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Drinking Together and Drinking Alone: A Social-Contextual Framework for Examining Risk for Alcohol Use Disorder

Kasey G. Creswell

2020Current Directions in Psychological Science135 citationsDOIOpen Access PDF

Abstract

The context in which drinking occurs is a critical but relatively understudied factor in alcohol use disorder (AUD) etiology. In this article, I offer a social-contextual framework for examining AUD risk by reviewing studies on the unique antecedents and deleterious consequences of social versus solitary alcohol use in adolescents and young adults. Specifically, I provide evidence of distinct emotion regulatory functions across settings, with social drinking linked to enhancing positive emotions and social experiences and solitary drinking linked to coping with negative emotions. I end by considering the conceptual, methodological, and clinical implications of this social-contextual account of AUD risk.

Topics & Concepts

PsychologyAlcohol use disorderCoping (psychology)Developmental psychologySocial environmentSocial riskContext (archaeology)AlcoholClinical psychologySocial psychologyMedicineBiochemistryLawBiologyRisk analysis (engineering)Political sciencePaleontologyChemistrySubstance Abuse Treatment and OutcomesHomelessness and Social IssuesAlcohol Consumption and Health Effects