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Cognitive Therapy and Research

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01.12.2009 | Original Article

Positive Social Alcohol Outcome Expectancies, Social Anxiety, and Hazardous Drinking in College Students

verfasst von: Lindsay S. Ham

Erschienen in: Cognitive Therapy and Research | Ausgabe 6/2009

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Abstract

Although social anxiety and problematic alcohol use co-occur at alarmingly high rates, the mechanism for this co-occurrence is not well understood. The current study examined the mediating role of positive social alcohol expectancies (i.e., beliefs related to the desirable social effects of drinking) in the relationship between social anxiety and hazardous drinking (i.e., heavy drinking and negative consequences) among an ethnically and racially diverse (87% racial and/or ethnic minority) sample of undergraduate volunteers (n = 610; Mage = 19.1; 69% women). The results of structural equation modeling analyses (using AMOS 7.0) indicated that social (but not tension reduction, sexual enhancement, positive cognitive changes, or negative affective changes) alcohol outcome expectancies partially mediated the association between social anxiety and hazardous drinking; however, social anxiety had a negative direct effect on hazardous drinking. Findings implicate social alcohol outcome expectancies as a mechanism to target in treatment and prevention among socially anxious students.

Babor, T. F., de la Fluente, J. R., Saunders, J. B., & Grant, M. (1992). AUDIT: The alcohol use disorders identification test: Guidelines for use in primary health care. Geneva, Switzerland: World Health Organization.

Babor, T. F., Higgins-Biddle, J. C., Saunders, J. B., & Monteiro, M. G. (2001). AUDIT: The alcohol use disorders identification test—Guidelines for use in primary care (2nd ed.). Geneva: World Health Organization.

Blackwell, E., & Conrod, P. J. (2003). A five-dimensional measure of drinking motives. Unpublished manuscript, Department of Psychology, University of British Columbia.

Bollen, K. (1996). An alternative 2SLS estimator for latent variable models. Psychometrika, 61, 109–121. doi:10.1007/BF02296961.CrossRef

Brown, T. A. (2006). Confirmatory factor analysis for applied research. New York: Guildford Press.

Bruch, M. A., Heimberg, R. G., Harvey, C. H., McCann, M., Mahone, M., & Slavkin, S. (1992). Shyness, alcohol expectancies, and alcohol use: Discovery of a suppressor effect. Journal of Research in Personality, 23, 137–149. doi:10.1016/0092-6566(92)90050-E.CrossRef

Bruch, M. A., Rivet, K. M., Heimberg, R. G., & Levin, M. A. (1997). Shyness, alcohol expectancies, and drinking behavior: Replication and extension of a suppressor effect. Personality and Individual Differences, 22(2), 193–200. doi:10.1016/S0191-8869(96)00190-0.CrossRef

Buckner, J. D., Bonn-Miller, M. O., Zvolensky, M. J., & Schmidt, N. B. (2007). Marijuana use motives and social anxiety among marijuana using young adults. Addictive Behaviors, 32, 2238–2252. doi:10.1016/j.addbeh.2007.04.004.CrossRefPubMed

Buckner, J. D., Schmidt, N. B., Bobadilla, L., & Taylor, J. (2006a). Social anxiety and problematic cannabis use: Evaluating the moderating role of stress reactivity and perceived coping. Behaviour Research and Therapy, 44, 1007–1015. doi:10.1016/j.brat.2005.08.002.CrossRefPubMed

Buckner, J., Schmidt, N., & Eggleston, A. (2006b). Social anxiety and problematic alcohol consumption: The mediating role of drinking motives and situations. Behavior Therapy, 37, 381–391. doi:10.1016/j.beth.2006.02.007.CrossRefPubMed

Buckner, J. D., Schmidt, N. B., Lang, A. R., Small, J. W., Schlauch, R. C., & Lewinsohn, P. M. (2008). Specificity of social anxiety disorder as a risk factor for alcohol and cannabis dependence. Journal of Psychiatric Research, 42, 230–239. doi:10.1016/j.jpsychires.2007.01.002.CrossRefPubMed

Byrne, B. (2001). Structural equation modeling with AMOS: Basic concepts, applications, and programming. Mahwah, NJ: Lawrence Erlbaum Associates.

