Abstract

The relationship between social anxiety (SA) and cannabis use among adolescents and young adults is a highly debated topic. In this cross-sectional study, we tested whether cannabis use expectancies mediated the association between SA and cannabis use severity in a sample of 343 young adults (74.3% male) who used cannabis. They completed self-report measures for the screening of problematic cannabis use (Cannabis Use Problems Identification Test) and SA symptoms (Social Interaction Anxiety Scale and Social Phobia Scale). A multiple mediation analysis was used to test whether marijuana effect expectancies mediate SA effect on problematic cannabis use. SA was negatively associated with cannabis use severity in this sample, and we found evidence that cannabis use expectancies fully mediated this relationship. Specifically, global negative effect expectancies influence the relationship between SA and problematic cannabis use. These findings may inform current prevention strategies and clinical intervention for young adults who use cannabis.

Highlights

  • Social anxiety is the most common form of psychological suffering among adolescent and youth with an early age of onset, and subsequent negative developmental outcomes [2]

  • The increasing prevalence rate of cannabis consumption and the recent debate on the legal status of cannabis use suggest a careful examination of risk and protective factors for problematic cannabis use

  • The present study adds to the current body of knowledge on this issue showing that social anxiety (SA) symptoms have a negative association with problematic cannabis involvement among young adults

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Summary

Introduction

Social anxiety is the most common form of psychological suffering among adolescent and youth with an early age of onset (by age 11 years in about 50% and by age 20 years in about 80% of individuals [1]), and subsequent negative developmental outcomes [2]. Several studies in both adolescent and adult samples have well documented the comorbidity of social anxiety (SA) with other disorders, and its negative consequences on psychological functioning [3,4,5,6]. A possible explanation for the protective effect of SA is that, due to their avoidant behaviors, socially anxious adolescents

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