Children's alcohol cognitions prior to drinking onset: Discrepant patterns from implicit and explicit measures.

Abstract

Prior to drinking onset, children report stronger negative versus positive beliefs on self-report alcohol expectancy questionnaires, with some attenuation of this negativity as they transition into adolescence. Traditional alcohol expectancy assessments, however, capture endorsement of deliberative propositions about drinking outcomes. Measurement of implicit alcohol associations may elucidate automatic evaluations, clarifying the role of nondeliberative cognition in the initiation of alcohol use among youth. Few studies have assessed implicit alcohol cognition among children and younger adolescents, with inconsistent findings regarding the nature of these automatic associations within and between age groups. Eighty-nine 3rd and 4th graders and 91 7th and 8th graders completed an alcohol expectancy measure and two unipolar alcohol Implicit Association Tests (IAT) measuring positive and negative alcohol associations independently. On the explicit measure older compared with younger participants rated positive drinking outcomes as more likely and negative outcomes as less likely. Older compared with younger students were also more neutral/moderate in their evaluations of positive drinking outcomes. On the IATs, scores for the full sample indicated negative alcohol associations, and Negative IAT scores were higher for older compared with younger participants. However, the valence of implicit alcohol associations was qualified by the order of explicit versus implicit assessment; for those who completed the IATs prior to the explicit expectancy measure, alcohol associations were positive. Findings replicate and extend prior research conducted with preonset youth. Implications regarding the role of automatic and controlled processes in drinking onset and directions for future work on children's alcohol cognition are discussed.