Using substances to cope with social anxiety: Associations with use and consequences in daily life.
Using substances to cope with social anxiety: Associations with use and consequences in daily life.
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使用物质应对社交焦虑：与日常生活中的使用和后果的关联。
DOI：
10.1037/adb0000899
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Lee,ChristineM
中科院分区：
文献类型：
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作者：
Walukevich-Dienst,Katherine;Calhoun,BrianH;Fairlie,AnneM;Cadigan,JenniferM;Patrick,MeganE;Lee,ChristineM
使用物质来科普社交焦虑与负面后果密切相关。本研究使用日常水平的方法来测试是否天年轻人使用物质来科普社交焦虑与更大的酒精和大麻的使用和后果相比，使用天没有这个motion.MethodParticipants是一个社区样本的年轻人参加了一项研究酒精和大麻的使用，其中涉及一个基线调查和5个2周的在线日常调查，在2年内爆发。目的是使用多层次模型进行测试，其中257名参与者在研究期间报告了1天或更长时间的社交焦虑应对动机; M年龄= 21.8（SD年龄= 2.2），51%为女性; 49%的非西班牙裔/拉丁裔白色。结果与没有社交焦虑应对动机的使用日相比，有社交焦虑应对动机的日子与饮酒量增加以及仅饮酒的日子里酒精的积极和消极影响有关，仅大麻的日子里大麻的消极影响更多，并且使用量更大，在共同使用日，对大麻的负面影响更多，对两种物质的正面影响更多。有社交焦虑应对动机的日子与饮酒日积极项目水平结果（例如，“更善于社交”）的可能性更大相关。基线社交焦虑症状没有中度association.ConclusionsDays年轻人使用物质来科普社交焦虑是高风险的日子，物质使用和后果升高，无论基线社交焦虑。通过饮酒来科普社交焦虑的积极后果可能是加强应对动机使用的重要途径。
ObjectiveUsing 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.MethodParticipants 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 age= 21.8 (SD age= 2.2), 51% female; 49% non-Hispanic/Latinx White.ResultsCompared 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 (eg,“was more sociable”) on drinking days. Baseline social anxiety symptoms did not moderate associations.ConclusionsDays 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.