed 4/5 (females/males) or more drinks on a single occasion (adapted from Collins et al., 1985). Response options ranged from 0 to 10 or more.
Procedures
The university registrar’s office provided researchers with contact information for a random sample of 18- to 25-year-old full-time undergraduate seniors. Potential participants were invited to the study via email. Emails included unique personal identification numbers that recipients could use to log in to the linked study webpage to learn more about the study, complete informed consent procedures, or decline participation. Consenting individuals were asked to complete an eligibility screening consisting of demographics questions, the AUDIT, and one other measure selected randomly from the larger baseline assessment in an attempt to mask eligibility criteria. Those who were ineligible were thanked for their time and directed out of the study. Eligible individuals were invited to continue to the baseline assessment (T1) to complete the remaining measures.
Follow-up assessments (T2–T8) occurred every four months for two years post-graduation. Measures were presented in a randomized order, with the exception of the IAT and social network measure, which were administered near the beginning of assessments to help minimize the potential effects of participant fatigue. Three accuracy check questions (e.g., “To answer this question correctly, you must answer ‘Strongly disagree’”) were interspersed throughout each assessment to evaluate whether participants were attentive and responding accurately. Attentiveness appeared quite high (84% of participants answered all accuracy check questions correctly at T1, and 91% or more answered them all correctly at T2–T8). All assessments were web-based. They could be completed at the time and location of the participants’ choosing but needed to be completed on a computer (and not a mobile device).
Participants were compensated $25 for each completed assessment T1–T4 and $30 for each T5–T8. At the end of each assessment, completers were entered into a drawing to win one of four $25 Amazon electronic gift cards. Participants who completed all of the first four assessments received a $25 bonus at T4; another $25 bonus was paid at T8 to those who completed all of the last four assessments. All study procedures were approved by the university’s institutional review board.
Data Analysis
We used a random intercept cross-lagged panel model (RI-CLPM) to evaluate our hypotheses2 (Hamaker et al., 2015). The RI-CLPM is similar to a traditional cross-lagged model, except it includes a random intercept for each construct to isolate the between-person variability in each construct (i.e., social network, identity, and hazardous drinking) across the length of the study. Because the RI-CLPM includes the random intercepts, the remaining variability in each observation is within-person variability—differences in time-specific deviations from participants’ expected value over the course of the study (Hamaker et al., 2015, p. 104). The RI-CLPM can also be extended to estimate mediation paths.
Figure 2 is a simplified diagram of the RI-CLPM we used that includes only the within-person regression paths. We estimated, but did not include in the diagram, the (a) random intercepts, (b) covariance among the random intercepts, and (c) covariances among the residual variances at each timepoint. We estimated models separately for the explicit and implicit identity constructs.
Social network and identity were included as observed variables. In contrast, we built a latent variable that included all four drinking variables (Mulder & Hamaker, 2020). We used a CFA at each timepoint where all four drinking variables, which were treated as count variables (Atkins et al., 2013), loaded on a single latent variable. We used a latent variable for three reasons. First, each measure was selected to assess an aspect of hazardous drinking. Second, the RI-CLPM model involves many parameters (200+ with 8 time points). Consequently, limiting the number of models we estimate is sensible. Third, the RI-CLPM, and any cross-lagged panel model, is only possible with continuous variables or categorical variables that can be represented continuously.3 The drinking variables in this study are count variables. Unfortunately, the stability, cross-lag, and mediation paths of the RI-CLPM cannot be estimated with count variables. However, latent hazardous drinking is a continuous variable and can more easily be included in the RI-CLPM.
Figure 2 shows that there are three types of regression paths in the RI-CLPM. First, the lag 1 stability paths (dashed lines) represent the regression of a given construct at time i on the same construct at time i − 1. Second, the lag 1 cross-lagged paths (solid lines) represent the regression of a given construct at time i on another construct at time i − 1. Third, the lag 2 cross-lagged paths (dotted lines) represent the regression of a given construct at time i on another construct at time i − 2. We used the lag 2 cross-lagged paths to obtain the direct effect of social network on hazardous drinking and vice versa. All paths control for the other relationships in the model.
