Cognitive Therapy and Research

, Volume 33, Issue 6, pp 615–623 | Cite as

Positive Social Alcohol Outcome Expectancies, Social Anxiety, and Hazardous Drinking in College Students

  • Lindsay S. HamEmail author
Original Article


Although social anxiety and problematic alcohol use co-occur at alarmingly high rates, the mechanism for this co-occurrence is not well understood. The current study examined the mediating role of positive social alcohol expectancies (i.e., beliefs related to the desirable social effects of drinking) in the relationship between social anxiety and hazardous drinking (i.e., heavy drinking and negative consequences) among an ethnically and racially diverse (87% racial and/or ethnic minority) sample of undergraduate volunteers (n = 610; Mage = 19.1; 69% women). The results of structural equation modeling analyses (using AMOS 7.0) indicated that social (but not tension reduction, sexual enhancement, positive cognitive changes, or negative affective changes) alcohol outcome expectancies partially mediated the association between social anxiety and hazardous drinking; however, social anxiety had a negative direct effect on hazardous drinking. Findings implicate social alcohol outcome expectancies as a mechanism to target in treatment and prevention among socially anxious students.


Alcohol expectancies Social anxiety Alcohol College students 



The author would like to thank the undergraduate research assistants at Florida International University who assisted with data collection and data entry. In addition, thanks are due to Dr. Melissa Norberg for her helpful comments on an earlier draft of this manuscript.


