Literature DB >> 29227237

Sexual Orientation Self-Concept Ambiguity and Alcohol Use Disorder Symptomology: The Roles of Motivated Psychological Distancing and Drinking to Cope.

David W Hancock1, Amelia E Talley1, Jennifer Bohanek2, Micah D Iserman1, Molly Ireland1.   

Abstract

OBJECTIVE: Women whose sexual identity is not exclusively heterosexual are at risk for alcohol use disorder (AUD) and problematic drinking. A textual analytic approach focusing on motivated psychological distancing in language style use was used to detect sexual minority women who are at greatest risk for an AUD.
METHOD: Young adult women (N = 254) were asked to complete a self-report measure of sexual orientation self-concept ambiguity as well as free-write about their sexuality. In addition, they completed a questionnaire assessing AUD symptoms according to criteria from the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. The Linguistic Inquiry and Word Count (LIWC) program assessed language markers within participant-written essays that reflected acute states of aversive self-focus (i.e., fewer first-person pronouns, fewer present-tense verbs).
RESULTS: Drinking to cope with negative affectivity mediated the relationship between sexual orientation self-concept ambiguity and AUD symptomology. This indirect effect was conditional, moderated by higher use of language reflecting motivated psychological distancing, such that the indirect effect was significant only for women whose writing included fewer instances of first-person pronouns and present-tense verbs (-1 SD) compared with those with greater instances of first-person pronouns and present-tense verbs (+1 SD), reflecting motivated psychological distancing.
CONCLUSIONS: Sexual minority women are at an increased risk for AUD. Further, this study suggests mechanisms that may exacerbate the relationship between sexual identity uncertainty and problematic drinking. The study presents a novel method of identifying individuals most at risk for alcohol misuse: detecting aversive self-focus in language style and word choice.

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Year:  2018        PMID: 29227237      PMCID: PMC5894861          DOI: 10.15288/jsad.2018.79.96

Source DB:  PubMed          Journal:  J Stud Alcohol Drugs        ISSN: 1937-1888            Impact factor:   2.582


  22 in total

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Review 4.  Sexual orientation and adolescent substance use: a meta-analysis and methodological review.

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8.  Discrimination and alcohol-related problems among college students: a prospective examination of mediating effects.

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9.  Expressive writing for gay-related stress: psychosocial benefits and mechanisms underlying improvement.

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10.  Sexual orientation, substance use behaviors and substance dependence in the United States.

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  3 in total

1.  Sexual Orientation Differences in Alcohol Use Disorder Across the Adult Life Course.

Authors:  Jessica N Fish; Cara Exten
Journal:  Am J Prev Med       Date:  2020-07-23       Impact factor: 5.043

2.  The impact of sexual self-concept ambiguity on alcohol approach bias and consumption.

Authors:  Amelia E Talley; Kimberly Fleming; David W Hancock; Kenneth J Sher
Journal:  Addict Behav       Date:  2018-12-27       Impact factor: 3.913

3.  Aversive Self-Focus and Alcohol Consumption Behavior in Women with Sexual Identity-Uncertainty: Changes in Salivary Cortisol Stress Response Among Those who Drink-to-Cope.

Authors:  Amelia E Talley; Breanna N Harris; Tran H Le; Zachary P Hohman
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  3 in total

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