Biopsychosocial Model Social Anxiety and Substance Use Revised

Buckner, Julia D.; Morris, Paige E.; Abarno, Cristina N.; Glover, Nina I; Lewis, Elizabeth

doi:10.1007/s11920-021-01249-5

Cited by 31 publications

(28 citation statements)

References 63 publications

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“…Theory posits that individuals use, who use substances to cope with social anxiety do so to increase positive affect, decrease negative affect, help facilitate socializing, and/or avoid evaluation (Buckner et al, 2021). Thus, young adults who use substances to cope with social anxiety may expect or report experiencing specific positive consequences related to these areas (e.g., decreased social avoidance, having an easier time socializing with others) while being vulnerable to also experiencing negative consequences as a result of the type of substance they use (e.g., increased anxiety with cannabis, saying or doing something embarrassing with alcohol or cannabis).…”

Section: Social Anxiety Coping Motivesmentioning

confidence: 99%

“…It is theorized that individuals with elevated social anxiety use substances in part to cope with social anxiety symptoms, including fear of negative evaluation and social avoidance (Buckner et al, 2021). Coping motivated substance use is more common among individuals with clinically elevated social anxiety symptoms compared to those with nonclinically elevated social anxiety symptoms among both alcohol and cannabis-using samples (Buckner et al, 2012; Buckner & Heimberg, 2010), and coping motives largely explain the association between social anxiety symptoms and negative alcohol and cannabis-related consequences in cross-sectional work (e.g., Buckner et al, 2007; Buckner & Zvolensky, 2014; Cook et al, 2021; Walukevich-Dienst et al, 2020).…”

Section: Social Anxiety Coping Motivesmentioning

confidence: 99%

“…Guided by extent theory (Buckner et al, 2021), we identified six alcohol consequences (i.e., felt relaxed, was in a better mood, was more sociable, was able to express my feelings more easily, was rude or obnoxious, did something that embarrassed me) and six cannabis consequences (i.e., felt relaxed, was in a better mood, forgot my worries, did something that embarrassed me, felt antisocial or intentionally avoided others, felt anxious or worried.…”

Section: Item-level Consequencesmentioning

confidence: 99%

See 2 more Smart Citations

Using substances to cope with social anxiety: Associations with use and consequences in daily life.

Walukevich-Dienst¹,

Calhoun²,

Fairlie³

et al. 2023

Psychology of Addictive Behaviors

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Objective: Using 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. Method: Participants 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; Mage = 21.8 (SDage = 2.2), 51% female; 49% non-Hispanic/Latinx White. Results: Compared 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 (e.g., “was more sociable”) on drinking days. Baseline social anxiety symptoms did not moderate associations. Conclusions: Days 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.

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Section: Social Anxiety Coping Motivesmentioning

confidence: 99%

Section: Social Anxiety Coping Motivesmentioning

confidence: 99%

Section: Item-level Consequencesmentioning

confidence: 99%

See 1 more Smart Citation

Using substances to cope with social anxiety: Associations with use and consequences in daily life.

Walukevich-Dienst¹,

Calhoun²,

Fairlie³

et al. 2023

Psychology of Addictive Behaviors

View full text Add to dashboard Cite

show abstract

“…La IB es reconocida por su eficacia en los procesos de cambio de comportamiento [8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27] . Para el cambio en el consumo de alcohol, los estudios indican resultados positivos sobre la disminución del consumo .…”

Section: Efecto De La Intervención Breve En La Motivaciónunclassified

Motivación Para El Cambio en El Consumo De Alcohol: La Intervención Breve Como Estrategia Motivacional

Lima¹,

Lopes²,

Souza³

et al. 2022

Cogitare Enferm.

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Objetivo: analizar el efecto de una intervención breve sobre la motivación para el cambio en el consumo de alcohol. Método: Estudio experimental, de seguimiento, realizado con 43 participantes en dos Unidades Básicas de Salud. Se aplicó el Alcohol Use Disorders Identification Test, la Regla de Disposición al Cambio y un cuestionario socioeconómico. Resultados: el grupo experimental mostró una mediana igual a 10 puntos (fase de mantenimiento) al principio y después de 30 días. En el segmento, la mediana era igual a ocho puntos (etapa de acción). El grupo de control tenía una mediana igual a ocho puntos al principio y después de 30 días (etapa de acción). En el segmento, la mediana es igual a siete puntos (fase de planificación). En la evaluación intermedia de 30 días, se observó que había una diferencia estadística en la motivación entre los dos grupos (p=0,029). Conclusión: se concluyó que la Intervención Breve fue eficaz para mantener la motivación en las etapas de acción y mantenimiento del cambio en el consumo de alcohol.