We computed indirect effects for both the (a) social network to hazardous drinking via identity effect and (b) the hazardous drinking to social network via identity effect. For “a,” the indirect effect was the product of lag 1 cross-lagged path from social network to identity and the lag 1 cross-lagged path from identity to hazardous drinking. For “b,” the indirect effect was the product of lag 1 cross-lagged path from hazardous drinking to identity and the lag 1 cross-lagged path from identity to social network.
The RI-CLPM was estimated in Mplus 8.6 (L. K. Muthén & Muthén, 2017). Our models involve eight latent variables constructed from count variables, which made maximum likelihood estimation prohibitive. Consequently, we used Bayesian methods to obtain parameter and interval estimates. As our primary reason for using Bayesian methods was computational, we used the default prior distributions in Mplus. We used four chains with 10,000 draws each. Convergence was established with trace plots, and we ensured that all parameters had a potential scale reduction value of less than 1.1. Traditional structural equation modeling fit indices (e.g., comparative fit index), as well as Bayesian fit indices (e.g., deviance information criterion), are not available in Mplus when using count data and the Bayesian sampler.
A fully unconstrained model where all loadings, paths, variances, and covariances were freely estimated involved 217 parameters and would not converge. Consequently, we applied constraints to the model. First, we constrained the factor loadings and intercepts for the drinking variable to be equal across time.4 This constraint substantially improved mixing of the chains. Second, within any category of regression paths (e.g., stability path), we constrained the paths to be equal from time 1 to time 3 and then from time 4 to time 8. We refer to these constraints as the “early” and “late” parameters in the Results and Tables. We chose these constraints because times 1 to 3 overlapped with participants being in college (time 1), completing college (time 2) and their summer after graduation (time 3); thus, participants were reporting about their social networks, drinking identity, and drinking behaviors during periods that included and were very proximal to their college experiences. In contrast, times 4 through 8 spanned the fall following college graduation onward – a period that had increasing distance from their college experience and likely included for the majority of participants, beginning new jobs and/or graduate/professional school.
Results
Sample Characteristics
For illustrative purposes, Table 1 contains T1 means, standard deviations, and unstandardized correlations for study variables (complete data for all 8 time points are available at https://osf.io/d27jp). Consistent with prior findings, scores on implicit and explicit identity measures were positively, albeit weakly, correlated (r = .24). They were also positively correlated with HD variables (explicit-HD correlations ranged from .32 to .42; implicit-HD correlations ranged from .11 to .23). Social network drinking was also related to identity measures (explicit: .29, implicit: .20) and HD variables (correlations ranged from .20 to .42).
Table 1.
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | |
---|---|---|---|---|---|---|---|---|
1. Gender | -- | |||||||
2. Explicit Identity | −0.12* | -- | ||||||
3. Implicit Identity | −0.13** | 0.24*** | -- | |||||
4. Soc Net Drink | −0.10* | 0.29*** | 0.20*** | -- | ||||
5. AUDIT | −0.16** | 0.42*** | 0.19*** | 0.36*** | -- | |||
6. Consumption | −0.32*** | 0.40*** | 0.23*** | 0.43*** | 0.58*** | -- | ||
7. HED | −0.10* | 0.32*** | 0.19*** | 0.42*** | 0.49*** | 0.65*** | -- | |
8. RAPI | 0.004 | 0.40*** | 0.11* | 0.20*** | 0.63*** | 0.40*** | 0.33*** | -- |
Mean | 59% F | −1.61 | 0.26 | 2.59 | 12.43 | 14.98 | 4.09 | 10.31 |
Standard Deviation | 1.20 | 0.43 | 0.40 | 4.44 | 10.54 | 2.71 | 8.48 |
Note. N = 422. Gender was coded 0 = men, women = 1. Explicit Identity = scores on the alcohol self-concept scale; higher scores indicate stronger drinking identity. Implicit Identity = scores on the drinking identity Implicit Association Test (IAT). Higher scores indicate stronger associations with drinking and me or stronger drinking identity. Soc Net Drink = average level of drinking in participants’ social networks; higher scores = higher levels of drinking. AUDIT = scores on the Alcohol Use Disorder Identification Test. Higher scores = greater risk of alcohol use disorder. Consumption = self-reported number of drinks consumed on a typical week assessed via the Daily Drinking Questionnaire (DDQ). HED =heavy episodic drinking or number of self-reported heavy drinking episodes (4/5 or more drinker per occasion for women/men) in the past month. RAPI = scores on the Rutgers Alcohol Problem Index. Higher scores = more alcohol-related problems.
