Social Support Indirectly Predicts Problem Drinking Through Reduced Psychological Distress

Segrin, Chris; McNelis, Melissa; Swiatkowski, Paulina

doi:10.3109/10826084.2015.1126746

Cited by 8 publications

(5 citation statements)

References 33 publications

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“…One of the unexpected yet interesting findings of the current investigation was the absence of evidence for the Buffering model. Although results are mixed, prior literature has provided evidence supporting the Buffering model across various disease/disorder categories (for review see Thoits, 2011) including alcohol use disorder (Peirce et al, 1996, Segrin et al, 2016). However, the results of the current investigation mostly did not support the Buffering model except for one interaction effect of general social support and alcohol-related problems on readiness to change.…”

Section: Discussionmentioning

confidence: 99%

The Role of Social Support in Motivating Reductions in Alcohol Use: A Test of Three Models of Social Support in Alcohol‐Impaired Drivers

Moon

Mathias

Mullen³

et al. 2018

Alcoholism Clin & Exp Res

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Background: Social support has been linked to many therapeutic benefits (e.g., treatment retention, reduced posttreatment relapse) for individuals with alcohol use disorder. However, the positive impacts of social support have not been well-understood in the context of alcohol-impaired driving. This article examines the role of social support in motivating those with histories of DWI arrest to reduce alcohol use by testing three major models of social support: the Main-Effects model, the Buffering model, and the Optimal Matching model. Method: One hundred and nineteen participants with histories of DWI arrest were recruited from a correctional treatment facility (n = 59) and the local community (n = 60). Participants completed interviews to assess alcohol consumption, psychiatric/physical conditions, and psychosocial factors associated with drinking behavior (e.g., social support, alcohol-related problems, motivation to change). Hierarchical regression analyses were conducted to test the three models. Additionally, the relative magnitude of the effects of general and recovery-specific social support was compared based on the Cumming’s (2004) approach of statistical inference of confidence intervals. Results: Overall social support was positively associated with some motivation to change (i.e., importance of change, confidence in change) among alcohol-impaired drivers, supporting the Main-Effects model. However, the impact of overall social support on motivation to change was not moderated by alcohol-related problems of individuals arrested for DWI, which did not confirm the Buffering model. Lastly, recovery-specific social support, rather than general social support, contributed to increasing motivation to reduce alcohol use, which supported the Optimal Matching model. Conclusion: These findings highlight the benefits of social support (i.e., increased motivation to change alcohol use) for alcohol-impaired drivers. Regardless of the severity of alcohol-related problems of alcohol-impaired drivers, social support had direct positive impacts on motivation to change. In particular, the results underscore that social support can be more effective when it is matched to the recovery effort of individuals, which is consistent with the Optimal Matching model.

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Section: Discussionmentioning

confidence: 99%

The Role of Social Support in Motivating Reductions in Alcohol Use: A Test of Three Models of Social Support in Alcohol‐Impaired Drivers

Moon

Mathias

Mullen³

et al. 2018

Alcoholism Clin & Exp Res

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“…Perceived social support has been found to minimize alcohol and hypnotic use, especially during stressful life events. 2325 The intertwined relationship between support, mental health and sub stance use 26 should be considered in mul tifaceted interventions for health care workers, especially as they may engage in "escapeavoidance" behaviours to relieve distress 5,12,27 . Education and resources about healthier coping behaviours and the men tal and physical effects of substance use could better assist this potentially vulner able group.…”

Section: Coping Strategiesmentioning

confidence: 99%

Support for health care workers and psychological distress: thinking about now and beyond the COVID-19 pandemic