  1. Babor, T. F., de la Fluente, J. R., Saunders, J. B., & Grant, M. (1992). AUDIT: The alcohol use disorders identification test: Guidelines for use in primary health care. Geneva, Switzerland: World Health Organization.Google Scholar
  2. Babor, T. F., Higgins-Biddle, J. C., Saunders, J. B., & Monteiro, M. G. (2001). AUDIT: The alcohol use disorders identification test—Guidelines for use in primary care (2nd ed.). Geneva: World Health Organization.Google Scholar
  3. Blackwell, E., & Conrod, P. J. (2003). A five-dimensional measure of drinking motives. Unpublished manuscript, Department of Psychology, University of British Columbia.Google Scholar
  4. Bollen, K. (1996). An alternative 2SLS estimator for latent variable models. Psychometrika, 61, 109–121. doi: 10.1007/BF02296961.CrossRefGoogle Scholar
  5. Brown, T. A. (2006). Confirmatory factor analysis for applied research. New York: Guildford Press.Google Scholar
  6. Bruch, M. A., Heimberg, R. G., Harvey, C. H., McCann, M., Mahone, M., & Slavkin, S. (1992). Shyness, alcohol expectancies, and alcohol use: Discovery of a suppressor effect. Journal of Research in Personality, 23, 137–149. doi: 10.1016/0092-6566(92)90050-E.CrossRefGoogle Scholar
  7. Bruch, M. A., Rivet, K. M., Heimberg, R. G., & Levin, M. A. (1997). Shyness, alcohol expectancies, and drinking behavior: Replication and extension of a suppressor effect. Personality and Individual Differences, 22(2), 193–200. doi: 10.1016/S0191-8869(96)00190-0.CrossRefGoogle Scholar
  8. Buckner, J. D., Bonn-Miller, M. O., Zvolensky, M. J., & Schmidt, N. B. (2007). Marijuana use motives and social anxiety among marijuana using young adults. Addictive Behaviors, 32, 2238–2252. doi: 10.1016/j.addbeh.2007.04.004.CrossRefPubMedGoogle Scholar
  9. Buckner, J. D., Schmidt, N. B., Bobadilla, L., & Taylor, J. (2006a). Social anxiety and problematic cannabis use: Evaluating the moderating role of stress reactivity and perceived coping. Behaviour Research and Therapy, 44, 1007–1015. doi: 10.1016/j.brat.2005.08.002.CrossRefPubMedGoogle Scholar
  10. Buckner, J., Schmidt, N., & Eggleston, A. (2006b). Social anxiety and problematic alcohol consumption: The mediating role of drinking motives and situations. Behavior Therapy, 37, 381–391. doi: 10.1016/j.beth.2006.02.007.CrossRefPubMedGoogle Scholar
  11. Buckner, J. D., Schmidt, N. B., Lang, A. R., Small, J. W., Schlauch, R. C., & Lewinsohn, P. M. (2008). Specificity of social anxiety disorder as a risk factor for alcohol and cannabis dependence. Journal of Psychiatric Research, 42, 230–239. doi: 10.1016/j.jpsychires.2007.01.002.CrossRefPubMedGoogle Scholar
  12. Byrne, B. (2001). Structural equation modeling with AMOS: Basic concepts, applications, and programming. Mahwah, NJ: Lawrence Erlbaum Associates.Google Scholar
  13. Carrigan, M. H., & Randall, C. L. (2003). Self-medication in social phobia: A review of the alcohol literature. Addictive Behaviors, 28, 269–284. doi: 10.1016/S0306-4603(01)00235-0.CrossRefPubMedGoogle Scholar
  14. Clark, D. M., & McManus, F. (2002). Information processing in social phobia. Biological Psychiatry, 51, 92–100. doi: 10.1016/S0006-3223(01)01296-3.CrossRefPubMedGoogle Scholar
  15. Conger, J. (1956). Reinforcement theory and the dynamics of alcoholism. Quarterly Journal of Studies on Alcohol, 17, 296–305.PubMedGoogle Scholar
  16. Corbin, W. R., Morean, M. E., & Benedict, D. (2008). The positive drinking consequences questionnaire (PDCQ): Validation of a new assessment tool. Addictive Behaviors, 33, 54–68. doi: 10.1016/j.addbeh.2007.06.003.CrossRefPubMedGoogle Scholar
  17. Crum, R. M., & Pratt, L. A. (2001). Risk of heavy drinking and alcohol use disorders in social phobia: A prospective analysis. The American Journal of Psychiatry, 158, 1693–1700. doi: 10.1176/appi.ajp.158.10.1693.CrossRefPubMedGoogle Scholar
  18. Eggleston, A. M., Woolaway-Bickel, K., & Schmidt, N. B. (2004). Social anxiety and alcohol use: Evaluation of the moderating and mediating effects of alcohol expectancies. Journal of Anxiety Disorders, 18, 33–49. doi: 10.1016/j.janxdis.2003.07.005.CrossRefGoogle Scholar