p < .001.
p < .01.
p < .05.
We also note that the sample, at baseline, reported behaviors consistent with HD: participants’ AUD risk, on average, exceeded the cutoff (i.e., score of 8) by 55% and, on average, they reported consuming 15 drinks per week, having four heavy drinking episodes per month, and experiencing more than ten alcohol-related negative consequences. The overall trend for sample participants was a reduction in HD over time (see Figure S1 in the Supplemental Material available online): for example, by the end of the study, 49.9% of participants fell below the AUDIT threshold (score ≥ 8); average weekly consumption decreased to about 9 drinks, average number of negative alcohol-related consequences decreased to about five, and average number of heavy drinking episodes dropped to about 2.7 (with only 17% having 1 or less at baseline and 43% having l or less at the end of the study).
We also fit a latent growth curve model to explore whether HD decreased over time. The random intercept and slope were estimated using the latent HD variables as the indicators (see Example 6.14 in Muthén & Muthén, 2017). This type of growth curve model requires constraining the loadings and intercepts to be equal across time (Muthén & Muthén, 2017 p. 139; see Data Analysis section above). The average linear rate of change was −0.121 (95% CI = −0.134; −0.108), indicating a reduction in hazardous drinking across time. The random slope variance was 0.01 (95% CI = 0.008; 0.013), indicating a small amount of variability in the person-specific rates of change.
Collectively, these patterns suggest that we successfully recruited a sample of students who were relatively high-risk at the end of college and that HD declined, on average, following college, confirming (partial) maturing out at a descriptive level.
Latent Hazardous Drinking
For both the explicit and implicit identity models, we constructed a latent HD variable at each time point. To identify each latent variable, we constrained the loading for HED to 1. Likewise, as discussed in the Data Analysis section, factor loadings and item intercepts were constrained to be equal across time. Table 2 provides the loading and 95% credible intervals for both the explicit and implicit identity models. All credible intervals in Table 2 excluded 0. For both the explicit and implicit identity model, the AUDIT had the lowest loading, followed by the DDQ and the RAPI.
Table 2.
Variable | Explicit Identity | Implicit Identity |
---|---|---|
Loading | ||
HED | 1a | 1a |
AUDIT | 0.615 [0.586; 0.647] | 0.608 [0.578; 0.639] |
DDQ | 1.066 [1.021; 1.114] | 1.062 [1.016; 1.109] |
RAPI | 1.173 [1.103; 1.247] | 1.154 [1.083; 1.226] |
Constant | ||
HED | 1.373 [1.322; 1.426] | 1.369 [1.316; 1.423] |
AUDIT | 2.450 [2.419; 2.483] | 2.447 [2.416; 2.480] |
DDQ | 2.619 [2.568; 2.673] | 2.615 [2.562; 2.670] |
RAPI | 2.104 [2.041; 2.170] | 2.102 [2.038; 2.167] |
Note:
loading fixed to 1 for identification; HED =heavy episodic drinking or number of self-reported heavy drinking episodes (4/5 or more drinker per occasion for women/men) in the past month; AUDIT = scores on the Alcohol Use Disorder Identification Test; DDQ = self-reported number of drinks consumed on a typical week assessed; RAPI = scores on the Rutgers Alcohol Problem Index. Numbers in brackets are 95% Bayesian credible intervals. All variables treated as count in the factor analysis. Additionally, loadings and constants were constrained to be equal across time.
