Login | Register

Examining the Effects of Social Anxiety and Event-level Mood Changes on Alcohol Use in Young Adults

Title:

Examining the Effects of Social Anxiety and Event-level Mood Changes on Alcohol Use in Young Adults

Khan, Mayesha (2019) Examining the Effects of Social Anxiety and Event-level Mood Changes on Alcohol Use in Young Adults. Masters thesis, Concordia University.

[thumbnail of Khan_MA_F2019.pdf]
Preview
Text (application/pdf)
Khan_MA_F2019.pdf - Accepted Version
1MB

Abstract

Background. According to self-medication theories, individuals high in social anxiety (SA) are at risk for misusing alcohol because of its anxiolytic effects. Consistent with dual process and delayed discounting theories, the immediate relief provided by alcohol initiation is central to explaining this risk pathway. Objective. Ecological momentary assessments (EMAs) were used to examine mood changes within a single drinking event, and to test whether these help explain SA risk for heavy alcohol use. Hypotheses. Those high in SA would show decreased anxious (tense) and (possibly) depressed (sad) mood and increased positive (happy) mood when they first initiate alcohol. Further, steeper mood changes would predict heavier alcohol use over the night. Method. Undergraduates (N=229, 154 women, Mage=20.5 years) completed self-reports (i.e., SA) during a lab baseline. This was followed by EMAs of mood and alcohol use on smartphones (hourly 6:00pm-1:00am; morning-after 12:00pm) over four consecutive weekends. Moods from the first three hours of drinking (pre-initiation, 1st-drink, post-initiation) were examined. Analyses. Multilevel growth models were estimated. Results. Elevated SA predicted high anxious, low positive, and high depressed pre-initiation mood. Elevated SA predicted a steeper decrease in anxious (but not positive or depressed) mood across the three time-points. Within-person analyses revealed that a steeper decrease in anxious and a steeper increase in positive mood were associated with increased alcohol use over the night. Conclusion. Consistent with hypotheses, the results suggest that the initial anxiolytic effects of alcohol - i.e., emotional relief – may account for SA risk for alcohol misuse. Gender differences are discussed.

Divisions:Concordia University > Faculty of Arts and Science > Psychology
Item Type:Thesis (Masters)
Authors:Khan, Mayesha
Institution:Concordia University
Degree Name:M.A.
Program:Psychology
Date:2 July 2019
Thesis Supervisor(s):O'Connor, Roisin M
Keywords:social anxiety, alcohol use, EMA, mood, multilevel growth models
ID Code:985567
Deposited By: MAYESHA KHAN
Deposited On:05 Feb 2020 03:00
Last Modified:16 Feb 2021 23:28

References:

