Effects of anxiety sensitivity on cannabis, alcohol, and nicotine use among adolescents: evaluating pathways through anxiety, withdrawal symptoms, and coping motives

Anxiety sensitivity (AS) is a promising intervention target due to its relevance to negative health behaviors broadly, and substance use specifically. The aim of the current study was to evaluate the direct and indirect pathways through which elevated AS could relate to recent substance use among a...

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Bibliographic Details
Published in:Journal of behavioral medicine 2021-04, Vol.44 (2), p.187-201
Main Authors: Knapp, Ashley A., Allan, Nicholas P., Cloutier, Renee, Blumenthal, Heidemarie, Moradi, Shahrzad, Budney, Alan J., Lord, Sarah E.
Format: Article
Language:English
Subjects:
Adaptation, Psychological
Adolescent
Alcohol
Alcohol and youth
Alcohol Drinking
Alcohol use
Anxiety
Anxiety in teenagers
Anxiety in youth
Cannabis
Cigarettes
Complications and side effects
Coping
Drug use
Drugs and youth
Family Medicine
General Practice
Health aspects
Health behavior
Health care delivery
Health Psychology
Humans
Indirect effects
Marijuana
Medicine
Medicine & Public Health
Motivation
Nicotine
Psychological aspects
Risk factors
Substance abuse
Substance use
Substance Withdrawal Syndrome
Symptoms
Teenagers
Withdrawal symptoms
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Summary:Anxiety sensitivity (AS) is a promising intervention target due to its relevance to negative health behaviors broadly, and substance use specifically. The aim of the current study was to evaluate the direct and indirect pathways through which elevated AS could relate to recent substance use among a national adolescent sample recruited via social-media. As predicted, AS was indirectly associated with greater likelihood of using alcohol, cigarettes, and electronic nicotine delivery systems in the past-month through anxiety symptoms. Regarding cannabis, AS was directly related to increased likelihood of past-month cannabis use; however, the indirect relation between AS and likelihood of past-month use via anxiety symptoms was not significant. Through chained indirect effects, AS was related positively to past-month alcohol and cannabis use via anxiety symptoms and coping-related motives, and through withdrawal symptoms and coping-related motives. Study findings can be used to generate hypotheses on potential pathways through which AS could prospectively relate to substance use among youth.
ISSN:0160-7715
1573-3521
DOI:10.1007/s10865-020-00182-x