Mediation Models
Table 3 provides the regression coefficients and 95% credible intervals for RI-CLPM. Results are presented separately for explicit identity (measured via the ASCS) and implicit identity (measured via the IAT). We also include the point and interval estimates for the indirect effects for both SN(t−1) → ID(t) → HD(t + 1) and HD(t−1) → ID(t) → SN(t + 1), where t represents a given timepoint. Though it is possible to compute additional indirect effects in our model (e.g., SN(t−1) → HD(t) → HD(t + 1)), these indirect effects were not part of our primary aims and thus were excluded. The coefficients in Table 3 are within-person coefficients, including the indirect effect. That is, the coefficients represent the relationship between time-specific deflections for the person-level averages (modeled via the random intercepts). Finally, Table S1 in the Supplemental Material available online provides the time-specific, within-person correlations between SN, ID, and HD. Briefly, the correlations were nearly all positive (only 3 out of 48 were negative); SN—HD correlations were similar across models, with some decay over time; SN—ID correlations were larger in the explicit (vs. implicit) model and had less decay over time; ID—HD correlations were two to three times larger in magnitude in the explicit (vs. implicit) models and had little decay in the explicit model whereas the implicit model had decay over time. Please see the supplement for a more detailed discussion of those correlations.
Table 3.
Explicit Identity | Implicit Identity | ||
---|---|---|---|
Regression Coefficients | |||
SN → SN (Lag 1) | Early | 0.266 [0.198; 0.338] | 0.270 [0.202; 0.339] |
Late | 0.284 [0.231; 0.338] | 0.287 [0.235; 0.341] | |
SN → ID (Lag 1) | Early | 0.039 [−0.157; 0.234] | 0.012 [−0.073; 0.097] |
Late | −0.068 [−0.218; 0.081] | −0.017 [−0.084; 0.050] | |
SN → HD (Lag 1) | Early | −0.059 [−0.086; −0.032] | −0.034 [−0.053; −0.015] |
Late | −0.036 [−0.069; −0.001] | −0.006 [−0.037; 0.025] | |
SN → HD (Lag 2) | Early | −0.083 [−0.108; −0.058] | −0.090 [−0.113; −0.066] |
Late | −0.060 [−0.097; −0.018] | −0.078 [−0.109; −0.048] | |
HD → HD (Lag 1) | Early | 0.888 [0.711; 1.148] | 0.722 [0.614; 0.831] |
Late | 0.817 [0.711; 1.023] | 0.715 [0.654; 0.780] | |
HD → ID (Lag 1) | Early | 0.400 [0.132; 0.701] | 0.087 [0.002; 0.172] |
Late | 0.292 [0.130; 0.501] | 0.051 [0.002; 0.103] | |
HD → SN (Lag 1) | Early | 0.087 [−0.016; 0.222] | 0.060 [−0.013; 0.134] |
Late | 0.039 [−0.047; 0.149] | 0.036 [−0.029; 0.098] | |
HD → SN (Lag 2) | Early | 0.069 [0.006; 0.133] | 0.057 [−0.005; 0.120] |
Late | 0.056 [−0.003; 0.116] | 0.041 [−0.017; 0.098] | |
ID → ID (Lag 1) | Early | 0.164 [0.093; 0.238] | 0.006 [−0.062; 0.073] |
Late | 0.188 [0.129; 0.246] | 0.077 [0.025; 0.127] | |
ID → SN (Lag 1) | Early | 0.001 [−0.023; 0.024] | 0.033 [−0.016; 0.083] |
Late | −0.001 [−0.020; 0.017] | −0.016 [−0.052; 0.017] | |
ID → HD (Lag 1) | Early | −0.047 [−0.084; −0.011] | 0.039 [−0.040; 0.116] |
Late | −0.052 [−0.088; −0.025] | −0.100 [−0.157; −0.044] | |
Indirect Effects | |||
SN → ID → HD | Early | −0.001 [−0.013; 0.008] | 0.000 [−0.005; 0.006] |
−0.002 [−0.014; 0.009] | −0.001 [−0.011; 0.008] | ||
Late | 0.003 [−0.005; 0.013] | 0.002 [−0.005; 0.009] | |
