Pardee Carolyn Speidel, Colder Craig R, Bowker Julie C
Department of Psychology, University at Buffalo, The State University of New York.
Psychol Addict Behav. 2014 Dec;28(4):1246-52. doi: 10.1037/a0038372.
The relationship between anxiety and alcohol use in adolescence remains unclear, with evidence for no association and for risk and protective effects of anxiety. Considering developmental trajectories may be important for understanding the association between anxiety and alcohol use and may help clarify prior mixed findings. The present study examined trajectories of alcohol use, social anxiety symptoms, and general anxiety symptoms in early to middle adolescence through the use of univariate and parallel process growth models. Social anxiety and general anxiety symptoms declined, while alcohol use increased with age. Parallel process growth models suggested that less rapid declines in social anxiety and general anxiety symptoms were associated with more rapid escalation in alcohol use. These results suggest that young adolescents who do not show normative declines in social anxiety or general anxiety symptoms may be at risk for more rapid increases in alcohol use.
青少年期焦虑与酒精使用之间的关系仍不明确,有证据表明二者无关联,也有证据表明焦虑存在风险和保护作用。考虑发展轨迹可能对理解焦虑与酒精使用之间的关联很重要,且可能有助于澄清先前的混合研究结果。本研究通过单变量和平行过程增长模型,考察了青少年早期到中期酒精使用、社交焦虑症状和一般焦虑症状的轨迹。社交焦虑和一般焦虑症状随年龄下降,而酒精使用则随年龄增加。平行过程增长模型表明,社交焦虑和一般焦虑症状下降速度较慢与酒精使用快速增加有关。这些结果表明,社交焦虑或一般焦虑症状未呈现出正常下降的青少年,酒精使用量可能会更快增加。