ISSN 2043-8087
Journal of Experimental Psychopathology
 Volume 2, Issue 3, 318-353, 2011
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Anxiety Psychopathology and Alcohol Use among Adolescents: A Critical Review of the Empirical Literature and Recommendations for Future Research

Heidemarie Blumenthal (a), Ellen W. Leen-Feldner (a), Christal L. Badour (a), Kimberly A. Babson (b)
(a) University of Arkansas, Department of Psychology
(b) University of Washington, Department of Psychiatry and Behavioral Sciences

Volume 2, Issue 3, 2011, Pages 318-353

Adolescent alcohol use is a critical public health concern; accordingly, a considerable body of work exists identifying developmentally salient risk and protective factors. One area receiving increasing attention among adults is the linkage between specific constellations of anxiety psychopathology and alcohol use problems. Relatively less is known about such linkages among adolescents, despite the onset of both anxiety-type problems and alcohol use during this developmental period. The current review presents a detailed summary and analysis of the empirical literature focused on specific forms of anxiety psychopathology as they relate to alcohol use among adolescents, and provides a number of specific recommendations for future work with an emphasis on the utility of experimental psychopathology techniques for clarifying basic questions and forwarding this body of work.

Table of Contents
Adolescent Alcohol Use and Anxiety: Background and Developmental Considerations
Anxiety and Alcohol Use among Adolescents: Extant Literature
  Definitions of Key Constructs
    Alcohol use and use-related problems.
    Age range.
    Literature search method.
  Overanxious/ Generalized Anxiety Disorder
  Obsessive Compulsive Disorder
  Panic Attacks/Panic Disorder
  Separation Anxiety
  Social Anxiety/Social Phobia
  Simple/Specific Phobias
  Traumatic Event Exposure/PTSD
Future Directions
  General Methodological Considerations
  The Role of Experimental Psychopathology
    Experimental Design.
    Multimodal, Real-Time Assessment.
    Longitudinal Designs.
  Developmentally Relevant Moderators, Mediators, and Shared Factors
    Parental psychopathology.
    Alcohol use expectancies and motives.
    Anxiety sensitivity.
    Pubertal timing.
    Phenomenology of alcohol use among adolescents.
Appendix A: Overview of research (listed alphabetically) on the relation between alcohol use and DSM-defined anxiety disorders among adolescents

Correspondence to
Heidemarie Blumenthal, University of Arkansas, Department of Psychology, 216 Memorial Hall, Fayetteville, AR 72701

Alcohol, Anxiety, Adolescence, Comorbidity, Youth

Received 20 Aug 2010; Revised 22 Dec 2010; Accepted 3 Jan 2011; In Press 24 Jul 2011

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