  19. Gilles, D., Turk, C., & Fresco, D. (2006). Social anxiety, alcohol expectancies, and self-efficacy as predictors of heavy drinking in college students. Addictive Behaviors, 31, 388–398. doi: 10.1016/j.addbeh.2005.05.020.CrossRefPubMedGoogle Scholar
  20. Goldman, M. S., Del Boca, F. K., & Darkes, J. (1999). Alcohol expectancy theory: The application of cognitive neuroscience. In H. Blane & K. Leonard (Eds.), Psychological theories of drinking and alcoholism (pp. 203–246). New York: Guilford Press.Google Scholar
  21. Grant, B. G., Hasin, D. S., Blanco, C., Stinson, F. S., Chou, S. P., Goldstein, R. B., et al. (2005). The epidemiology of social anxiety disorder in the United States: Results from the National Epidemiologic Survey on alcohol and related conditions. The Journal of Clinical Psychiatry, 66, 1351–1361.PubMedGoogle Scholar
  22. Ham, L. S., Carrigan, M. H., Moak, D. H., & Randall, C. L. (2005). Social anxiety and specificity of positive alcohol expectancies. Journal of Psychopathology and Behavioral Assessment, 27(2), 115–121. doi: 10.1007/s10862-005-5385-x.CrossRefGoogle Scholar
  23. Ham, L. S., & Hope, D. A. (2003). College students and problematic drinking: A review of the literature. Clinical Psychology Review, 23, 719–759. doi: 10.1016/S0272-7358(03)00071-0.CrossRefPubMedGoogle Scholar
  24. Ham, L. S., & Hope, D. A. (2005). Incorporating social anxiety into a model of college problematic drinking. Addictive Behaviors, 30, 127–150. doi: 10.1016/j.addbeh.2004.04.018.CrossRefPubMedGoogle Scholar
  25. Ham, L. S., & Hope, D. A. (2006). Incorporating social anxiety into a model of college problematic drinking: Replication and extension. Psychology of Addictive Behaviors, 20, 348–355. doi: 10.1037/0893-164X.20.3.348.CrossRefPubMedGoogle Scholar
  26. Ham, L. S., Hope, D. A., White, C. S., & Rivers, P. C. (2002). Alcohol expectancies and drinking behavior in adults with social anxiety disorder and dysthymia. Cognitive Therapy and Research, 26, 275–288. doi: 10.1023/A:1014582005745.CrossRefGoogle Scholar
  27. Heimberg, R., Mueller, G., Holt, C., Hope, D., & Liebowitz, M. (1992). Assessment of anxiety in social interaction and being observed by others: The social interaction anxiety scale and the social phobia scale. Behavior Therapy, 23, 53–73. doi: 10.1016/S0005-7894(05)80308-9.CrossRefGoogle Scholar
  28. Hingson, R., Heeren, T., Winter, M., & Wechsler, H. (2005). Magnitude of alcohol-related mortality, morbidity among US college students ages 18–24: Changes from 1998 to 2001. Annual Review of Public Health, 26, 259–279. doi: 10.1146/annurev.publhealth.26.021304.144652.CrossRefPubMedGoogle Scholar
  29. Khantzian, E. J. (1985). The self-medication hypothesis of addictive disorders: Focus on heroin and cocaine dependence. In D. Allen (Ed.), The cocaine crisis. New York: Plenum Press.Google Scholar
  30. Kokotailo, P. K., Egan, J., Gangnon, R., Brown, D., Mundt, M., & Fleming, M. (2004). Validity of the alcohol use disorders identification test in college students. Alcoholism, Clinical and Experimental Research, 28, 914–920.PubMedGoogle Scholar
  31. Lee, N., Oei, T., Greeley, J., & Baglioni, A. (2003). Psychometric properties of the drinking expectancy questionnaire: A review of the factor structure and a proposed new scoring method. Journal of Studies on Alcohol, 64, 432–436.PubMedGoogle Scholar
  32. Leigh, B. C. (1990). Alcohol expectancies and reasons for drinking: Comments from a study on sexuality. Psychology of Addictive Behaviors, 4, 91–96.CrossRefGoogle Scholar
  33. Lewis, B., & O’Neill, K. (2000). Alcohol expectancies and social deficits relating to problem drinking among college students. Addictive Behaviors, 25, 295–299. doi: 10.1016/S0306-4603(99)00063-5.CrossRefPubMedGoogle Scholar
  34. MacKinnon, D. P. (2008). Introduction to statistical mediation analysis. New York: Lawrence Erlbaum Associates.Google Scholar
  35. MacKinnon, D. P., Fairchild, A. J., & Fritz, M. S. (2007). Mediational analysis. Annual Review of Psychology, 58, 593–614. doi: 10.1146/annurev.psych.58.110405.085542.CrossRefPubMedGoogle Scholar
  36. Magee, W. J., Eaton, W. W., Wittchen, H.-U., McGonagle, K. A., & Kessler, R. C. (1996). Agoraphobia, simple phobia, and social phobia in the National Comorbidity Survey. Archives of General Psychiatry, 53, 159–168.PubMedGoogle Scholar
