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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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ResultListening to Words, Hearing Feelings: Links Between Eating Disorders and Alexithymia
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“Previous research has found a link between alexithymia andmaladaptive coping (Besharat, 2010; Helmers and Mente, 1999), and, more specifically, between alexithymia and drinking to cope (Stewart et al., 2002).”
BackgroundBujarski, S. J., Klanecky, A. K., & McChargue, D. E. (2009) · Addictive Behaviors · doi:10.1016/j.addbeh.2009.10.023 · Cited by 12
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“Thus taken together these studies (Forsyth et al., 2005 & Stewart et al., 2002) indicate that higher levels of EA predict drinking 4 patterns that are diagnosable when pervasive – levels of EA are predictive of the existence and severity of substance use.”
BackgroundHeinonen, H. (2007) · Tampere University Institutional Repository (Tampere University)
Stress reactivity in heroin dependence
Gerber, H. (2015) · edoc (University of Basel) · doi:10.5451/unibas-006349778
Écija, C. (2012) · Tesis Doctorals en Xarxa (Consorci de Serveis Universitaris de Catalunya)
Wolgast, M. (2012) · Lund University Publications (Lund University)
Kanagy, C. (2019) · Carolina Digital Repository (University of North Carolina at Chapel Hill) · doi:10.17615/4xpp-0z41
Explaining the Relationship Between Borderline Personality Features and Suicidal Ideation
Nichols, E. (2014) · University of North Texas Digital Library (University of North Texas) · doi:10.12794/metadc699872
A Validation Study of Korean Version of Bond's AAQ-16 Questionnaire
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Couture, M. (2017) · DalSpace (Dalhousie University)
The role of psychological flexibility in the emotional and social well-being of adolescents
Supavadeeprasit, S. (2015) · Research Online (University of Wollongong)
Psychiatry’s Collusion with Anesthetic Culture
Robbins, B. D. (2018) · Palgrave Macmillan US eBooks · doi:10.1057/978-1-349-95356-1_14
Chaudhury, S. (2019) · Forensic Science & Addiction Research · doi:10.31031/fsar.2019.05.000613
“Thus, such individuals may seek to relieve depression or anxiety brought about by alexithymia by consuming alcohol or other drugs [16].”
Substance use disorder and PTSD amongst Black South African women: Scoping review
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Alexithymia, Suicidal Ideation and Behaviour in Moroccan Psychoactive Substance UsersPreprint
Karjouh, K., Azzaoui, F.-Z., Ouerchefani, R., Samlali, W. I., Mammad, K., Chtabou, G., & Ahami, A. O. T. (2021) · Research Square · doi:10.21203/rs.3.rs-143731/v1
“…individuals may be submerged by unmanageable and uncontrollable emotions because of their cognitive disabilities in identifying and processing sensations and seek to treat depressive troubles or anxiety caused by alexithymia by taking drugs and alcohol (Stewart et al., 2002; Taylor et al., 1997).”
Backgroundالحميد, ه. ج. ع. (2021) · مجلة الإرشاد النفسی · doi:10.21608/cpc.2021.231422
Pleine conscience et acceptation
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Psychometric Properties of the Chinese Version of the Substance Use Risk Profile Scale
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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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