3
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: not found

      Transdiagnostic processes linking anxiety symptoms and substance use problems among adolescents

      research-article

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Background

          Numerous anxiety syndromes co-occur with substance use problems in adolescents, though the mechanisms underlying these comorbidities are not well understood. Three transdiagnostic processes—anxiety sensitivity (fear of anxiety-related sensations), distress tolerance (capacity to withstand emotional distress), and negative urgency (propensity to respond impulsively to negative emotion)—have been implicated in various anxiety and substance use problems.

          Aims

          To examine whether anxiety sensitivity, distress tolerance, and negative urgency statistically mediated relations between symptoms of three different anxiety disorders (social anxiety, generalized anxiety, and panic disorders) and alcohol and cannabis use problems.

          Methods

          Cross-sectional analysis of high school students in Los Angeles (N = 3002) assessed via paper and pencil questionnaires.

          Results

          When mediators were entered simultaneously, negative urgency accounted for a significant 33% to 85% of the covariance between anxiety symptomatology and substance use problems over and above the other trandiagnostic processes. This pattern was consistent across all three anxiety syndromes and both alcohol and cannabis problems. Anxiety sensitivity and distress tolerance did not account for positive associations between anxiety symptoms and substance use problems.

          Discussion

          Negative urgency may be an important mechanism underlying the relationship between various types of anxiety and substance use problems in adolescence, and thus represents a possible target for preventive interventions targeting adolescent anxiety and substance use.

          Related collections

          Author and article information

          Journal
          9107051
          1038
          J Addict Dis
          J Addict Dis
          Journal of addictive diseases
          1055-0887
          1545-0848
          14 December 2016
          18 July 2016
          Oct-Dec 2016
          18 January 2018
          : 35
          : 4
          : 266-277
          Affiliations
          [1 ]Department of Psychiatry and Biobehavioral Sciences, University of California-Los Angeles, Los Angeles, California, USA
          [2 ]Department of Preventive Medicine, University of Southern California, Los Angeles, CA, USA
          [3 ]Department of Psychology, University of Houston, Houston, Texas, USA
          [4 ]Department of Psychology, Louisiana State University, Baton Rouge, Louisiana, USA
          Author notes
          Please address correspondence to: Kate Wolitzky-Taylor, Ph.D., Department of Psychiatry and Biobehavioral Sciences, Integrated Substance Abuse Programs, 11075 Santa Monica Blvd, Suite 200, Los Angeles, CA, 90025 kbtaylor@ 123456mednet.ucla.edu
          Article
          PMC5243862 PMC5243862 5243862 nihpa831723
          10.1080/10550887.2016.1207969
          5243862
          27431313
          cb6ee493-a955-4473-a2af-fd8c5899d2d6
          History
          Categories
          Article

          Transdiagnostic mechanisms,anxiety,cannabis,alcohol,adolescents

          Comments

          Comment on this article