HD → ID → SN | Early | 0.000 [−0.012; 0.009] | 0.002 [−0.002; 0.010] |
0.000 [−0.011; 0.007] | −0.001 [−0.006; 0.002] | ||
Late | 0.000 [−0.008; 0.005] | −0.001 [−0.004; 0.001] | |
422 | 422 |
Note: Numbers in brackets are 95% Bayesian credible intervals. Several parameters are not included in this table: (a) the factor loadings for the latent hazardous drinking (HD) variable; (b) the variances and covariances for the random intercepts for social network (SN), identity (ID), and HD; (c) residual variances and dispersion for count variables; (d) intercepts; and (e) covariances among the time-specific residuals. Output is available at https://osf.io/d27jp. Early = timepoint 1 – timepoint 3. Late = timepoint 4 – timepoint 8. The indirect effects have two “early” timepoints because there is one indirect effect that involves parameters that span timepoint 3 and timepoint 4.
The random intercepts in the models are the person-level portion of SN, ID, and HD. The correlations between the random intercepts, thus, provide the between-person relationships among the constructs across the study period. In the explicit ID models, the SN and ID correlation was r = 0.258 (95% CI = 0.109; 0.396), the SN and HD correlation was r = 0.474 (95% CI = 0.280; 0.609), and the ID and HD correlations was r = 0.603 (95% CI = 0.442; 0.859). In the implicit ID models, the SN and ID correlation was r = 0.247 (95% CI = 0.098; 0.384), the SN and HD correlation was r = 0.488 (95% CI = 0.352; 0.604), and the ID and HD correlations was r = 0.326 (95% CI = 0.153; 0.480). Thus, there were positive relationships among all constructs in both sets of models at the between-person level.
Explicit Identity.
Mediation was not observed for either the SN(t−1) → ID(t) → HD(t + 1) and HD(t−1) → ID(t) → SN(t + 1) pathways. Specifically, for the SN(t−1) → ID(t) → HD(t + 1), the indirect path between social network drinking and hazardous drinking via explicit identity was not significant in the early (ab = −0.001, 95% CI = −0.013, 0.008; ab = −0.002, 95% CI = −0.014, 0.019)5 or late timepoints (ab = 0.003, 95% CI = −0.005, 0.013). The lack of mediation is a function of the small magnitude of the a and b paths – SN(t−1) → ID (t) and ID (t) → HD (t + 1), respectively. Specifically, the early a path was 0.039 (95% CI = −0.157; 0.234) and the late a path was −0.068 (95% CI = −0.218; 0.081). Likewise, the early b path was −0.047 (95% CI = −0.084; −0.011) and the late b path was −0.052 (95% CI = −0.088; −0.025).
For the HD(t−1) → ID(t) → SN(t + 1), the indirect path between hazardous drinking and social network drinking via explicit identity was not significant in the early (ab = 0.000, 95% CI = −0.012, 0.009; ab = 0.000, 95% CI = −0.011, 0.007) or late timepoints (ab = 0.000, 95% CI = −0.008, 0.005). In contrast, the reverse path, the a paths in this direction – HD(t−1) → ID(t) – were positive and significant. Specifically, the early a path was 0.400 (95% CI = 0.132; 0.701) and the late a path was 0.292 (95% CI = 0.130; 0.501). As before, the b paths – ID(t) → SN(t + 1) – were small and not significant – the early b path was 0.001 (95% CI = −0.023; 0.024) and the late b path was −0.001 (95% CI = −0.020; 0.017).
Implicit Identity.
