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Addiction Research and Theory, February 2013; 21(1): 43–51

Copyright ß 2013 Informa UK Ltd.


ISSN: 1606-6359 print/1476-7392 online
DOI: 10.3109/16066359.2012.685120

Present orientation, future orientation and alcohol use


in Northern Irish adolescents

Michael T. McKay1, Andrew Percy2, & Jon C. Cole1


1
Department of Applied Psychology, University of Liverpool, Eleanor Rathbone Building, Bedford Street
South, Liverpool, L69 3BX, UK and 2School of Sociology, Social Policy and Social Work, Queen’s University,
Belfast, UK
(Received 2 November 2011; revised 6 April 2012; accepted 10 April 2012)

INTRODUCTION

Earlier initiation into more problematic drinking Research has identified significant relationships
behaviour has been found to be associated with more between early initiation and later problematic misuse
problematic drinking later in life. Research has of alcohol and other drugs (e.g. DeWit, Adlaf, Offord,
suggested that a lower future time perspective (and & Ogborne, 2000; Kandel, 1982; Kandel, Simcha-
higher present time perspective) is associated with Fagan, & Davies, 1986; White, Bates, & Labouvie,
health-compromising behaviours such as problem- 1998). These long-term negative outcomes include
atic alcohol use in college student, University more frequent drinking (Monshouwer, Smit, De Zwart,
undergraduate and general population samples. Spruit, & Van Ameijden, 2003; Takakura & Wake,
This study used a cross-sectional design to examine 2003), alcohol abuse and social problems (e.g. DeWit
whether consideration of future consequences et al., 2000; Grant & Dawson, 1997; Grant, Stinson, &
(CFC), assessed by the Consideration of Future Harford, 2001; Hingson, Heeren, & Winter, 2006), and
Consequences Scale, was significantly related to adult criminality (Kandel et al., 1986; Stacy &
drinking behaviour in a large sample (n ¼ 707) of Newcomb, 1995). Early onset of excessive alcohol
Northern Irish adolescents. Alcohol use was self- consumption has also been found to be associated with
reported by means of a composite measure of proneness to higher anxiety later in life (Berglund,
drinking behaviour. Demographic data were also Fahlke, Berggren, Eriksson, & Balldin, 2006), and
gathered. After controlling for year in school (proxy heavy exposure to neurotoxins, such as ethanol, affects
for age), sex and for clustering at school level, lower brain maturation and neurocognitive function (Spear,
future orientation and higher present orientation 2000). One study found that the clearest predictor of
were found to be significantly associated with more alcohol dependence in young adults was regular
problematic self-reported drinking behaviour. alcohol use in the teenage years (Bonomo, Bowes,
These results extend recent findings of a significant Coffey, Carlin, & Patton, 2004). In sum, the misuse of
relationship between a foreshortened future time alcohol in adolescence has been linked with increased
perspective and more problematic self-reported risk of alcohol dependence and other social and health
drinking behaviour in a UK sample of University problems in adulthood (Bonomo et al., 2004; Guo,
undergraduates, to a large UK sample of adoles- Collins, Hill, & Hawkins, 2000; Viner & Taylor, 2007).
cents. Given the relationship between early-onset Time perspective is an individual difference variable
drinking and more problematic use in later life, which describes the influence that considerations of
health promotion interventions might explore using past, present and future have on decision-making
the CFC construct in targeting adolescent drinkers. related to present behaviours (Adams, 2009).
Subjective time perspective implies that in the present
moment individuals may recollect the past, perceive
the present and anticipate the future (Shipp, Edwards,
Keywords: Adolescent, alcohol, time perspective & Schurer-Lambert, 2009). Thoms and Blasko (2004)

Correspondence: M. T. McKay, Department of Applied Psychology, University of Liverpool, Eleanor Rathbone Building, Bedford
Street South, Liverpool, L69 3BX, UK. Tel: 0044 2892 670918. Fax: 0044 2892 667573. E-mail: Michael.Mckay@liverpool.ac.uk
43
44 M. T. MCKAY ET AL.

