Content-Type: text/html Relationship between Sensation Seeking Tendency and Substance Use: Refining the Measure of Rebelliousness for Substance Use Research Moon J. Lee, Washington State University, Assistant Professor Yi Chun Chen, Washington State University, Master's Student Direct reprint requests to: Moon J. Lee Assistant Professor Edward R. Murrow School of Communication Washington State University, Pullman, WA 99164-2520 (office) 509-335-4225 (home) 509-334-0740 (fax) 509-335-1555 [log in to unmask] ABSTRACT This study reviewed a history of developing a theoretical framework of sensation-seeking tendency and addressed the critical issues involved in substance use research in regard to the sensation-seeking scale (SSS). An attempt was made to examine the existing sensation-seeking scale to better capture Disinhibition, one of the four factors in SSS that exhibit a high correlation with substance use. An exploratory factor analysis of the existing items with newly added items indicates one factor solution. The scale was re-conceptualized as the rebelliousness scale. Several tests were conducted to address validity issues related to this newly refined scale. The implications of the scale and suggestions for the future development and uses of the scale are also addressed in discussion. INTRODUCTION Some might wonder why young people take risks with their personal health and put not only themselves but also others in danger. Some risks are considered positive in society, such as risks accompanied with athletic activities such as skydiving or scuba diving. Individuals who enjoy and seek out such adventure tend to carefully plan and train for their risk-taking behaviors. In this aspect, some are considered to be "a constructive deviance" represented by true autonomy and independence (Chassin, Presson, & Sherman, 1989). However, some risks are considered to be negative in society and create serious concerns for their family members, educators, and even lawmakers. Those are heavy alcohol or drug use, unprotected sex, drunk-driving, etc. The reasons as to why young people exhibit what we might consider "reckless" behaviors vary from a biolochemical and developmental bases to social, cultural, structural, and political bases. Individuals with these behaviors may rebel against rules that seem to oppose their will or may only act impulsively without much consideration (Ferguson, Valenti, & Melwani, 1991). This tendency can be well understood when we think of teens who are told not to do things by their parents. The more parents try to prevent teenagers from doing something risky, they less teens are likely to change their risky behaviors. The question is "why"? One of the hot topics brought up by endless debates and lawsuits is individuals' substance use, followed by other types of risky behaviors. For example, heavy alcohol use has been identified as a gateway to other illicit drugs (Bardo, Donohew, & Harrington, 1996; Birch, Ashton, & Kamali, 1998;McC & M, 1996) including tobacco uses (Humfleet, Munoz, Sees, Reus, & Hall, 1999; Epstein, Botvin, & Diaz, 1999; Kraft & Rise, 1994; Rigotti, 2000; Le, 2002; Istvan, & Matarazzo, 1984; Sobell et al., 1990; Brook, Brook, Zhang, Cohen, & Whiteman, 2002; Ford, Vu, & Anthony, 2002). It poses serious problems from minor consequences such as hangovers to serious life-threatening experiences such as alcohol poisoning. The fact that there is a high correlation among these risky behaviors, indicates that there might be an underlying mechanism as to why teens tend to take risks without much consideration. In this study, the theoretical framework of sensation seeking tendency is explored with the consideration of other identified behavioral factors. In addition, an attempt has been made to reassess the college students' risk-taking tendencies by conducting an confirmatory factor analysis with the data gathered at a junior college and a university in a southeastern region from 1998 to 2000 and a university in a northwest region from 2001 to 2002. The purpose of the study was to refine existing measurements to capture individuals' rebellious risk-taking tendency and test its validity through demonstrating its relations with the original scale and other known behavioral indicators of risk-taking such as conduct problems in school. In addition, this newly refined rebelliousness scale was discussed for further substance use research. LITERATURE REVIEW History of Sensation-Seeking Tendency Marvin Zuckerman, in 30 years of research on sensation-seeking, found that individuals vary in levels of predisposition toward sense-arousing stimuli and that this tendency decreases with age (Zuckerman, Koline, Price, and Zoob, 1964). He postulates a biochemical basis for those differences and a chemical decrease with maturation (Zuckerman, 1988). It was argued that sensation seekers exhibit a higher need for arousal than non-risk takers (Zuckerman, Persky, Hopkins, Murtaugh, Basu, & Schilling, 1966). The Sensation Seeking Scale (SSS) has been used as the standard test