Department of Psychology, Louisiana State University, Baton Rouge, LA 70803, USA.
Psychol Addict Behav. 2010 Dec;24(4):640-8. doi: 10.1037/a0020968.
Individuals with elevated social anxiety appear particularly vulnerable to experiencing alcohol-related problems. However, research has thus far failed to identify factors that seem to account for this relationship. The present study utilized a measure designed to assess alcohol-related behaviors related to social situations previously identified as anxiety-provoking among those with elevated social anxiety. The Drinking to Cope with Social Anxiety Scale (DCSAS) assessed alcohol-related behaviors in 24 social situations and was comprised of two subscales: Drinking to Cope in Social Situations and Avoidance of Social Situations if Alcohol was Unavailable. Both DCSAS scales demonstrated adequate internal consistency and were significantly, positively related to number of alcohol-related problems. Individuals with clinically meaningful social anxiety (n = 60) achieved higher scores on both DCSAS subscales compared to those with lower social anxiety (n = 60). Importantly, the DCSAS scales mediated the relationship between social anxiety group classification and alcohol-related problems. Results highlight the importance of contextual factors in assessing alcohol-related behaviors among high-risk populations.
社交焦虑水平较高的个体似乎特别容易出现与酒精相关的问题。然而，迄今为止，研究尚未确定似乎可以解释这种关系的因素。本研究使用了一种测量工具，旨在评估与社会情境相关的与酒精有关的行为，这些行为在社交焦虑水平较高的人群中被认为是引发焦虑的因素。《社交焦虑应对饮酒量表》（DCSAS）评估了 24 种社会情境中的与酒精有关的行为，由两个分量表组成：在社交情境中应对饮酒和如果酒精不可用则避免社交情境。DCSAS 的两个分量表均表现出足够的内部一致性，并且与酒精相关问题的数量呈显著正相关。与社交焦虑程度较低的个体（n=60）相比，具有临床意义上的社交焦虑的个体（n=60）在两个 DCSAS 分量表上的得分均更高。重要的是，DCSAS 量表在社交焦虑群体分类和与酒精相关问题之间的关系中起中介作用。结果强调了在评估高危人群的与酒精有关的行为时考虑情境因素的重要性。
