Department of Psychology, University of Central Florida, Orlando, Florida, USA.
Subst Use Misuse. 2021;56(2):275-285. doi: 10.1080/10826084.2020.1861630. Epub 2020 Dec 21.
Social anxiety has been associated with higher rates of negative alcohol use consequences, and this relationship appears to be accounted for by coping drinking motives. Dissociation is commonly present in anxiety disorders, including social anxiety disorder, and may serve to unconsciously reduce negative emotions when more effortful coping strategies are not effective. : The present study examined whether the relationship between social anxiety, coping motives, and alcohol consequences was moderated by dissociative symptoms. It was hypothesized that coping motives would mediate the relationship between social anxiety and alcohol consequences, and that dissociation would moderate the relationship between social anxiety and coping motives. Undergraduate students who endorsed alcohol use within the past 30 days ( = 320) were recruited from a large public university. Participants completed measures of social anxiety, dissociation, alcohol motives, and alcohol consequences as part of a larger online questionnaire. Coping motives were found to mediate the relationship between social anxiety and alcohol consequences. Dissociation did not moderate the relationship between social anxiety and coping motives. Dissociation was significantly associated with alcohol consequences coping motives. Future research should include longitudinal research designs or ecological momentary assessment designs and should examine these relationships in clinical and community samples.
社交焦虑与更高的负面酒精使用后果相关，而这种关系似乎归因于应对性饮酒动机。在焦虑障碍中，包括社交焦虑障碍，普遍存在分离现象，当更努力的应对策略无效时，它可能会无意识地减轻负面情绪。本研究旨在探讨社交焦虑、应对动机和酒精后果之间的关系是否受到分离症状的调节。研究假设应对动机将调节社交焦虑与酒精后果之间的关系，而分离将调节社交焦虑与应对动机之间的关系。从一所大型公立大学招募了过去 30 天内有饮酒行为的本科生（n=320）。参与者完成了社交焦虑、分离、酒精动机和酒精后果的测量，作为更大的在线问卷的一部分。应对动机被发现调节了社交焦虑与酒精后果之间的关系。分离并没有调节社交焦虑与应对动机之间的关系。分离与酒精后果显著相关，与应对动机有关。未来的研究应包括纵向研究设计或生态瞬时评估设计，并应在临床和社区样本中检验这些关系。
