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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 (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
In the citing paper
“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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Lyvers, M., Holloway, N., Needham, K., & Thorberg, F. A. (2019) · Australian Journal of Psychology · doi:10.1111/ajpy.12258 · Cited by 34
Brem, M. J., Shorey, R. C., Anderson, S., & Stuart, G. L. (2017) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2085 · Cited by 38
Medrano, L. A., & Trógolo, M. (2014) · Universitas Psychologica · doi:10.11144/javeriana.upsy13-4.vedr · Cited by 36
Alexithymia and Maladaptive Regulatory Behaviors in Substance Use Disorders and Eating Disorders
Morie, K. P., & Ridout, N. (2018) · Cambridge University Press eBooks · doi:10.1017/9781108241595.012 · Cited by 34
Goldstein, B., Bradley, B., Ressler, K. J., & Powers, A. (2017) · Journal of Clinical Psychology · doi:10.1002/jclp.22332 · Cited by 32
“Because research has shown that rates of AD vary by age and trauma exposure (Kessler, Berglund, et al., 2005; Turner & Lloyd, 1995), these variables were included as covariates in analyses.”
BackgroundKelly, M. M., & Forsyth, J. P. (2009) · Behaviour Research and Therapy · doi:10.1016/j.brat.2009.01.008 · Cited by 37
The Effects of Experiential Avoidance and Rumination on Depression among College Students
Bjornsson, A. S., Carey, G., Hauser, M., Karris, A., Kaufmann, V., Sheets, E. S., & Craighead, W. E. (2010) · International Journal of Cognitive Therapy · doi:10.1521/ijct.2010.3.4.389 · Cited by 40
Unique Patterns of Substance Misuse Associated With PTSD, Depression, and Social Phobia
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“” Participants who reported any smoking in the past 6 months were asked to complete the Revised Tolerance Questionnaire (RTQ; Tate & Schmitz, 1993 ), which is a revised version of the Fagerstrom Tolerance Questionnaire (FTQ; Fagerstrom & Schneider, 1989 ).”
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A study and comparison of Alexithymia among patients with substance use disorder and normal people
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Vernig, P. M., & Orsillo, S. M. (2009) · Cognitive Behaviour Therapy · doi:10.1080/16506070902767563 · Cited by 29
Metadata
- 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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