Social anxiety and motives for alcohol use among adolescents.

Social anxiety evidences significant comorbidity with alcohol use disorders and alcohol-related problems. In an effort to better understand this co-occurrence, researchers are beginning to evaluate specific drinking-related factors, including alcohol use motives, among socially anxious individuals. Drawing on Cooper's (1994) 4-factor model of drinking motives (enhancement, social, conformity, coping), a growing body of work suggests that socially anxious individuals may consume alcohol in an effort to cope with their anxious symptoms; however, no study to date has examined these relations among youth. Accordingly, we examined alcohol use motives as a function of social anxiety in a community-based sample of 50 adolescents ages 12 to 17 years (Mage = 16.35, SD = 1.10). As predicted, heightened social anxiety was associated with elevated coping-related drinking motives. More important, other alcohol-use motives did not vary as a function of social anxiety. Collectively, these findings uniquely extend research conducted with adults, and suggest socially anxious youth may be motivated to use alcohol to manage their anxious arousal. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Refining measurement in the study of social anxiety and student drinking: Who you are and why you drink determines your outcomes.

This study investigated inconsistencies in the literature regarding social anxiety and problematic drinking among college students. One hundred eighteen students (61% women) who experience anxiety in social or performance situations completed measures of social anxiety and a modified Timeline Followback that assessed the psychological context of drinking episodes and alcohol-related consequences. Results suggest that men who experience severe social anxiety drink less alcohol than men with lower levels of anxiety, whereas women high in social anxiety are likely to experience more alcohol-related consequences per drinking episode than women low in social anxiety, despite drinking similar amounts of alcohol. In addition, women with high social anxiety were found to experience more alcohol-related consequences than men with high social anxiety. These findings suggest that the inconsistencies noted in the literature on drinking to cope with social anxiety and alcohol-related consequences may reflect methodological differences and the failure to consider gender. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Attachment, motivations, and alcohol: Testing a dual-path model of high-risk drinking and adverse consequences in transitional clinical and student samples.

The purpose of this study was to replicate and extend a motivational model of high-risk drinking and alcohol-related consequences (Cooper, Frone, Russell, & Mudar, 1995; Read, Wood, Kahler, Maddock, & Palfai, 2003), testing the notion that attachment is a common antecedent for both the affective and social paths to problem drinking, defined in terms of 2 dimensions; high-risk drinking and alcohol-related consequences. First-year university students (N = 696), and first-time clients at an addiction treatment facility (N = 213) completed questionnaires assessing alcohol use, alcohol-related consequences, drinking motives, and attachment style. Results underscored the importance of the affective path to drinking patterns and to vulnerability to problems. Results also found that those with higher levels of attachment anxiety were more vulnerable to experiencing adverse consequences related to their drinking. These findings emphasise the importance of attachment styles as a risk factor for high-risk drinking and experiencing alcohol-related consequences. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Examining the associations among severity of injunctive drinking norms, alcohol consumption, and alcohol-related negative consequences: The moderating roles of alcohol consumption and identity.

This study examined a range of injunctive norms for alcohol use and related consequences from less severe behaviors (e.g., drinking with friends) to more severe behaviors (e.g., drinking enough alcohol to pass out), and their relationship with alcohol consumption and alcohol-related negative consequences among college students. In addition, this research aimed to determine whether these relationships between injunctive norms and consequences were moderated by alcohol consumption and level of identification with the typical same-gender college student. A random sample (N = 1,002) of undergraduates (56.9% women) completed a Web-based survey that was comprised of measures of drinking behavior, perceived approval of drinking behaviors that ranged in severity (i.e., injunctive norms), and level of identification with the typical same-gender college student. Results suggest that the association between negative consequences and injunctive drinking norms depend on one's own drinking behavior, identification with other students, and the severity of the alcohol use and related consequences for which injunctive norms are assessed. Findings are discussed in terms of false consensus and false uniqueness effects, and deviance regulation perspectives. Implications for preventive interventions are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Incorporating social anxiety into a model of college problem drinking: Replication and extension.

Although research has found an association between social anxiety and alcohol use in noncollege samples, results have been mixed for college samples. College students face many novel social situations in which they may drink to reduce social anxiety. In the current study, the authors tested a model of college problem drinking, incorporating social anxiety and related psychosocial variables among 228 undergraduate volunteers. According to structural equation modeling (SEM) results, social anxiety was unrelated to alcohol use and was negatively related to drinking consequences. Perceived drinking norms mediated the social anxiety-alcohol use relation and was the variable most strongly associated with problem drinking. College students appear to be unique with respect to drinking and social anxiety. Although the notion of social anxiety alone as a risk factor for problem drinking was unsupported, additional research is necessary to determine whether there is a subset of socially anxious students who have high drinking norms and are in need of intervention. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Coping-anxiety and coping-depression motives predict different daily mood-drinking relationships.