Carrigan, M. H., & Randall, C. L. (2003). Self-medication in social phobia: A review of the alcohol literature. Addictive Behaviors, 28, 269–284. doi:10.1016/S0306-4603(01)00235-0.CrossRefPubMed

Clark, D. M., & McManus, F. (2002). Information processing in social phobia. Biological Psychiatry, 51, 92–100. doi:10.1016/S0006-3223(01)01296-3.CrossRefPubMed

Conger, J. (1956). Reinforcement theory and the dynamics of alcoholism. Quarterly Journal of Studies on Alcohol, 17, 296–305.PubMed

Corbin, W. R., Morean, M. E., & Benedict, D. (2008). The positive drinking consequences questionnaire (PDCQ): Validation of a new assessment tool. Addictive Behaviors, 33, 54–68. doi:10.1016/j.addbeh.2007.06.003.CrossRefPubMed

Crum, R. M., & Pratt, L. A. (2001). Risk of heavy drinking and alcohol use disorders in social phobia: A prospective analysis. The American Journal of Psychiatry, 158, 1693–1700. doi:10.1176/appi.ajp.158.10.1693.CrossRefPubMed

Eggleston, A. M., Woolaway-Bickel, K., & Schmidt, N. B. (2004). Social anxiety and alcohol use: Evaluation of the moderating and mediating effects of alcohol expectancies. Journal of Anxiety Disorders, 18, 33–49. doi:10.1016/j.janxdis.2003.07.005.CrossRef

Gilles, D., Turk, C., & Fresco, D. (2006). Social anxiety, alcohol expectancies, and self-efficacy as predictors of heavy drinking in college students. Addictive Behaviors, 31, 388–398. doi:10.1016/j.addbeh.2005.05.020.CrossRefPubMed

Goldman, M. S., Del Boca, F. K., & Darkes, J. (1999). Alcohol expectancy theory: The application of cognitive neuroscience. In H. Blane & K. Leonard (Eds.), Psychological theories of drinking and alcoholism (pp. 203–246). New York: Guilford Press.

Grant, B. G., Hasin, D. S., Blanco, C., Stinson, F. S., Chou, S. P., Goldstein, R. B., et al. (2005). The epidemiology of social anxiety disorder in the United States: Results from the National Epidemiologic Survey on alcohol and related conditions. The Journal of Clinical Psychiatry, 66, 1351–1361.PubMed

Ham, L. S., Carrigan, M. H., Moak, D. H., & Randall, C. L. (2005). Social anxiety and specificity of positive alcohol expectancies. Journal of Psychopathology and Behavioral Assessment, 27(2), 115–121. doi:10.1007/s10862-005-5385-x.CrossRef

Ham, L. S., & Hope, D. A. (2003). College students and problematic drinking: A review of the literature. Clinical Psychology Review, 23, 719–759. doi:10.1016/S0272-7358(03)00071-0.CrossRefPubMed

Ham, L. S., & Hope, D. A. (2005). Incorporating social anxiety into a model of college problematic drinking. Addictive Behaviors, 30, 127–150. doi:10.1016/j.addbeh.2004.04.018.CrossRefPubMed

Ham, L. S., & Hope, D. A. (2006). Incorporating social anxiety into a model of college problematic drinking: Replication and extension. Psychology of Addictive Behaviors, 20, 348–355. doi:10.1037/0893-164X.20.3.348.CrossRefPubMed

Ham, L. S., Hope, D. A., White, C. S., & Rivers, P. C. (2002). Alcohol expectancies and drinking behavior in adults with social anxiety disorder and dysthymia. Cognitive Therapy and Research, 26, 275–288. doi:10.1023/A:1014582005745.CrossRef

Heimberg, R., Mueller, G., Holt, C., Hope, D., & Liebowitz, M. (1992). Assessment of anxiety in social interaction and being observed by others: The social interaction anxiety scale and the social phobia scale. Behavior Therapy, 23, 53–73. doi:10.1016/S0005-7894(05)80308-9.CrossRef

Hingson, R., Heeren, T., Winter, M., & Wechsler, H. (2005). Magnitude of alcohol-related mortality, morbidity among US college students ages 18–24: Changes from 1998 to 2001. Annual Review of Public Health, 26, 259–279. doi:10.1146/annurev.publhealth.26.021304.144652.CrossRefPubMed

Khantzian, E. J. (1985). The self-medication hypothesis of addictive disorders: Focus on heroin and cocaine dependence. In D. Allen (Ed.), The cocaine crisis. New York: Plenum Press.

Kokotailo, P. K., Egan, J., Gangnon, R., Brown, D., Mundt, M., & Fleming, M. (2004). Validity of the alcohol use disorders identification test in college students. Alcoholism, Clinical and Experimental Research, 28, 914–920.PubMed

Lee, N., Oei, T., Greeley, J., & Baglioni, A. (2003). Psychometric properties of the drinking expectancy questionnaire: A review of the factor structure and a proposed new scoring method. Journal of Studies on Alcohol, 64, 432–436.PubMed

Leigh, B. C. (1990). Alcohol expectancies and reasons for drinking: Comments from a study on sexuality. Psychology of Addictive Behaviors, 4, 91–96.CrossRef

Lewis, B., & O’Neill, K. (2000). Alcohol expectancies and social deficits relating to problem drinking among college students. Addictive Behaviors, 25, 295–299. doi:10.1016/S0306-4603(99)00063-5.CrossRefPubMed

MacKinnon, D. P. (2008). Introduction to statistical mediation analysis. New York: Lawrence Erlbaum Associates.

