Social interaction anxiety and perceived coping efficacy: Mechanisms of the association between minority stress and drinking consequences among sexual minority women.


Journal

Addictive behaviors
ISSN: 1873-6327
Titre abrégé: Addict Behav
Pays: England
ID NLM: 7603486

Informations de publication

Date de publication:
03 2021
Historique:
received: 26 06 2020
revised: 13 10 2020
accepted: 14 10 2020
pubmed: 3 11 2020
medline: 15 5 2021
entrez: 2 11 2020
Statut: ppublish

Résumé

Sexual minority women (SMW; individuals who identify as women and as lesbian, bisexual, or with another sexual minority identity) are at increased risk for problematic alcohol use compared to their heterosexual counterparts. This increased risk has been attributed to minority stress. However, longitudinal research examining associations between minority stress and alcohol use outcomes is extremely limited and examinations of these associations at the daily level are nearly non-existent. Further, few longitudinal studies have examined mechanisms through which minority stress may impact alcohol use. We utilized data from a 14-day daily diary study of 98 SMW to examine daily-level associations between experiences of minority stress, alcohol consumption and consequences, and two proposed mediators of these associations (perceived coping efficacy, social interaction anxiety). Results indicated that on days when participants experienced minority stress events, they experienced lower coping efficacy, higher social interaction anxiety, and more drinking consequences than usual. Minority stress was not associated with same-day alcohol consumption. Perceived coping efficacy and social interaction anxiety mediated the same-day association between minority stress and drinking consequences. No prospective associations were significant, suggesting that studies with multiple assessments per day may be necessary to detect immediate effects of minority stress. Findings highlight the potential impact of daily experiences of minority stress on alcohol consequences and provide evidence that two general psychological processes may be mechanisms through which minority stress impacts alcohol consequences. These results provide evidence of a need for interventions that teach SMW skills for coping with minority stress and its psychological consequences.

Identifiants

pubmed: 33131969
pii: S0306-4603(20)30848-0
doi: 10.1016/j.addbeh.2020.106718
pmc: PMC8009481
mid: NIHMS1677685
pii:
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

106718

Subventions

Organisme : NIDA NIH HHS
ID : K01 DA046716
Pays : United States
Organisme : NIAAA NIH HHS
ID : R00 AA026317
Pays : United States
Organisme : NIAAA NIH HHS
ID : R01 AA018292
Pays : United States

Informations de copyright

Copyright © 2020 Elsevier Ltd. All rights reserved.

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Auteurs

Christina Dyar (C)

Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University, United States. Electronic address: christina.dyar@northwestern.edu.

Emily R Dworkin (ER)

Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, United States.

Sophia Pirog (S)

Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University, United States.

Debra Kaysen (D)

Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, United States.

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