The role of underutilization of protective behavioral strategies in the relation of social anxiety with risky drinking.
The role of underutilization of protective behavioral strategies in the relation of social anxiety with risky drinking.
复制标题
保护性行为策略未充分利用在社交焦虑与危险饮酒之间的关系。
DOI：
10.1016/j.addbeh.2019.106122
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发表时间：
2020
影响因子：
4.4
通讯作者：
Buckner,JuliaD
中科院分区：
文献类型：
--
作者：
Terlecki,MeredithA;Ecker,AnthonyH;Buckner,JuliaD
社交焦虑在本科生中很突出，并增加了经历酒精问题的风险。事实上，社交焦虑会使患上酒精使用障碍的风险增加四倍以上，但它与酗酒的关系并不一致。不一致的发现可能是由于社交焦虑的饮酒者缺乏对保护性行为策略(PBS)的关注。PBS是一种认知行为策略，旨在减少饮酒和与酒精相关的伤害。由于社交焦虑的性质，受影响的个人可能特别容易受到PBS使用不足的影响，导致更多和更有问题的饮酒。这项研究使用了目前(过去一个月)大量饮酒的大学生(N= 431)的横断面数据，考察了公共行为在社交焦虑与过去一个月饮酒和酒精问题之间的中介作用。社交焦虑与过去一个月的酒精问题和饮酒高峰呈显著正相关。社交焦虑与典型饮酒、饮酒频率、PBSS饮酒方式呈显著负相关。社交焦虑(通过PBSS饮酒方式)与过去一个月的高峰饮酒量和更多的饮酒问题间接相关。研究结果表明，由于公共广播电台的使用不足，社交焦虑者可能容易受到更多、更有问题的饮酒的影响。文中还讨论了治疗的意义。
Social anxiety is prominent among undergraduates and increases the risk of experiencing alcohol problems. In fact, social anxiety more than quadruples the risk of developing an alcohol use disorder, yet it is inconsistently related to heavier drinking. Inconsistent findings may be due to lack of attention on protective behavioral strategies (PBS) among socially anxious drinkers. PBS are cognitive-behavioral strategies to reduce drinking and alcohol-related harm. Due to the nature of social anxiety, affected individuals may be especially vulnerable to PBS underutilization, leading to heavier and more problematic drinking. The current study examined the mediating role of PBS in the relationships of social anxiety with past-month drinking and alcohol problems using cross-sectional data among current (past-month) heavy undergraduate drinkers (N= 431). Social anxiety was significantly positively related to past-month alcohol problems and peak drinking. Social anxiety was significantly negatively related to typical drinking, drinking frequency, and PBSS Manner of Drinking. Social anxiety was indirectly (via PBSS Manner of Drinking) related to greater past-month peak drinks and more drinking problems. Findings suggest that socially anxious persons may be vulnerable to heavier and more problematic drinking due to PBS underutilization. Treatment implications are discussed.