Abrams, K., Kushner, M., Medina, K. L., & Voight, A. (2001). The pharmacologic and expectancy effects of alcohol on social anxiety in individuals with social phobia. Drug and alcohol dependence, 64(2), 219-231.
Abrams, K., & Kushner, M. G. (2004). The moderating effects of tension-reduction alcohol outcome expectancies on placebo responding in individuals with social phobia. Addictive Behaviors, 29(6), 1221-1224.
Adams, T., Rapinda, K. K., Frohlich, J. R., O'Connor, R. M., & Keough, M. T. (2019). Impulsivity moderates the effect of social anxiety on in-lab alcohol craving. Addictive behaviors.
Aitken, R. C. (1969). Measurement of feelings using visual analogue scales. Proceedings of the royal society of medicine, 62(10), 989.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Publishing.
Armeli, S., Conner, T. S., Cullum, J., & Tennen, H. (2010). A longitudinal analysis of drinking motives moderating the negative affect-drinking association among college students. Psychology of Addictive Behaviors, 24(1), 38.
Birch, C. D., Stewart, S. H., Wall, A. M., McKee, S. A., Eisnor, S. J., & Theakston, J. A. (2004). Mood-induced increases in alcohol expectancy strength in internally motivated drinkers. Psychology of Addictive Behaviors, 18(3), 231.
Bravo, A. J., & Pearson, M. R. (2017). In the process of drinking to cope among college students: An examination of specific vs. global coping motives for depression and anxiety symptoms. Addictive behaviors, 73, 94-98.
Bravo, A. J., Pilatti, A., Pearson, M. R., Mezquita, L., Ibáñez, M. I., & Ortet, G. (2018). Depressive symptoms, ruminative thinking, drinking motives, and alcohol outcomes: A multiple mediation model among college students in three countries. Addictive behaviors, 76, 319-327.
Booth, C., & Hasking, P. (2009). Social anxiety and alcohol consumption: The role of alcohol expectancies and reward sensitivity. Addictive behaviors, 34(9), 730-736.
Buckner, J. D., & Heimberg, R. G. (2010). Drinking behaviors in social situations account for alcohol-related problems among socially anxious individuals. Psychology of Addictive Behaviors, 24(4), 640.
Buckner, J. D., & Shah, S. M. (2015). Fitting in and feeling fine: Conformity and coping motives differentially mediate the relationship between social anxiety and drinking problems for men and women. Addiction research & theory, 23(3), 231-237.
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(3), 230-239.
Clements, R. (1999). Prevalence of alcohol-use disorders and alcohol-related problems in a college student sample. Journal of American College Health, 48(3), 111-118.
Clerkin, E. M., & Barnett, N. (2012). The separate and interactive effects of drinking motives and social anxiety symptoms in predicting drinking outcomes. Addictive Behaviors, 37(5), 674-677.
Cludius, B., Stevens, S., Bantin, T., Gerlach, A. L., & Hermann, C. (2013). The motive to drink due to social anxiety and its relation to hazardous alcohol use. Psychology of addictive behaviors, 27(3), 806.
Coles, M. E., Frost, R. O., Heimberg, R. G., & Steketee, G. (2003). Hoarding behaviors in a large college sample. Behaviour research and therapy, 41(2), 179-194.
Collins, J. L., Thompson, K., Sherry, S. B., Glowacka, M., & Stewart, S. H. (2018). Drinking to cope with depression mediates the relationship between social avoidance and alcohol problems: A 3-wave, 18-month longitudinal study. Addictive behaviors, 76, 182-187.
Conger, J. J. (1956). Reinforcement theory and the dynamics of alcoholism. Quarterly journal of studies on alcohol.
Cooper, M. L., Frone, M. R., Russell, M., & Mudar, P. (1995). Drinking to regulate positive and negative emotions: A motivational model of alcohol use. Journal of Personality and Social Psychology, 69, 990–1005.
