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Blackout experiences may also represent psychologically salient events capable of influencing subsequent drinking behavior. The present study examined whether recent blackout predicts changes in alcohol use, alcohol\u2010related consequences, and blackouts over time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      Data were drawn from three independent longitudinal samples of college student drinkers (\n                      <jats:italic>N<\/jats:italic>\n                      s\u2009=\u2009568, 484, and 200). Generalized linear mixed models with negative binomial distributions were used to evaluate whether baseline blackout status predicted follow\u2010up drinks per week, alcohol\u2010related consequences, and subsequent blackouts over 12\u2009months of follow\u2010up, controlling for baseline drinking and consequences, age, sex, intervention condition, and time.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Across samples, baseline blackout was not associated with increases in subsequent alcohol use. In one sample, blackout predicted lower follow\u2010up drinking, and in two of three samples, blackout predicted significantly lower rates of alcohol\u2010related consequences over time (i.e., a 21%\u201340% reduction in consequences among those who experienced a blackout across follow\u2010ups). Conversely, baseline blackout was associated with increased odds of subsequent blackout across all samples. These associations were found after adjusting for baseline alcohol\u2010related consequences and concurrent drinking.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Blackouts may function not only as a marker of high\u2010risk drinking but also as a potential turning point associated with reductions in alcohol\u2010related harm. At the same time, effects were not uniform across samples. Results underscore the importance of assessing blackout in research and clinical settings, and they highlight its potential dual role as both a risk indicator and a catalyst for behavioral change.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/acer.70373","type":"journal-article","created":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T03:42:54Z","timestamp":1784605374000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Alcohol\u2010Induced Blackouts and Subsequent Drinking Trajectories: Evidence From Three Longitudinal Samples"],"prefix":"10.1111","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4519-805X","authenticated-orcid":false,"given":"Angelo M.","family":"DiBello","sequence":"first","affiliation":[{"name":"Center for Alcohol and Substance Use Studies &amp; Department of Graduate and Applied Professional Psychology Rutgers University  Piscataway New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0624-1414","authenticated-orcid":false,"given":"Mary Beth","family":"Miller","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Missouri\u2010Columbia  Columbia Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7969-716X","authenticated-orcid":false,"given":"Kate B.","family":"Carey","sequence":"additional","affiliation":[{"name":"Department of Behavioral and Social Sciences Brown University School of Public Health  Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9327-5278","authenticated-orcid":false,"given":"Clayton","family":"Neighbors","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Houston  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,20]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/acer.14019"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0029508"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.15288\/jsad.2014.75.103"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/acer.14882"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1037\/ccp0000949"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1037\/adb0000989"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1037\/ccp0000339"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2020.108407"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.53.2.189"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/acer.14045"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/acer.14638"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.15288\/jsad.22\u201000060"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1037\/adb0000190"},{"issue":"1","key":"e_1_2_8_15_1","first-page":"73","article-title":"A Dual\u2010 Process Decision\u2010Making Model Examining the Longitudinal Associations Between Alcohol\u2010Induced Blackouts and Alcohol Use Disorder Risk Among College Student Drinkers","volume":"85","author":"Glenn S. 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