The Relations of Anxiety Sensitivity, Experiential Avoidance, and Alexithymic Coping to Young Adults’ Motivations for Drinking
Abstract
The authors examined whether motivations for drinking alcohol are associated with the anxiety-related dispositional tendencies of anxiety sensitivity, experiential avoidance, and alexithymic coping. The authors administered the Anxiety Sensitivity Index, Experiential Avoidance Scale, 20-item Toronto Alexithymia Scale, Revised Drinking Motives Questionnaire, and a demographics questionnaire to 182 university drinkers. In multiple regressions, the dispositional factors significantly predicted the risky drinking motives of coping, enhancement, and conformity. Coping and enhancement motives were significantly predicted by experiential avoidance. Conformity motives were significantly and independently predicted by anxiety sensitivity and alexithymia. The process of experiential avoidance mediated the bivariate correlation between anxiety sensitivity and coping-motivated drinking to a greater extent than did the process of alexithymic coping. The authors discuss the observed relations in regard to the psychological functions of drinking behavior that may portend the development of heavy drinking and alcohol problems in dispositionally vulnerable individuals. They also review implications for refinements of behavior therapy for problem drinkers.
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Cognitive and emotional avoidance and control strategies can lead to significant increases in subsequent distress.
“cognitive and emotional avoidance and control strategies (e.g., suppression, worry, rumination) can lead to significant increases in subsequent distress (e.g., Butler, Wells, & Dewick, 1995; Stewart, Zvolensky, & Eifert, 2002).”
From The role of negative affectivity and negative reactivity to emotions in predicting outcomes in the unified protocol for the transdiagnostic treatment of emotional disorders (2012) · cites this paper as Stewart, Zvolensky, & Eifert, 2002
Acceptance is a central component that has shown utility in various populations, such as reductions in anxiety and higher tolerance of pain.
“acceptance is a central component that has shown utility in various populations such as reductions in anxiety and higher tolerance of pain (McMullen et al., 2008;Stewart et al., 2002)”
From A review of cyberbullying and suggestions for online psychological therapy (2015) · cites this paper as Stewart et al., 2002
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Social anxiety and coping motives for cannabis use: The impact of experiential avoidance.
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Valued Directions: Acceptance and Commitment Therapy in the Treatment of Alcohol Dependence
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“Similar models have been proposed for borderline personality [14], depression [44], drinking alcohol [45] and other types of pathology, where EA has been shown to mediate the predictive role of AS for each respective condition.”
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“Although the crosssectional nature of the current study precludes a true test of mediation (which requires a specific temporal relationship among the variables in question, such that the mediator must occur after predictor and before the outcome; Kraemer et al. 2002), it does provides a preliminary test of this medita…”
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A further investigation of the relations of anxiety sensitivity to smoking motives
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Emotion Dysregulation and Coping Drinking Motives in College Women
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“Accordingly, behavioral patterns of excessive drinking and drinking to cope with negative mood are related to indices of lack of self-awareness, including alexithymia, immature defenses, and experiential avoidance (obstinate efforts to avoid unpleasant psychological experiences) (Pitkanen, 1999; Stewart et al., 2002;…”
InfluentialHow does anxiety sensitivity increase risk of chronic medical conditions?
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Acute effects of heroin on emotions in heroin‐dependent patients
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Self-Awareness in alexithymia and associations with social anxiety
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Alexithymia and Alcohol Dependence: The Roles of Negative Mood and Alcohol Craving
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“Indeed, previous work has found that among women, PTSD hyperarousal symptoms are associated with the PTSDSUD co-occurrence (Stewart et al., 2002).”
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Alexithymia and alcohol: The roles of punishment sensitivity and drinking motives
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Alexithymia and anxiety sensitivity in patients with non-cardiac chest pain
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Experiential Avoidance Mediates the Association between Emotion Regulation Abilities and Loneliness
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A study and comparison of Alexithymia among patients with substance use disorder and normal people
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- Authors
- Stewart, S. H., Zvolensky, M. J., & Eifert, G. H.
- Affiliations
- Dalhousie University (CA)
- West Virginia University (US)
- Venue
- Behavior Modification
- Publisher
- SAGE Publications
- Published
- 2002-04
- Volume
- 26
- Issue
- 2
- Pages
- 274-296
- ISSN
- 0145-4455 (ISSN-L)
- 1552-4167
- OpenAlex
- W2033596465
- Cited by
- 205
- References
- 45
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 2 · 2023: 6 · 2022: 9 · 2021: 6 · 2020: 7 · 2019: 9 · 2018: 14 · 2017: 9 · 2016: 13 · 2015: 7 · 2014: 15 · 2013: 10 · 2012: 18
- FWCI
- 4.06
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behavior Modification (publishedVersion)
- PubMed (publishedVersion)
- 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 › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- anxiety sensitivity, experiential avoidance, alexithymia, drinking motives, hazardous drinking, coping motives, enhancement motives, conformity motives, young adults, university students, heavy drinking, alcohol problems, mediation
- MeSH terms
- Adolescent, Adult, Affective Symptoms, Alcohol Drinking, Anxiety, Avoidance Learning, Behavior Therapy, Female, Humans, Male, Motivation, Personality Inventory, Risk Factors, Students
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