Skip to main content
main-content
Top

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in: Mindfulness 1/2017

01-08-2016 | ORIGINAL PAPER

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

Auteurs: Elise M. Clerkin, Laurel D. Sarfan, E. Marie Parsons, Joshua C. Magee

Gepubliceerd in: Mindfulness | Uitgave 1/2017

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

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.
Literatuur
go back to reference Baer, R. A. (2003). Mindfulness training as a clinical intervention: a conceptual and empirical review. Clinical Psychology: Science and Practice, 10, 125–143. doi: 10.​1093/​clipsy.​bpg015. Baer, R. A. (2003). Mindfulness training as a clinical intervention: a conceptual and empirical review. Clinical Psychology: Science and Practice, 10, 125–143. doi: 10.​1093/​clipsy.​bpg015.
go back to reference Bowen, S., & Enkema, M. C. (2014). Relationship between dispositional mindfulness and substance use: findings from a clinical sample. Addictive Behaviors, 39, 532–537. CrossRefPubMed Bowen, S., & Enkema, M. C. (2014). Relationship between dispositional mindfulness and substance use: findings from a clinical sample. Addictive Behaviors, 39, 532–537. CrossRefPubMed
go back to reference Bowen, S., Witkiewitz, K., Clifasefi, S. L., Grow, J., Chawla, N., Hsu, S. H., & Larimer, M. E. (2014). Relative efficacy of mindfulness-based relapse prevention, standard relapse prevention, and treatment as usual for substance use disorders: a randomized clinical trial. JAMA Psychiatry, 71, 547–556. CrossRefPubMedPubMedCentral Bowen, S., Witkiewitz, K., Clifasefi, S. L., Grow, J., Chawla, N., Hsu, S. H., & Larimer, M. E. (2014). Relative efficacy of mindfulness-based relapse prevention, standard relapse prevention, and treatment as usual for substance use disorders: a randomized clinical trial. JAMA Psychiatry, 71, 547–556. CrossRefPubMedPubMedCentral
go back to reference Buckner, J. D., & Heimberg, R. G. (2010). Drinking behaviors in social situations account for alcohol-related problems among socially anxious individuals. Psychology of Addictive Beahviors, 24, 640–648. doi: 10.​1037/​a0020968. CrossRef Buckner, J. D., & Heimberg, R. G. (2010). Drinking behaviors in social situations account for alcohol-related problems among socially anxious individuals. Psychology of Addictive Beahviors, 24, 640–648. doi: 10.​1037/​a0020968. CrossRef
go back to reference Carpenter, K. M., & Hasin, D. (1998). A prospective evaluation of the relationship between reasons for drinking and DSM-IV Alcohol-use Disorders. Addictive Behaviors, 23, 41–46. doi: 10.​1016/​S0306-4603(97)00015-4. Carpenter, K. M., & Hasin, D. (1998). A prospective evaluation of the relationship between reasons for drinking and DSM-IV Alcohol-use Disorders. Addictive Behaviors, 23, 41–46. doi: 10.​1016/​S0306-4603(97)00015-4.
go back to reference Clerkin, E. M., Magee, J. C., Wells, T. T., Beard, C., & Barnett, N. P. (2016). Randomized controlled trial of attention bias modification in a racially diverse, socially anxious, alcohol dependent sample. Manuscript submitted for publication. Clerkin, E. M., Magee, J. C., Wells, T. T., Beard, C., & Barnett, N. P. (2016). Randomized controlled trial of attention bias modification in a racially diverse, socially anxious, alcohol dependent sample. Manuscript submitted for publication.
go back to reference Fernandez, A. C., Wood, M. D., Stein, A. R., & Rossi, J. S. (2010). Measuring mindfulness and examining its relationship with alcohol use and negative consequences. Psychology of Addictive Behaviors, 24, 608–616. CrossRefPubMedPubMedCentral Fernandez, A. C., Wood, M. D., Stein, A. R., & Rossi, J. S. (2010). Measuring mindfulness and examining its relationship with alcohol use and negative consequences. Psychology of Addictive Behaviors, 24, 608–616. CrossRefPubMedPubMedCentral
