Anxiety sensitivity, distress tolerance, and discomfort intolerance in relation to coping and conformity motives for alcohol use and alcohol use problems among young adult drinkers
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Anxiety sensitivity, distress tolerance, and discomfort intolerance have been identified as important factors related to alcohol use motives and alcohol-related problems. Yet, these variables are highly correlated and little work has delineated whether these psychological vulnerability factors are differentially related to alcohol use motives and problems. To fill this gap in the existing literature, the present study evaluated whether anxiety sensitivity, distress tolerance, and discomfort intolerance were differentially related to high-risk alcohol use motives (i.e., coping and conformity motives) and alcohol use problems among 224 young adult, current drinkers (52.3% women; M(age)=21.18, SD=7.08). Results indicated that distress tolerance, but not anxiety sensitivity or discomfort intolerance, was significantly related to coping motives for alcohol use. Additionally, anxiety sensitivity, but not distress tolerance or discomfort intolerance, was significantly related to conformity motives for drinking. For both sets of analyses, the observed significant effects were evident above and beyond the variance accounted for by alcohol consumption level, smoking rate, negative affectivity, and non-criterion alcohol use motives. Additionally, discomfort intolerance and anxiety sensitivity each predicted alcohol use problems; effects were not attributable to negative affectivity, cigarettes smoked per day, or shared variance with distress tolerance. Findings are discussed in relation to the role of emotional sensitivity and intolerance in terms of the motivational bases for alcohol use and alcohol use problems among young adult drinkers.
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Distress intolerance is strongly associated with substance use coping motives, substance use frequency, and substance use disorders.
“distress intolerance is robustly associated with substance use coping motives, as well as substance use frequency and substance use disorders (SUDs)”
From Initial RCT of a distress tolerance treatment for individuals with substance use disorders (2012) · cites this paper as Howell et al., 2010
The Discussion (page unavailable) reports that distress tolerance was uniquely related to coping motives for alcohol use among young adult drinkers. It does not establish the claimed association with substance-use frequency, and it reports no incremental association between distress tolerance and alcohol-use problems. The study addresses alcohol-use problems, not substance use disorders broadly. (LLM, conf=0.88)
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- Authors
- Howell, A. N., Leyro, T. M., Hogan, J., Buckner, J. D., & Zvolensky, M. J.
- Affiliations
- University of Vermont (US)
- Louisiana State University (US)
- Venue
- Addictive Behaviors
- Publisher
- Elsevier BV
- Published
- 2010-12
- Volume
- 35
- Issue
- 12
- Pages
- 1144-1147
- ISSN
- 0306-4603 (ISSN-L)
- PMC
- PMC2942953
- OpenAlex
- W1966687789
- Cited by
- 163
- References
- 18
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 8 · 2023: 12 · 2022: 6 · 2021: 12 · 2020: 13 · 2019: 12 · 2018: 15 · 2017: 6 · 2016: 14 · 2015: 16 · 2014: 11 · 2013: 16 · 2012: 10
- FWCI
- 7.21
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Addictive Behaviors (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Civil War Book Review (submittedVersion)
- Funders
- National Institutes of Health (5r01da027533-04)
- National Institute of Mental Health (R01MH076629)
- National Institute on Drug Abuse (R01-DA027533, 1 R01 DA027533-01)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
- Keywords
- anxiety sensitivity, distress tolerance, coping motives, conformity motives, drinking motives, alcohol use problems, emotional sensitivity, negative affectivity
- MeSH terms
- Adaptation, Psychological, Alcohol Drinking, Anxiety Disorders, Female, Humans, Male, Motivation, Risk-Taking, Smoking, Social Conformity, Vermont, Alcohol-Related Disorders, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
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