Day-to-day variations in high-intensity drinking, expectancies, and positive and negative alcohol-related consequences

Megan E. Patrick, Jessica M. Cronce, Anne M. Fairlie, David C. Atkins, Christine M. Lee

Research output: Contribution to journalArticlepeer-review

45 Scopus citations


High-intensity drinking (i.e., women/men consuming 8+/10+ drinks in a day) is prevalent and associated with negative consequences. Occasions of high-intensity drinking have markedly high risk; however, previous research has not examined the predictors of these high-risk drinking days. The current study was designed to examine to what extent positive and negative alcohol expectancies predict high-intensity drinking and whether high-intensity drinking on a given day was associated with drinking consequences and their evaluations that day. Frequently drinking college students (N = 342) participated in an intensive longitudinal study of drinking behaviors (N = 4645 drinking days). Days with greater positive and negative expectancies were associated with high-intensity drinking. Days with high-intensity drinking were associated with reporting more positive and negative consequences and with evaluating positive consequences more favorably and evaluating negative consequences less favorably, compared to drinking days without high-intensity drinking. Given this, prevention and intervention efforts may consider specifically targeting high-intensity drinking events as a unique phenomenon.

Original languageEnglish (US)
Pages (from-to)110-116
Number of pages7
JournalAddictive Behaviors
StatePublished - Jul 1 2016
Externally publishedYes

Bibliographical note

Funding Information:
Data collection and manuscript preparation were supported by grants from the National Institute on Alcohol Abuse and Alcoholism ( R01 AA023504 to M. Patrick and R01 AA016979 to C. Lee). The content of this manuscript is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

Publisher Copyright:
© 2016 .


  • Alcohol
  • College
  • Consequences
  • Expectancies
  • Extreme binge drinking
  • High-intensity drinking


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