Crum, R. M., & Pratt, L. A. (2001). Risk of heavy drinking and alcohol use disorders in social phobia: A prospective analysis. American Journal of Psychiatry, 158(10), 1693e1700. http://dx.doi.org/10.1176/appi.ajp.158.10.1693.
Day-Cameron, J. M., Muse, L., Hauenstein, J., Simmons, L., & Correia, C. J. (2009). Alcohol use by undergraduate students on their 21st birthday: Predictors of actual consumption, anticipated consumption, and normative beliefs. Psychology of Addictive Behaviors, 23(4), 695.
Dwyer, A. L., & Cummings, A. L. (2001). Stress, self-efficacy, social support, and coping strategies in university students. Canadian Journal of Counselling and Psychotherapy/Revue canadienne de counseling et de psychothérapie, 35(3).
Eisenberg, M. H., Johnson, C. C., & Zucker, A. N. (2018). Starving for a drink: Sexual objectification is associated with food-restricted alcohol consumption among college women, but not among men. Women & health, 58(2), 175-187.
Enders, C. (2010). Applied missing data analysis. New York, NY: Guilford.Ferreira, J. A., Martins, J. S., Coelho, M. S., & Kahler, C. W. (2014). Validation of Brief Young Adult Alcohol Consequences Questionnaire (B-YAACQ): Portuguese Version. The Spanish journal of psychology, 17.
Erwin, B. A., Heimberg, R. G., Juster, H., & Mindlin, M. (2002). Comorbid anxiety and mood disorders among persons with social anxiety disorder. Behaviour research and therapy, 40(1), 19-35.
Fresco, D. M., Coles, M. E., Heimberg, R. G., Liebowitz, M. R., Hami, S., Stein, M. B., & Goetz, D. (2001). The Liebowitz Social Anxiety Scale: a comparison of the psychometric properties of self-report and clinician-administered formats. Psychological medicine, 31(6), 1025-1035.
Gall, T. L., Evans, D. R., & Bellerose, S. (2000). Transition to first-year university: Patterns of change in adjustment across life domains and time. Journal of Social and Clinical Psychology, 19(4), 544-567.
Geiger, B. B., & MacKerron, G. (2016). Can alcohol make you happy? A subjective wellbeing approach. Social Science & Medicine, 156, 184-191.
George, A. M., Zamboanga, B. L., Millington, E., & Ham, L. S. (2019). Social anxiety and drinking game behaviors among Australian university students. Addictive behaviors, 88, 43-47.
Gift, A. G. (1989). Visual analogue scales: measurement of subjective phenomena. Nursing research.
Gill, J. S. (2002). Reported levels of alcohol consumption and binge drinking within the UK undergraduate student population over the last 25 years. Alcohol and Alcoholism, 37(2), 109-120.
Gilles, D. M., Turk, C. L., & Fresco, D. M. (2006). Social anxiety, alcohol expectancies, and self-efficacy as predictors of heavy drinking in college students. Addictive behaviors, 31(3), 388-398.
Goldman, M. S., Del Boca, F. K., & Darkes, J. (1999). Alcohol expectancy theory: The application of cognitive neuroscience. Psychological theories of drinking and alcoholism, 2, 203-246.
Grant, B. F., Hasin, D. S., Blanco, C., Stinson, F. S., Chou, S. P., Goldstein, R. B. (2005). The epidemiology of social anxiety disorder in the United States: Results from the National Epidemiologic Survey on Alcohol and Related Conditions. Journal of Clinical Psychiatry, 66:1351–1361.
Grant, V. V., & Stewart, S. H. (2007). Impact of experimentally induced positive and anxious mood on alcohol expectancy strength in internally motivated drinkers. Cognitive Behaviour Therapy, 36(2), 102-111.
Grant, V. V., Stewart, S. H., & Birch, C. D. (2007). Impact of positive and anxious mood on implicit alcohol-related cognitions in internally motivated undergraduate drinkers. Addictive Behaviors, 32(10), 2226-2237.
Grant, V. V., Stewart, S. H., O'Connor, R. M., Blackwell, E., & Conrod, P. J. (2007). Psychometric evaluation of the five-factor Modified Drinking Motives Questionnaire—Revised in undergraduates. Addictive behaviors, 32(11), 2611-2632.
