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Can the relationship between problematic use of both alcohol and the
internet, as reported by Ko and colleagues, be replicated in an American
population?
Finally, given that sex differences have been found for both the
relationship between social anxiety and alcohol (e.g., Morris et al., 2005)
and between problematic alcohol use and internet addiction (Ko et al.,
2008), do males and females differ in terms of the above questions?
METHOD
Participants
Students (128 males, 169 females) at a regional state university in the
southeast United States participated in the IRB-approved study in
exchange for class credit, with an average age of 23.65 years (SD =
6.34). Caucasians (68%) and African-Americans (20%) comprised most
of the sample. The majority were undergraduates (95%) and were divided
equivalently (20-27%) across academic classifications and academic
fields of study. Fifty-seven percent of the participants could be
characterized as traditional college students (i.e., 17-22 years of age,
single, and without children), which is reflective of the university
enrollment as a whole (Armstrong Atlantic State University, 2010).
Participants reported internet use was typical, however, for a young adult
population in that 89% reported using the internet either daily or several
times daily, with an average of 13.18 (SD = 13.19) hours online per week
estimated by participants. The majority (81%) reported their favorite
location for internet use as their home. Participants reported that 60% of
their online time is spent engaged in leisure activities (email, social
networking, online research, listening to music, and general web surfing).
Because this investigation focused on online drinking, only current
drinkers were eligible to participate in the study. Drinking status was
verified by participant response to item 1 on the AUDIT (i.e., How often
do you have a drink containing alcohol?) and those few non-drinkers (n =
25) who erroneously volunteered for the study were excluded from data
analyses.
Activity n M SD
Social networking sites 135 3.71 1.27
Watch/downloading video 149 3.48 1.31
Listen to/downloading music 151 3.38 1.44
General web surfing 151 3.21 1.38
Interactive chat 99 2.75 1.51
Reading/Responding to Email 148 2.59 1.45
Cybersex websites 82 2.51 1.39
Reading/Posting to Blogs 101 2.33 1.40
Gaming 72 2.13 1.15
Interactive Gaming 59 2.12 1.35
Shopping 116 2.05 1.28
Research 143 1.95 1.19
Interactive Cybersex 38 1.95 1.37
Dating Websites 38 1.84 1.24
Roleplay Gaming 46 1.78 1.26
Gambling 32 1.44 .91
Note. Only participants who reported using the internet while drinking or intoxicated are
reflected in the table. For each activity, ratings are only included for participants who
reported ever engaging in that particular online activity. Ratings were assigned using a 1
(Very Unlikely) to 5 (Very Likely) scale in response to the question, How likely are you to
engage in the following internet activities while drinking alcohol or while under the
influence of alcohol?.
Alcohol and Internet Use. Participants were asked two items to assess
if they had ever consumed alcohol while using the internet or had ever
used the internet while under the influence of alcohol. Those who
responded yes to at least one of the items went on to complete the
66 NORTH AMERICAN JOURNAL OF PSYCHOLOGY
Internet Addiction Test. The IAT was developed by Young (1996, 1998)
based ononDSM-IV
DSM-IVcriteria for impulse
criteria controlcontrol
for impulse disordersdisorders
such as such as
compulsive gambling. Participants are asked how often they have
experienced 20 situations related to their internet use, capturing the effect
of internet use on their relationships, emotions, sleeping, and daily
activities, among others. Scores range from 20-100, with scores greater
than 40 indicating frequent problems and scores greater than 70
Wolfe ONLINE DRINKING: EXPLORATORY STUDY 67
Primary Analyses
What percent of college student drinkers consume alcohol during
online activities, or use the internet while under the influence of alcohol?
Forty percent of participants (47% males, 36% females) reported using
alcohol while engaged in online activity and 52% (59% males; 47%
females) reported going online while under the influence of alcohol.
Perhaps not surprisingly, online drinkers had significantly higher AUDIT
scores (M = 9.27, SD = 5.21) than online abstainers (M = 4.93, SD =
4.08), [t(295) = -7.87, p < .01].
Are there online activities that are more likely to be engaged in while
drinking or under the influence of alcohol? As shown in Table 1, the
online activities most often engaged in when participants use alcohol are
social or entertainment-based. Independent samples t-tests comparing
males and females indicated that males were significantly more likely to
go online to watch or download music or videos, use regular or
interactive cybersex sites, or play interactive games during online
drinking, whereas females were significantly more likely to use social
networking sites (all ps < .01). These sex differences were similar to
those evidenced by participants when asked about their general (non-
alcohol related) online activities.
