When social anxiety co-occurs with substance use: Does an impulsive social anxiety subtype explain this unexpected relationship?

Nicholls, Julia; Staiger, Petra K.; Williams, James S.; Richardson, Ben; Kambouropoulos, Nicolas

doi:10.1016/j.psychres.2014.08.040

Cited by 39 publications

(32 citation statements)

References 60 publications

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“…The results of this study contribute to the literature on the relation of social anxiety to aggression and impulsivity (Kashdan et al., ; Nicholls et al., ), suggesting that some individuals with elevated social anxiety may struggle to manage urges to engage in impulsive behaviors in the context of intense anxiety or other forms of distress, increasing the likelihood of aggression in the form of anger, hostility, and verbal and physical aggression.…”

Section: Discussionsupporting

confidence: 65%

“…Submissive behaviors and a shy demeanor are typically associated with the expression of social anxiety (Hofmann, Heinrichs, & Moscovitch, 2004). However, accumulating research Social Anxiety and Aggression 723 suggests that a subgroup of individuals with social anxiety may have an "atypical" presentation, characterized by greater propensity to engage in risk-prone and aggressive behaviors (Kashdan & Hofmann, 2008;Kashdan & McKnight, 2010;Kashdan, McKnight, Richey, & Hofmann, 2009;Nicholls, Staiger, Williams, Richardson, & Kambouropoulos, 2014). This subgroup is theorized to exhibit more of a "fight" than "flight" response by reacting to social fears and perceived rejection with approach, rather than avoidant, behavioral and self-regulatory strategies (e.g., substance use, antagonistic communication), ultimately resulting in greater functional impairment and distress.…”

mentioning

confidence: 99%

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The Role of Emotion‐Driven Impulse Control Difficulties in the Relation Between Social Anxiety and Aggression

et al. 2016

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Section: Discussionsupporting

confidence: 65%

mentioning

confidence: 99%

The Role of Emotion‐Driven Impulse Control Difficulties in the Relation Between Social Anxiety and Aggression

et al. 2016

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“…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%

“…Indeed, recent research indicates that socially anxious individuals who are high in trait approach-motivation may be particularly prone to alcohol use. This subgroup of socially anxious individuals consists of those high in reward sensitivity, rash impulsiveness and risk taking, suggesting that these individuals may be particularly susceptible to comorbid alcohol use due to a stronger motivation to pursue reinforcement of all kinds (Nicholls et al, 2014). Despite their apprehension toward social situations, socially anxious individuals often greatly desire interactions and relationships with others (Stein and Stein, 2008).…”

Section: Alcohol Use Patterns In Social Anxiety Disordermentioning

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

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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.

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“…Bu kaygı, sıklıkla sosyal durumlardan kaçınma ya da bu durumlara son derece stresli bir şekilde katlanmaya yol açar (Nicholls, Staiger, Williams, Richardson ve Kambouropoulos, 2014). Sosyal kaygı "hayali" ya da "gerçek" sosyal çevrede kişilerarası yargılanma olasılığı ya da varlığından kaynaklanmaktadır.…”

Section: Introductionunclassified

Examining Social Anxiety Among Adolescents in Accordance with Coping with Stress Approaches

Hamarta

2015

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Bu araştırmanın amacı üniversite öğrencilerinin sosyal kaygıları ile stresle başa çıkma stilleri arasında anlamlı düzeyde ilişki olup olmadığını ve stresle başa çıkma tarzlarının sosyal kaygıyı anlamlı düzeyde yordayıp yordamadığını belirlemektir. Araştırma sonucunda sosyal kaygının sosyal kaçınma, değersizlik ve kritize edilme alt boyutları ile stresle başa çıkmanın kendine güvenli yaklaşım ve iyimser yaklaşımlar arasında anlamlı düzeyde negatif ilişki, çaresiz yaklaşım, boyun eğici yaklaşım ve sosyal destek arama alt boyutları ile pozitif ilişkinin olduğu görülmüştür. Stresle başa çıkma tarzlarının sosyal kaygının sosyal kaçınma, kritize edilme ve değersizlik alt boyutlarını anlamlı düzeyde açıkladığı görülmüştür. Ergen Sosyal Kaygı Başa Çıkma Stres Makale Hakkında GirişSosyal kaygı, psikotik bozukluklar içinde yaygın bir problemdir (Romm, Rossberg, Berg, Hansen, Andreassen ve Melle, 2011) ve çoğu insan çeşitli sosyal durumlarda bir derece kaygı yaşar (Sanders, 2003). Sosyal kaygı (sosyal/anksiyete, fobi) DSM-V'te bir kişinin "tanımadık insanlarla karşılaştığı ya da başkalarının gözünün üzerinde olabileceği, bir ya da birden fazla toplumsal ya da bir eylemi gerçekleştirdiği durumdan belirgin ve sürekli bir korku duyma, kişinin küçük duruma düşeceği ya da utanç duyacağı biçimde davranacağından korkma" durumu olarak tanımlanır (Apa, DSM-V, 2013).Sosyal kaygı bozukluğu (sosyal fobi), yoğun korku, duygusal sıkıntı ve sosyal etkileşimi ve değerlendirmeyi içeren sosyal durumlara yönelik sürekli hale gelen kaygı olarak tanımlanan yaygın ve sınırlandırıcı problemdir. Bu kaygı, sıklıkla sosyal durumlardan kaçınma ya da bu durumlara son derece stresli bir şekilde katlanmaya yol açar (Nicholls, Staiger, Williams, Richardson ve Kambouropoulos, 2014). Sosyal kaygı "hayali" ya da "gerçek" sosyal çevrede kişilerarası yargılanma olasılığı ya da varlığından kaynaklanmaktadır. Sosyal kaygı diğer insanlar üzerinde olumlu sosyal etkiyi meydana getirme isteği ve bunu beklentisinde olduğunu gibi gerçekleştiremeyeceği düşüncesinden meydana gelir. Sosyal kaygısı yüksek bireyler sosyal yeterliklerini ve diğer insanlarla ilişkilerinde göze çarpan sosyal özelliklerini önemli düzeyde olumsuz değerlendirme eğilimindedirler ve diğer insanların kendilerini değerlendirmelerini daha olumsuz algılama eğilimindedirler

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When social anxiety co-occurs with substance use: Does an impulsive social anxiety subtype explain this unexpected relationship?

Cited by 39 publications

References 60 publications

The Role of Emotion‐Driven Impulse Control Difficulties in the Relation Between Social Anxiety and Aggression

The Role of Emotion‐Driven Impulse Control Difficulties in the Relation Between Social Anxiety and Aggression

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

Examining Social Anxiety Among Adolescents in Accordance with Coping with Stress Approaches

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