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Implications for Early Intervention from a Biopsychosocial Perspective on Addiction

  • John S. Baer (a1)


Problems associated with alcohol consumption among young people are reviewed from an integrated biopsychosocial model. It is argued that young people drink differently from older people, and that traditional models of addiction and treatment work better with older populations than with younger ones. Social, psychological and biological factors associated with development and remission of young people's drinking are reviewed. Suggestions for approaches to early interventions are developed.


Corresponding author

Department of Psychology, NI-25 University of Washington Seattle, WA 98195, USA


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Alterman, A.I. (1987). Patterns of familial alcoholism, alcoholism severity, and psychopathology. The Journal of Nervous and Mental Disease, 176, 167175.
Baer, J. S., & Carney, M. (1990). Biases in the perception of problem drinking among college students. Manuscript under editorial review. University of Washington.
Baer, J.S., Kivlahan, D., Fromme, K., & Marlatt, G.A. (in press). Secondary prevention of alcohol abuse with college student populations: A skills training approach. In Heather, N., Miller, W.R., & Greeley, J. (Eds.), Self Control and the Addictive Behaviors (pp. 339354). Sydney: Maxwell Macmillan Publishing Australia.
Baer, J.S., Stacy, A., & Larimer, M. (in press). Biases in the Perception of Drinking Norms Among College Students. Journal of Studies on Alcohol.
Berkowitz, A. D., & Perkins, H.W. (1986). Problem drinking among college students: A review of recent research. Journal of American College Health, 35, 2128.
Brennan, A.D., Walfish, S., & Aubuchon, P. (1986). Alcohol use and abuse in college students: I. A review of individual and personality correlates. International Journal of the Addictions, 21, 449474.
Cahalan, D., & Room, R. (1974). Problem drinking among American men. New Brunswick, NJ: Rutgers Center for Alcohol Studies.
Chandler, B.C., Parsons, D.A., & Vega, A. (1975). Autonomic functioning in alcoholics: A study of heart rate and skin conductance. Journal of Studies on Alcohol, 36, 566577.
Christianson, B. A., Smith, G. T., Roehling, P. V., & Goldman, M. S. (1989). Using Alcohol Expectancies to Predict Adolescent Drinking Behavior After One Year. Journal of Consulting and Clinical Psychology, 57, 9399.
Cloninger, C. R. (1987). Neurogenetic adaptive mechanisms in alcoholism. Science, 236, 410416.
Cotton, N. (1979). The familial incidence of alcoholism: A review. Journal of Studies on Alcohol, 40, 89116.
Cox, W. M. (1987). Personality Theory and Research. In Blane, H. T. & Leonard, K. E. (Eds.), Psychological theories of drinking and alcoholism. NY: Guilford Press.
Donovan, J. E., Jessor, R., & Jessor, L. (1983). Problem drinking in adolescence and young adulthood. Journal of Studies on Alcohol, 44, 109137.
Fillmore, K. M. (1988). Alcohol use across the life course. Toronto, Canada: Alcoholism and Drug Addiction Research Foundation.
Fillmore, K. M., & Midanik, L. (1984). Chronicity of drinking problems among men: A longitudinal study. Journal of Studies on Alcohol, 45, 228236.
Finn, P. R., & Pihl, R.O. (1987). Men at high risk for alcoholism: The effect of alcohol on cardiovascular response to unavoidable shock. Journal of Abnormal Psychology, 96, 230236.
Finn, P.R., & Pihl, R. O. (1988). Risk for alcoholism: A comparison between two different groups of sons of alcoholics on cardiovascular reactivity and sensitivity to alcohol. Alcoholism: Clinical and Experimental Research, 12, 742747.
Fishbein, M., & Ajzen, I. (1975). Belief, attitude, intention, and behaviour: An introduction to theory and research. Reading, MA: Addison-Wesley.
Fromme, K., Mooney, D. K., Kivlahan, D. R., & Marlatt, G. A. (1986). Expectancies, risk identification, and secondary prevention with problem drinkers. Advances in Behavior Research and Therapy, 8, 237251.