argue that although largely unnoticed in everyday life, (CFC-F) and immediate (CFC-I) subscales. The study
future time perspective in particular provides a cogni- by Rappange et al. (2009) provided limited support for
tive structure or anchor in the mind that is in turn this factor structure. Items within the CFC-F subscale
critical to human motivation. Focusing on the future were those positively worded items from the CFCS
and the degree (or depth) to which that focus extends, (items 1, 2, 5, 6, and 7) and items within the CFC-I
helps afford individuals a reference point for their sub-scale were the remaining negatively worded items.
reasoning and decision-making. Both Joireman et al. (2008) and Adams (2012) reported
Zimbardo and Boyd (1999) argued that learned time a negative correlation between these two factors, and
perspective exerts a dynamic influence on many indicated that the CFC-F factor reflected future orien-
important decisions, judgements and actions. Time tation and the CFC-I factor reflected present orienta-
perspective has been conceptualised and defined in a tion. However, this correlation can only be negative
multiplicity of ways. Definitions have variously when the negatively worded items in the CFCS are not
focused on the influence on present decision-making reverse-scored, as directed by Strathman et al. (1994),
and behaviour of a person’s psychological future and otherwise the CFC-I reflects not consideration of
past (e.g. Lennings, 2000; Lewin, 1951; Zimbardo & immediate consequences, as opposed to active consid-
Boyd, 1999); the cognitive structures used by individ- eration of immediate consequences. Although not
uals to project, collect, access, value and organise indicated in the manuscript, personal communication
events that reside in distinct temporal loci (e.g. Lasane with Jeffrey Joireman revealed that, in fact, the
& O’Donnell, 2005; Seijts, 1998); the length (in negatively worded items had not been reverse scored
objective terms) of one’s personal time horizon in his study. Joireman et al. (2008) reported that lower
(Carstensen, Isaacowitz, & Charles, 1999; Wohlford, levels of trait self-control were best predicted by higher
1966) or on the behavioural out-workings of individual levels of CFC-I (not CFCF), while Adams (2012)
differences in time perspective (e.g. Henson, Carey, reported that only CFC-I scores were significantly
Carey, & Maisto, 2006; Strathman, Gleicher, Boninger, associated with health variables in multiple linear
& Edwards, 1994). Many of these conceptualisations regression analyses.
define time perspective as a relatively stable individual There has been a considerable amount of research
difference variable that can explain behaviours across a into the relationship between adolescent time perspec-
wide variety of domains including physical health. tive and, for example, academic motivation (e.g. Miller
A widely used measure of time perspective is the & Brickman, 2004; Simons, Vansteenkiste, Lens, &
Consideration of Future Consequences Scale (CFCS; Lacante, 2004) and academic achievement (e.g.
