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Chunk #36 — Discussion

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A Prospective Comparison of How the Level of Response to Alcohol and Impulsivity Relate to Future DSM-IV Alcohol Problems in the COGA Youth Panel.
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Thus, efforts to decrease the risk for later alcohol problems in individuals with low LRs to alcohol (e.g., Schuckit et al., 2016) might place special emphasis on the direct risk for alcohol problems from a low LR, even if individuals educate themselves about realistic expectancies of the effects of alcohol and avoid drinking to cope with stress. Although steps to modify the impact of expectancies and drinking to cope with stress appeared to be helpful in our recent prevention protocol (Schuckit et al., 2016), the results might have been even better if more emphasis had been placed on the direct vulnerability drinkers with low LRs carry when they drink, and the special importance of guarding against being influenced by heavy drinking peers.