Social anxiety and motives for alcohol use among adolescents (original) (raw)

The role of drinking motives in social anxiety and alcohol use

Journal of anxiety disorders, 2007

Although social anxiety and problem drinking commonly co-occur, the relationship between social anxiety and drinking among college students is not well understood. The current study examined the relationship between drinking motives, or reasons for drinking, and social anxiety in 239 volunteers. Contrary to hypotheses, high (n = 83), moderate (n = 90), and low (n = 66) social anxiety groups did not differ in endorsement of coping and conformity drinking motives. Further, social anxiety was negatively related to weekly alcohol use and unrelated to alcohol-related problems. Post hoc hierarchical multiple regression analyses conducted for each social anxiety group indicated that coping motives were related to greater alcohol use and problems for those in the high and moderate social anxiety groups but not for the low social anxiety group. It appears that drinking motives, particularly coping motives, have promise in providing a greater understanding of the social anxietydrinking relationship. Drinking motives could aid in identification of socially anxious students at risk for alcohol problems and inform intervention strategies.

Social Anxiety Symptoms and Drinking Behaviors Among College Students: The Mediating Effects of Drinking Motives

Psychology of Addictive Behaviors, 2014

The impact of social anxiety on negative alcohol-related behaviors among college students has been studied extensively. Drinking motives are considered the most proximal indicator of college student drinking behavior. The current study examined the mediating role of drinking motives in the relationship that social anxiety symptoms have with problematic (alcohol consumption, harmful drinking, and negative consequences) and safe (protective behavioral strategies) drinking behaviors. Participants were 532 undergraduates who completed measures of social anxiety, drinking motives, alcohol use, harmful drinking patterns, negative consequences of alcohol use, and protective behavioral strategy use. Our results show that students with higher levels of social anxiety symptoms who were drinking for enhancement motives reported more harmful drinking and negative consequences, and used fewer protective behavioral strategies. Thus, students who were drinking to increase their positive mood were participating in more problematic drinking patterns compared with students reporting fewer social anxiety symptoms. Further, conformity motives partially mediated the relationship between social anxiety symptoms and negative consequences. Thus, students with more symptoms of social anxiety who were drinking in order to be accepted by their peers were more likely than others to experience negative consequences. Clinical and research implications are discussed.

CRITICAL REVIEW OF DRINKING MOTIVES BETWEEN SOCIAL ANXIETY AND ALCOHOL USE

Drinking alcohol becomes a trend when social fear becomes a threat. The relaxing effect of alcohol on the central nervous system, its unconstrained and empowering effects of social impulses, and its perceived beneficial or recovery action on physical and emotional pain are often suggested as reasons why people begin and maintain their drinking behavior, despite knowing its abuse, potential side effects, and medium-to long-term ill effects on health. The purpose of this review is to address the role of drinking motives in predicting alcohol use among normal and socially anxious population and its mediating effect in the relationship between social anxiety and alcohol use. Variables analyzed included prevalence, gender, personality trait, drinking motives, and self-medication hypothesis. Through this paper, a brief understanding gained into how people with and without social anxiety caters their fear to events that challenges their social image. It is highly suggestible that social anxiety has a positive relationship with alcohol use; which mediated by drinking motives, particularly, social, conformity and coping motives. Self-medication hypothesis too were found to be playing a major role in predicting alcohol consumption, especially among people who were tending to drink to cope with unpleasant emotions both before and after the social events. It has been seen more common among women than their opposite sex as women react more intensely to emotional stimuli than men. Even though this review paper gave a unique glimpse on the association between social anxiety, drinking motives and alcohol use; the interaction between these variable with genders and alcohol-related components (as mentioned in the Alcohol Use Disorder Identification Test) are remaining complex and inconclusive. Future research is necessary to determine how this knowledge can be incorporated into prevention and intervention programs for the group at-risk. ______________________________________________________________________________

Fitting in and feeling fine: Conformity and coping motives as mediators of the relationship between social anxiety and problematic drinking