Strathman et al., 1994). Higher CFCS scores (or greater Lennings, Burns, & Cooney, 1998; Mello & Worrell,
consideration of future consequences, CFC) have been 2006). Accordingly many positive relationships
associated with safer sexual behaviour and HIV testing between future time perspective and other variables
(Appleby, Marks, Miller, Murphy, & Mansergh, 2005; have been revealed. These include academic motiva-
Dorr, Krueckeberg, Strathman, & Wood, 1999), a tion (Greene & DeBacker, 2004; Miller & Brickman,
greater likelihood of participating in health screening 2004; Simons et al., 2004), delay of gratification
(Orbell & Hagger, 2006; Orbell, Perugini, & Rakow, (Bembenutty & Karabenick, 2004), and academic
2004), a reduced likelihood of obesity (Adams & achievement (e.g. De Volder & Lens, 1982; Shell &
Nettle, 2009; Adams & White, 2009) and smoking Husman, 2001). However, less research has taken place
(Adams & Nettle, 2009). Those high in CFC have been in the relationship between adolescents’ time perspec-
shown to be less susceptible to the peer pressure to tive and health-related outcomes. In a study of Dutch
drink alcohol (Reifman, 2001) and to self-report less adolescents (mean age ¼ 13.2 years), a significant
problematic alcohol use (Beenstock, Adams, & White, positive relationship between CFC and health-related
2011; Strathman et al., 1994). The sum of these studies attitudes was reported (Rappange et al., 2009), and in a
indicates that those who are more considerate of the study of adjudicated adolescents in the USA (mean
future are less likely to engage in health-compromising age ¼ 15.3 years), fewer alcohol or drug-related prob-
behaviours. lems were associated with a higher future orientation
Until relatively recently, the CFCS had been (Robbins & Bryan, 2004).
conceptualised as unidimensional, simplistically con- This study extends previous research in a number of
ceptualising future orientation to indicate the absence ways. First, while the prospective relationship between
of present orientation. However, more recent analyses earlier onset problematic drinking and more problems
have suggested that a multiple factor structure provides in later life has been established, there is a dearth of
a better fit for the data. These results have been found literature documenting how adolescent drinking is
in general population samples (e.g. Adams, 2012), related to the consideration of the future consequences
college student samples (e.g. Joireman, Balliet, Sprott, of current behaviour. Second, we used a large sample
Spangenberg, & Schultz, 2008; Petrocelli, 2003) and of adolescents from the UK which extends the previous
among adolescents (e.g. Rappange, Brouwer, & Van work in adolescent samples to a new geographical area.
Exel, 2009). In the case of Adams (2012) and Joireman Third, we used a composite measure of adolescent
et al. (2008), the factor solutions were labelled future drinking behaviour, taking into account of a range of
PRESENT ORIENTATION, FUTURE ORIENTATION AND ALCOHOL USE 45