Individuals with different drinking motives show distinctive patterns of alcohol use and problems. Drinking to cope, or endorsing strong coping motives for alcohol use, has been shown to be particularly hazardous. It is important to determine the unique triggers associated with coping drinking. One limitation of past research has been the failure to contend with the complexities inherent in coping motives. Using the Modified Drinking Motives Questionnaire–Revised (Grant, Stewart, O’Connor, Blackwell, & Conrod, 2007), which separates coping-anxiety and coping-depression motives, we investigated whether these motives moderated relationships between daily mood and subsequent drinking (statistically controlling for sex, baseline anxious and depressive symptomatology, initial alcohol problems, and additional drinking motives). College students (N = 146) provided daily reports of mood and alcohol consumption online for 3 weeks. Multilevel modeling analyses revealed that, as hypothesized, stronger initial coping-depression motives predicted higher daily depressed mood-alcohol consumption slopes. Also consistent with expectation, stronger initial coping-anxiety motives predicted higher anxious mood-alcohol consumption slopes. We discuss how this identification of the unique mood triggers associated with each type of coping drinking motive can provide the basis for targeted interventions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The social norms of alcohol-related negative consequences.

Social norms for alcohol use are important influences on individual college student drinking. The present study extends social norms research by examining alcohol-related consequences and, in particular, whether similar misperceptions exist regarding the frequency and evaluation of these consequences over time. College student drinkers (N = 624) participating in a longitudinal study completed Web-based surveys assessing alcohol use and related consequences, as well as their beliefs about frequency and evaluation of consequences for the typical college student. Findings suggest that students overestimated how often typical college students experience negative consequences and underestimated how negatively other students evaluated those consequences. Finally, results support a bidirectional model for alcohol-related consequences, possibly indicating a reciprocal, mutually influential feed-forward loop of norms and consequences that promotes maintenance of college student drinking and consequences. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Motivational pathways to unique types of alcohol consequences.

Individuals consume alcohol for a variety of reasons (motives), and these reasons may be differentially associated with the types of drinking outcomes that result. The present study examined whether specific affect-relevant motivations for alcohol use (i.e., coping, enhancement) are associated with distinct types of consequences, and whether such associations occur directly, or only as a function of increased alcohol use. It was hypothesized that enhancement motives would be associated with distinct problem types only through alcohol use, whereas coping motives would be linked directly to hypothesized problem types. Regularly drinking undergraduates (N = 192, 93 female) completed self-report measures of drinking motives and alcohol involvement. Using structural equation modeling, we tested direct associations between coping motives and indirect associations between enhancement motives and eight unique alcohol problem domains: risky behaviors, blackout drinking, physiological dependence, academic/occupational problems, poor self-care, diminished self-perception, social/interpersonal problems, and impaired control. We observed direct effects of coping motives on three unique problem domains (academic/occupational problems, risky behaviors, and poor self-care). Both coping and enhancement motives were indirectly associated (through use) with several problem types. Unhypothesized associations between conformity motives and unique consequence types also were observed. Findings suggest specificity in the consequences experienced by individuals who drink to cope with negative affect versus to enhance positive affect, and may have intervention implications. Findings depict the coping motivated student as one who is struggling across multiple domains, regardless of levels of drinking. Such students may need to be prioritized for interventions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The role of college students' use of protective behavioral strategies in the relation between binge drinking and alcohol-related problems.

Previous research has examined protective behavioral strategies (PBS), or cognitive-behavioral strategies that may be employed when using alcohol to reduce consumption and related problems, as an important predictor of alcohol use and alcohol-related problems. More recently, studies have explored the mediating and moderating role of PBS on the relationships between key alcohol-related risk factors (i.e., drinking motives, depressive symptoms, binge drinking) and alcohol problems; however, current research examining PBS as a moderator of the relationship between alcohol use and related problems has methodological limitations. The purpose of the present study was to extend previous literature to examine the moderating effect of PBS on the relationship between binge drinking and alcohol-related problems. Data were collected and analyzed from 4,154 students at 13 midwestern universities. Findings indicated that PBS moderated the binge drinking-alcohol problems relationship for each of the four measures of binge drinking. However, effects were strongest when binge drinking was measured dichotomously versus continuously. Implications and future directions are discussed. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Protective behavioral strategies and the relationship between depressive symptoms and alcohol-related negative consequences among college students.