As with explicit identity, mediation was not observed for either the SN(t−1) → ID(t) → HD(t + 1) and HD(t−1) → ID(t) → SN(t + 1) pathways. Specifically, for the SN(t−1) → ID(t) → HD(t + 1), the indirect path between social network drinking and hazardous drinking via implicit identity was not significant in the early (ab = 0.000, 95% CI = −0.005, 0.006; ab = −0.001, 95% CI = −0.011, 0.008) or late timepoints (ab = 0.002, 95% CI = −0.005, 0.009). As with explicit identity, the lack of mediation is a function of the small and mostly not significant a and b paths – SN(t−1) → ID(t) and ID(t) → HD (t + 1), respectively. Specifically, the early a path was 0.012 (95% CI = −0.073; 0.097) and the late a path was −0.017 (95% CI = −0.084; 0.050). Likewise, the early b path was 0.039 (95% CI = −0.040; 0.116) and the late b path was −0.100 (95% CI = −0.157; −0.044).
For the HD(t−1) → ID(t) → SN(t + 1), the indirect path between hazardous drinking and social network drinking via implicit identity was not significant in the early (ab = 0.002, 95% CI = −0.002, 0.010; ab = −0.001, 95% CI = −0.006, 0.002) or late timepoints (ab = −0.001, 95% CI = −0.004, 0.001). In contrast, the reverse path, the a paths in this direction – HD(t−1) → ID(t) – were positive and significant. Specifically, the early a path was 0.087 (95% CI = 0.008; 0.172) and the late a path was 0.051 (95% CI = 0.002; 0.103). As before, the b paths – ID(t) → SN(t + 1) – were small and not significant. The early b path was 0.033 (95% CI = −0.016; 0.083) and the late b path was −0.016 (95% CI = −0.052; 0.017).
Discussion
“Maturing out” or making the “natural” transition out of HD following leaving college is a well-known phenomenon, but the cognitive factors that accompany and potentially mediate that transition are not well understood. To our knowledge, this study is the first to evaluate drinking identity—a promising cognitive factor—and test whether reductions in drinking identity are linked to reduction of HD following college graduation. We specifically tested whether within-person reductions in drinking identity (assessed via explicit and implicit measures) were associated with subsequent within-person reductions in a latent HD variable, hypothesizing that changes in individuals’ social networks (specifically, their drinking levels) would lead to changes in identity and, in turn, to changes in drinking. Findings from our longitudinal study of college graduates indicated that, despite evidence of the expected reductions in HD for the sample on average, the hypothesized mediation effects were not observed, and there was little evidence that within-person changes in drinking identity (whether assessed implicitly or via self-report) or social network drinking were associated with subsequent within-person changes in HD.
Unexpectedly, there was some evidence that within-person changes in HD were positively associated with subsequent changes in both implicit and explicit identity, suggesting the possibility that identity is a lagging, versus, leading indicator of HD change during the transition out of college. Consistent with prior studies, there was evidence of small-to-moderate associations at the between-person level among the identity measures, social network drinking, and HD. Though there was not robust evidence of within-person change over time, we note that the time-specific, within-person correlations between identity and HD were all positive, which suggests that those with higher positive deviations from their predicted drinking identity scores also tended to have higher positive deviations in HD (see Littlefield et al., 2021, for further discussion of this phenomenon). Finally, we note the negative paths between SN to HD and from ID to HD were unexpected and are difficult to interpret. They are small in magnitude and may reflect noise. Further, given the number of parementers in the model, it is not surprising that some paths are “significant” (we put “significant” in quotes to reflect the fact that statistical significance is not exactly what the Bayesian posterior provides).
Drinking Identity Implications
A key contribution of this study is the disentangling of drinking identity at the within- and between-person levels, something that has been largely overlooked in the literature (including in our own prior work). These findings support the importance of separating these effects, given that the between-person level associations with HD are larger than those at the within-person level, and within-person changes in drinking identity appear to follow rather than precede within-person changes in HD during the post-college transition. Notably, these findings overlap with recent work in our laboratory (Shono et al., in press) re-evaluating a longitudinal sample of college students in their first and second years of college that included people along the full continuum of drinking (i.e., non-drinkers through heavy drinkers). Results from that study also indicated larger between-versus within-person effects for implicit identity, though there were also some instances of within-person changes in implicit and explicit identity predicting within-person changes in drinking, again suggesting that drinking identity’s role in relation to HD may vary depending on developmental period and “type” of drinker being evaluated.