alcohol use dimensions including, but not limited to, Procedure


drinking frequency, quantity, experience of health and Data were gathered under examination-like conditions.
social problems and duration of use. Previous research Participants were issued with a set of response sheets
has used either very specific populations (Robbins & and all questionnaires were administered verbally by
Bryan, 2004) and/or very specific alcohol-related the researcher, allowing pupils with literacy difficulties
measures (e.g. frequency of drinking/drunkenness, to take part and also to help maximise the number of
Robbins & Byran, 2004), or non-alcohol-specific fully completed response sheets. This meant that those
health attitudes questions (e.g. Rappange et al., 2009). with reading difficulties did not have to read the
This study aimed to investigate the bivariate and questions, and afforded all participants the opportunity
more fully controlled (with demographic measures) to ask for clarification on any of the questions asked.
relationship between adolescent drinking behaviour Data collection took approximately 30 min in each
and CFC. Based on CFC research in adolescent and school.
non-adolescent populations, we hypothesised that
factor structure analyses of the CFCS would yield
Instruments
multiple factors. Additionally, we hypothesized that
more problematic drinking behaviour would be asso- The CFCS (Strathman et al., 1994) is a 12-item scale
ciated with an increased CFC-I score (increased present made up of five positively worded items (items 1, 2, 6,
orientation) rather than a reduced CFC-F score 7 and 8) and seven negatively worded items. Each of
(reduced future orientation). the positively worded items deals with intentional and
active efforts to consider future consequences, while
the negatively worded items deal with intentional and
M ET H OD S active efforts to concern one with immediate outcomes.
Participants Responses were on a five-point Likert-type scale from
Participants were pupils in eight post-primary (High) ‘very untrue of me’ (scored 1) to ‘very true of me’
schools in the Eastern Health Board area of Northern (scored 5). The positively worded items were summed
Ireland (NI). Post-primary schools in NI are either to yield a CFC-F score. The negatively worded items
Grammar or Secondary schools. Grammar schools were not reverse scored and were summed to yield a
select students at age 11 (school year 8) on the basis of CFC-I score, so that CFC-I in the present analyses
higher academic ability, while Secondary schools are reflects active consideration of immediate conse-
more comprehensive/vocational. Schools were strati- quences. The scale has demonstrated good psychomet-
fied for inclusion according to the Grammar/Secondary ric properties, with coefficients of 0.80–0.86 and a
divide and randomly chosen to reflect the overall 2-week test–retest reliability of 0.76, and a 5-week
demographics of the area. A total of 27 schools were test–retest reliability of 0.72 (Strathman et al., 1994).
recruited for participation in a series of alcohol-related The Adolescent Alcohol Involvement Scale (AAIS;
studies (e.g. McKay, Sumnall, Field, Goudie, & Cole, Mayer & Filstead, 1979) is a 14-item self-report
2011) from the totality of schools in the Health Board screening measure for alcohol abuse in adolescents.
area. Schools were coded by one member of the In respect of alcohol research, it serves to help identify
research team and allocated to the three studies by adolescents whose alcohol use impacts adversely on
another researcher who was blinded to the school psychological functioning, social relations and/or
identities. All schools approached agreed to participate. family life. Questions are answered on a Likert scale
Schools were asked to provide between 20 and 25 allowing for a highest possible score of 79. According
pupils from each of school years 8–12 (ages 12–16). to the developers, calculation of total scores allows for
They were asked to provide pupils with a range of the following categorisations: abstainers ¼ 0; ‘normal’
academic abilities, and in schools where pupils are (those who rarely drink) adolescents ¼ 1–19; adoles-
banded or ‘streamed’ on the basis of academic testing, cents who drink but do not experience problems ¼
they were asked to provide a middle band class. The 20–41; alcohol misusers ¼ 42–57 and ‘alcoholic-like’
study received ethical approval from the Ethics drinkers ¼ 58–79. The scale has demonstrated good
Committee at the University of Liverpool and permis- psychometric properties, with coefficients of 0.96
sion from the designated Head Teacher of each school. and a 2-week test–retest reliability of 0.91 (Mayer &
Filstead, 1979). In a meta-analysis of adolescent
Consent alcohol screening measures, Shields et al. (2008)
An ‘opt out’ passive consent, approved by the reported that among AAIS-administered samples
University of Liverpool Ethics Committee, ensured made up of at least 80% Caucasians, the average
that parents received detailed information on the study reliability estimate was 0.86, compared to a single
and were only required to respond if they were study that administered the AAIS to an all-African
unhappy about their child’s participation. On the day American sample yielding a reliability estimate of
of the data collection, each participating pupil engaged 0.62. Given the demographics of the present
in an active consent procedure so that they also had to sample, the AAIS was considered an appropriate
indicate a willingness to participate in the study. assessment tool.
46 M. T. MCKAY ET AL.

