Drinking Motives as Mediators of Social Anxiety and Hazardous Drinking Among College Students

• Published in: Cognitive behaviour therapy Vol. 38; no. 3; pp. 133 - 145
• Main Authors: Ham, Lindsay S., Zamboanga, Byron L., Bacon, Amy K., Garcia, Tracey A.
• Format: Journal Article
• Language: English
• Published: England Taylor & Francis Group 01.09.2009
• Subjects: Adaptation, Psychological; Adolescent; alcohol; Alcohol Drinking - epidemiology; Alcohol Drinking - psychology; college students; drinking motives; drinking to cope; Female; Humans; Male; Motivation; Phobic Disorders - diagnosis; Phobic Disorders - epidemiology; Phobic Disorders - psychology; Prevalence; Severity of Illness Index; social anxiety; Students - psychology; Students - statistics & numerical data; Universities; Young Adult
• ISSN: 1650-6073; 1651-2316
• DOI: 10.1080/16506070802610889

Although social anxiety (SA) and alcohol use disorders commonly co-occur, the relationship between these variables in college populations has been inconsistent. The present study tested the hypothesized model that negatively reinforcing, but not positively reinforcing, drinking motives (or reasons for drinking) would mediate the association between SA and three aspects of hazardous drinking (quantity/frequency, consequences, and dependence symptoms) in an ethnically diverse sample of college drinkers (N = 817; mean age = 19.9 years, range = 18-29). Structural equation modeling (SEM) results using the asymmetrical distribution of products test indicated that coping motives partially mediated the relationship between SA and negative consequences and dependence symptoms but not the quantity/frequency outcome. Contrary to the hypothesized model, conformity motives did not mediate the association between SA and hazardous drinking. As expected, positive reinforcement motives did not mediate the SA-hazardous drinking association. Multigroup SEM analyses revealed that the mediation models did not differ for men (n = 215) and women (n = 602). Overall, the present findings support extant research and theoretical models regarding the mediating role of coping motives in the relationship between SA and problem drinking, suggesting a potential pathway for the development and maintenance of SA and alcohol use disorder comorbidity. Such findings could contribute to improved intervention programs by targeting coping drinking motives and building coping skills.