instrument for defining the trait of sensation seeking (Zuckerman, 1990). SSS was developed to assess individual differences in optimal levels of arousal or stimulation (Zuckerman et al., 1979). Zuckerman identified sensation seekers as people who need unusual and different sensations and experiences in order to remain aroused (Zuckerman et al., 1972). There was an overall score derived from the factor analysis at the first SSS version at the year 1967. However, Farley (1967) suggested there was more than one dimension of SSS. Thus, four factors were identified later. Studies have shown that young people have much higher risk-taking tendencies than those in the very young and in older age groups (Zuckerman, 1971; Ferguson, Valenti, and Melwani, 1991; Moore & Gullone, 1995). Zuckerman found that sensation seeking peaks in the late teens and early twenties and declines with age. Sensation (novelty) seeking was identified as a prominent characteristic of adolescence (Farley & Cox, 1971; Newcom & McGee, 1991) and closely related to risky behaviors, such as drinking and smoking (Kraft & Rise, 1994), drug use (Donohew, Hoyle, Clayton, Skinner, Colon, & Rice, 1999), drunk driving (Johnson & Cropsey, 2000; Jonah, 1997), diving or parachuting (Zarevski, Marusic, Bunjevac, & Vukosav, 1998). Kraft & Rise (1994) found that adolescent unconventionality (i.e., rebelliousness, self-deviancy, sensation seeking) and interpersonal aggression were related to substance use such as smoking. Sensation Seeking and Substance Use Studies have shown that sensation seeking is consistently related to substance use. With different approaches in studying sensation seeking and its correlation to substance use, all of these have shown that high sensation seekers are more likely to be involved with smoking and alcohol behavior (Lee & Ferguson, 2002; Jex, 1998; White, Hill, & Hopper, 1996; Kraft & Rise, 1994). Johnson and Cropsey (2000) compared sensation seeking scores for college students who play drinking games to those who do not. High sensation seekers, in this study, showed that they are more likely to play drinking games than low sensation seekers. Barefoot, Smith, Dahlstrom, & Williams (1989) showed that physicians who exhibited higher scores in sensation seeking during their medical school year behaved rebellious. Lipkus, Barefoot, Williams, & Siegler (1994) concluded that indicators such as impulsiveness, rebelliousness, sensation seeking, and hostility measured during college best predicted people who were likely to begin smoking. People who continued to smoke were more hostile and engaged more often in sensation-seeking behaviors (Lipkus, Barefoot, Williams & Siegler, 1994). Sensation seeking is also associated with risky sexual behaviors (Zuckerman et al., 1970; Geis & Gerrard, 1984; White & Johnson, 1988). White and Johnson (1988) found sensation seeking to be positively associated with coital frequency among females. In fact, some risky behaviors are highly correlated to each other. For example, heavy drinking itself is believed to lead to sexual risk-taking (Meadows, 1996). Several studies focus on personality constructs in relation to substance use (Chassin, Presson, Sherman, Corty, & Olshavsky 1981; Collins, Sussman, Rauch, Dent, Johnson, Hansen, & Flay, 1987; Stacy, Sussman, Dent, Burton, & Flay, 1992). It was indicated that individual who begin and maintain their smoking habit tend to be extroverted, anticonformist, and rebellious (Barefoot, Smith, Dahlstrom, & Williams, 1989; Cherry & Kiernan, 1976; Eysenck, 1980; Grunberg, Winders, & Wewers, 1991; Jessor & Jessor, 1977; Smith, 1970; Spielberger, 1986). The Sensation Seeking Scale (SSS) Zuckerman postulated four types of sensation seeking tendencies: Thrill and Adventure Seeking (TAS), which is defined as a desire to engage in sports or other activities involving speed or danger; Experience Seeking (ES), which expresses the seeking of experience through the mind and senses, travel, and non-conforming lifestyle; Disinhibition (DIS), which describes a need to disinhibit social behaviors; and Boredom Susceptibility (BS), which indicates an aversion to repetitive experiences and a restless reaction to unvarying situations (Zuckerman, 1971). The latest version of SSS, Form V, consisted of 40 'forced' choice items, 10 items covering each of the four sub-scales, and the SSS total score is obtained by simply adding the 40 items. (Kraft & Rise, 1994). Zuckerman postulated sensation-seeking tendency based on approach and withdrawal behavioral systems. For example, over-activation in the approach system may be an underlying contributor to sensation seeking personality types and further its relation to substance use and abuse. Originally, the scale was developed in an earlier attempt to assess individual differences in optimal levels of stimulation or arousal. It was postulated that the need for change, variety, and intensity of stimulation would manifest itself in many aspects of behavior, including sensory, social and thrill-seeking types of activity (Zuckerman, 