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Impulsivity moderates the effect of social anxiety on in-lab alcohol craving

Title:

Impulsivity moderates the effect of social anxiety on in-lab alcohol craving

Adams, Theresa, Rapinda, Karli K., Frohlich, Jona R., O'Connor, Roisin M. and Keough, Matthew T. (2019) Impulsivity moderates the effect of social anxiety on in-lab alcohol craving. Addictive Behaviors . ISSN 03064603 (In Press)

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Official URL: http://dx.doi.org/10.1016/j.addbeh.2019.05.025

Abstract

Social anxiety (SA) is thought to relate to alcohol misuse. However, current evidence is inconsistent – especially in young adulthood. Recent non-experimental data show that trait impulsivity moderates the effect of SA on alcohol misuse. Specifically, this work suggests that concurrently elevated impulsivity may draw attention to the immediate, anxiolytic effects of drinking – thus promoting alcohol misuse among those high in SA. Otherwise, without elevated impulsivity, a socially anxious person may not drink due to focusing on alcohol's possible negative outcomes (e.g., embarrassing behaviours). The next step in this research is to examine if impulsivity impacts in-the-moment subjective craving among socially anxious individuals. This was the goal of the present experiment. After baseline measures, undergraduate participants (N = 110) completed the Trier Social Stress Test followed by an alcohol (versus neutral) cue exposure. Subjective craving ratings were collected at both baseline and post-cue exposure. Moderation analyses revealed that socially anxious individuals endorsed strong cravings following an alcohol (but not a neutral) cue exposure, but only if they also had elevated impulsivity. In-lab craving was positively correlated with retrospective reports of alcohol misuse. Our findings demonstrate that impulsivity contributes to SA-related risk for alcohol misuse.

Divisions:Concordia University > Faculty of Arts and Science > Psychology
Item Type:Article
Refereed:Yes
Authors:Adams, Theresa and Rapinda, Karli K. and Frohlich, Jona R. and O'Connor, Roisin M. and Keough, Matthew T.
Journal or Publication:Addictive Behaviors
Date:21 April 2019
Funders:
  • CIHR New investigator Award
  • VPRGS Seed Grant awarded to Dr. RM O'Connor
Digital Object Identifier (DOI):10.1016/j.addbeh.2019.05.025
Keywords:AUD; alcohol use disorder; SA, social anxiety; SAD, social anxiety disorder; TRT, tension reduction theory; TSST, Trier Social Stress Test; SIAS, Social Interaction Anxiety Scale; SURPS, Substance Use Risk Profile Scale; VAS, Visual Analog Scale; ACQ, Alcohol Cravings Questionnaire; AUDIT, Alcohol Use Disorders Identification Test; YAACQ, Young Adult Alcohol Consequences Questionnaire; APM, Acquired Preparedness Model
ID Code:985446
Deposited By: MONIQUE LANE
Deposited On:03 Jun 2019 18:46
Last Modified:03 Jun 2019 18:46

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