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“…Whilst the current research did ask for use of medication, and other drug use a more precise record of which substances would enable more detailed analysis as it may be the combination of specific drugs and alcohol that has a particular impact on perception and emotion recognition (Fernández-Serrano et al, 2010). There are also developmental issues, psychological health and personality traits which are either genetic or the result of adverse childhood experiences which can impact emotion perception (Buckner et al, 2021;Tognin et al, 2020) and future research should assess as many as possible to improve the precision of the research. Whilst participants were asked to abstain from consuming alcohol for a minimum of 12 hours before the study an objective measure of blood alcohol levels would be beneficial to include in future research.…”

Section: Limitations Of the Current Researchmentioning

confidence: 99%

The impact of binge drinking on emotion recognition

Corcoran¹

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Binge drinking or heavy episodic drinking is variously defined but according to the World Health Organisation (WHO) it is the consumption of at least 60 grams or more of pure alcohol, 5 or more standard alcoholic drinks, at least once in the last 30 days. Alcohol costs society between 1.3% to 2.7% of GDP, approximately £46 billion pounds whilst direct costs to the NHS are in the region of £3.5 billion pounds. Much research has been conducted on alcohol dependence (AD) and the impact on the individual and cognition. However, much less research has been conducted on binge drinking, and where it has, research has tended to focus on executive function whilst social cognitions have largely been neglected. Social cognition has been defined as any psychological process that facilitates an individual's ability to interact in a social group and is essential for human wellbeing and the ability to thrive in society. Being able to read and respond appropriately to facial expressions is a key factor underpinning social interaction. This thesis aimed to address some of the gap in knowledge with respect to binge drinking and emotion recognition. The research had the following aims: 1) to clarify previous findings of emotion recognition impairment and to identify whether binge drinking impacted the bottom-up ability to recognise facial expressions at a behavioural level in a similar way to top-down emotion recognition 2) to identify whether there were differences in how binge drinkers gathered information from faces for processing. To address these aims a quantitative method was used. Study 1-Part 1 (N=50, HBD = 25, 14 females, LBD = 25, 19 females) examined early/bottom-up emotion recognition for static faces, Study 1-Part 2 (N=39, HBD=20, 10 females, LBD = 19, 16 females) identified the visual scan path gathering information for processing from emotional faces and emotional images, whilst Study 2 (N=46, HBD= 23, 11 females, LBD=23, 19 females) examined early/bottom-up emotion recognition, late/top-down emotion recognition of both static and dynamic faces and the visual scan path over both static and dynamic faces. The participants were recruited from the student population, a group particularly prone to binge drinking. The research generated some interesting findings some of which supported other research and others which furthered the insight into the impact of binge drinking on social cognitions beyond the behavioural level. This research suggests there is no behavioural difference in bottom-up emotion recognition however there is a positive bias at lower levels of BD and a negative bias at higher levels of BD. There was an overall deficit in emotion recognition at higher levels of binge drinking and with an increased cognitive load. This study has also identified differences in how high and low binge drinkers scan static and dynamic images as well as viewing strategies used for emotion recognition. Taken together these findings suggest a less efficient viewing strategy by high binge drinkers which becomes more pronounced at higher levels of binge drinking and with increased task complexity resulting in impaired recognition. The mechanism implicated in this is the amygdala which is instrumental in directing gaze to the eyes and is also impacted by alcohol. Impaired recognition of facial emotion expressions can have serious consequences impacting the wellbeing of the individual and their social circle. Uncomfortable social interactions due to incorrect or negative interpretation of expressions can have a serious detrimental effect on the individual and lead to a defensive attitude, avoidance of similar situations or to drink more to cope in these social settings. In addition, the inability to recognise negative emotions such as Fear or Anger at lower levels could exacerbate situations where there is a risk of domestic violence or date rape. Suggestions for interventions and further research are discussed.

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Biopsychosocial Model Social Anxiety and Substance Use Revised

Cited by 31 publications

References 63 publications

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.

Motivación Para El Cambio en El Consumo De Alcohol: La Intervención Breve Como Estrategia Motivacional

The impact of binge drinking on emotion recognition

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