1979). He argued that sensation seeking can be used to explain a variety of behaviors, such as drug use, aggression, sex, sky diving, bungee jumping, body-contact sports, hiking and camping, or playing computer and video games (Zuckerman, 1979). In particular, substance use research showed a strong correlation with sensation seeking tendency; particularly Disinhibition. DIS is related to the seeking of sensation through other people or partying, social drinking, and sex. It is well documented that drinking, smoking, and use of illicit drugs are highly correlated and that individual with substance use exhibit the high levels of sensation-seeking (Jenks, 1992). Problems Associated with SSS in Substance Use Research First, the original SSS already contained several items related to substance use including drinking and drug use, and sexual behaviors. This particular sub-scale was labeled as Disinhibition. Many studies found a strong correlation between SSS and risky behaviors. However, this poses some serious problems in validity of the scale simply because it just manifests a tautological argument in that those who hold a favorable attitude toward specific risky behaviors are more likely to exhibit those risky behaviors or vice versa. For example, items like "I often like to get high (drinking liquor or smoking marijuana)," "Keeping the drinks full is the key to a good party," "I feel best after taking a couple of drinks," "A person should have considerable sexual experience before marriage," "It's normal to get bored after a time with the same sexual partner," etc. (Zuckerman, 1971) Second, Zuckerman's original scale contains some items which might be considered out dated, such as "I enjoy the company of real "swingers," "I like to date members of the opposite sex who are physically exciting", "I could conceive of myself seeking pleasures around the world with the "jet set," and "I like people who are sharp and witty even if they do sometimes insult others." Third, even though different factors in Zuckerman's sensation-seeking scale were identified in the literature, the scale was developed indiscriminately in terms of different factors as one sensation-seeking scale. However, it was challenged that different behavioral types of risk-taking should be considered separately because they might exhibit different types of drives and reasons for their behavioral patterns and decision-making (Ferguson, Valenti, & Melwani, 1991; Lee & Ferguson, 2002). In conventional practices, in substance use research, some just excluded the items related to targeted risky behaviors such as drinking and sexual behaviors. However, due to reliability issues associated with this sub-scale, some items need to be modified and updated to better capture this construct. Proposed Scale Ferguson, Valenti, and Melwani (1991) identified several risk-taking types based on the behaviors exhibited by the risk takers. They focused on risk-taking predisposition rather than on the origins of the behaviors such as sensation-seeking. They believed that risk-taking behavior has several potential origins. They argued that although the origins help to understand why the behavior occurs (Ferguson, et al., 1991), the risk-taking tendencies based on behavioral differences should be considered by communicators who seek effective ways to communicate with different types of risk-takers (Lee & Ferguson, 2002). Based on their data from seven different studies, Ferguson et al. explored different dimensions for these factors because their body of work included unique items in addition to items developed by Eysenck's impassivity indices (Eysenck, 1978) and Zuckerman's SSS (1971). They believed that the factors they identified were unique enough to make it difficult to be certain they were tapping the same traits without more validation (Lee & Ferguson, 2002). They defined risk-taking predisposition as "a tendency to engage in behaviors that an individual understands to have some likelihood of resulting in a punishment or in the loss of a reward." Two types were considered very relevant to substance use research: Rebelliousness (similar to Zuckerman's Disinhibition) and Impulsiveness (similar to Eysenck and Eysenck (1971)'s impulsiveness). Rebelliousness. This construct is similar to Zuckerman's Disinhibition in that individuals of this type tend to seek sensation through other people or partying, social drinking, and sex. Rebellious personality types tend to take risks for the sake of opposing perceived social norms and tend to enjoy being labeled as a "rebel" (Ferguson, Valenti, & Melwani, 1991). Those who are smokers and ex-smokers tend to score high in this area (Jex & Lombard, 1998; Lipkus, Barefoot, Williams & Siegler, 1994). This personality type also tends to take risks not for perceived benefits, but rather for notoriety among others for being rebellious or daring (Lee & Ferguson, 2002). Rebellious adolescents also tend to respond to the sensational aspects of a message rather than its perceived risks (Moore & Gullone, 1995; Donohew, Lorch & Palmgreen, 1998). Impulsiveness. Eysenck and Eysenck (1971) report that impulsiveness is a construct associated with many types of risk takers. Individual differences in impulsiveness are found among children as young as six and this impulsive behavior at ages 6 and 8 predict maternal and self-rating of externalizing problem behavior across adolescence (Olson, Schilling, & Bates; 1999). Impulsiveness is associated with a dislike of thinking (Ferguson, Valenti, & Melwani, 1991). It was found that those predisposed to impulsive risk-taking score low on cognitive involvement with health, have negative feelings about health, do not feel in control of their health, and have little concern about their health (Ferguson, Valenti, & Melwani, 1991). Therefore, individuals with this tendency might be the hardest target public to persuade regardless of message type (Lee & Ferguson, 2002). In sum, the rebellious risk taker often takes risks as a way of breaking social norms, rules, and laws and prides himself/herself on being known as a rebel while the impulsive risk takers take risks on the spur-of-the moment and enjoy the excitement associated with being spontaneously risky (Lee & Ferguson, 2002). It was argued that effective health campaign efforts should better target individuals in terms of their specific needs (Austin, 1994; Christiansen, Goldman, & Inn, 1982; Miller, Smith, & Goldman, 1989). Their different types of risk-taking are considered as crucial interacting factors with different types of messages (Lee & Ferguson, 2002). The fact that substance use is highly correlated with other risky behaviors suggests that there might be an underlying mechanism, such as a risk-taking tendency, that tends to peak in the late teens and early twenties. In this paper, an attempt was made to examine the original sensation-seeking scale and re-conceptualize the rebelliousness as risk-taking tendency. In particular, a newly proposed scale was tested and re-conceptualized as the rebelliousness scale. Several tests were conducted to address validity issues related to this scale through seven different studies from 1998 to 2002 among college students. To validate this new measure, the scale was compared with the existing measures and other known behavioral indicators of risk-taking such as conduct problems in school. METHOD In this paper, a total of 1,449 participant data from seven separate studies is reported. These studies include lab experiments and a survey administered to college students in three different universities from 1998 to 2002. In the first six studies, slightly modified versions of the original risk-taking questions (Ferguson, et al, 1991) were used. Study 7 used a newly proposed scale and other known behavioral indicators to address the validity issues. Study 1 The data analyzed in Study 1 are from three separate studies using slightly different versions of the risk-taking questions and combined into one database with those same questions in the three studies conducted between 1997 and 1998. 322 college students' data were collected by risk-taking scale created by Ferguson, Valenti, & Melwani (1991) to measure subjects' risk-taking tendencies. By using Principal Component Analysis with Varimax rotation, the results of the components analysis of the 21 risk-taking items will be presented in further details. Study 2 This data set is part of an experiment conducted with college students in the fall of 1998 at two different universities in the southeastern region (See Lee & Ferguson, 2002). Participants were asked to review different types of advertisements. The risk-taking measures were collected as the part of the pretest. 223 participants' data were analyzed by Principal Component Analysis with Varimax rotation. Study 3 The study was an experiment conducted in the fall of 2000 to measure college students' drinking problems and message interpretation patterns (See Lee & Shannon, 2002). 82 college students participated in this study at a southeastern university. The risk-taking measures were collected as the part of the pretest. Study 4 & 5 This data set is combined between two different self-administered surveys of 231 college students at a northwestern university in the summer of 2002 (n = 91) and in the fall of 2002 (n = 140). Study 6 This study replicated Study 3 and was conducted at a northwestern university in the fall of 2002. 