Approximately 40% of college students reported engaging in heavy episodic or "binge" drinking in the 2 weeks prior to being surveyed. Research indicates that college students suffering from depression are more likely to report experiencing negative consequences related to their drinking than other students are. The reasons for this relationship have not been well-studied. Hence, the purpose of this study was to determine whether use of protective behavioral strategies (PBS), defined as cognitive-behavioral strategies an individual can use when drinking alcohol that limit both consumption and alcohol-related problems, mediated the relationship between depressive symptoms and alcohol-related negative consequences among college students. Data were obtained from 686 participants from a large, public university who were referred to an alcohol intervention as a result of violating on-campus alcohol policies. Results from structural equation modeling analyses indicated that use of PBS partially mediated the relationship between depressive symptoms and alcohol-related negative consequences. Implications for clinicians treating college students who report experiencing depressive symptoms or consuming alcohol are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Drinking and desired self-images: Path models of self-image goals, coping motives, heavy-episodic drinking, and alcohol problems.

Coping motives for drinking initiate alcohol-related problems. Interpersonal goals, which powerfully influence affect, could provide a starting point for this relation. Here we tested effects of self-image goals (which aim to construct and defend desired self-views) and compassionate goals (which aim to support others) on heavy-episodic drinking and alcohol-related problems. Undergraduate drinkers (N=258) completed measures of self-image and compassionate goals in academics and friendships, coping and enhancement drinking motives, heavy-episodic drinking, and alcohol-related problems in a cross-sectional design. As predicted, self-image goals, but not compassionate goals, positively related to alcohol-related problems. Path models showed that self-image goals relate to coping motives, but not enhancement motives; coping motives then relate to heavy-episodic drinking, which in turn relate to alcohol-related problems. Self-image goals remained a significant predictor in the final model, which accounted for 34% of the variance in alcohol-related problems. These findings indicate that self-image goals contribute to alcohol-related problems in college students both independently and through coping motives. Interventions can center on reducing self-image goals and their attendant negative affect. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Morally based self-esteem, drinking motives, and alcohol use among college students.

This research examined the relationship of morally based self-esteem with drinking motives and alcohol consumption among college students. Basing self-esteem on morals was expected to be negatively associated with drinking behavior. We further expected this relationship to be mediated by drinking motives. Participants (N = 201; 45% male, 55% female) completed self-report measures of contingencies of self-worth, drinking motives, and drinking behavior. Previous research was supported in that college students whose self-esteem was more strongly contingent upon following personal morals consumed less alcohol. The current research extended these findings by showing that this relationship was mediated by drinking motives. Results suggest that it may be useful to better incorporate personal values into interventions for college students. The implementation of personal values in combination with brief treatments is discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Examining the role of drinking motives in college student alcohol use and problems.

A motivational model of alcohol involvement (M. L. Cooper, M. R. Frone, M. Russell, & P. Mudar, 1995) was replicated and extended by incorporating social antecedents and motives and by testing this model cross-sectionally and longitudinally in a sample of college students. Participants (N = 388) completed a questionnaire battery assessing alcohol use and problems, alcohol expectancies, sensation seeking, negative affect, social influences, and drinking motives. Associations among psychosocial antecedents, drinking motives, and alcohol involvement differed from those found by M. L. Cooper et al. (1995). These findings point to the importance of social influences and of positive reinforcement motives but not to the centrality of drinking motives in this population. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Do changes in drinking motives mediate the relation between personality change and “maturing out” of problem drinking?

Recent research has indicated that developmental changes in the personality traits of neuroticism and impulsivity correlate with changes in problem drinking during emerging and young adulthood. However, it remains unclear what potential mechanisms, or mediators, could account for these associations. Drinking motives, particularly drinking to regulate negative affect (drinking to cope) and to get “high” or “drunk” (drinking for enhancement), have been posited to mediate the relationship between personality and drinking problems. Recent work indicates that changes in drinking motives parallel changes in alcohol involvement from adolescence to young adulthood. The present study examined changes in drinking motives (i.e., coping and enhancement) as potential mediators of the relation between changes in personality (impulsivity and neuroticism) with changes in alcohol problems in emerging and young adulthood. Analyses were based on data collected from a cohort of college students (N = 489) at varying risk for alcohol use disorders from ages 18 to 35. Parallel process latent growth modeling indicated that change in coping (but not enhancement) motives specifically mediated the relation between changes in neuroticism and alcohol problems as well as the relation between changes in impulsivity and alcohol problems. Findings suggest that change in coping motives is an important mechanism in the relation between personality change and the “maturing out” of problematic alcohol involvement. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Drinking behaviors in social situations account for alcohol-related problems among socially anxious individuals.