Habke, A. M., Hewitt, P. L., Norton, G. R., & Asmundson, G. (1997). The Social Phobia and Social Interaction Anxiety scales: An exploration of the dimensions of social anxiety and sex differences in structure and relations with pathology. Journal of Psychopathology and Behavioral Assessment, 19, 21–39.
Ham, L. S., Bacon, A. K., Carrigan, M. H., Zamboanga, B. L., & Casner, H. G. (2016). Social anxiety and alcohol use: The role of alcohol expectancies about social outcomes. Addiction Research & Theory, 24(1), 9-16.
Ham, L. S., & Hope, D. A. (2005). Incorporating social anxiety into a model of college student problematic drinking. Addictive behaviors, 30(1), 127-150.
Heimberg, R. G., Mueller, G. P., Holt, C. S., Hope, D. A., & Liebowitz, M. R. (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.
Heimberg, R. G., Horner, K. J., Juster, H. R., Safren, S. A., Brown, E. J., Schneier, F. R., & Liebowitz, M. R. (1999). Psychometric properties of the Liebowitz social anxiety scale. Psychological medicine, 29(1), 199-212.
Howell, A. N., Buckner, J. D., & Weeks, J. W. (2016). Fear of positive evaluation and alcohol use problems among college students: the unique impact of drinking motives. Anxiety, Stress, & Coping, 29(3), 274-286.
Hussong, A. M., Hicks, R. E., Levy, S. A., & Curran, P. J. (2001). Specifying the relations between affect and heavy alcohol use among young adults. Journal of abnormal psychology, 110(3), 449.
Kashdan, T. B., & Collins, R. L. (2010). Social anxiety and the experience of positive emotion and anger in everyday life: An ecological momentary assessment approach. Anxiety, Stress, & Coping, 23(3), 259-272.
Khantzian, E. J. (1997). The self-medication hypothesis of substance use disorders: a reconsideration and recent applications. Harvard review of psychiatry, 4(5), 231-244.
Kline, R. B. (2016). Data preparation. In Principles and practice of structural equation modeling (pp. 51-72).
Kowalczyk, J. M., Khan, M., & O’Connor, R. M. (2019, May-June). Personality dimensions, drinking to cope, and unique alcohol-related problems: Testing a theoretical model of risk. Poster presented at the 80th Annual Convention of the Canadian Psychological Association (CPA), Halifax, NS.
Kuntsche, E., Stewart, S. H., & Cooper, M. L. (2008). How stable is the motive–alcohol use link? A cross-national validation of the Drinking Motives Questionnaire Revised among adolescents from Switzerland, Canada, and the United States. Journal of Studies on Alcohol and Drugs, 69(3), 388-396.
Kuntsche, E., Gabhainn, S. N., Roberts, C., Windlin, B., Vieno, A., Bendtsen, P., ... & Aasvee, K. (2014). Drinking motives and links to alcohol use in 13 European countries. Journal of Studies on Alcohol and Drugs, 75(3), 428-437.
Kuo, M., Adlaf, E. M., Lee, H., Gliksman, L., Demers, A., & Wechsler, H. (2002). More Canadian students drink but American students drink more: comparing college alcohol use in two countries. Addiction, 97(12), 1583-1592.
Kushner, M. G., Sher, K. J., & Beitman, B. D. (1990). The Relation between alcohol problems and the anxiety disorders. American Journal of Psychiatry, 147(6), 685e695. http://dx.doi.org/10.1176/ajp.147.6.685.
Kushner, M. G., Sher, K. J., Wood, M. D., & Wood, P. K. (1994). Anxiety and drinking behavior: Moderating effects of tension‐reduction alcohol outcome expectancies. Alcoholism: Clinical and Experimental Research, 18(4), 852-860.
LaBrie, J. W., Ehret, P. J., Hummer, J. F., & Prenovost, K. (2012). Poor adjustment to college life mediates the relationship between drinking motives and alcohol consequences: A look at college adjustment, drinking motives, and drinking outcomes. Addictive Behaviors, 37(4), 379-386.
