Department of Psychology, University of Arkansas, Fayetteville, 72701, USA.
Cogn Behav Ther. 2009;38(3):133-45. doi: 10.1080/16506070802610889.
Although social anxiety (SA) and alcohol use disorders commonly co-occur, the relationship between these variables in college populations has been inconsistent. The present study tested the hypothesized model that negatively reinforcing, but not positively reinforcing, drinking motives (or reasons for drinking) would mediate the association between SA and three aspects of hazardous drinking (quantity/frequency, consequences, and dependence symptoms) in an ethnically diverse sample of college drinkers (N = 817; mean age = 19.9 years, range = 18-29). Structural equation modeling (SEM) results using the asymmetrical distribution of products test indicated that coping motives partially mediated the relationship between SA and negative consequences and dependence symptoms but not the quantity/frequency outcome. Contrary to the hypothesized model, conformity motives did not mediate the association between SA and hazardous drinking. As expected, positive reinforcement motives did not mediate the SA-hazardous drinking association. Multigroup SEM analyses revealed that the mediation models did not differ for men (n = 215) and women (n = 602). Overall, the present findings support extant research and theoretical models regarding the mediating role of coping motives in the relationship between SA and problem drinking, suggesting a potential pathway for the development and maintenance of SA and alcohol use disorder comorbidity. Such findings could contribute to improved intervention programs by targeting coping drinking motives and building coping skills.
尽管社交焦虑（SA）和酒精使用障碍通常同时发生，但这些变量在大学生群体中的关系一直不一致。本研究在一个种族多样化的大学生饮酒者样本中（N=817；平均年龄为 19.9 岁，范围为 18-29 岁），测试了假设模型，即负强化而不是正强化的饮酒动机（或饮酒原因）将在 SA 与危险饮酒的三个方面（数量/频率、后果和依赖症状）之间产生中介作用。使用产品不对称分布检验的结构方程模型（SEM）结果表明，应对动机部分中介了 SA 与负面后果和依赖症状之间的关系，但与数量/频率结果无关。与假设模型相反，遵从动机并没有中介 SA 与危险饮酒之间的关联。正如预期的那样，正强化动机并没有中介 SA 与危险饮酒之间的关联。多组 SEM 分析表明，男性（n=215）和女性（n=602）的中介模型没有差异。总的来说，本研究结果支持了关于应对动机在 SA 和问题饮酒之间关系中的中介作用的现有研究和理论模型，这表明了 SA 和酒精使用障碍共病发展和维持的潜在途径。这些发现可以通过针对应对性饮酒动机和建立应对技能来改善干预计划。