248 students participated in this study. This study contains 11 newly proposed items on top of the six original rebellious risk-taking measures from the previous studies. Study 7 This study was based on a self-administered survey of 343 college students in the spring of 2002 at a northwestern university. This study contains the same items as study 6 but three new additional items were added. In addition, participants' alcohol consumption behaviors as well as the consequences of the drinking they experienced within the last month were collected. Data Analysis Instead of merging the data into one data set, the results from each study are reported separately for the confirmatory reason. First, the results from study 1 were reported in great detail. Note that Ferguson et al (1991) originally used 52 items to drive five different factors, but ten items were dropped due to reliability issues. However, in this study, two major factors (Rebelliousness and Impulsiveness) are considered highly relevant for substance use research. The results of Study 1 were reported in great details with twenty-one original questions, resulting in three factor solutions (including adventurousness). However, the adventurousness was dropped because earlier research suggested that it does not seem an important factor in taking risks with one's health (Ferguson, et al., 1991). The focus of the project was the development and refinement of the rebellious scale. The results from studies 2, 3, 4, and 5 were briefly described to confirm the original components. The final results from study 6 and 7 were reported in great detail to discuss this newly proposed rebelliousness measure with consideration of its validity. RESULTS Study 1 The 21 different questions were derived from Ferguson, Valenti, and Melwani (1991). These items were submitted to a principal component analysis and according to the total variance explained for the factor analysis, six factors with the eigenvalues that were greater than 1. These six factors account for 62.2 % of the total variance. However, based on the scree plot of the eigenvalues, it was concluded that there were three factors before the second breaking point. Therefore, a three-factor solution was used. Based on this analysis, it was concluded that the three components (factors) could be used for the analysis and 42.8 % of the total variance was explained by these three factors. To verify that assumption, the same number of items were resubmitted to a factor analysis forcing a three-factor solution with the critical value > 2(.149) = 2.98. Table 1 presents the factor loadings for the three-factor solution with a Varimax rotation. Table 1. Rotated Component Matrix of Risk-Talking Measures Component a Factor1 Factor 2 Factor 3 1. I'm likely to do drugs when I want to party. .76 2. I am at a party with other people. Someone lights a joint of marijuana and begins to pass it around the party. A lot of people are trying it. I will try it. .75 3. I like people who are partiers. .70 4. Having lots of alcohol is the key to a real good party. .69 5. I like wild and uninhibited parties. .65 .38 6. I am likely to drive after I have had several drinks. .61 7. I am inclined to get nervous when others around me seem nervous. .41 8. I mostly speak before thinking things out. .78 9. I generally do and say things without stopping to think. .77 10. I often get into a jam because I do things without thinking. .76 11. I get so "carried away" by new and exciting ideas, I never think of possible snags. .69 12. I often do things on the spur of the moment. .63 .33 13. I often change my interests. .41 14. I would make quite sure I had another job before giving up my old one. -.41 15. I prefer to "sleep on it" before making decisions. -.38 16. Usually stick to brands rather than find something better. 17. I enjoy or would enjoy skydiving. .75 18. I welcome new and exciting experiences, even if they are a little frightening. .74 19. I sometimes like doing things that are frightening. .33 .66 20. I enjoy or would enjoy scuba diving. .59 21. I would be put off by a job involving quite a bit of danger. -.32 Extraction Method: Principal Component Analysis. Rotation Method: Varimax with Kaiser Normalization a Rotation converged in 5 iterations. The first rotated factor has significant loadings on 8 variables. The variables loaded on the first component are the numbers 1 though 7 and 19 in Table 1. Thus, this first rotated factor was labeled as rebelliousness, referring to a profile individual who is highly rebellious and tends to take risks in a party setting regarding to drugs or alcohol. The second rotated factor has significant loadings on 8 variables. The variables loaded on the second component are the numbers 8 through 15 in Table 1. This rotated factor tends to characterize a person who tends to behave without much thinking. Therefore it was labeled as "impulsiveness." That is, it reveals a profile individual who is highly impulsive and tends to take a risk without thinking much about consequences. Seven variables were loaded on the factor 3. They are the numbers 17 through 21 as well as numbers 5 and 12. This factor tends to characterize a person who seems to be athletic, who only takes a carefully planned risk-taking activity such as scuba diving or sky diving. Therefore, it was labeled as "adventurousness." These components exhibited zero covariance among them. The simple correlations among the variables were checked after the three factors were derived. It was revealed that most of the correlations are in the moderate to fairly strong range for all three factors. Finally, three components were driven from this principal component analysis and the three