These findings underscore the importance of continuing to clarify the role of self-concept in relation to drinking (and we would argue, substance use more generally). Evidence continues to accumulate that drinking identity is an important, unique predictor of the transition into and escalation of drinking during adolescence (Lee, Corte, & Stein, 2018) and the early years of adulthood (Lindgren, Neighbors, Teachman, et al., 2016; Lindgren, Ramirez, Olin, et al., 2016). The current study adds to the evidence that between-person differences in identity are associated with HD and adds the novel finding that within-person changes in identity may “mark” the transition out of HD that occurs following college for many individuals. It is possible that drinking identity change may be associated with relatively durable changes in HD when compared to HD change that does not include corresponding drinking identity change, based on the idea that the identity change will support more enduring low drinking levels across changing contexts (see Littlefield et al., 2009, for a discussion of this possibility in the domain of changes in drinking and personality). However, this possibility must be tested, and many open questions remain about whether and how drinking identity change supports the maintenance of reduced drinking during the post-college years. Also, it will be crucial to continue to evaluate drinking identity’s explanatory power relative to and in interaction with other established predictors of the transition out of HD following college (e.g., drinking motives, role changes, personality factors). In particular, we note that, to our knowledge, drinking identity and personality factors have yet to be evaluated in the same study, which leaves an important gap with respect to understanding their empirical relationship to one another and to changes in drinking.
It is important to keep in mind that measurement challenges related to drinking identity, as well as the other variables, may also have influenced the results. Specifically, implicit associations are challenging to measure reliably, especially when focusing on individual differences and within-person changes, rather than group differences. Further, for both implicit and explicit measures, it can be particularly challenging in longitudinal studies to determine the right frequency of measurement and to disentangle differences tied to person-specific changing contexts versus person-specific changes in how one overall conceptualizes oneself in relation to drinking. For example, if drinking self-concept varies depending on whether the context is social or professional, we may need to measure implicit associations more frequently than every 3–4 months (see Marhe et al., 2013, and Waters & Li, 2008, for examples of such approaches with implicit associations about different substances) and be specific about the context in which the measurement occurs. Consequently, more theoretical and experimental work is needed to better understand how and at what rate drinking self-concept changes.
Social Network Implications
As noted above, within-person changes in social network drinking were not associated with within-person change in HD, though these constructs were related at the between-person levels. We note, too, that the social network variable we used in our analyses did not isolate changes attributable to people moving in and out of the participant’s social networks. It instead reflected the average amount of drinking among the 10 network members listed at each time point. Consequently, it is possible, in principle, that the variability on this variable could reflect a social network that remains comprised of the same people but who reduce their drinking over time. Preliminary inspection of network members over time indicates there were changes in network membership, especially in the earlier timepoints (i.e., periods closest to college graduation). It will be important to determine the extent to which changes in social network drinking are due to changes in drinking of the same people relative to differences in the drinking of new network members.
