Pain severity and anxiety sensitivity interact to predict drinking severity among hazardous drinking college students

ABSTRACT

Background: Hazardous alcohol use among college students is a growing problem. Alcohol is commonly used in the context of pain due to acute analgesic effects, although the role of pain among hazardous drinkers has not been examined. Little is known regarding factors that may moderate pain-alcohol relations. One factor is anxiety sensitivity, which reflects the fear of physiological sensations. Pain severity and anxiety sensitivity may interact such that those with high anxiety sensitivity may have stronger pain-alcohol relations.Objectives: The current study examined interactive associations of pain severity and anxiety sensitivity in relation to hazardous drinking severity, alcohol consumption, and alcohol problems among hazardous drinking college students (n = 370; 78.1% female).Methods: Self report measures of alcohol use, pain severity, and anxiety sensitivity were collected and moderation analyses were conducted.Results: There was a significant interaction of pain severity and anxiety sensitivity in relation to hazardous drinking severity (β = 0.25, p = .037); pain severity was significantly related to hazardous drinking for high (β = 0.28, p < .001) but not low (β = 0.09, p = .202) anxiety sensitivity. There was a similar interaction for alcohol consumption (β = 0.35, p = .008). For alcohol problems, there was no significant interaction, but there were unique main effects of both pain severity (β = 0.23, p < .001) and anxiety sensitivity (β = 0.34, p < .001).Conclusions: These findings suggest that drinkers with high anxiety sensitivity may use alcohol hazardously (and in greater quantities) in the context of pain. If replicated with longitudinal samples, the findings may inform clinical practice in terms of screening for and treatment of anxiety sensitivity.

KEYWORDS:

• Pain
• alcohol
• transdiagnostic
• vulnerability
• comorbidity

Disclosures

The authors report no conflicts of interest.

Notes

1. Due to the uneven sex distribution in the sample, a three-way interaction of pain by anxiety sensitivity by sex was examined in relation to hazardous drinking severity. This three-way interaction was not statistically significant (b=−0.03, p=0.060).

Additional information

Funding

This work was supported by NIAAA grant (F31 AA 024968).National Institute on Alcohol Abuse and Alcoholism [F31 AA 024968];