Does Alcohol Reduce Social Anxiety in Daily Life? A 22-Day Experience Sampling Study

Battista, Susan R.; Mackinnon, Sean P.; Sherry, Simon; Barrett, Sean P.; MacNevin, Parnell Davis; Stewart, Sherry H.

doi:10.1521/jscp.2015.34.6.508

Cited by 19 publications

(18 citation statements)

References 54 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…No outliers were detected using our pre-registered methods of examining extreme values in the distribution (Z > 3.30) or effect sizes with confidence intervals (CIs) which did not overlap any other individual CIs or the pooled estimate. Four cases were identified by Cook's Distance to be influential [30,[55][56][57], therefore we analysed all data with these data points included and excluded. Data are reported with the data points included unless exclusion significantly influenced the results.…”

Section: Statistical Analysesmentioning

confidence: 99%

See 1 more Smart Citation

Compliance with ecological momentary assessment protocols in substance users: a meta‐analysis

et al. 2018

View full text Add to dashboard Cite

Background and Aims While there are considerable benefits to Ecological Momentary Assessment (EMA), poor compliance with assessment protocols has been identified as a limitation, particularly in substance users. Our aim was to identify the pooled compliance rate of EMA studies in substance users and examine variables that may influence compliance with EMA protocols, such as the length and frequency of assessments. Design A meta‐analysis and meta‐regression of all possible studies (randomized controlled trials and longitudinal) which incorporated EMA protocols, examining substance use. Setting Studies took place from 1998 to 2017, in numerous countries world‐wide. Participants One hundred and twenty‐six studies were identified, contributing a total of 19 431 participants (52.32% male, mean age = 28.86). Measurements Compliance data, the proportion of responses to the study protocol, were extracted from each study alongside prompt frequency, total length of assessment period, substance use population and device used to administer EMA prompts. Findings The pooled compliance rate across all studies was 75.06% [95% confidence interval (CI) = 72.37%, 77.65%]. There was no evidence that compliance rates were significantly associated with prompt frequency [Q(3) = 7.35, P = 0.061], length of assessment period [Q(2) = 2.40, P = 0.301], substance type [Q(3) = 6.30, P = 0.098] or device administration [Q(4) = 4.28, P = 0.369]. However, dependent samples (69.80%) had lower compliance rates than non‐dependent samples [76.02%; Q(1) = 4.13, P = 0.042]. Conclusions The pooled compliance rate for Ecological Momentary Assessment studies in substance‐using populations from 1998 to 2017 was lower than the recommended rate of 80%, and was not associated with frequency or duration of assessments.

show abstract

Section: Statistical Analysesmentioning

confidence: 99%

“…Furthermore, numerous studies have examined compliance as a function of total assessment period (i.e. duration of study), and demonstrated that compliance declines as the study progresses [29][30][31]. However, others have failed to replicate these observations [7] [32].…”

Section: Introductionmentioning

confidence: 99%

Compliance with ecological momentary assessment protocols in substance users: a meta‐analysis

et al. 2018

View full text Add to dashboard Cite

show abstract

“…Psychiatric disorders and SUD commonly co-occur and frequently have a complex bidirectional relationship such that substance use can exacerbate symptoms related to psychiatric disorders while psychiatric disorders may conversely trigger substance use (Mueser, Drake, & Wallach, 1998). For example, symptoms of social anxiety may trigger drinking alcohol due to its ability to reduce uncomfortable feelings (Battista et al, 2015). Unfortunately, psychiatric comorbidity within SUD is frequently associated with greater impairment and poor treatment engagement (Greenfield et al, 1998; Weinstock, Alessi, & Petry, 2007), both of which can lead to poor treatment outcome and relapse to substance use.…”

Section: 2 Rationale For Exercisementioning

confidence: 99%

Exercise as an Adjunctive Treatment for Substance Use Disorders: Rationale and Intervention Description

