Terlecki Meredith A, Buckner Julia D
School of Psychology, University of East London, Stratford, London E15 4LZ, United Kingdom.
Department of Psychology, Louisiana State University, Baton Rouge, LA 70803, United States.
Addict Behav. 2015 Jan;40:77-83. doi: 10.1016/j.addbeh.2014.09.008. Epub 2014 Sep 11.
Individuals with clinically elevated social anxiety are at greater risk for alcohol use disorder, and the relation between social anxiety and drinking problems is at least partially accounted for by drinking more in negative emotional (e.g., feeling sad or angry) and personal/intimate (e.g., before sexual intercourse) situations. Identification of cognitive/motivational factors related to drinking in these high-risk situations could inform the development of treatment and prevention interventions for these high-risk drinkers.
The current cross-sectional study examined the mediating effect of drinking motives on the relationship between social anxiety and drinking these high-risk situations among undergraduates (N=232).
Clinically elevated social anxiety was associated with greater coping and conformity motives. Both coping and conformity motives mediated the relation between social anxiety and heavier alcohol consumption in negative emotional and personal/intimate contexts.
Multiple mediation analyses indicated that these motives work additively to mediate the social anxiety-drinking situations relationship, such that heavy situational drinking among undergraduates with clinically elevated social anxiety can be jointly attributed to desire to cope with negative affect and to avoid social scrutiny.
临床上社交焦虑水平较高的个体患酒精使用障碍的风险更大，社交焦虑与饮酒问题之间的关系至少部分可归因于在负面情绪（如感到悲伤或愤怒）和个人/亲密情境（如性交前）中饮酒更多。识别与这些高风险情境下饮酒相关的认知/动机因素可为针对这些高风险饮酒者的治疗和预防干预措施的制定提供参考。
当前的横断面研究考察了饮酒动机在大学生（N = 232）社交焦虑与在这些高风险情境下饮酒之间关系中的中介作用。
临床上社交焦虑水平较高与更强的应对和从众动机相关。应对和从众动机均在社交焦虑与在负面情绪和个人/亲密情境中饮酒量增加之间的关系中起中介作用。
多重中介分析表明，这些动机共同作用以中介社交焦虑与饮酒情境之间的关系，以至于临床上社交焦虑水平较高的大学生在特定情境下大量饮酒可共同归因于应对负面影响的欲望和避免社会审视的需求。