Do online drinkers demonstrate different internet use patterns in
general, as compared to alcohol users who do not engage in online
drinking? With regard to general online activities, individuals who
engage in online drinking were found to be significantly more likely than
alcohol users who abstain from online drinking to spend more time
online and more time engaged in online leisure activities (see Table 4).
As can be seen in the Table, they were also significantly more likely to
report spending their online time engaged in general web surfing and
entertainment-oriented activities, including shopping and visiting
cybersex sites.
Are there unique consequences associated with mixing alcohol and
internet use? Participants acknowledged experiencing a range of
consequences as a result of online drinking. As shown in Table 2, the
most common consequence was spending too much time online and
neglecting other tasks. However, approximately 30-40% of participants
70 NORTH AMERICAN JOURNAL OF PSYCHOLOGY
indicated that they said, wrote, or did something they later regretted; got
into an argument; felt more comfortable/less anxious during the online
activity; and gave out too much information about themselves as a result
of their alcohol use.
Can the relationship between problematic use of both alcohol and the
internet, as reported by Ko and colleagues, be replicated in an American
population? Using the recommended IAT criterion score of 40, 20% of
our sample evidenced a problematic pattern of internet use (23% males,
17% females). Using the recommended AUDIT criterion score of 8, 40%
of our sample responded to the measure in such a way as to indicate
potential problems with alcohol use (53% males, 31% females). A
significant positive correlation was found between IAT and AUDIT
Wolfe ONLINE DRINKING: EXPLORATORY STUDY 71
scores (r = .22, p < .001). However, when computed for males and
females separately, it was discovered that the relationship was only
present for female participants (males: r = .09, p = .31; females: r = .29,
p < .001). Finally, participants who reported consuming alcohol during
online activity (M = 30.98, SD = 14.3) had significantly higher IAT
scores than participants who denied drinking during online activity (M =
27.71, SD = 11.89), [t(292) = 2.13, p < .05]. Similarly, participants who
reported going online when under the influence of alcohol (M = 30.95,
SD = 13.9) had significantly higher IAT scores than participants who
denied online intoxication (M = 26.94, SD = 11.63), [t(292) = 2.68, p < .
01]. This pattern was similar for male and female participants.
Are individuals who combine alcohol use and internet activity more
socially anxious than those who do not? The mean score for participants
on the SAD was 8.07 (SD = 7.04), which is similar to the scores (M =
9.1, SD = 8) for university students reported by the measure developers
(Watson & Friend, 1969). As expected, SAD scores were significantly
positively correlated with IAT scores (r = .284, p < .001) for participants
as a whole, and when examining scores separately for males (r = .342, p
< .001 ) and females (r = .253, p = .001). Contrary to expectations, there
was no correlation between AUDIT and SAD scores (r = .037, p > .05).
T-tests revealed that participants who reported using the internet while
drinking [t(295) = -.169, p > .05] or intoxicated [t(295) = .01, p > .05]
reported similar social anxiety and avoidance levels on the SAD as
compared to participants who denied such involvement.
Are socially anxious individuals more likely to engage in particular
internet activities (e.g., interactive activities) while drinking or under the
influence of alcohol? Correlation analyses were run to determine if SAD
scores were associated with a greater likelihood of drinking during
particular types of online activities as reported on the AIAQ. Results
indicated that SAD scores were not significantly associated with
likelihood of involvement in most types of online activities while
drinking. An exception was reported likelihood of online gambling while
drinking, which was significantly positively associated with SAD scores
(r = .316, p < .05) for participants as a whole, and drinking during role
play gaming, which was significantly positively associated with SAD
scores for female participants (r = .392, p < .05). Finally, hierarchical
linear regression was used to examine whether social anxiety and
avoidance, alcohol outcome expectancies, or the interaction between
these variables, might predict likelihood of engaging in various online
activities while drinking. Because males and females differed in their
reported likelihood of engaging in many online activities (in general, and
while drinking), participant sex was first entered in the regression model.
In a second step, SAD, AOEQ tension reduction, and AOEQ social
72 NORTH AMERICAN JOURNAL OF PSYCHOLOGY
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