Garfield, Z. H., & McBrearty, J. F. (1970). Arousal level and stimulus response in alcoholics after drinking. Quarterly Journal of Studies on Alcohol, 31, 832838.
Hull, J. G., & Bond, C. F. (1985). Social and behavioral consequences of alcohol consumption and expectancy: A meta-analysis. Psychological Bulletin, 99, 347360.
Jellinik, E. M. (1960). The disease concept of alcoholism. New Haven: Hillhouse.
Jessor, R. J. (1985). Adolescent problem drinking: Psychosocial aspects and developmental outcomes. In Towle, L. H. (Ed.), Proceedings: NIAAA WHO Collaborating Center designation meeting and alcohol research seminar. DHHS Publication No. (ADM) 852370. Washington DC: US Government Printing Office.
Kivlahan, D. R., Marlatt, G. A., Fromme, K., Coppel, D. B., & Williams, E. (1990). Secondary Prevention with College Drinkers: Evaluation of an Alcohol Skills Training Program. Journal of Consulting and Clinical Psychology, 58, 805810.
Kraft, D. P. (1984). A comprehensive prevention program for college students. In Miller, P. M. & Nirenberg, T. D. (Eds.), Prevention of alcohol abuse. NY: Plenum.
Leigh, B. C. (1989). In search of the seven dwarves: Issues of measurement and meaning in alcohol expectancy research. Psychological Bulletin, 105, 361373.
Levenson, R. W., Oyama, O. N., & Meek, P. S. (1987). Greater reinforcement from alcohol for those at risk: Parental risk, personality risk, and sex. Journal of Abnormal Psychology, 96, 242253.
Newcomb, M. D., Ebrahim, M., & Bentler, P. M. (1986). Risk factors for drug use among adolescents: Concurrent and longitudinal analyses. American Journal of Public Health, 76, 525531.
Newlin, D. B., & Thomson, J. B. (1990). Alcohol challenge with sons of alcoholics: A critical review and analysis. Psychological Bulletin, 108, 383402.
NIAAA. (1984). Report of the 1983 Prevention Planning Panel. Rockville, MD: NIAAA.
Peele, S. (1986). The implications and limitations of genetic models of alcoholism and other addictions. Journal of Studies on Alcohol, 47, 6373.
Rabow, J., & Neuman, C. A. (1984). Saturday night live: Chronicity of alcohol consumption among college students. Substance and Alcohol Actions Misuse, 5, 17.
Room, R. (1977). Measurement and distribution of drinking patterns and problems in general populations. In Edwards, G., Gross, M. M., Killer, M., Moser, J., & Room, R. (Eds.), Alcohol Related Disabilities (pp. 6187). WHO Offset Publication No. 32, Geneva: World Health Organization.
Saltz, R., & Elandt, D. (1986). College student drinking studies 1976–1985. Contemporary Drug Problems, Spring, 117159.
Sher, K. J. (1987). What we know and do not know about COAs: A research update. Paper presented at the MacArthur Foundation Meeting on Children of Alcoholics, Princeton, NJ.
Sher, K. J., & Levenson, R. W. (1982). Risk for alcoholism and individual differences in the stress-response-dampening effect of alcohol. Journal of Abnormal Psychology, 91, 350367.
Yamaguchi, K., & Kandel, D. B. (1985a). On the resolution of role incompatibility: A life event history analysis of family roles and marijuana use. American Journal of Sociology, 90, 12841325.
Yamaguchi, K., & Kandel, D. B. (1985b). Dynamic relationships between premarital cohabitation and illicit drug use: An event-history analysis of role selection and role socialization. American Sociological Review, 50, 530546.
Zucker, R. A. (1987). The four alcoholisms: A developmental account of the etiologic process. In Rivers, P. C. (Ed.), Nebraska Symposium of Motivation, Vol. 34. Alcohol and addictive behaviors. Lincoln, NE: University of Nebraska Press.
Zucker, R. A., & Gomberg, E. S. L. (1986). Etiology of alcoholism reconsidered: The case for a biopsychosocial process. American Psychologist, 41, 783.

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Implications for Early Intervention from a Biopsychosocial Perspective on Addiction

  • John S. Baer (a1)


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