Statistics a better fit for the data than the one-factor model.
All analyses were conducted using Mplus (version 4) Results for the one-factor model were: Comparative Fit
(B.O. Muthén & L.K. Muthén, 1998–2007) or SPSS Index ¼ 0.86, Tucker–Lewis Index (TLI) ¼ 0.92, Root
v17.0. Non-parametric Kruskal–Wallis tests were used Mean Squared Error of Approximation
to examine significant differences between drinking (RMSEA) ¼ 0.09. Results for the two-factor model
groups and year in school on CFC sub-scale scores. were: CFC ¼ 0.92, TLI ¼ 0.95, RMSEA ¼ 0.07. There
Mann–Whitney U-tests were used to examine sex was also a moderate correlation (r ¼ 0.45, p < 0.01)
differences on CFC sub-scales. A Pearson 2 test was between the CFC-I and CFC-F factors.
used to examine the sex distribution among AAIS Previously, as herein, we had found ‘Normal’
groups. To examine predictive covariates of AAIS (6.9%) and ‘Alcoholic-like’ (1.1%) groups to have
group membership, a multinomial logistic regression relatively few members and had formed three revised
(MLR) model was estimated in SPSS. As the data were AAIS groups (e.g. McKay, Sumnall, Cole, & Percy,
clustered at the school level (i.e. pupils within schools), 2012; McKay et al., 2011). The three new groups were:
it was necessary to correct the regression standard abstainers (score ¼ 0); non-problematic drinkers (1–41)
errors to take account of the non-independence of study (including ‘Normal’ and ‘Drinkers’ groups); and prob-
respondents. To do this, a set of dummy variables were lematic drinkers (including ‘Misusers’ and ‘Alcoholic-
fitted for the clustering at school level. Alternative like’ 42–79). Table I displays the distribution of males
methods for modelling the lack of independence of and females among the revised AAIS groups. A
observations, including a two-level multilevel model or Pearson 2 test revealed no significant difference in
the use of a robust estimator with standard errors the distribution of males and females among the
corrected for the non-independence of observations revised AAIS groups.
were not implemented due to the small number of The results of the Kruskal–Wallis and Mann–
schools within the sample. Both procedures require a Whitney U-tests comparing median CFC-I and
minimum number of clusters of between 30 and 50. CFC-F scores by sex and year of school are shown in
Individual MLR models were computed for CFC-I and Table II. There was no evidence that CFC-F score
CFC-F sub-scales to determine which variables were varied by sex or year of school. While CFC-I did not
significantly associated with membership of the three differ by sex, there was evidence that it did vary by
AAIS groups. Revised AAIS group was entered as the year of school. Pupils in years 10 and 11 (aged 13–15)
dependent variable, with year in school and sex entered had higher scores than those in other years.
as factors, and the possible effects of clustering at Table III displays results of revised AAIS groups
school level controlled for by the use of dummy and CFC-I and CFC-F. Revised AAIS groups differed
variables (also entered as factors). CFC-I and CFC-F significantly on CFC-I and CFC-F scores, with scores
scores were entered as covariates in their respective increasing from abstainers through to problematic
models. drinkers for CFC-I, and scores decreasing from
abstainers through to problematic drinkers for CFC-F.
Results of the individual MLR analyses are
RESULTS
displayed in Table IV.
Of those pupils selected by their schools for participa- In the CFC-F model, problematic drinkers were
tion, all consented to do so, and no parent withheld more likely to be in higher school year and to report
consent for their child’s participation. A total of 734 significantly lower CFC-F than both abstainers and
questionnaires were completed of which 27 question- non-problematic drinkers. Sex was not significantly
naires were excluded as a result of having been associated with revised AAIS group membership.
partially completed or spoiled. Of the 707 valid In the CFC-I model, problematic drinkers were more
responses, 422 (59.8%) questionnaires were completed likely to be in higher school year and to report
by males. At the time of data collection, there were no significantly higher CFC-I than both abstainers and
questions asked nor points of clarification sought by non-problematic drinkers. Again, sex was not signifi-
participants. cantly associated with revised AAIS group
In terms of the structure of the CFCS, parallel membership.
analysis, using O’Connor’s (2000) SPSS routine,
indicated that the optimum number of components to
GENERAL DISCUSSION
be retained was two. Additional support for a two
component solution was also provided by the eigen- This study found that both present and future orienta-
values greater than 1 rule with an observed eigen- tion assessed using the CFCS, are related to self-
value ¼ 3.94 for factor one (CFC-I), and an reported adolescent alcohol use behaviour, with higher
eigenvalue ¼ 1.33 for factor two (CFC-F). present orientation and lower future orientation asso-
Confirmatory Factor Analysis was performed on both ciated with more problematic drinking. Despite the
the one-factor and the two-factor solutions (CFC-I/ relatively large sample size and the fact that
CFC-F). As reported elsewhere (Adams, 2012; the hierarchical nature of the data was accounted for
Joireman et al., 2008), the two-factor solution provided in the regression model, the study is not without
PRESENT ORIENTATION, FUTURE ORIENTATION AND ALCOHOL USE 47

