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Expectancies for Alcohol Analgesia Among Emerging Adults: Confirmatory Factor Analysis, Reliability, and Validity
Callon M Williams1, Danielle M Ganchrow1, Ashley D Shayya2
1Department of Psychology, Binghamton University, Binghamton, New York, USA.
Substance Use & Misuse
|December 13, 2024
Summary
The Expectancies for Alcohol Analgesia (EAA) scale is reliable for emerging adults, showing alcohol-pain expectancies link to increased alcohol use and pain. This measure can inform interventions for young adults.
Area of Science:
- Psychology
- Addiction Medicine
- Pain Management
Background:
- Alcohol and pain often coexist, creating a cycle that worsens both conditions.
- Alcohol-related outcome expectancies influence drinking behaviors in emerging adults (18-24).
- The Expectancies for Alcohol Analgesia (EAA) scale measures beliefs about alcohol's pain-reducing effects, previously validated in adults with chronic pain.
Purpose of the Study:
- To evaluate the factor structure, reliability, and validity of the EAA in emerging adult college students.
- To investigate the psychometric properties of the EAA in a high-risk population for alcohol-pain expectancies.
Main Methods:
- A sample of 555 emerging adult college students with varying pain levels and alcohol use completed an online survey.
- Confirmatory factor analysis was used to assess the EAA's factor structure.
- Reliability and validity were examined by correlating EAA scores with measures of alcohol consumption, consequences, motives, and pain.
Main Results:
- Confirmatory factor analysis supported a single-factor structure for the EAA (CFI = 0.99, TLI = 0.99, SRMR = 0.01, RMSEA = 0.04).
- The EAA demonstrated excellent internal consistency (α = .95).
- EAA scores were significantly associated with higher alcohol consumption, negative alcohol-related consequences, specific drinking motives, and increased pain intensity and disability (p < .01).
Conclusions:
- The EAA is a psychometrically sound and reliable tool for assessing alcohol analgesia expectancies in emerging adult college students.
- Findings suggest the EAA can be a valuable target for interventions aimed at challenging alcohol-pain beliefs in this population.
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