go back to reference Garland, E. L., Gaylord, S. A., Boettiger, C. A., & Howard, M. O. (2010). Mindfulness training modifies cognitive, affective, and physiological mechanisms implicated in alcohol dependence: results of a randomized controlled pilot trial. Journal of Psychoactive Drugs, 42, 177–192. CrossRefPubMedPubMedCentral Garland, E. L., Gaylord, S. A., Boettiger, C. A., & Howard, M. O. (2010). Mindfulness training modifies cognitive, affective, and physiological mechanisms implicated in alcohol dependence: results of a randomized controlled pilot trial. Journal of Psychoactive Drugs, 42, 177–192. CrossRefPubMedPubMedCentral
go back to reference Graham, J. W., & Schafer, J. L. (1999). On the performance of multiple imputation for multivariate data with small sample size. In R. Hoyle (Ed.), Statistical strategies for small sample research (pp. 1–29). Thousand Oaks: Sage. Graham, J. W., & Schafer, J. L. (1999). On the performance of multiple imputation for multivariate data with small sample size. In R. Hoyle (Ed.), Statistical strategies for small sample research (pp. 1–29). Thousand Oaks: Sage.
go back to reference Hayes, A. F. (2013). Mediation, moderation, and conditional process analysis. New York: Guilford. Hayes, A. F. (2013). Mediation, moderation, and conditional process analysis. New York: Guilford.
go back to reference Heimberg, R. G., Horner, K. J., Juster, H. R., Safren, S. A., Brown, E. J., & Schneier, F. R. (1999). Psychometric properties of the Liebowitz social anxiety scale. Psychological Medicine, 29(1), 199–212. CrossRefPubMed Heimberg, R. G., Horner, K. J., Juster, H. R., Safren, S. A., Brown, E. J., & Schneier, F. R. (1999). Psychometric properties of the Liebowitz social anxiety scale. Psychological Medicine, 29(1), 199–212. CrossRefPubMed
go back to reference Herbert, J. D., & Cardaciotto, L. (2005). An acceptance and mindfulness-based perspective on social anxiety disorder. In S. M. Orsillo & L. Roemer (Eds.), Acceptance and mindfulness-based approaches to anxiety: conceptualizations and treatment (pp. 189–212). New York: Springer. doi: 10.​1007/​0-387-25989-9_​8. CrossRef Herbert, J. D., & Cardaciotto, L. (2005). An acceptance and mindfulness-based perspective on social anxiety disorder. In S. M. Orsillo & L. Roemer (Eds.), Acceptance and mindfulness-based approaches to anxiety: conceptualizations and treatment (pp. 189–212). New York: Springer. doi: 10.​1007/​0-387-25989-9_​8. CrossRef
go back to reference Jelicic, H., Phelps, E., & Lerner, R. M. (2009). Use of missing data methods in longitudinal studies: the persistence of bad practices in developmental psychology. Developmental Psychology, 45, 1195–1199. doi: 10.​1037/​a0015665. CrossRefPubMed Jelicic, H., Phelps, E., & Lerner, R. M. (2009). Use of missing data methods in longitudinal studies: the persistence of bad practices in developmental psychology. Developmental Psychology, 45, 1195–1199. doi: 10.​1037/​a0015665. CrossRefPubMed
go back to reference Kabat-Zinn, J. (1990). Full catastrophe living: using the wisdom of your body and mind to face stress, pain and illness. New York: Delacorte. Kabat-Zinn, J. (1990). Full catastrophe living: using the wisdom of your body and mind to face stress, pain and illness. New York: Delacorte.
go back to reference Kabat-Zinn, J. (1994). Wherever you go, there you are: mindfulness meditation in everyday life. New York: Hyperion. Kabat-Zinn, J. (1994). Wherever you go, there you are: mindfulness meditation in everyday life. New York: Hyperion.
go back to reference Karyadi, K. A., & Cyders, M. A. (2015). Elucidating the association between trait mindfulness and alcohol use behaviors among college students. Mindfulness, 6, 1242–1249. CrossRefPubMedPubMedCentral Karyadi, K. A., & Cyders, M. A. (2015). Elucidating the association between trait mindfulness and alcohol use behaviors among college students. Mindfulness, 6, 1242–1249. CrossRefPubMedPubMedCentral