Table I. Sex distribution for AAIS groups. while CFC-F can still be conceptualized as active
consideration of the future consequences of present
AAIS group Males n (%) Females n (%) Total n (%) behaviour (hereafter future orientation), CFC-I, with
reverse scoring, can be conceptualized as active
Abstainers 126 (29.8) 90 (31.7) 216 (30.6)
consideration of the immediate consequences of pre-
Non-problematic 226 (53.4) 137 (48.2) 363 (51.3)
Problematic 71 (16.8) 57 (20.1) 128 (18.1)
sent behaviour (hereafter present orientation).
Results of this study showed that both sub-scales of
Total 423 (59.8) 284 (40.2) 707 the CFCS were significantly associated with drinking
2
Note: Pearson  ¼ 2.11 and p ¼ 0.35. group membership in bivariate analyses, and also that
these measures accounted for some of the variance in
problematic drinking above and beyond that predicted
by demographic factors. Higher scores on present
Table II. Results of non-parametric analyses for sex, year in orientation were associated with more problematic
school and CFCF/CFCI. drinking and higher scores on future orientation were
associated with abstinence.
CFC-F CFC-I The results support previous alcohol studies in the
time perspective literature, which have reported asso-
Male 17.0 (15.0–19.0) 24.0 (21.0–26.0)
Female 17.0 (15.0–19.0) 24.0 (20.3–25.0)
ciations between measures of time perspective and any
alcohol consumption (Keough, Zimbardo, & Boyd,
Mann–Whitney U-test U ¼ 56,325.0, U ¼ 59,475, 1999) and total alcohol consumption (Henson et al.,
p ¼ 0.16 p ¼ 0.82 2006; Levy & Earleywine, 2004). For example,
Year 8 (n ¼ 109) 17.0 (15.0–19.0) 23.0 (20.0–25.0) Smart (1968) found that future time perspective in
Year 9 (n ¼ 134) 17.0 (15.0–18.3) 23.0 (21.0–26.0)
alcoholics and social drinkers were significantly
Year 10 (n ¼ 145) 17.0 (15.0–20.0) 24.0 (22.0–26.5)
Year 11 (n ¼ 201) 17.0 (15.0–19.0) 24.0 (20.5–26.0)
different, with alcoholics having less extensive and
Year 12 (n ¼ 118) 17.0 (15.0–19.0) 23.0 (21.0–26.0) less coherent future time perspectives. In a sample of
Kruskal–Wallis test H (4) ¼ 2.63, p ¼ 0.62 H (4) ¼ 9.69* University undergraduates, Beenstock et al. (2011)
found that those who were more considerate of
Notes: Shown are medians (þIQR). CFC-F, consideration of future consequences were less likely to drink
future consequences future sub-scale and CFC-I, consideration hazardously.
of future consequences immediate sub-scale. *p < 0.05.
Results elsewhere have found that a present orien-
tation is a stronger predictor of health behaviours than a
future orientation (e.g. Adams, 2012; Hamilton, Kives,
limitations. Data collected relied totally on participant Micevski, & Grace, 2003; Henson et al., 2006; Keough
self-report and, as participants were selected by the et al., 1999; Zimbardo, Keough, & Boyd, 1997). The
individual school authorities, it must be taken on trust results of this study support the relationship between
that they provided a representative sample of pupils. present orientation and drinking behaviour. However,
Using a mainstream school-based population resulted interestingly, and importantly they suggest that future
in exclusion of early school-leavers and those in more orientation is also a significant variable in terms of
specialist learning centres. As the data are cross- adolescent drinking behaviours. This supports the
sectional and therefore preclude the drawing of causal association of both present and future orientation
conclusions. Additionally, research has suggested that reported elsewhere in adolescent substance use
other variables, for example socio-economic status (assessed by researcher-derived composite measure of
moderate the influence of time perspective. Future smoking, alcohol and cannabis; Wills, Sandy, &
work might use a direct measure of this at the Yaeger, 2001).
individual level in order to control more fully for Conceptually, this fits with the literature discussed
results. previously concerning the relationship between early-
Results revealed that a two-factor solution for the onset drinking and a greater likelihood of alcohol-
CFCS provided a better fit for the data than a one- related problems in later life. While longitudinal data
factor solution. This reflects results in adult popula- would be needed to definitively prove an association
tions elsewhere (Adams, 2012; Joireman et al., 2008). between lower future orientation and later alcohol
In fact, the fit indices in the present sample were very problems, the results of this study suggest that even in
similar to those reported by Joireman et al. (2008). adolescence, those drinking to a more problematic
Additionally, the moderate correlation between the level are less considerate of the future consequences of
CFCS factors supports the two-factor structure, sug- present behaviour, less future orientated and therefore
gesting that while the factors are not totally indepen- potentially less likely to be dissuaded from current
dent, neither are they poles on a unidimensional problematic drinking by health promotion messages
spectrum. With the non-reverse scoring of the nega- warning of the possibility of future negative outcomes.
tively worded items, the criticism of the CFCS as being Regarding their findings with University undergradu-
unidimensional can no longer be sustained, so that ates, Beenstock et al. (2011) concluded that if future
48 M. T. MCKAY ET AL.