Styra

Hawryluck

McGeer

et al. 2022

Health Promot Chronic Dis Prev Can

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Introduction This study explores the relationship between emotional support, perceived risk and mental health outcomes among health care workers, who faced high rates of burnout and mental distress since the beginning of the COVID19 pandemic. Methods A crosssectional, multicentred online survey of health care workers in the Greater Toronto Area, Ontario, Canada, during the first wave of the COVID19 pandemic evaluated coping strategies, confidence in infection control, impact of previous work during the 2003 SARS outbreak and emotional support. Mental health outcomes were assessed using the Generalized Anxiety Disorder scale, the Impact of Event Scale – Revised and the Patient Health Questionnaire (PHQ9). Results Of 3852 participants, 8.2% sought professional mental health services while 77.3% received emotional support from family, 74.0% from friends and 70.3% from colleagues. Those who felt unsupported in their work had higher odds ratios of experiencing moderate and severe symptoms of anxiety (odds ratio [OR] = 2.23; 95% confidence interval [CI]: 1.84–2.69), PTSD (OR = 1.88; 95% CI: 1.58–2.25) and depression (OR = 1.88; 95% CI: 1.57–2.25). Nearly 40% were afraid of telling family about the risks they were exposed to at work. Those who were able to share this information demonstrated lower risk of anxiety (OR = 0.58; 95% CI: 0.48–0.69), PTSD (OR = 0.48; 95% CI: 0.41–0.56) and depression (OR = 0.55; 95% CI: 0.47–0.65). Conclusion Informal sources of support, including family, friends and colleagues, play an important role in mitigating distress and should be encouraged and utilized more by health care workers.

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“…Subjective social support, as opposed to received or objective social support, may buffer against the negative effects of PTE exposure (Santini et al, 2015). Another study conducted by Segrin et al (2016) using structural equation modeling suggests that subjective friend support helps to abate problematic drinking through reducing psychological distress. Although the social context of alcohol consumption and problematic drinking has been studied extensively in both Western and Chinese cultures (Brooks and Obasi, 2018), the buffering function of social support on adverse effects of traumatic exposure remains unclear in a culture which social support and alcohol consumption may be bidirectionally related.…”

Section: Pte and Alcohol Consumptionmentioning

confidence: 99%

Effects of social support and depression on problematic drinking among trauma-exposed Chinese adults: A population-based study

Chan

Wen

et al. 2020

Heliyon

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Background: Alcohol consumption is prevalent and alcohol-related problems are a considerable social issue in China. Over 17% of Chinese consume alcohol regularly. Exposure to potentially traumatic events (PTE) is associated with increased alcohol-related problems. Social support often buffers this association. This study examined the relationship between exposure to PTE and alcohol misuse and explored the moderating effect of social support on this relationship in a Chinese context. Methods: Data were collected through face-to-face computer assisted interviews in a stratified cluster sample of 753 Chinese adults living in Guangzhou, China. The Life Events Checklist-5 (LEC-5), World Health Organization Alcohol Use Disorders Identification Test (WHO-AUDIT), and Social Support Rating Scale (SSRS) were used to measure trauma exposure, problematic alcohol use, and social support. Results: Univariable logistic regression analyses indicated that trauma exposure (OR ¼ 3.18; compared to nonexposure), increased depression (OR ¼ 1.06), and perceived friend support (OR ¼ 1.21), were associated with higher odds of problematic drinking. Multivariable models adjusting for potential confounders demonstrated that PTE and depression were associated with problematic drinking, but this was not the case for perceived friend support. Perceived friend support modified the effect of trauma exposure and was associated with increased odds of problematic drinking among those who reported high levels of depressive symptoms. Conclusion: Social support may not always be a beneficial resource among those who experienced PTEs in a Chinese context. Further research is needed to better understand the role and function of different types of support, and for whom these associations are beneficial.

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Social Support Indirectly Predicts Problem Drinking Through Reduced Psychological Distress

Abstract: Social support from friends, emotional support, and informational support combine to form a protective factor that mitigates the risk of problem drinking in young adults through reduced psychological distress.

Cited by 8 publications

References 33 publications

The Role of Social Support in Motivating Reductions in Alcohol Use: A Test of Three Models of Social Support in Alcohol‐Impaired Drivers

The Role of Social Support in Motivating Reductions in Alcohol Use: A Test of Three Models of Social Support in Alcohol‐Impaired Drivers

Support for health care workers and psychological distress: thinking about now and beyond the COVID-19 pandemic

Effects of social support and depression on problematic drinking among trauma-exposed Chinese adults: A population-based study

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