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The effects of social anxiety on alcohol and cigarette use across adolescence: Results from a longitudinal twin study in Finland.
Psychol Addict Behav. 2016 06; 30(4):462-74.PA

Abstract

Conflicting reports exist on the direction of the relationship between social anxiety (SA) and alcohol/cigarette use (AU/CU) and alcohol/nicotine dependence (AD/ND), with both positive and negative associations reported. A prospective, longitudinal sample of Finnish twins (n = 1,906) was used to test potential explanations for these discrepancies. Specifically, this study used peer, parent, and teacher ratings of SA, and a clinical interview screening item for social anxiety disorder (SAD-Sc) to examine associations between SA and AU/CU and AD/ND from early adolescence into young adulthood. Peer-rated SA was negatively associated with AU, CU, and AD from age 14 through age 22, implying a protective effect (β = -0.01 to -.03). Teacher- and parent-rated SA associations were in the same directions but weaker or nonsignificant, indicating that aspects of SA that are recognizable by peers may be most relevant to AU/CU. Self-reported SAD-Sc was also negatively associated with AU, but positively associated with AD symptoms in young adulthood (β = 0.38). Our findings partially support the existence of different associations between SA and AU versus AD, but only in the context of SAD-Sc rather than trait SA. Neither trait SA nor SAD-Sc significantly predicted ND symptoms, although SAD-Sc was associated with both cigarette abstinence and daily smoking. These findings suggest that adolescent SA is modestly associated with lower AU/CU, although there may be some individuals with more severe SA who develop alcohol problems later in life. There was little evidence of a common underlying liability contributing to both SA and alcohol/cigarette use. (PsycINFO Database Record

Authors+Show Affiliations

Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University.Institute for Molecular Medicine FIMM, University of Helsinki.Department of Public Health, University of Helsinki.Department of Psychology, University of Jyvaskyla.Department of Psychological and Brain Sciences, Indiana University-Bloomington.Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University.Virginia Institute for Psychiatric and Behavioral Genetics, Department of Psychology, Virginia Commonwealth University.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Twin Study

Language

eng

PubMed ID

27322804

Citation

Savage, Jeanne E., et al. "The Effects of Social Anxiety On Alcohol and Cigarette Use Across Adolescence: Results From a Longitudinal Twin Study in Finland." Psychology of Addictive Behaviors : Journal of the Society of Psychologists in Addictive Behaviors, vol. 30, no. 4, 2016, pp. 462-74.
Savage JE, Kaprio J, Korhonen T, et al. The effects of social anxiety on alcohol and cigarette use across adolescence: Results from a longitudinal twin study in Finland. Psychol Addict Behav. 2016;30(4):462-74.
Savage, J. E., Kaprio, J., Korhonen, T., Pulkkinen, L., Rose, R. J., Verhulst, B., & Dick, D. M. (2016). The effects of social anxiety on alcohol and cigarette use across adolescence: Results from a longitudinal twin study in Finland. Psychology of Addictive Behaviors : Journal of the Society of Psychologists in Addictive Behaviors, 30(4), 462-74. https://doi.org/10.1037/adb0000183
Savage JE, et al. The Effects of Social Anxiety On Alcohol and Cigarette Use Across Adolescence: Results From a Longitudinal Twin Study in Finland. Psychol Addict Behav. 2016;30(4):462-74. PubMed PMID: 27322804.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The effects of social anxiety on alcohol and cigarette use across adolescence: Results from a longitudinal twin study in Finland. AU - Savage,Jeanne E, AU - Kaprio,Jaakko, AU - Korhonen,Tellervo, AU - Pulkkinen,Lea, AU - Rose,Richard J, AU - Verhulst,Brad, AU - Dick,Danielle M, PY - 2016/6/21/entrez PY - 2016/6/21/pubmed PY - 2017/2/15/medline SP - 462 EP - 74 JF - Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors JO - Psychol Addict Behav VL - 30 IS - 4 N2 - Conflicting reports exist on the direction of the relationship between social anxiety (SA) and alcohol/cigarette use (AU/CU) and alcohol/nicotine dependence (AD/ND), with both positive and negative associations reported. A prospective, longitudinal sample of Finnish twins (n = 1,906) was used to test potential explanations for these discrepancies. Specifically, this study used peer, parent, and teacher ratings of SA, and a clinical interview screening item for social anxiety disorder (SAD-Sc) to examine associations between SA and AU/CU and AD/ND from early adolescence into young adulthood. Peer-rated SA was negatively associated with AU, CU, and AD from age 14 through age 22, implying a protective effect (β = -0.01 to -.03). Teacher- and parent-rated SA associations were in the same directions but weaker or nonsignificant, indicating that aspects of SA that are recognizable by peers may be most relevant to AU/CU. Self-reported SAD-Sc was also negatively associated with AU, but positively associated with AD symptoms in young adulthood (β = 0.38). Our findings partially support the existence of different associations between SA and AU versus AD, but only in the context of SAD-Sc rather than trait SA. Neither trait SA nor SAD-Sc significantly predicted ND symptoms, although SAD-Sc was associated with both cigarette abstinence and daily smoking. These findings suggest that adolescent SA is modestly associated with lower AU/CU, although there may be some individuals with more severe SA who develop alcohol problems later in life. There was little evidence of a common underlying liability contributing to both SA and alcohol/cigarette use. (PsycINFO Database Record SN - 1939-1501 UR - https://www.unboundmedicine.com/medline/citation/27322804/The_effects_of_social_anxiety_on_alcohol_and_cigarette_use_across_adolescence:_Results_from_a_longitudinal_twin_study_in_Finland_ L2 - http://content.apa.org/journals/adb/30/4/462 DB - PRIME DP - Unbound Medicine ER -