indices were created from these components (Rebelliousness, Impulsiveness, and Adventurousness). The reliability tests of the variables loaded on each factor were conducted to see inter-item reliability and whether creating indices is appropriate or not. The Cronbach's _ score of the eight variables ( rebelliousness) was .83, and 0.71 for adventurousness. However, the initial Cronbach's _ score of the eight variables for the factor 2 (impulsiveness) was only .61. The question 14, "I would make quite sure I had another job before giving up my old one," was shown as an item that had low reliability with other variables. Therefore, the question 14 was discarded from the factor 2 and Cronbach's alpha score became .73. The results of the analysis seem to replicate the same constructs in Ferguson et al. (1991). Study 2 For the risk-taking items, a principal component analysis with Varimax rotation revealed again three factors: the first is labeled rebelliousness (29% of variance explained, Cronbach's _ = .85) and the second impulsiveness (10% of variance explained, Cronbach's _ = .82)[1]. As shown in earlier studies, rebelliousness was highly correlated with impulsiveness, r = .57, p < .01. Study 3 A factor analysis of seventeen items was conducted. Principal component analysis, with varimax rotation, revealed three factors, as expected, for measuring risk-taking tendencies; rebelliousness (12.4% of variance explained, Cronbach's a = .84), impulsiveness (15.8% of variance explained, Cronbach's a = .85), and adventurousness (30.2% of variance explained, Cronbach's a = .85). The item loadings were identical from study 1 and 2. Study 4 & 5 A factor analysis of the twenty-one identical items from study 1 yielded the same results. The three factor solutions were shown: rebelliousness (12.3 % & of variance explained, Cronbach's a = .83), impulsiveness (8.9% of variance explained, Cronbach's a = .75), and adventurousness (29% of variance explained, Cronbach's a = .83). The item loadings were very similar to the previous studies. In fact, the item loadings were identical to study 2. Study 6 In study 6, 11 new items were added on the original six items for rebelliousness to refine and update the rebelliousness scale. Since the new items were added to refine the rebellious measure, one factor solution was forced. Thirteen items were loaded as a factor (29% of variance was explained, Cronbach's a = .82). These items which marked as "c" are presented in the Table 4 in study 7. Study 7 The total of 21 items including the 11 items in study 6, the original 6 items in previous studies, three new items were tested with 343 participants for rebelliousness. One component was found with 17 items (49.4% of variance was explained, Cronbach's a = .90). Note that all the thirteen items tested in study 6 loaded similarly (Table 4). In addition, four more items were loaded on the factor in study 7. To avoid including items which directly ask attitudinal or behavioral tendencies regarding substance uses, two items were excluded from the original loading: "Having some alcohol is the key to a really good party" and "I'm likely to do drugs when I party." In turn, the summed factor score of the final fifteen items was used to create a scale of rebelliousness. Table 4. One factor solution item loading of Rebelliousness Measure Component a I am rebellious. *cd .81 I enjoy doing things that others find dangerous c .76 I like wild parties. c .76 I believe that rules are meant to be broken.* c .76 Life with no danger in it would be too dull for me. c .73 I sometimes like to do things that are frightening. .73 I like people who are partiers. c .73 Having some alcohol is the key to a really good party. b c .65 I like driving fast (modified). c .64 The best way to get me to do things is telling me not to do things.* .60 I like to be the first to try new things among my friends.* .58 I often do things on the spur of the moment. .56 I like to be the center of attention.* c .49 I don't like people who tell me what to do.* c .45 I'm likely to do drugs when I party (modified). b .42 I'm not concerned with the security of my life.* .37 I don't care what others think of me.* c .34 Extraction Method: Principal Component Analysis. a. Components extracted. b. Two items were dropped from this loading later. c. Repeated items in study 6. d. A similar item was excluded from the index (Ferguson et al., 1991) *. Newly proposed item. To investigate its validity, several tests were conducted. First, the original six items identified as rebellious measures (studies 1 through 5) were used to create the original scale after confirming the same factor loading through a factor analysis resulting in one factor solution (57.6% variance was explained, Cronbach's a = .85). Those are: "I like wild parties," "I like people who are partiers," "Having some alcohol is the key to a really good party," "I sometimes like to do things that are frightening," "I enjoy doing things that others find dangerous," "I'm likely to do drugs when I party" and "I enjoyed d