TY  - JOUR
PY  - 2014//
TI  - Effects of anxiety sensitivity on alcohol problems: evaluating chained mediation through generalized anxiety, depression, and drinking motives
JO  - Addiction
A1  - Allan, Nicholas P.
A1  - Albanese, Brian J.
A1  - Norr, Aaron M.
A1  - Zvolensky, Michael J.
A1  - Schmidt, Norman B.
SP  - 260
EP  - 268
VL  - 110
IS  - 2
N2  - AIMS: To test whether the relations between anxiety sensitivity (AS), a transdiagnostic risk factor, and alcohol problems are explained by chained mediation models, from AS through anxiety or depressive symptoms then drinking motives in an at-risk sample. It was hypothesized that AS would influence alcohol problems through generalized anxiety or depression symptoms and then through negatively-reinforced drinking motives (i.e., drinking to cope with negative affect and drinking to conform). <br><br>DESIGN: Cross-sectional single- and chained-mediation models were tested. SETTING: Self-report measures were completed in clinics at Florida State University and the University of Vermont, USA. PARTICIPANTS: Participants consisted of 523 adult daily cigarette smokers (M age = 37.23, SD = 13.53; 48.6% female). MEASUREMENTS: As part of a larger battery of self-report measures, participants completed self-report measures of AS, generalized anxiety, depression, drinking motives, and alcohol problems. <br><br>FINDINGS: Chained mediation was found from AS to alcohol problems through generalized anxiety then through drinking to cope with negative affect (B =.04, 90% confidence interval [CI;.004,.10]). Chained mediation was also found from AS to alcohol problems through depression then through drinking to cope with negative affect (B =.11, 90% CI [.05,.21]) and, separately, through socially motivated drinking (B =.05, 90% CI [.003,.11]). <br><br>CONCLUSIONS: Anxiety sensitivity and alcohol problems are indirectly related through several intervening variables, such as through generalized anxiety or depression and then through drinking to cope with negative affect.<p />  <p>Language: en</p>
LA  - en
SN  - 0965-2140
UR  - http://dx.doi.org/10.1111/add.12739
ID  - ref1
ER  -