Home > Alcohol use in late adolescence and early adulthood: the role of generalized anxiety disorder and drinking to cope motives.

Dyer, Maddy L and Heron, Jon and Hickman, Matthew and Munafò, Marcus R . (2019) Alcohol use in late adolescence and early adulthood: the role of generalized anxiety disorder and drinking to cope motives. Drug and Alcohol Dependence (107480) https://doi.org/10.1016/j.drugalcdep.2019.04.044

URL: https://www.sciencedirect.com/science/article/pii/...

BACKGROUND: The relationship between anxiety and alcohol use is unclear, and moderating factors, such as drinking to cope (DTC) motives, may explain mixed findings.

METHODS: Using the Avon Longitudinal Study of Parents and Children (ALSPAC), we examined associations between generalized anxiety disorder (GAD) at age 18 and frequent drinking, frequent bingeing, hazardous drinking, and harmful drinking at ages 18 (unadjusted n = 3462) and 21 (unadjusted n = 2076), in a sample of late adolescent drinkers. Analyses were adjusted for sociodemographic, parental, and adolescent confounders. We also examined whether DTC motives influenced the strength and direction of associations between GAD and alcohol use.

RESULTS: GAD was positively associated with all alcohol outcomes at baseline (unadjusted OR (95% CI): frequent drinking 1.40 (1.02-1.91); frequent bingeing 1.40 (0.96-2.04); hazardous drinking 1.44 (1.08-1.92); harmful drinking 1.98 (1.22-3.23)). GAD increased the odds of harmful drinking at age 21 (unadjusted OR 1.72, 95% CI 1.09-2.73), but there was no clear evidence of a longitudinal relationship between GAD and the other alcohol use outcomes. There was no clear evidence of a GAD x DTC interaction on alcohol use at ages 18 or 21. Findings were consistent across various multiply imputed datasets.

CONCLUSIONS: In adolescence, GAD symptoms are associated with frequent drinking, frequent bingeing, hazardous drinking, and harmful drinking. In early adulthood, associations remain for harmful drinking only. DTC motives do not appear to moderate the relationship at either age.


Item Type:Evidence resource
Drug Type:Alcohol
Intervention Type:AOD disorder, AOD disorder harm reduction
Date:4 September 2019
Page Range:p. 107480
Number:107480
EndNote:View
Subjects:A Substance use, abuse, and dependence > Prevalence > Substance use behaviour > Alcohol consumption > Binge / risky drinking
A Substance use, abuse, and dependence > Prevalence > Substance use behaviour > Alcohol consumption
B Substances > Alcohol
F Concepts in psychology > Skills > Coping skills / Resilience
F Concepts in psychology > Motivation
F Concepts in psychology > Emotion (anxiety, emotional pain)
G Health and disease > State of health > Mental health
G Health and disease > Substance related disorder > Substance related mental disorder
T Demographic characteristics > Adolescent / youth (teenager / young person)
T Demographic characteristics > Young adult
T Demographic characteristics > Young substance user

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