Ledley, D. R., Huppert, J. D., Foa, E. B., Davidson, J. R., Keefe, F. J., & Potts, N. L. (2005). Impact of depressive symptoms on the treatment of generalized social anxiety disorder. Depression and Anxiety, 22(4), 161-167.
Leach, L. S., Christensen, H., Mackinnon, A. J., Windsor, T. D., & Butterworth, P. (2008). Gender differences in depression and anxiety across the adult lifespan: the role of psychosocial mediators. Social psychiatry and psychiatric epidemiology, 43(12), 983-998.
Lewis, M. A., Hove, M. C., Whiteside, U., Lee, C. M., Kirkeby, B. S., Oster-Aaland, L., . . . Larimer, M. E. (2008). Fitting in and feeling fine: Conformity and coping motives as mediators of the relationship between social anxiety and problematic drinking. Psychology of Addictive Behaviors, 22(1), 58-67. http://dx.doi.org/10.1037/0893-164X.22.1.58
Liebowitz, M. R. (1987). Social phobia. In Anxiety (Vol. 22, pp. 141-173). Karger Publishers.
Little, J. C., & McPhail, N. I. (1973). Measures of depressive mood at monthly intervals. The British Journal of Psychiatry, 122(569), 447-452.
MacKillop, J., Amlung, M. T., Few, L. R., Ray, L. A., Sweet, L. H., & Munafò, M. R. (2011). Delayed reward discounting and addictive behavior: a meta-analysis. Psychopharmacology, 216(3), 305-321.
Mattick, R. P., & Clarke, J. C. (1998). Development and validation of measures of social phobia scrutiny fear and social interaction anxiety. Behaviour research and therapy, 36(4), 455-470.
Magrys, S. A., & Olmstead, M. C. (2015). Acute stress increases voluntary consumption of alcohol in undergraduates. Alcohol and alcoholism, 50(2), 213-218.
McCaul, M. E., Hutton, H. E., Stephens, M. A. C., Xu, X., & Wand, G. S. (2017). Anxiety, anxiety sensitivity, and perceived stress as predictors of recent drinking, alcohol craving, and social stress response in heavy drinkers. Alcoholism: Clinical and Experimental Research, 41(4), 836-845.
Merikangas, K. R., Avenevoli, S., Acharyya, S., Zhang, H., & Angst, J. (2002). The spectrum of social phobia in the Zurich cohort study of young adults. Biological Psychiatry, 51(1), 81-91.
Merrill, J. E., Wardell, J. D., & Read, J. P. (2014). Drinking motives in the prospective prediction of unique alcohol-related consequences in college students. Journal of studies on alcohol and drugs, 75(1), 93-102.
Mohr, C. D., McCabe, C. T., Haverly, S. N., Hammer, L. B., & Carlson, K. F. (2018). Drinking motives and alcohol use: the SERVe Study of US current and former service members. Journal of studies on alcohol and drugs, 79(1), 79-87.
Morris, E. P, Stewart, S. H., Theakston, J., and Mellings, T. (2004). Relations of social anxiety variables to drinking motives, levels, and problems in young adult drinkers. Presented at the Annual Meeting of the Anxiety Disorders Association of America, Miami, FL, March.
Muthén, L.K. and Muthén, B.O. (1998-2017). Mplus User’s Guide. Eighth Edition. Los Angeles, CA: Muthén & Muthén
Neighbors, C., Pedersen, E. R., & Larimer, M. E. (2009). College Student Applications. In Evidence-Based Addiction Treatment (pp. 361-378).
Nolen-Hoeksema, S., & Harrell, Z. A. (2002). Rumination, depression, and alcohol use: Tests of gender differences. Journal of Cognitive Psychotherapy, 16(4), 391.
Nolen-Hoeksema, S., & Hilt, L. (2006). Possible contributors to the gender differences in alcohol use and problems. The Journal of general psychology, 133(4), 357-374.
Norberg, M. M., Norton, A. R., & Olivier, J. (2009). Refining measurement in the study of social anxiety and student drinking: Who you are and why you drink determines your outcomes. Psychology of Addictive Behaviors, 23(4), 586.
Norberg, M. M., Norton, A. R., Olivier, J., & Zvolensky, M. J. (2010). Social anxiety, reasons for drinking, and college students. Behavior therapy, 41(4), 555-566.
Norberg, M. M., Olivier, J., Alperstein, D. M., Zvolensky, M. J., & Norton, A. R. (2011). Adverse consequences of student drinking: The role of sex, social anxiety, drinking motives. Addictive Behaviors, 36(8), 821-828.