go back to reference Kuntsche, E., Knibbe, R., Gmel, G., & Engels, R. (2005). Why do young people drink? A review of drinking motives. Clinical Psychology Review, 25, 841–861. CrossRefPubMed Kuntsche, E., Knibbe, R., Gmel, G., & Engels, R. (2005). Why do young people drink? A review of drinking motives. Clinical Psychology Review, 25, 841–861. CrossRefPubMed
go back to reference Kushner, M. G., Krueger, R., Frye, B., & Peterson, J. (2008). Epidemiological perspectives on co-occurring anxiety disorder and substance use disorder. In S. H. Stewart & P. Conrod (Eds.), Anxiety and substance use disorders: the vicious cycle of comorbidity (pp. 3–17). New York: Springer. CrossRef Kushner, M. G., Krueger, R., Frye, B., & Peterson, J. (2008). Epidemiological perspectives on co-occurring anxiety disorder and substance use disorder. In S. H. Stewart & P. Conrod (Eds.), Anxiety and substance use disorders: the vicious cycle of comorbidity (pp. 3–17). New York: Springer. CrossRef
go back to reference Marlatt, G. A. (1994). Addiction, mindfulness, and acceptance. In S. C. Hayes, N. S. Jacobson, V. Follette M, & M. J. Dougher (Eds.), Acceptance and change: content and context in psychotherapy (pp. 175–197). Reno: Context Press. Marlatt, G. A. (1994). Addiction, mindfulness, and acceptance. In S. C. Hayes, N. S. Jacobson, V. Follette M, & M. J. Dougher (Eds.), Acceptance and change: content and context in psychotherapy (pp. 175–197). Reno: Context Press.
go back to reference McCrady, B. S. (2008). Alcohol use disorders. In D. H. Barlow (Ed.), Clinical handbook of psychological disorders: a step-by-step treatment manual (pp. 492–546). New York: Guilford Press. McCrady, B. S. (2008). Alcohol use disorders. In D. H. Barlow (Ed.), Clinical handbook of psychological disorders: a step-by-step treatment manual (pp. 492–546). New York: Guilford Press.
go back to reference Mennin, D. S., Fresco, D. M., Heimberg, R. G., Schneier, F. R., Davies, S. O., & Liebowitz, M. R. (2002). Screening for social anxiety disorder in the clinical setting: using the Liebowitz Social Anxiety Scale. Journal of Anxiety Disorders, 16, 661–673. doi: 10.​1016/​S0887-6185(02)00134-2. CrossRefPubMed Mennin, D. S., Fresco, D. M., Heimberg, R. G., Schneier, F. R., Davies, S. O., & Liebowitz, M. R. (2002). Screening for social anxiety disorder in the clinical setting: using the Liebowitz Social Anxiety Scale. Journal of Anxiety Disorders, 16, 661–673. doi: 10.​1016/​S0887-6185(02)00134-2. CrossRefPubMed
go back to reference Miller, W. R., Tonigan, J. S., & Longabaugh, R. (1995). The Drinker Inventory of Consequences (DrInC): an instrument for assessing adverse consequences of alcohol abuse: Test manual (No. 95). US Department of Health and Human Services, Public Health Service, National Institutes of Health, National Institute on Alcohol Abuse and Alcoholism. doi: 10.​1037/​e563232012-001. Miller, W. R., Tonigan, J. S., & Longabaugh, R. (1995). The Drinker Inventory of Consequences (DrInC): an instrument for assessing adverse consequences of alcohol abuse: Test manual (No. 95). US Department of Health and Human Services, Public Health Service, National Institutes of Health, National Institute on Alcohol Abuse and Alcoholism. doi: 10.​1037/​e563232012-001.
go back to reference Muthén, L. K., & Muthén, B. O. (1998-2015). Mplus user’s guide (7th ed.). Los Angeles: Muthén & Muthén. Muthén, L. K., & Muthén, B. O. (1998-2015). Mplus user’s guide (7th ed.). Los Angeles: Muthén & Muthén.
go back to reference Parsons, E. M., Luebbe, A. M., Peterman, K., & Clerkin, E. M. (2015). Mindfulness facets as moderators of the relationship between social anxiety schemas and behavioral and desired avoidance. Chicago: Poster presented at the annual meeting of the Association for Behavioral and Cognitive Therapies. Parsons, E. M., Luebbe, A. M., Peterman, K., & Clerkin, E. M. (2015). Mindfulness facets as moderators of the relationship between social anxiety schemas and behavioral and desired avoidance. Chicago: Poster presented at the annual meeting of the Association for Behavioral and Cognitive Therapies.
