Mindfulness Facets, Social Anxiety, and Drinking to Cope with Social Anxiety: Testing Mediators of Drinking Problems.

Mindfulness Facets, Social Anxiety, and Drinking to Cope with Social Anxiety: Testing Mediators of Drinking Problems.
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正念方面、社交焦虑和应对社交焦虑的饮酒:测试饮酒问题的中介因素。

DOI:
10.1007/s12671-016-0589-6
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发表时间:
2017-02
期刊:
影响因子:
3.6
通讯作者:
Magee JC
Magee JC
中科院分区:
医学3区
文献类型:
--
作者:
Clerkin EM;Sarfan LD;Parsons EM;Magee JC

文献摘要

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这项横断面研究测试了社交焦虑症状、特质正念和饮酒应对社交焦虑,作为饮酒问题的潜在预测和/或系列中介。以社区为基础的个体样本被招募,这些个体同时存在社交焦虑症状和酒精依赖。参与者(N=105)完成了社交焦虑、饮酒以应对社交焦虑、饮酒和问题的测量。此外,参与者还完成了五个方面的正念调查问卷,该问卷评估了正念的几个方面,包括接受而不加判断,有意识地行动,对自己的内在经历不做出反应,观察和关注经验,以及标签和描述。正如预测的那样,社交焦虑症状和饮酒问题之间的关系在每个模型中都受到社交焦虑应对动机的调节。此外,特定的正念方面(有意识地行动、不加判断地接受和描述)与饮酒问题之间的关系受到社交焦虑症状和饮酒应对社交焦虑的一系列中介作用。这项研究建立在现有研究的基础上,这些研究主要是在大学生中进行的,以评估潜在的驱动饮酒问题的中介因素。具体地说,那些不太能够有意识地行动、不加判断地接受和描述自己内心经历的人可能会经历高度的社交焦虑,并通过饮酒来应对这种焦虑,这最终可能导致更大的与酒精相关的问题。
This cross-sectional study tested social anxiety symptoms, trait mindfulness, and drinking to cope with social anxiety as potential predictors and/or serial mediators of drinking problems. A community-based sample of individuals with co-occurring social anxiety symptoms and alcohol dependence were recruited. Participants (N = 105) completed measures of social anxiety, drinking to cope with social anxiety, and alcohol use and problems. As well, participants completed the Five Facet Mindfulness Questionnaire, which assesses mindfulness facets of accepting without judgment, acting with awareness, not reacting to one’s internal experiences, observing and attending to experiences, and labeling and describing. As predicted, the relationship between social anxiety symptoms and drinking problems was mediated by social anxiety coping motives across each of the models. Further, the relationship between specific mindfulness facets (acting with awareness, accepting without judgment, and describe) and drinking problems was serially mediated by social anxiety symptoms and drinking to cope with social anxiety. This research builds upon existing studies that have largely been conducted with college students to evaluate potential mediators driving drinking problems. Specifically, individuals who are less able to act with awareness, accept without judgment, and describe their internal experiences may experience heightened social anxiety and drinking to cope with that anxiety, which could ultimately result in greater alcohol-related problems.