O'Hara, R. E., Armeli, S., & Tennen, H. (2015). College students’ drinking motives and social-contextual factors: Comparing associations across levels of analysis. Psychology of addictive behaviors, 29(2), 420.
Oliveira, L. M., Bermudez, M. B., de Amorim Macedo, M. J., & Passos, I. C. (2018). Comorbid social anxiety disorder in patients with alcohol use disorder: A systematic review. Journal of psychiatric research.
O'Malley, P. M., & Johnston, L. D. (2002). Epidemiology of alcohol and other drug use among American college students. Journal of Studies on Alcohol, Supplement, (14), 23-39.
Owens, T. J., & Shippee, N. D. (2009). Depressed mood and drinking occasions across high school: Comparing the reciprocal causal structures of a panel of boys and girls. Journal of adolescence, 32(4), 763-780.
Park, C. L., & Levenson, M. R. (2002). Drinking to cope among college students: prevalence, problems and coping processes. Journal of studies on alcohol, 63(4), 486-497.
Pedrelli, P., Shapero, B., Archibald, A., & Dale, C. (2016). Alcohol use and depression during adolescence and young adulthood: a summary and interpretation of mixed findings. Current addiction reports, 3(1), 91-97.
Poulin, C., Hand, D., Boudreau, B., & Santor, D. (2005). Gender differences in the association between substance use and elevated depressive symptoms in a general adolescent population. Addiction, 100(4), 525-535.
Purdon, C., Antony, M., Monteiro, S., & Swinson, R. P. (2001). Social anxiety in college students. Journal of Anxiety Disorders, 15(3), 203-215.
Raykov, T., & Marcoulides, G.A. (2004). Using the delta method for approximate interval estimation of parameter functions in SEM. Structural Equation Modeling, 11, 621-637.
Read, J. P., Wood, M. D., Kahler, C. W., Maddock, J. E., & Palfai, T. P. (2003). Examining the role of drinking motives in college student alcohol use and problems. Psychology of addictive behaviors, 17(1), 13.
Read, J. P., Wood, M. D., Davidoff, O. J., McLacken, J., & Campbell, J. F. (2002). Making the transition from high school to college: The role of alcohol‐related social influence factors in students' drinking. Substance Abuse, 23(1), 53-65.
Remington, M., Tyrer, P. J., Newson-Smith, J., & Cicchetti, D. V. (1979). Comparative reliability of categorical and analogue rating scales in the assessment of psychiatric symptomatology. Psychological Medicine, 9(4), 765-770.
Rounds, J. S., Beck, J. G., & Grant, D. M. (2007). Is the delay discounting paradigm useful in understanding social anxiety?. Behaviour research and therapy, 45(4), 729-735.
Rutledge, P. C., & Sher, K. J. (2001). Heavy drinking from the freshman year into early young adulthood: the roles of stress, tension-reduction drinking motives, gender and personality. Journal of studies on alcohol, 62(4), 457-466.
Schneier, F. R., Martin, L. Y., Liebowitz, M. R., Gorman, J. M., & Fyer, A. J. (1989). Alcohol abuse in social phobia. Journal of Anxiety Disorders, 3(1), 15-23.
Schneier, F. R., Foose, T. E., Hasin, D. S., Heimberg, R. G., Liu, S. M., Grant, B. F., & Blanco, C. (2010). Social anxiety disorder and alcohol use disorder co-morbidity in the National Epidemiologic Survey on Alcohol and Related Conditions. Psychological medicine, 40(6), 977-988.
Sher, K. J., & Levenson, R. W. (1982). Risk for alcoholism and individual differences in the stress-response-dampening effect of alcohol. Journal of Abnormal Psychology, 91(5), 350.
Shiffman, S. (2009). Ecological momentary assessment (EMA) in studies of substance use. Psychological assessment, 21(4), 486.
Stone, A. A., & Shiffman, S. (1994). Ecological momentary assessment (EMA) in behavorial medicine. Annals of Behavioral Medicine.
