Psychometric properties of anxiety sensitivity index-revised and the relationship with drinking motives and alcohol use in Turkish university students and patients

Çakmak, S. Şafak
Anxiety Sensitivity (AS) consists of beliefs that the experience of anxiety symptoms leads to illness or additional anxiety. The aim of the present study was to examine the factor structure of the Turkish version of Anxiety Sensitivity IndexRevised (ASI-R), and to investigate associations among AS, alcohol use and drinking motives in university students and alcohol dependent inpatients. The participants were 411 university students (225 females and 186 males) and 55 (3 females and 52 males) alcohol dependent inpatients. All participants were administered ASI-R, State-Trait Anxiety Inventory-Trait Form, Beck Depression Inventory, Drinking Motives Questionnaire-Revised, and Demographic Information Form. Exploratory factor analyses revealed four lower order factors of the ASI-R: (1) fear of respiratory symptoms; (2) fear of cardiovascular symptoms; (3) fear of cognitive dyscontrol; and (4) fear of publicly observable anxiety symptoms. ANOVA revealed that the frequency and amount of alcohol use were significantly higher in male students than females. Males reported more alcohol use for Coping and Conformity Motives than did females. Regression analyses revealed that only “fear of cognitive dyscontrol” significantly predicted hazardous alcohol use of students. Coping Motives significantly predicted alcohol use after controlling the effects of demographics, depression and ASI-R lower order factors in students using alcohol. “Fear of publicly observable anxiety symptoms” significantly predicted frequency of alcohol use in students using alcohol. Students reported using alcohol mostly for Enhancement, Social, Coping, and Conformity Motives, respectively. Students with high AS reported more alcohol use for Coping, Social and Conformity Motives than those with moderate and low AS. “Fear of cognitive dyscontrol” and “fear of publicly observable anxiety symptoms” explained a significant variance of drinking motives in students. In alcohol dependent inpatients, only “fear of respiratory symptoms” had a significant correlation with Coping Motives. Patients reported having used alcohol mostly for Coping, Enhancement, Social, and Conformity Motives, respectively. Coping and Enhancement Motives were significantly correlated with alcohol use. Results were discussed within the findings in the literature.


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The present study firstly aimed to examine specific metacognitions as unique predictors of various psychological symptoms including anxiety, depression, worry and social anxiety. The second aim of the study was to investigate the moderator role of coping styles in the relationship between metacognitions and these psychological symptoms. Based on these aims, the study was conducted with 435 participants between the ages 18-35 and the following scales were administered in addition to demographic forms; Trait ...
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Consistent with the tripartite model of anxiety and depression, hemispheric asymmetries may be differentially associated with depressive and anxious symptoms. Indeed, research has demonstrated that asymmetries do exist when examining hemispatial biases in both anxious and depressed individuals; however, the magnitude and direction of these asymmetries has been variable. The Chimeric Faces Task was used here to measure these asymmetries, along with measures for current and future levels of anxiety and depres...
Citation Formats
S. Ş. Çakmak, “Psychometric properties of anxiety sensitivity index-revised and the relationship with drinking motives and alcohol use in Turkish university students and patients,” M.S. - Master of Science, Middle East Technical University, 2006.