Weinstock

Farney

Elrod

et al. 2017

Journal of Substance Abuse Treatment

View full text Add to dashboard Cite

Substance use disorders (SUD) are maladaptive patterns of substance use that are associated with psychiatric comorbidity, unhealthy lifestyle choices, and high rates of relapse. Exercise is associated with a wide range of acute and long-term benefits for both mental and physical health and is presently being investigated as a promising adjunctive treatment for SUD. Despite positive effects of regular physical activity on treatment outcomes and risk factors for relapse, low adherence and high attrition rates limit the benefits derived from exercise interventions. Lack of motivation is one of many perceived barriers to initiating exercise that contributes to poor adherence to interventions. In the present article, we describe the protocol for a novel, integrated exercise intervention that combines motivational interviewing (MI), a client-centered approach designed to enhance intrinsic motivation and resolve ambivalence towards change, and contingency management (CM), a behavioral treatment that provides monetary incentives for the completion of target behaviors. The protocol seeks to address the challenges surrounding initiation and maintenance of an exercise program at a level consistent with public health guidelines, particularly for sedentary patients. We conclude with considerations for the implementation of the intervention in SUD specific clinics.

show abstract

“…In one recent study on the effect of alcohol on social anxiety in real world settings amongst non-clinically anxious people, daily experience sampling revealed that subjective social anxiety was reduced on average by 4% with every alcoholic drink consumed (Battista et al, 2015). Additionally, a number of individual difference variables such as coping style, impulsivity, and alcohol use expectancies likely influence the relationship between social anxiety and alcohol use (Battista et al, 2010; Cooper et al, 1992; Morris et al, 2005; Nicholls et al, 2014).…”

Section: The End-directed Use Of Alcoholmentioning

confidence: 99%

“…Thus, affective homeostasis usually results from the perceived successful management or perceived absence of social threats. However, it may also result from the ingestion of particular psychoactive compounds like alcohol, which can artificially down-regulate negative affective states (Battista et al, 2015). In essence, alcohol has the capacity to subdue unpleasant subjective anxiety, thereby artificially signaling that an antecedent threat has been managed successfully, or that there are no pressing social threats.…”

Section: The Artificial Management Of Social Threatsmentioning

confidence: 99%

An evolutionary perspective on the co-occurrence of social anxiety disorder and alcohol use disorder

Bulley

Miloyan

Brilot

et al. 2016

Journal of Affective Disorders

View full text Add to dashboard Cite

Social Anxiety Disorder (SAD) commonly co-occurs with, and often precedes, Alcohol Use Disorder (AUD). In this paper, we address the relationship between SAD and AUD by considering how natural selection left socially anxious individuals vulnerable to alcohol use, and by addressing the underlying mechanisms. We review research suggesting that social anxiety has evolved for the regulation of behaviors involved in reducing the likelihood or consequences of threats to social status. The management of potential threats to social standing is important considering that these threats can result in reduced cooperation or ostracism – and therefore to reduced access to coalitional partners, resources or mates. Alcohol exerts effects upon evolutionarily conserved emotion circuits, and can down-regulate or block anxiety (or may be expected to do so). As such, the ingestion of alcohol can artificially signal the absence or successful management of social threats. In turn, alcohol use may be reinforced in socially anxious people because of this reduction in subjective malaise, and because it facilitates social behaviors – particularly in individuals for whom the persistent avoidance of social situations poses its own threat (i.e., difficulty finding mates). Although the frequent co-occurrence of SAD and AUD is associated with poorer treatment outcomes than either condition alone, a richer understanding of the biological and psychosocial drives underlying susceptibility to alcohol use among socially anxious individuals may improve the efficacy of therapeutic interventions aimed at preventing or treating this comorbidity.

show abstract

Does Alcohol Reduce Social Anxiety in Daily Life? A 22-Day Experience Sampling Study

Cited by 19 publications

References 54 publications

Compliance with ecological momentary assessment protocols in substance users: a meta‐analysis

Compliance with ecological momentary assessment protocols in substance users: a meta‐analysis

Exercise as an Adjunctive Treatment for Substance Use Disorders: Rationale and Intervention Description

An evolutionary perspective on the co-occurrence of social anxiety disorder and alcohol use disorder

Contact Info

Product

Resources

About