Stewart, S. H., 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(6), 671-682.
Swendsen, J. D., Tennen, H., Carney, M. A., Affleck, G., Willard, A., & Hromi, A. (2000). Mood and alcohol consumption: An experience sampling test of the self-medication hypothesis. Journal of Abnormal Psychology, 109, 198–204.
Tabachnick, B. G., & Fidell, L. S. (2001). Using multivariate statistics (4th ed.). Needham Heights, MA: Allyn & Bacon.
Tao, S., Dong, Q., Pratt, M. W., Hunsberger, B., & Pancer, S. M. (2000). Social support: Relations to coping and adjustment during the transition to university in the People’s Republic of China. Journal of Adolescent research, 15(1), 123-144.
Terlecki, M. A., Ecker, A. H., & Buckner, J. D. (2014). College drinking problems and social anxiety: The importance of drinking context. Psychology of addictive behaviors, 28(2), 545.
Terlecki, M. A., & Buckner, J. D. (2015). Social anxiety and heavy situational drinking: Coping and conformity motives as multiple mediators. Addictive behaviors, 40, 77-83.
Timko, C., Finney, J. W., & Moos, R. H. (2005). The 8‐year course of alcohol abuse: gender differences in social context and coping. Alcoholism: Clinical and Experimental Research, 29(4), 612-621.
Todd, M., Armeli, S., & Tennen, H. (2009). Interpersonal problems and negative mood as predictors of within-day time to drinking. Psychology of Addictive Behaviors, 23(2), 205.
Tran, G. Q., Anthenelli, R. M., Smith, J. P., Corcoran, K. J., & Rofey, D. L. (2004). Alcohol use, cognitive correlates of drinking and change readiness in hazardous drinkers with high versus low social anxiety. Journal of studies on alcohol, 65(6), 715-724.
Thomas, S. E., Randall, C. L., & Carrigan, M. H. (2003). Drinking to cope in socially anxious individuals: A controlled study. Alcoholism: Clinical and Experimental Research, 27(12), 1937-1943.
Thomas, S. E., Thevos, A. K., & Randall, C. L. (1999). Alcoholics with and without social phobia: a comparison of substance use and psychiatric variables. Journal of Studies on Alcohol, 60(4), 472-479.
Weeks, J. W., Jakatdar, T. A., & Heimberg, R. G. (2010). Comparing and contrasting fears of positive and negative evaluation as facets of social anxiety. Journal of Social and Clinical Psychology, 29(1), 68-94.
White, A. M., Kraus, C. L., & Swartzwelder, H. S. (2006). Many college freshmen drink at levels far beyond the binge threshold. Alcoholism: Clinical and Experimental Research, 30(6), 1006-1010.
Wiers, R. W., Bartholow, B. D., van den Wildenberg, E., Thush, C., Engels, R. C., Sher, K. J., ... & Stacy, A. W. (2007). Automatic and controlled processes and the development of addictive behaviors in adolescents: a review and a model. Pharmacology Biochemistry and Behavior, 86(2), 263-283.
Wiers, R., Ames, S. L., Hofmann, W., Krank, M., & Stacy, A. (2010). Impulsivity, impulsive and reflective processes and the development of alcohol use and misuse in adolescents and young adults. Frontiers in psychology, 1, 144.
Williams, V. S., Morlock, R. J., & Feltner, D. (2010). Psychometric evaluation of a visual analog scale for the assessment of anxiety. Health and quality of life outcomes, 8(1), 57.
Yurasek, A. M., Murphy, J. G., Dennhardt, A. A., Skidmore, J. R., Buscemi, J., McCausland, C., & Martens, M. P. (2011). Drinking motives mediate the relationship between reinforcing efficacy and alcohol consumption and problems. Journal of Studies on Alcohol and Drugs, 72(6), 991-999.
All items in Spectrum are protected by copyright, with all rights reserved. The use of items is governed by Spectrum's terms of access.

Repository Staff Only: item control page

Downloads per month over past year

Research related to the current document (at the CORE website)
- Research related to the current document (at the CORE website)
Back to top Back to top