A biopsychosocial model of social anxiety and substance use

Julia D. Buckner, Richard G. Heimberg, Anthony H. Ecker, Christine Vinci

Research output: Contribution to journalReview article

71 Citations (Scopus)

Abstract

Emerging prospective work suggests that individuals with social anxiety disorder (SAD) may be at particular risk for developing substance use disorders (SUD). Yet, little is known about why this may be so. Most research has utilized existing theories of substance use (e.g. tension reduction-based theories) to understand SAD-SUD relations. However, these theories do not address why individuals with social anxiety, in particular, experience such high rates of substance-related problems. A possible explanation may lie in the nature of social anxiety itself, which is characterized not only by chronically elevated negative affective states, but by low positive affect, fear of scrutiny, and social avoidance. These aspects of social anxiety may work in concert to place these especially vulnerable individuals at risk for SUD. The current paper presents a biopsychosocial model of SAD-SUD comorbidity that focuses on several specific facets of social anxiety that may be especially related to SUD risk. The utility of this model is evaluated via a review of the literature on the relations between SAD and substance-related behaviors.

Original languageEnglish (US)
Pages (from-to)276-284
Number of pages9
JournalDepression and Anxiety
Volume30
Issue number3
DOIs
StatePublished - Mar 1 2013

Fingerprint

Substance-Related Disorders
Anxiety
Fear
Comorbidity
Social Phobia
Research

Keywords

  • alcohol
  • cannabis
  • marijuana
  • nicotine
  • review
  • social anxiety
  • social phobia
  • substance use disorders

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

Cite this

Buckner, J. D., Heimberg, R. G., Ecker, A. H., & Vinci, C. (2013). A biopsychosocial model of social anxiety and substance use. Depression and Anxiety, 30(3), 276-284. https://doi.org/10.1002/da.22032

A biopsychosocial model of social anxiety and substance use. / Buckner, Julia D.; Heimberg, Richard G.; Ecker, Anthony H.; Vinci, Christine.

In: Depression and Anxiety, Vol. 30, No. 3, 01.03.2013, p. 276-284.

Research output: Contribution to journalReview article

Buckner, JD, Heimberg, RG, Ecker, AH & Vinci, C 2013, 'A biopsychosocial model of social anxiety and substance use', Depression and Anxiety, vol. 30, no. 3, pp. 276-284. https://doi.org/10.1002/da.22032
Buckner, Julia D. ; Heimberg, Richard G. ; Ecker, Anthony H. ; Vinci, Christine. / A biopsychosocial model of social anxiety and substance use. In: Depression and Anxiety. 2013 ; Vol. 30, No. 3. pp. 276-284.
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