Using substances to cope with social anxiety: Associations with use and consequences in daily life.
Autor: | Walukevich-Dienst K; Department of Psychiatry and Behavioral Sciences, Center for the Study of Health and Risk Behaviors, University of Washington., Calhoun BH; Department of Psychiatry and Behavioral Sciences, Center for the Study of Health and Risk Behaviors, University of Washington., Fairlie AM; Department of Psychiatry and Behavioral Sciences, Center for the Study of Health and Risk Behaviors, University of Washington., Cadigan JM; Department of Psychiatry and Behavioral Sciences, Center for the Study of Health and Risk Behaviors, University of Washington., Patrick ME; Institute for Social Research, University of Michigan., Lee CM; Department of Psychiatry and Behavioral Sciences, Center for the Study of Health and Risk Behaviors, University of Washington. |
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Jazyk: | angličtina |
Zdroj: | Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors [Psychol Addict Behav] 2023 Jun; Vol. 37 (4), pp. 581-591. Date of Electronic Publication: 2022 Nov 28. |
DOI: | 10.1037/adb0000899 |
Abstrakt: | Objective: Using substances to cope with social anxiety is robustly related to negative consequences. The present study uses daily-level methods to test whether days young adults used substances to cope with social anxiety were associated with greater alcohol and cannabis use and consequences compared to use days without this motive. Method: Participants were a community sample of young adults enrolled in a study on alcohol and cannabis use, which involved a baseline survey and five 2-week bursts of online daily surveys across 2 years. Aims were tested using multilevel models among a subsample of 257 participants who reported social anxiety coping motives 1 day or more during the study period; M Results: Compared to use days without social anxiety coping motives, days with social anxiety coping motives were associated with more drinks consumed and more positive and negative alcohol consequences on alcohol-only days, more negative cannabis consequences on cannabis-only days, and heavier use, more negative cannabis consequences, and more positive consequences for both substances on co-use days. Days with social anxiety coping motives were associated with a greater likelihood of positive item-level consequences (e.g., "was more sociable") on drinking days. Baseline social anxiety symptoms did not moderate associations. Conclusions: Days young adults used substances to cope with social anxiety were high-risk days for elevated substance use and consequences, regardless of baseline social anxiety. Positive consequences attained through drinking to cope with social anxiety may be an important pathway that reinforces coping motivated use. (PsycInfo Database Record (c) 2023 APA, all rights reserved). |
Databáze: | MEDLINE |
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