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Background: Accumulated evidence suggests that individuals with social anxiety disorder (SAD) are at particular risk of developing alcohol use disorder (AUD). Yet, little is known about the mechanisms under this high comorbidity. This study aimed to elucidate the process of the development of alcohol related problems among individuals with elevated social anxiety. We investigated the moderation effect of difficulties in emotion regulation on the relationship between symptoms of social anxiety, coping and conformity motives and alcohol related problems.
Methods: In a sample of university students (N = 647) in South Korea, we examined whether cognitive (fear of negative evaluation), behavioral (social avoidance), and physiological symptoms (concerns over physiological symptoms) of social anxiety affect alcohol related problems with the mediation of coping and conformity motives. Furthermore, difficulties in emotion regulation were hypothesized to moderate each mediational path.
Results: Results showed that the fear of negative evaluation and concerns over physiological symptoms were associated with alcohol related problems with the mediation of conformity and coping motives, respectively. As hypothesized, each path was moderated by difficulties in emotion regulation.
Conclusions: Findings suggest that coping and conformity motives to cope with cognitive and physiological symptoms of social anxiety were related to alcohol related problems. In addition, individuals with high levels of difficulties in emotion regulation were prone to exhibit more alcohol related problems.
Keywords
social anxiety, alcohol related problems, coping and conformity motives, difficulties in emotion regulation, moderated mediation modelling
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View the published article at BMC Public Health.
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Posted 15 Apr, 2020
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Editor assigned
On 13 Apr, 2020
Submission checks complete
On 12 Apr, 2020
Editor invited
On 12 Apr, 2020
No comments provided
Editorial decision: Minor revision
On 06 Apr, 2020
Review #2 received
Received 05 Apr, 2020
Review #3 received
Received 25 Mar, 2020
Reviewer #3 agreed
On 20 Mar, 2020
Review #1 received
Received 18 Dec, 2019
Reviewer #2 agreed
On 09 Dec, 2019
Reviewer #1 agreed
On 28 Nov, 2019
Editor assigned
On 27 Nov, 2019
Reviewers invited
Invitations sent on 27 Nov, 2019
Submission checks complete
On 26 Nov, 2019
Editor invited
On 26 Nov, 2019
No comments provided
Editorial decision: Major revision
On 17 Oct, 2019
Review #2 received
Received 03 Oct, 2019
Reviewer #2 agreed
On 05 Sep, 2019
Review #1 received
Received 01 Sep, 2019
Reviewer #1 agreed
On 18 Aug, 2019
Reviewers invited
Invitations sent on 14 Aug, 2019
Submission checks complete
On 12 Aug, 2019
Editor assigned
On 12 Aug, 2019
Editor invited
On 11 Aug, 2019
First submitted
On 04 Aug, 2019
Metrics
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PDF Downloads: ...
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Subject Areas
Psychology
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See the published version of this preprint at BMC Public Health.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Public Health.
Version 3
Posted 15 Apr, 2020
No community comments so far
Editor assigned
On 13 Apr, 2020
Submission checks complete
On 12 Apr, 2020
Editor invited
On 12 Apr, 2020
No comments provided
Editorial decision: Minor revision
On 06 Apr, 2020
Review #2 received
Received 05 Apr, 2020
Review #3 received
Received 25 Mar, 2020
Reviewer #3 agreed
On 20 Mar, 2020
Review #1 received
Received 18 Dec, 2019
Reviewer #2 agreed
On 09 Dec, 2019
Reviewer #1 agreed
On 28 Nov, 2019
Editor assigned
On 27 Nov, 2019
Reviewers invited
Invitations sent on 27 Nov, 2019
Submission checks complete
On 26 Nov, 2019
Editor invited
On 26 Nov, 2019
No comments provided
Editorial decision: Major revision
On 17 Oct, 2019
Review #2 received
Received 03 Oct, 2019
Reviewer #2 agreed
On 05 Sep, 2019
Review #1 received
Received 01 Sep, 2019
Reviewer #1 agreed
On 18 Aug, 2019
Reviewers invited
Invitations sent on 14 Aug, 2019
Submission checks complete
On 12 Aug, 2019
Editor assigned
On 12 Aug, 2019
Editor invited
On 11 Aug, 2019
First submitted
On 04 Aug, 2019
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Psychology
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at BMC Public Health.
Background: Accumulated evidence suggests that individuals with social anxiety disorder (SAD) are at particular risk of developing alcohol use disorder (AUD). Yet, little is known about the mechanisms under this high comorbidity. This study aimed to elucidate the process of the development of alcohol related problems among individuals with elevated social anxiety. We investigated the moderation effect of difficulties in emotion regulation on the relationship between symptoms of social anxiety, coping and conformity motives and alcohol related problems.
Methods: In a sample of university students (N = 647) in South Korea, we examined whether cognitive (fear of negative evaluation), behavioral (social avoidance), and physiological symptoms (concerns over physiological symptoms) of social anxiety affect alcohol related problems with the mediation of coping and conformity motives. Furthermore, difficulties in emotion regulation were hypothesized to moderate each mediational path.
Results: Results showed that the fear of negative evaluation and concerns over physiological symptoms were associated with alcohol related problems with the mediation of conformity and coping motives, respectively. As hypothesized, each path was moderated by difficulties in emotion regulation.
Conclusions: Findings suggest that coping and conformity motives to cope with cognitive and physiological symptoms of social anxiety were related to alcohol related problems. In addition, individuals with high levels of difficulties in emotion regulation were prone to exhibit more alcohol related problems.
Figure 1
Figure 2
Figure 3
Figure 4
Figure 5
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