Document Type

Article

Publication Date

2026

DOI

10.1007/s11469-026-01664-w

Publication Title

International Journal of Mental Health and Addiction

Volume

Advance online publication

Pages

1-18

Abstract

The present study examined the mediational role of FAD-intoxication (i.e., restricting calories to increase or quicken alcohol intoxication) in the relationship between college alcohol beliefs (CABs) and negative alcohol-related consequences. A sample of 2543 student drinkers from six countries completed the baseline survey, and 505 drinkers completed at least one follow-up. Two models examined whether frequency of FAD-intoxication mediated the relationship between CABs and alcohol-related problems, and structural invariance testing was conducted across sex and countries. FAD-intoxication was concurrently and prospectively associated with greater endorsement of alcohol-related consequences and significantly mediated the effects of CABs on alcohol-related consequences. The relationship of FAD-intoxication on negative alcohol related consequences was stronger for females compared to males, and stronger in the U.S., South Africa, England, and Canada, compared to Argentina and Spain. Intervention programs for college students engaging in FAD-intoxication may benefit from targeting CABs to reduce negative alcohol-related consequences.

Rights

© The Authors 2026

 This article is licensed under a Creative Commons Attribution 4.0 International (CC BY 4.0) License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original authors and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder.

Data Availability

Article states: "Analytic outputs are available at https://doi.org/10.17605/OSF.IO/9B2U8."

Original Publication Citation

Hernandez Puelma, J. A., Berry, K. A., Herchenroeder, L., Looby, A., Bravo, A. J., Conway, C. C., Fernández-Calderón, F., Henson, J. M., Hogarth, L., Ibáñez, M. I., Kaminer, I., Keough, M., Medvedev, O., Mezquita, L., Michelini, Y., Ortet, G., Pautassi, R., Pearson, M. R., Pilatti, A.,…Cross-Cultural Addictions Study, T. (2026). Cross-national longitudinal insights into college alcohol beliefs and consequences: The role of food and alcohol disturbance. International Journal of Mental Health and Addiction. Advance online publication. https://doi.org/10.1007/s11469-026-01664-w

ORCID

0000-0003-3888-9864 (Henson)

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