Coping motives for drinking as a mediator between anxiety and depression, and alcohol outcomes in community Spanish young adults

Consistent with the medication hypothesis, drinking to cope with negative affect appears to mediate the relationship between mental health and alcohol-related problems, which has been shown in college students. However, there is a lack of evidence in non-university samples that limits the generalization of results. The present study examines the mediating role of coping motives in the relationship between depression and anxiety and alcohol outcomes (frequency and quantity of alcohol use, binge drinking, and alcohol-related consequences). Prospective design with a baseline assessment and a 2-month follow-up. We recruited 334 young adults in the community (mean = 21.1; SD = 2.21) who completed a questionnaire to measure coping motives for drinking and depression and anxiety (Brief Symptom Inventory) at baseline. Eight mediation models were tested, one for each alcohol outcome (at follow-up) for depression and another four for anxiety. The coping motives for drinking mediated the positive relationships between depression and alcohol outcomes, such that higher levels of depression were associated with higher coping motives, which in turn, were associated with higher alcohol-related outcomes. The same results were found for anxiety, except for the relationship between anxiety and binge drinking, which was not mediated by coping motives. Our findings are consistent with the medication hypothesis that "drinking to cope with negative affect" is a critical mediator of associations between mental health and alcohol-related problems in young adults in the community. Training in healthy coping strategies against negative affect should be useful for interventions aimed at reducing alcohol use and their harms.Fil: González Ponce, Bella. Universidad de Huelva; EspañaFil: Vera, Belén del Valle. Universidad Nacional de Córdoba. Instituto de Investigaciones Psicológicas. - Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Instituto de Investigaciones Psicológicas; ArgentinaFil: Pilatti, Angelina. Universidad Nacional de Córdoba. Instituto de Investigaciones Psicológicas. - Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Instituto de Investigaciones Psicológicas; ArgentinaFil: Pautassi, Ricardo Marcos. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Instituto de Investigación Médica Mercedes y Martín Ferreyra. Universidad Nacional de Córdoba. Instituto de Investigación Médica Mercedes y Martín Ferreyra; ArgentinaFil: Parrado González, Alberto. Universidad de Huelva; EspañaFil: Dacosta Sánchez, Daniel. Universidad de Huelva. Facultad de Ciencias de la Educación. Departamento de Psicología Clínica, Experimental y Sociale.; EspañaFil: Fernández Calderón, Fermín. Universidad de Huelva. Facultad de Ciencias de la Educación. Departamento de Psicología Clínica, Experimental y Sociale.; EspañaII Virtual Meeting of the Latin American Society for Biomedical Research on AlcoholismCórdobaArgentinaLatin American Society for Biomedical Research on Alcoholis