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Evaluations of alcohol consequences moderate social anxiety risk for problematic drinking
Affiliation:1. University of Michigan, Institute for Research on Women and Gender, Substance Abuse Research Center, Ann Arbor 48109, MI, USA;2. University of Michigan, Institute for Research on Women and Gender, Ann Arbor 48109, MI, USA;3. University of Michigan, School of Nursing, Department of Psychiatry, Institute for Research on Women and Gender, Ann Arbor 48109, MI, USA;4. University of Michigan, Institute for Social Research, Department of Psychology, Ann Arbor 48106, MI, USA;1. University Paris Nanterre, Laboratoire Parisien de Psychologie Sociale, Département de Psychologie, 200 Avenue de la République, 92000, Nanterre, France;2. University of Grenoble-Alpes, MSH Alpes, Avenue Centrale – BP, 47 38 040 Grenoble Cedex 9, France;3. University of Grenoble-Alpes, Laboratoire Interuniversitaire de Psychologie, Personnalité, Cognition, Changement Social, UFR SHS, 1251 avenue Centrale, BP 47, 38040 Grenoble Cedex 9, France;4. Addiction Development and Psychopathology (ADAPT) lab, Dept of Psychology, University of Amsterdam, Postbus 15916, 1001 NK Amsterdam, Netherlands;1. Department of Counselor Education, Boise State University, 1910 University Drive, Boise, ID 83725, USA;2. Institute for the Study of Behavioral Health and Addiction, Boise State University, 1910 University Drive, Boise, ID 83725, USA;3. School of Social Work, Boise State University, 1910 University Drive, Boise, ID 83725, USA
Abstract:The link between social anxiety (SA) and problematic drinking is complex; this seems predominantly true among young adults. Individuals high on SA are thought to be particularly sensitive to the negative effects of alcohol, which should deter them from drinking. Yet, some evidence suggests that those high on SA continue to drink despite experiencing negative alcohol-related consequences (NACs) (Morris, Stewart, & Ham, 2005). Although traditionally, researchers assume NACs are perceived as averse, emerging evidence suggests these are not categorically viewed as negative by undergraduates. The study goal was to test whether evaluations of NACs moderate the effect of SA on problematic drinking. It was hypothesized that high SA would predict elevated alcohol use and number of NACs experienced, but only for those who evaluate NACs as less negative. Undergraduate drinkers (N = 130, 80 women) completed self-reports of social anxiety, NAC evaluations (ratings of how ‘bad’ experiencing each alcohol-related consequence would be), alcohol use, and NACs experienced. Regression analyses revealed that NAC evaluations moderated the effect of SA on number of NACs experienced, but not the effect of SA on weekly alcohol use. Simple slopes analyses showed that high SA was associated with elevated NACs experienced for those with weak negative NAC evaluations, controlling for alcohol use. These findings help explain the mixed SA-problematic drinking literature by identifying perceptions of NACs as an important moderator of SA risk for experiencing NACs. Moreover, clinical interventions aimed at reducing SA risk for undergraduate problematic drinking may benefit from targeting NAC evaluations.
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