Using substances to cope with social anxiety: Associations with use and consequences in daily life.
Open accessAbstract
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: = 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. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
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A meta-analysis by Single et al. suggested an association between cannabis-related problems and SAD, particularly in individuals with clinical levels of the disorder, though no significant link was found with usage frequency.
“A metaanalysis by Single et al. [28] further suggested an association between cannabis-related problems and SAD, particularly in individuals with clinical levels of the disorder, though no significant link was found with usage frequency.”
From The risks versus the benefits of pharmacological intervention in social anxiety disorder in children (2025) · cites this paper as [28]
The Discussion (‘Baseline Social Anxiety Symptoms’; page unavailable) cites Single et al. (2022) for a small association between social anxiety symptoms and substance-use outcomes, and the References identify Single et al. as a cannabis-and-social-anxiety meta-analysis. Our copy does not report that the association was specifically with cannabis-related problems, was stronger at clinical levels of social anxiety disorder, or was nonsignificant for cannabis-use frequency. Its own frequency finding concerns a different young-adult sample, not the meta-analysis. (LLM, conf=0.84)
Experimental — accuracy not yet measuredWalukevich-Dienst et al found that consuming substances as a coping strategy in social anxiety is related to heavier consumption, especially on drinking days.
“Walukevich-Dienst et al [80] revealed that consuming substances as a coping strategy in SA is related to heavier consumption, especially on drinking days”
From Studies of Social Anxiety Using Ambulatory Assessment: Systematic Review (2024) · cites this paper as [80]
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- Authors
- Walukevich-Dienst, K., Calhoun, B. H., Fairlie, A. M., Cadigan, J. M., Patrick, M. E., & Lee, C. M.
- Affiliations
- University of Washington (US)
- University of Michigan (US)
- ORCID
- Venue
- Psychology of Addictive Behaviors
- Published
- 2023-06
- Volume
- 37
- Issue
- 4
- Pages
- 581-591
- ISSN
- 0893-164X (ISSN-L)
- 1939-1501
- PMC
- PMC10225016
- OpenAlex
- W4310089879
- Cited by
- 19
- References
- 30
- Citations by year
- 2026: 7 · 2025: 4 · 2024: 4 · 2023: 4
- FWCI
- 2.17
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Psychology of Addictive Behaviors (publishedVersion, other-oa)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (R01AA025037, F32AA029589, R34AA028074)
- 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 › Health Professions › General Health Professions › Homelessness and Social Issues
- Keywords
- social anxiety, coping motives, alcohol consumption, cannabis use, substance use consequences, young adults, alcohol-cannabis co-use, drinking to cope, social anxiety symptoms
- MeSH terms
- Adaptation, Psychological, Adult, Alcohol Drinking, Ethanol, Anxiety, Cannabis, Child, Preschool, Female, Humans, Male, Motivation, Young Adult
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