go back to reference Pittman, B., Gueorguieva, R., Krupitsky, E., Rudenko, A. A., Flannery, B. A., & Krystal, J. H. (2007). Multidimensionality of the Alcohol Withdrawal Symptom Checklist: a factor analysis of the Alcohol Withdrawal Symptom Checklist and CIWA-Ar. Alcoholism: Clinical and Experimental Research, 31, 612–618. doi: 10.​1111/​j.​1530-0277.​2007.​00345.​x. Pittman, B., Gueorguieva, R., Krupitsky, E., Rudenko, A. A., Flannery, B. A., & Krystal, J. H. (2007). Multidimensionality of the Alcohol Withdrawal Symptom Checklist: a factor analysis of the Alcohol Withdrawal Symptom Checklist and CIWA-Ar. Alcoholism: Clinical and Experimental Research, 31, 612–618. doi: 10.​1111/​j.​1530-0277.​2007.​00345.​x.
go back to reference Roos, C. R., Pearson, M. R., & Brown, D. B. (2015). Drinking motives mediate the negative associations between mindfulness facets and alcohol outcomes among college students. Psychology of Addictive Behaviors, 29, 176–183. doi: 10.​1037/​a0038529. CrossRefPubMed Roos, C. R., Pearson, M. R., & Brown, D. B. (2015). Drinking motives mediate the negative associations between mindfulness facets and alcohol outcomes among college students. Psychology of Addictive Behaviors, 29, 176–183. doi: 10.​1037/​a0038529. CrossRefPubMed
go back to reference Schmertz, S. K., Masuda, A., & Anderson, P. L. (2012). Cognitive processes mediate the relation between mindfulness and social anxiety within a clinical sample. Journal of Clinical Psychology, 68, 362–371. doi: 10.​1002/​jclp.​20861. CrossRefPubMed Schmertz, S. K., Masuda, A., & Anderson, P. L. (2012). Cognitive processes mediate the relation between mindfulness and social anxiety within a clinical sample. Journal of Clinical Psychology, 68, 362–371. doi: 10.​1002/​jclp.​20861. CrossRefPubMed
go back to reference Sheehan, D. V., Lecrubier, Y., Sheehan, K. H., Amorim, P., Janavs, J., Weiller, E., & Dunbar, G. C. (1998). The Mini-International Neuropsychiatric Interview (MINI): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-1. Journal of Clinical Psychiatry, 59, 22–33. PubMed Sheehan, D. V., Lecrubier, Y., Sheehan, K. H., Amorim, P., Janavs, J., Weiller, E., & Dunbar, G. C. (1998). The Mini-International Neuropsychiatric Interview (MINI): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-1. Journal of Clinical Psychiatry, 59, 22–33. PubMed
go back to reference Smith, J. P., & Randall, C. L. (2012). Anxiety and alcohol use disorders: comorbidity and treatment considerations. Alcohol research: current reviews, 34, 414–431. Smith, J. P., & Randall, C. L. (2012). Anxiety and alcohol use disorders: comorbidity and treatment considerations. Alcohol research: current reviews, 34, 414–431.
go back to reference Sue, S. (1999). Science, ethnicity, and bias: where have we gone wrong? American Psychologist, 54, 1070–1077. CrossRefPubMed Sue, S. (1999). Science, ethnicity, and bias: where have we gone wrong? American Psychologist, 54, 1070–1077. CrossRefPubMed
go back to reference Wiers, R. W., Houben, K., Roefs, A. J., de Jong, P., Hofmann, W., & Stacy, A. W. (2010). Implicit cognition in health psychology: why common sense goes out of the window. In K. Payne & B. Gawronski (Eds.), Handbook of implicit social cognition: measurement, theory, and applications (pp. 463–488). New York: Guilford Press. Wiers, R. W., Houben, K., Roefs, A. J., de Jong, P., Hofmann, W., & Stacy, A. W. (2010). Implicit cognition in health psychology: why common sense goes out of the window. In K. Payne & B. Gawronski (Eds.), Handbook of implicit social cognition: measurement, theory, and applications (pp. 463–488). New York: Guilford Press.
Metagegevens
Titel
Mindfulness Facets, Social Anxiety, and Drinking to Cope with Social Anxiety: Testing Mediators of Drinking Problems
Auteurs
Elise M. Clerkin
Laurel D. Sarfan
E. Marie Parsons
Joshua C. Magee
Publicatiedatum
01-08-2016
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 1/2017
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-016-0589-6