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. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Academic and social motives and drinking behavior.

This longitudinal study of 1,447 first-time college students tested separate time-varying covariate models of the relations between academic and social motives/behaviors and alcohol use and related problems from senior year of high school through the end of the second year in college. Structural equation models identified small but significant inverse relations between academic motives/behaviors and alcohol use across all time points, with relations of somewhat larger magnitude between academic motives/behaviors and alcohol-related problems across all semesters other than senior year in high school. At all time points, there were much larger positive relations between social motives/behaviors and alcohol use across all semesters, with smaller but significant relations between social motives/behaviors and alcohol-related problems. Multi-group models found considerable consistency in the relations between motives/behaviors and alcohol-related outcomes across gender, race/ethnicity, and family history of alcohol problems, although academic motives/behaviors played a stronger protective role for women, and social motives were a more robust risk factor for Caucasian and Latino students and individuals with a positive family history of alcohol problems. Implications for alcohol prevention efforts among college students are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Attentional Bias and Drinking to Cope With Social Anxiety.

This study investigated the sensitivity of the emotional Stroop test for identifying individuals who reported drinking to cope with social fears. Community volunteers completed a modified Stroop task during which social threat, alcohol-related, and control words were presented. High scores on drinking-to-cope measures were hypothesized to be associated with longer response latencies to both social threat and alcohol-related words. Consistent with previous studies, alcohol dependence was correlated with latencies for alcohol-related words, and level of social anxiety was correlated with response latency to social threat words. As expected, drinking-to-cope measures predicted response latency to alcohol-related and social threat words. These results suggest that the emotional Stroop test is useful in studying the relationship between social anxiety and alcohol consumption. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Protective Behavioral Strategies When Drinking Alcohol and Their Relationship to Negative Alcohol-Related Consequences in College Students.

Prior research has examined a number of individual characteristics (e.g., gender, family connectedness) that protect individuals from engaging in heavy drinking and experiencing negative alcohol-related consequences, but less is known about specific behavioral strategies that might also serve as protective factors. In this study, 556 undergraduate students completed the National College Health Assessment (American College Health Association, 2000) and answered questions regarding the use of specific protective behavioral strategies (PBS), alcohol consumption, and alcohol-related consequences. Results indicated that less frequent use of PBS was related to a greater likelihood of experiencing negative alcohol-related consequences, even after accounting for the effects of gender and alcohol consumption. These results suggest that PBS may be an important component of both prevention and treatment programs for college students. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Measuring College Students' Motives for Playing Drinking Games.

Students may choose to play drinking games not only for reasons related to alcohol consumption but also because of incentives related to other aspects of play (competition, fun, interpersonal dominance, etc.). College students (120 men and 167 women) completed measures of motives for playing (based on T. J. Johnson, S. Hamilton, & V. L. Sheets, 1999) and consequences of playing drinking games. Exploratory principal-components analysis identified 8 reasons for playing. Men and women differed in their endorsement of the factors. Motives for play directly predicted consequences of play independently of alcohol consumption. Specific motives predicted specific types of consequences. In multiple regression analyses, Conformity motives were negatively related to consequences and may represent a form of protective motive. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Standardized measures of alcohol-related problems: A review of their use among college students.

College students' alcohol consumption has received considerable attention in the scientific literature and the media for its impact on students and the college community. Misuse of alcohol can lead to a wide range of consequences, the most severe being alcohol abuse, dependence, and death. Researchers have struggled to develop effective methods to assess problems related to alcohol, and the literature on college drinking lacks a strong theoretical framework for such assessment. The authors contend that measures of alcohol-related problems for college students should assess specific dimensions pertaining to 3 main domains: alcohol abuse, alcohol dependence, and what the authors define as risky drinking. The authors examined how existing measures fit into this model. In a comprehensive review of the college literature, the authors identified 9 measures (and their revised versions) assessing alcohol-related problems. Their analysis revealed that most measures do not assess comprehensively the domains outlined, and instead provide only partial assessments of the potential consequences of drinking for college students. The authors include directions for future research so that measurement of drinking consequences for college students can be refined. (PsycINFO Database Record (c) 2010 APA, all rights reserved)