MacKinnon, D. P., Fairchild, A. J., & Fritz, M. S. (2007). Mediational analysis. Annual Review of Psychology, 58, 593–614. doi:10.1146/annurev.psych.58.110405.085542.CrossRefPubMed

Magee, W. J., Eaton, W. W., Wittchen, H.-U., McGonagle, K. A., & Kessler, R. C. (1996). Agoraphobia, simple phobia, and social phobia in the National Comorbidity Survey. Archives of General Psychiatry, 53, 159–168.PubMed

Mattick, R. P., & Clarke, J. C. (1989). Development and validation of measures of social phobia scrutiny fear and social interaction anxiety. Behaviour Research and Therapy, 36, 455–470. doi:10.1016/S0005-7967(97)10031-6.CrossRef

Morris, E. P., Stewart, S. H., & Ham, L. (2005). The relationship between social anxiety disorder and alcohol use disorders: A critical review. Clinical Psychology Review, 25, 734–760. doi:10.1016/j.cpr.2005.05.004.CrossRefPubMed

O’Malley, P., & Johnston, L. (2002). Epidemiology of alcohol and other drug use among American college students. Journal of Studies on Alcohol, 14, 23–49.

Read, J., Wood, M., Davidoff, O., McLacken, J., & Campbell, J. (2002). Making the transition from high school to college: The role of alcohol-related social influence factors in students’ drinking. Substance Abuse, 23, 53–65. doi:10.1023/A:1013682727356.CrossRefPubMed

Reinert, D. F., & Allen, J. P. (2002). The alcohol use disorders identification test (AUDIT): A review of recent research. Alcoholism, Clinical and Experimental Research, 26, 272–279.PubMed

Reinert, D. F., & Allen, J. P. (2007). The alcohol use disorders identification test: An update of research findings. Alcoholism, Clinical and Experimental Research, 31, 185–199. doi:10.1111/j.1530-0277.2006.00295.x.CrossRefPubMed

Reis, J., & Riley, W. L. (2000). Predictors of college students’ alcohol consumption: Implications for student education. The Journal of Genetic Psychology, 16, 282–291.CrossRef

Sher, K., & Levenson, R. (1982). Risk for alcoholism and individual differences in the stress-response-dampening effect of alcohol. Journal of Abnormal Psychology, 91, 350–367. doi:10.1037/0021-843X.91.5.350.CrossRefPubMed

Stewart, S. H., & Conrod, P. J. (2008). Anxiety disorder and substance use disorder comorbidity: Common themes and future directions. In S. H. Stewart & P. J. Conrod (Eds.), Anxiety and substance use disorders (pp. 239–257). New York: Springer.CrossRef

Stewart, S., Morris, E., Mellings, T., & Komar, J. (2006). Relations of social anxiety variables to drinking motives, drinking quantity and frequency, and alcohol-related problems in undergraduates. Journal of Mental Health, 15, 671–682. doi:10.1080/09638230600998904.CrossRef

Tran, G. Q., & Haaga, D. A. F. (2002). Coping responses and alcohol outcome expectancies in alcohol abusing and nonabusing social phobics. Cognitive Therapy and Research, 26(1), 1–17. doi:10.1023/A:1013803803192.CrossRef

Tran, G. Q., Haaga, D. A. F., & Chambless, D. L. (1997). Expecting that alcohol use will reduce social anxiety moderates the relation between social anxiety and alcohol consumption. Cognitive Therapy and Research, 21, 535–553. doi:10.1023/A:1021857402164.CrossRef

Tran, G. Q., & Smith, J. P. (2008). Co-morbidity of social phobia and alcohol use disorders: A review of psychopathology research findings. In S. H. Stewart & P. J. Conrod (Eds.), Anxiety and substance use disorders (pp. 59–79). New York: Springer.CrossRef

Wechsler, H., Lee, J. E., Kuo, M., & Lee, H. (2000). College binge drinking in the 1990s: A continuing problem. Journal of American College Health, 48, 199–210.PubMed

Wiers, R. W., & Kummeling, R. H. C. (2004). An experimental test of an alcohol expectancy challenge in mixed gender groups of young heavy drinkers. Addictive Behaviors, 29, 215–220. doi:10.1016/S0306-4603(03)00081-9.CrossRefPubMed

Young, R. M., & Knight, R. G. (1989). The drinking expectancy questionnaire: A revised measure of alcohol-related beliefs. Journal of Psychopathology and Behavioral Assessment, 11, 99–112. doi:10.1007/BF00962702.CrossRef

Titel: Positive Social Alcohol Outcome Expectancies, Social Anxiety, and Hazardous Drinking in College Students
verfasst von: Lindsay S. Ham
Publikationsdatum: 01.12.2009
Verlag: Springer US
Erschienen in: Cognitive Therapy and Research / Ausgabe 6/2009
Print ISSN: 0147-5916
Elektronische ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-009-9248-8

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