Strengths, limitations, and future directions
Limitations of the study include the reliance on measures of self-reported drinking and perceptions of one’s network’s drinking and on data collected from a single university. We note that this is an educationally (and likely economically) privileged sample (i.e., graduates from a 4-year college). We note the relatively low internal consistency of the IAT, consistent with those observed in other samples (Lindgren et al., 2013; Lindgren, Neighbors, Teachman, et al., 2016). As has been written about elsewhere (Greenwald et al., 2009; Lindgren, Neighbors, Teachman, et al., 2016 [see supplemental materials]; Nosek et al., 2007), IATs typically have lower reliabilities than explicit (self-report) measures but have higher reliabilities than other indirect, reaction time measures. We also note the lower reliability of the AUDIT at baseline. We suspect the lower reliability reflects the restricted range of scores at baseline that stemmed from the study eligibility criteria (i.e., AUDIT score ≥ 8), given we found similarly low reliability when we restricted the AUDIT scores to ≥ 8 in other college student samples from our laboratory (e.g., Lindgren, Neighbors, Teachman, et al., 2016) and because internal consistency improved at subsequent timepoints when there was more variability in scores. We also note that the context in which participants completed the study measures (the location of their choice) was inherently less controlled than a laboratory setting. Future research could evaluate the effect of context on measures of drinking identity by systematically manipulating assessment setting. These limitations are at least somewhat offset by study strengths, including the longitudinal design, the relatively large sample, and excellent study retention. Further, we pre-registered the hypotheses and original data analytic plan (though, as described earlier, we benefitted from helpful suggestions to revise our analyses during the peer review process).
The revised analyses included eight latent variables. Consequently, commonly used estimation methods, such as maximum likelihood, were computationally prohibitive. Bayesian methods provide a useful alternative to traditional estimation methods in such situtations (Muthén & Asparouhov, 2012). A drawback to using the Bayesian methods in Mplus is that fit indices, both traditional structural equation modeling fit indices and Bayesian fit indices, are not available in Mplus when using count outcomes combined with the Bayesian sampler. Therefore, we were not able to assess model fit directly and future research in this area should address this.
Moving forward, it will be important to evaluate whether findings generalize to same-age peers who are enrolled in different types of institutions and/or who are in the workforce. Future research should also consider evaluating other times and different transitions when there are substantial shifts in one’s social networks (e.g., retirement, long-distance moves, graduation from professional/graduate schools) and the impact on drinking identity and drinking behaviors.
Conclusion
This study is the first that we know of to evaluate within-person changes in drinking identity as a potential cognitive mechanism associated with the natural transition out of HD that most college students make after graduation—the well-known “maturing out” phenomenon. Study results indicated reductions in HD following graduation—to more moderate levels—and drinking identity, social network drinking, and HD were positively associated at the between-person level. Results did not support drinking identity as a mediator of changes in drinking. Instead, within-person changes in drinking identity followed within-person changes in HD. Drinking identity, may function more as a marker (vs. mechanism) of HD change during post-college transition.
Supplementary Material
Acknowledgments
This research was supported by NIAAA R01 AA024732 (PI: Lindgren). NIAAA had no role in the study design, collection, analysis, interpretation of the data, writing of the manuscript, or the decision to submit the paper for publication. Bethany A. Teachman has a significant financial interest in Project Implicit, Inc., which provided data collection services supporting this project under contract with the University of Washington.
Footnotes
Though we use the term self-concept in this paper, we note that different literatures use different terms (e.g., the self, identity, self-schemas) to refer to roughly the same construct.
We initially used an alternate mediation model, which was pre-registered. The details of that analysis, including results, are available on OSF (https://osf.io/d27jp). Briefly, that analysis found some support for changes in implicit (but not explicit) drinking identity (from T1 to T4–T6) mediating the relationship between changes in social network drinking (from T1 to T2–T3) and personal drinking (from T1 to T7–T8). We changed our approach during peer-review. The editor and reviewers noted, reasonably, that our original analysis did not sufficiently separate between-person and within-person relationships and suggested making use of as many of the timepoints as possible for all variables.
For example, Mplus (Muthén & Muthén, 2017) uses a latent formulation of categorical variables (sometimes referred to as y*), which makes it possible, along with some specific assumptions, to use categorical variables in a cross-lagged model. However, there is no latent formulation for count variables in Mplus or, as far as we are aware, in the methodological literature.
Typically, we would use a model comparison test, such as a likelihood ratio test, to compare the fit of a model with and without constraints. When using Bayesian modeling, these tests are not available within Mplus or any other structural equation modeling software available at this time.
The indirect effects have two “early” timepoints because there is one indirect effect that involves parameters that span timepoint 3 and timepoint 4.
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