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My
research focuses on both the causes and consequences of alcohol
use and abuse. Alcohol abuse is multiply determined and therefore
requires examination of complex models including genetic, pharmacological
and psychosocial factors. Endophenotypes associated with genetic
risk may include low responsivity to the intoxicating effects of
alcohol and increased impulsivity following alcohol consumption.
I have studied the effects of alcohol on these processes by bringing
participants into a simulated bar laboratory, where their behavior
can be directly observed after they are dosed to a target BAC level.
In addition, genetic |
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samples are collected to identify specific polymorphisms that may
be associated with these behavioral responses. Psychosocial influences
on alcohol abuse include alcohol expectancies and perceptions of
normative use. Alcohol expectancies are beliefs individuals hold
about the effects they experience from drinking. Studies have shown
that these beliefs develop in childhood and are predictive of both
alcohol use and alcohol-related problems. Individual perceptions
about normative use in a relevant peer group are also associated
with alcohol consumption. For example, most college students overestimate
how much their peers drink, which may contribute to heavy drinking
on college campuses. My research on prevention of alcohol-related
problems in young adults has focused primarily on targeting these
psychosocial risk factors.
Although
alcohol abuse and dependence are the most obvious negative consequences
of heavy drinking, these clinical disorders account for only a fraction
of the social costs associated with alcohol use. Heavy episodic
alcohol use, or "binge" drinking is common among young
adults and contributes to a host of high-risk behaviors with their
own associated costs. Examples include unprotected sexual behavior
and driving under the influence. In the simulated bar lab, I have
been able to study the effects of alcohol on various cognitive processes
including attention, memory, and executive cognitive functioning.
Participants receive an initial standard dose of alcohol and are
then asked to complete various cognitive and behavioral tasks. The
goal is to understand the mechanisms through which alcohol contributes
to behavioral decisions that place individuals at risk for negative
consequences. Ultimately, this may lead to more effective harm prevention
programs for binge drinkers.
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