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Social anxiety, depression linked to more negative alcohol-related consequences from 'pre-gaming'

Social anxiety, depression linked to more negative alcohol-related consequences from 'pre-gaming'
Final 4-profile solution. Credit: Alcohol: Clinical and Experimental Research (2024). DOI: 10.1111/acer.15221

College students with social anxiety may be driven by social motives to "pre-game," meaning drink prior to a party or event. Simultaneously, students with co-occurring social anxiety and depression also experience more negative consequences, like blackouts, from their alcohol use, according to a study published in Alcohol: Clinical and Experimental Research.

The study authors recommend efforts to help students address and their motivations for drinking before to prevent the harms associated with pregaming.

Pregaming, sometimes called frontloading or pre-partying, is common among college students and involves drinking prior to a social event, typically where more drinking will take place. It often leads to heavier drinking on days when students pre-game and puts students at a higher risk of academic and interpersonal problems, injury, sexual or physical assault, driving while intoxicated, and blacking out.

For this study, researchers examined how college students' mental health and motivations for pre-gaming were associated with pre-gaming drinking behaviors and related , including blackouts. Five hundred completed self-assessments of , depression, and motivations for pre-gaming, which included to meet new friends, "hook up," control the kind of alcohol they drink, and because they may not be able to drink at the subsequent event. Based on their responses, they were grouped into one of four profiles.

Of the participants, 59% were categorized as having mild to moderate social anxiety and and moderately motivated to pregame, 13% were categorized as having minimal social anxiety and depression symptoms and low pregaming motivations, 16% had subclinical/elevated social anxiety and depression symptoms and high pregaming motives, and 12% had clinically elevated social anxiety and depression symptoms with moderate motives.

The subclinical/elevated social anxiety and depression symptoms profile reported the highest frequency of pregaming and the highest number of past-month drinking-related consequences. They reported an average of three and a half alcohol-induced blackouts in the prior 30 days, significantly more than any other group. This group also reported more motivations for pregaming than any group, particularly for social motivations.

The group assessed to have minimal social anxiety and depression symptoms had significantly lower calculated blood alcohol levels and reported the fewest alcohol-related consequences of all the groups. This profile still attained risky and reported five drinking-related consequences in the past month.

The group with clinically elevated social anxiety and depression symptoms reported the second fewest consequences of the four groups.

Participants in the mobile phone-based study were full-time undergraduate students at a single, large, private U.S. university who had reported pre-gaming at least once a week for the prior month. The sample was predominantly white, cisgender, and female. Participants reported high levels of , were primarily a socially motivated sample, and thus were likely not fully representative of students with clinically high levels of social anxiety and .

The researchers suggest that social anxiety and social motivation put students at greater risk from pregaming and recommend the exploration of mental health and drinking motivations as targets for intervention in heavy drinking populations.

More information: Reagan E. Fitzke et al, A latent profile analysis of social anxiety, depression, and pregaming motives among heavy‐drinking college students, Alcohol: Clinical and Experimental Research (2024). DOI: 10.1111/acer.15221

Citation: Social anxiety, depression linked to more negative alcohol-related consequences from 'pre-gaming' (2024, January 8) retrieved 23 April 2024 from https://medicalxpress.com/news/2024-01-social-anxiety-depression-linked-negative.html
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