Psychology of Addictive Behaviors, 2008

The present research was conducted to clarify the relationships among social anxiety, alcohol consumption, alcohol-related problems, and negative-reinforcement drinking motives among college students. Heavy drinking students (N ϭ 316, 53.80% female) completed self-report measures of social anxiety, alcohol consumption, alcohol-related problems, and drinking motives. Findings indicated that students higher in social anxiety consumed less alcohol but experienced more negative consequences. Moreover, the relationship between social anxiety and negative consequences was mediated by coping and conformity drinking motives in addition to alcohol consumption. In the context of social anxiety, the current research demonstrates the importance of examining problematic drinking as distinct constructs: alcohol consumption and negative consequences. Findings are also discussed in terms of implications for interventions with socially anxious students.

Anxiety Psychopathology and Alcohol Use among Adolescents: A Critical Review of the Empirical Literature and Recommendations for Future Research

JEP, 2011

Adolescent alcohol use is a critical public health concern; accordingly, a considerable body of work exists identifying developmentally salient risk and protective factors. One area receiving increasing attention among adults is the linkage between specific constellations of anxiety psychopathology and alcohol use problems. Relatively less is known about such linkages among adolescents, despite the onset of both anxiety-type problems and alcohol use during this developmental period. The current review presents a detailed summary and analysis of the empirical literature focused on specific forms of anxiety psychopathology as they relate to alcohol use among adolescents, and provides a number of specific recommendations for future work with an emphasis on the utility of experimental psychopathology techniques for clarifying basic questions and forwarding this body of work.

Social and coping reasons for drinking: Predicting alcohol misuse in adolescents

1999

Objective: Motivational models of alcohol consumption suggest a positive relationship between reasons for drinking and the amount of alcohol consumed. The present study examined race, gender, and age as moderators of the relationship between social and coping motives and alcohol misuse in black and white adolescents. Method: A representative population sample (N = 699) of male and female (54%) adolescents between the ages of 13 and 16 was recruited using a random-digit-dial telephone procedure. Six face-to-face interviews with subjects and their families were carded out at approximately yearly intervals. Information gathered assessed alcohol use, social and coping motives for drinking, and psychological distress. Results: Multiple analyses, including both cross-sectional and longitudinal logistic regression analyses and survival analysis were used to examine the relationship of drinking motives to adolescent alcohol misuse. Contrary to our predictions, social motive was a somewhat better predictor of alcohol misuse than was coping motive, particularly during mid-to late adolescence. However, there was some limited evidence of a significant relationship between coping motives and alcohol misuse in the mid-adolescent age group. Some support was found for racial differences such that social motives are better predictors of alcohol misuse among whites than among blacks and coping motives are better predictors among blacks. Few gender differences were found in the relationship of drinking motives and alcohol misuse. Conclusions: These findings suggest a stronger tendency for social and coping motives to influence alcohol misuse during mid to late than in early adolescence.

Factors related to the association of social anxiety disorder and alcohol use among adolescents: a systematic review

Jornal de pediatria, 2017

To identify the risk factors related to the association between social anxiety disorder and alcohol use in adolescents. The PICO research strategy was used to perform a systematic review in Medline, LILACS, Pubmed, IBECS and Cochrane Library databases. DeCS/MeSH: Phobic Disorders, Adolescent, Behavior, Ethanol, Risk Factors, and the Boolean operator "AND" were used. Inclusion criteria were: cross-sectional, prospective/retrospective cohort, and case-control studies, carried out in adolescents (10-19 years), original articles on social anxiety disorder and alcohol use published between 2010 and 2015. Studies that did not report the terms "anxiety disorder" and "alcohol use" in the title and abstract were excluded. 409 articles were retrieved; after the exclusion of 277 repeated articles, the following were eligible: 94 in MEDLINE, 68 in Pubmed, 12 in IBCS, and three in LILACS. Titles and abstracts were independently read by two examiners, which resulted ...