  37. Mattick, R. P., & Clarke, J. C. (1989). Development and validation of measures of social phobia scrutiny fear and social interaction anxiety. Behaviour Research and Therapy, 36, 455–470. doi: 10.1016/S0005-7967(97)10031-6.CrossRefGoogle Scholar
  38. Morris, E. P., Stewart, S. H., & Ham, L. (2005). The relationship between social anxiety disorder and alcohol use disorders: A critical review. Clinical Psychology Review, 25, 734–760. doi: 10.1016/j.cpr.2005.05.004.CrossRefPubMedGoogle Scholar
  39. O’Malley, P., & Johnston, L. (2002). Epidemiology of alcohol and other drug use among American college students. Journal of Studies on Alcohol, 14, 23–49.Google Scholar
  40. Read, J., Wood, M., Davidoff, O., McLacken, J., & Campbell, J. (2002). Making the transition from high school to college: The role of alcohol-related social influence factors in students’ drinking. Substance Abuse, 23, 53–65. doi: 10.1023/A:1013682727356.CrossRefPubMedGoogle Scholar
  41. Reinert, D. F., & Allen, J. P. (2002). The alcohol use disorders identification test (AUDIT): A review of recent research. Alcoholism, Clinical and Experimental Research, 26, 272–279.PubMedGoogle Scholar
  42. Reinert, D. F., & Allen, J. P. (2007). The alcohol use disorders identification test: An update of research findings. Alcoholism, Clinical and Experimental Research, 31, 185–199. doi: 10.1111/j.1530-0277.2006.00295.x.CrossRefPubMedGoogle Scholar
  43. Reis, J., & Riley, W. L. (2000). Predictors of college students’ alcohol consumption: Implications for student education. The Journal of Genetic Psychology, 16, 282–291.CrossRefGoogle Scholar
  44. Sher, K., & Levenson, R. (1982). Risk for alcoholism and individual differences in the stress-response-dampening effect of alcohol. Journal of Abnormal Psychology, 91, 350–367. doi: 10.1037/0021-843X.91.5.350.CrossRefPubMedGoogle Scholar
  45. Stewart, S. H., & Conrod, P. J. (2008). Anxiety disorder and substance use disorder comorbidity: Common themes and future directions. In S. H. Stewart & P. J. Conrod (Eds.), Anxiety and substance use disorders (pp. 239–257). New York: Springer.CrossRefGoogle Scholar
  46. Stewart, S., Morris, E., Mellings, T., & Komar, J. (2006). Relations of social anxiety variables to drinking motives, drinking quantity and frequency, and alcohol-related problems in undergraduates. Journal of Mental Health, 15, 671–682. doi: 10.1080/09638230600998904.CrossRefGoogle Scholar
  47. Tran, G. Q., & Haaga, D. A. F. (2002). Coping responses and alcohol outcome expectancies in alcohol abusing and nonabusing social phobics. Cognitive Therapy and Research, 26(1), 1–17. doi: 10.1023/A:1013803803192.CrossRefGoogle Scholar
  48. Tran, G. Q., Haaga, D. A. F., & Chambless, D. L. (1997). Expecting that alcohol use will reduce social anxiety moderates the relation between social anxiety and alcohol consumption. Cognitive Therapy and Research, 21, 535–553. doi: 10.1023/A:1021857402164.CrossRefGoogle Scholar
  49. Tran, G. Q., & Smith, J. P. (2008). Co-morbidity of social phobia and alcohol use disorders: A review of psychopathology research findings. In S. H. Stewart & P. J. Conrod (Eds.), Anxiety and substance use disorders (pp. 59–79). New York: Springer.CrossRefGoogle Scholar
  50. Wechsler, H., Lee, J. E., Kuo, M., & Lee, H. (2000). College binge drinking in the 1990s: A continuing problem. Journal of American College Health, 48, 199–210.PubMedGoogle Scholar
  51. Wiers, R. W., & Kummeling, R. H. C. (2004). An experimental test of an alcohol expectancy challenge in mixed gender groups of young heavy drinkers. Addictive Behaviors, 29, 215–220. doi: 10.1016/S0306-4603(03)00081-9.CrossRefPubMedGoogle Scholar
  52. Young, R. M., & Knight, R. G. (1989). The drinking expectancy questionnaire: A revised measure of alcohol-related beliefs. Journal of Psychopathology and Behavioral Assessment, 11, 99–112. doi: 10.1007/BF00962702.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  1. 1.Department of PsychologyUniversity of ArkansasFayettevilleUSA

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