@article{ref1,
title="When social anxiety co-occurs with substance use: Does an impulsive social anxiety subtype explain this unexpected relationship?",
journal="Psychiatry research",
year="2014",
author="Nicholls, Julia and Staiger, Petra Karin and Williams, James Stephen and Richardson, Ben and Kambouropoulos, Nicolas",
volume="220",
number="3",
pages="909-914",
abstract="Although most conceptualizations of social anxiety emphasise that socially anxious individuals are overtly shy, and utilise avoidant behavioural strategies (e.g., risk-aversion, passivity, and submissiveness), there is tentative support for the existence of an approach-motivated subtype, characterised by risk taking and a greater propensity for substance misuse. It is likely that this subtype may help explain the reported co-occurrence of substance misuse and social anxiety. The current study sought to test via latent class analysis whether an approach-motivated social anxiety subtype could be identified within a community sample. A self-report questionnaire was completed by 351 participants (age: 18-74 years). Two distinct social anxiety subgroups were identified: one characterised by prototypical SAD symptomatology (i.e., behavioural inhibition and risk-avoidance), the second by elevated levels of rash impulsiveness, reward sensitivity, risk-taking and co-occurring substance use problems. The current findings provides support for the existence of a distinct approach-motivated social anxiety subtype and indicates that impulsivity may be critical to understanding the comorbid substance use symptomatology of these individuals.<p /><p>Language: en</p>",
language="en",
issn="0165-1781",
doi="10.1016/j.psychres.2014.08.040",
url="http://dx.doi.org/10.1016/j.psychres.2014.08.040"
}