Impairments in daily functioning after heavy and extreme episodic drinking in university students

Drug Alcohol Rev. 2012 Sep;31(6):763-9. doi: 10.1111/j.1465-3362.2012.00429.x. Epub 2012 Mar 14.

Abstract

Introduction and aim: Excessive consumption of alcohol is a major public health issue in university students. The dangers of heavy drinking are well known, with both acute and long-term consequences; however, there is limited information on patterns of extreme drinking (twice over the recommended threshold for low-risk drinking), and the differential effects of heavy versus extreme drinking on immediate consequent functioning in daily life. The current study investigated drinking patterns in a sample of university students and the association of different levels of alcohol consumption with self-reported physical, cognitive and emotional function the day after the drinking episode.

Design and methods: Data for this study were collected from a sample of 281 University of Otago students using a 21 day Internet-based daily diary. Participants reported on their drinking the previous night and their physical, cognitive and emotional functioning on that day.

Results: Participants reported drinking on 26.8% days overall and consuming an average of 7.2 standard drinks per occasion. Only heavy drinking (7+standard drinks for men, 5+standard drinks for women) and particularly extreme drinking (14+for men, 10+for women) predicted significant decreases in physical and cognitive functioning the next day. However, low-risk drinking (≤ 6 drinks for men,≤ 4 for women) was not associated with next-day impairment.

Discussion and conclusions: Findings suggest that there are adverse, intermediate consequences of excessive drinking on dimensions relevant to students' lives. Drinking within low-risk guidelines is recommended.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Activities of Daily Living / psychology*
  • Alcohol Drinking / adverse effects
  • Alcohol Drinking / epidemiology
  • Alcohol Drinking / psychology
  • Alcoholic Intoxication / complications
  • Alcoholic Intoxication / epidemiology*
  • Alcoholic Intoxication / psychology*
  • Female
  • Health Surveys / methods
  • Humans
  • Male
  • Medical Records
  • New Zealand / epidemiology
  • Students / psychology*
  • Universities*
  • Young Adult