Reciprocal longitudinal associations between anxiety sensitivity and alcohol consumption/problems across adolescence: Examining anxiety as a mediator and race/ethnicity as a moderator.

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Publisher: Elsevier Science Publishers
Document Type: Report; Brief article
Length: 400 words

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Keywords Anxiety sensitivity; Alcohol; Comorbidity; Developmental; Risk factor; Mediation Highlights * Anxiety sensitivity (AS) was prospectively related to alcohol problems. * Alcohol problems were prospectively related to AS later in adolescence. * AS was not prospectively related to alcohol consumption. * Anxiety mediated relations between AS and alcohol problems. * Associations did not differ across race/ethnicity. Abstract The conditions and populations for which anxiety sensitivity (AS; i.e., the tendency to interpret unpleasant physiological sensations as dangerous) relates to adolescent alcohol use is unclear. This study tested latent-variable cross-lagged panel modeling of AS-alcohol relations in a racially/ethnically heterogenous longitudinal youth cohort (N = 3396; 53.4% female, 45.8% Latinx) assessed annually across high school. Anxiety and race/ethnicity were tested as mediators and moderators, respectively, of AS-alcohol associations. AS prospectively predicted alcohol problems ([beta]'s = 0.05--0.07) but not alcohol consumption ([beta]'s = 0.02--0.04) across high school. Alcohol problems predicted AS at the end ([beta] = 0.09) but not beginning ([beta]'s = 0.01--0.03) of high school and alcohol consumption predicted lower AS at the beginning ([beta] = -0.06) but not end ([beta]'s = -0.02-0.01) of high school. Anxiety mediated AS's predictive effects on alcohol problems ([beta].sub.indirect's = 0.01, 95% CI [0.003, 0.03]) across high school. Race/ethnicity did not moderate interrelations of AS, anxiety, and alcohol outcomes. These findings lend support to the risk factor model of AS on alcohol problems (but not consumption) through anxiety and the scar/complication model whereby alcohol problems may exacerbate AS later in adolescence. Addressing reciprocal risk processes between AS, anxiety, and alcohol problems warrant consideration in adolescent behavioral health promotion for various racial/ethnic populations. Author Affiliation: (a) University of Pittsburgh, Department of Psychiatry, Pittsburgh, PA, United States (b) University of Houston, Department of Psychology, Houston, TX, United States (c) University of Houston, Texas Institute for Measurement, Evaluation, and Statistics, Houston, TX, United States (d) The University of Texas MD Anderson Cancer Center, Department of Behavioral Science, Houston, TX, United States (e) Health Institute, University of Houston, Houston, TX, United States (f) University of Southern California Keck School of Medicine, Department of Preventative Medicine, Los Angeles, CA, United States (g) University of Southern California, Department of Psychology, Los Angeles, CA, United States * Corresponding author. 15213, United States. Article History: Received 13 July 2020; Revised 16 March 2021; Accepted 6 April 2021 Byline: Daniel J. Paulus [paulusdj@upmc.edu] (a,*), Matthew W. Gallagher (b,c), Michael J. Zvolensky (b,d,e), Adam M. Leventhal (f,g)

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Gale Document Number: GALE|A664259788