Neural responses to peers moderate conversation-drinking associations in daily life

Conversations shape future behaviors, particularly among young adults. However, young adults vary widely in their susceptibility to peer influence. What neural processes relate to this susceptibility? We examined whether activity in brain regions associated with social rewards and making sense of others’ minds relates to a common health behavior—drinking, following conversations about alcohol. We studied ten social groups of college students (N = 104 students; 4760 total observations) across two university campuses. We collected whole-brain fMRI data while participants viewed photographs of peers with whom they tended to drink at varying frequencies. Next, using ecological momentary assessment, we tracked alcohol conversations and drinking twice daily for 28 days. On average, talking about alcohol was associated with a higher likelihood of next-day drinking. Controlling for baseline drinking, participants who responded more strongly to peers with whom they drank alcohol more frequently—in brain regions associated with social rewards and mentalizing—showed a stronger, positive association between alcohol conversations and next-day drinking. Conversely, stronger neural responses to peers with whom they drank less frequently decoupled associations between alcohol conversations and next-day drinking. We conceptually replicate prior findings linking conversations and drinking in an observational, longitudinal setting and provide new evidence that neural responses to peers moderate links between alcohol conversations and drinking behavior among young adults.