Table III. Results of Kruskal–Wallis analyses for revised AAIS groups and dependent measures.

Non-problematic Problematic
Abstainers (n ¼ 216) drinkers (n ¼ 363) drinkers (n ¼ 128) Kruskal–Wallis test

CFC-F 18.0 (15.0–20.0) 17.0 (15.0–20.0) 17.0 (15.0–21.0) H (2) ¼ 22.48***


CFC-I 22.0 (20.0–25.0) 24.0 (21.0–26.0) 25.0 (22.3–28.0) H (2) ¼ 41.92***

Notes: Shown are medians (þIQR). CFC-F, consideration of future consequences future sub-scale and CFC-I, consideration of future
consequences immediate sub-scale. ***p < 0.001.

Table IV. Predictors associated with revised AAIS group membership: MLR.

CFC-I sub-scale CFC-F sub-scale

Abstainers (n ¼ 216) Non-problematic Abstainers Non-problematic


drinkers (n ¼ 363) (n ¼ 216) drinkers (n ¼ 363)

OR 95% CI p-value OR 95% CI p-value OR 95% CI p-value OR 95% CI p-value

Step one
Sex
Female 1.00 – 1.00 – 1.00 – 1.00 –
Male 1.22 0.73, 2.04 0.46 1.39 0.88, 2.22 0.16 1.14 0.68, 1.90 0.62 1.39 0.88, 2.22 0.19
Year in school
Year 12 1.00 – 1.00 – 1.00 – 1.00 –
Year 11 2.38 1.16, 4.89 * 1.60 0.88, 2.92 0.12 2.28 1.12, 4.66 * 1.56 0.86, 2.83 0.14
Year 10 4.60 1.92, 11.04 ** 5.26 2.56, 10.81 *** 3.92 1.65, 9.33 ** 4.82 2.36, 9.83 ***
Year 9 11.88 4.78, 29.51 *** 5.95 2.67, 13.26 *** 12.20 4.93 30.22 *** 6.04 2.72, 13.43 ***
Year 8 36.82 10.93, 124.07 *** 12.12 3.87, 37.95 *** 43.95 13.04, 148.10 *** 13.19 4.20, 41.40 ***
CFCS subscale 0.82 0.77, 0.87 *** 0.90 0.85, 0.95 *** 1.23 1.14, 1.33 *** 1.12 1.04, 1.20 **

Notes: Shown are odds ratios (OR) (þ95% CI, confidence intervals). Reference category is problematic drinkers (n ¼ 128). *p < 0.05;
**p < 0.01 and ***p < 0.001. Clustering at school level controlled for using dummy variables.

time perspective can be confirmed as a predictor of analogically (Mello et al., 2009). Additionally,
more problematic drinking through longitudinal researchers have cautioned that temporal extension is
studies, then interventions aimed at altering future age-specific (Steinberg et al., 2009) and the temporal
time perspective and helping students focus more on future extension is highly correlated with past exten-
the longer term outcomes of their actions may be sion (Bluedorn, 2002). Therefore, notwithstanding the
beneficial in reducing harmful and hazardous drinking already accepted relationship between early-onset
in this population. Elsewhere (Hall & Fong, 2003) problematic drinking and alcohol-related problems in
some promising work has begun in this regard. later life, those targeting adolescent drinkers need to be
While intuitively, it might make sense that health careful with the framing of their messages and the
promotion messages and/or education interventions temporal period over which the message extends.
would specifically target the future longer-term conse- Telling a 15-year old that outcome ‘A’ will occur when
quences of present adolescent drinking behaviour, a they are 40 years old may mean very little, as they are
number of points of caution need to be raised. First, the being asked to conceptualise a future time which is 10
CFCS is not specific in terms of what precisely is years longer than they have been alive. For the
meant by ‘future’. Only in two of its items does it state adolescent drinker, the future might refer as readily
‘for many years’ as indicative of a temporal horizon or to ‘next weekend’ as to ‘ten years-time’. Using data
depth. This vagueness is potentially problematic in from a series of focus groups, we recently reported that
applying the results of this study. Adolescent specific adolescents’ future focus in respect of the negative
research on the conceptualization of time has suggested outcomes of drinking behaviour was on the immediate
that the linguistic framing and temporal depth (how far future, and definitely not on chronic outcomes, and that
into the future the message extends) included in such they rarely consider any negative future outcome of
messages is important (McKay, Ballantyne, Goudie, their drinking behaviour (McKay, Ballantyne, et al.,
Sumnall, & Cole, 2012). Elsewhere research has 2012). Interestingly, however, the participants sug-
reported how adolescents conceptualise time gested that they become more considerate of the future
PRESENT ORIENTATION, FUTURE ORIENTATION AND ALCOHOL USE 49

when prompted or encouraged to do so (with specific CONCLUSI ON


reference made to studying for up-coming examina-
A greater orientation to the present and a reduced
tions when prompted to do so by teachers). Therefore,
orientation towards the future have previously been
future research might seek to understand to what
shown to be related to health behaviours, with research
degree if any, the CFC-F factor relates to time horizon
generally supporting the idea that present orientation is
and/or temporal depth. Perhaps only then can future-
more important in this regard than future orientation.
focused health messages for adolescents be at their
The present data are at odds with this, suggesting
most salient. In the meantime, from a health perspec- support for the association between more problematic
tive it might be best to view ‘future’ consequences as drinking behaviour and an increased present orienta-
those shorter-term more acute negative outcomes of tion, but also for the association of more problematic
drinking behaviour. drinking and a reduced future orientation. We found
The results for sex in this study are interesting. that while present orientation is associated with
There was no observed difference in CFC-F or CFC-I problematic drinking, future orientation is associated
scores between boys and girls. This is somewhat at with abstinence. While longitudinal data are required to
odds with other research where females have generally examine the causal nature of the relationship between
been found to be more oriented to the future than time perspective and problematic drinking, these
males, while males have been reported to be more results suggest that interventions and/or health promo-
present-oriented than their female counterparts tion messages targeting adolescent drinkers need to be
(Beenstock et al., 2011; Keough et al., 1999; considerate of both future- and present-focused mes-
Petrocelli, 2003; Steinberg et al., 2009; Zimbardo sages. While abstainers and non-problematic drinkers
et al., 1997). However, this finding has been found to might benefit from their longer-term perspectives being
be dependent on the time perspective measure used affirmed, more problematic drinkers might benefit
and, in some cases on the specific factor solution of from specific work in relation to increase or enhance
scales used (e.g. Petrocelli, 2003; Rappange et al., their CFC, potentially to off-set what appears to be the
2009). In respect of the alcohol-specific results for sex, increased likelihood of their progressing into future
the results suggest that girls are as likely to drink problematic adult use.
problematically as boys. From a position where
historically girls in NI appeared to be less likely than
boys to drink problematically (e.g. Loretto, 1994),
more recent evidence has suggested that a convergence
has taken place so that girls are as likely as boys to Declaration of interest: The authors report no conflicts of
drink problematically (Eisenbach-Stangl & Thom, interest. The authors alone are responsible for the content
2009; Health Promotion Agency, 2005; Northern and writing of this article.
Ireland Statistics and Research Agency, 2008). These
results support this convergence. The results for year in
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