Evidence map›Paper›PMID 41796042›Full record

SynthesisAddiction (Abingdon, England)2026

Understanding the relationship of social anxiety with alcohol use and alcohol-related problems in young people: A meta-analysis.

Anton J Fichtenmaier, Amanda M George

Abstract readMeta-AnalysisReview
In one paragraph

Synthesis in Addiction (Abingdon, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Anton J FichtenmaierDiscipline of Psychology, Faculty of Health, University of Canberra, Canberra, Australian Capital Territory, Australia.ORCID https://orcid.org/0009-0004-1700-2683
Amanda M GeorgeDiscipline of Psychology, Faculty of Health, University of Canberra, Canberra, Australian Capital Territory, Australia.ORCID https://orcid.org/0000-0003-4154-973X

Funding

Australian Government Research Training Program (RTP) Scholarship
6 · The paper itself

Abstract

BACKGROUND AND

aimsSocial anxiety is associated with disparate alcohol-related outcomes among young people. This meta-analysis synthesised the literature to determine what factors (e.g. impulsivity) may account for variance in these outcomes.

methodsEmpirical studies reporting the correlation of social anxiety with alcohol use and/or alcohol-related problems (ARPs) among young people (aged 13-29 years) were identified through a systematic literature search. Five random-effects meta-analyses were performed for ARPs, problematic alcohol use, frequency, quantity and quantity by frequency index measures of alcohol use. Seventy studies were included with 233 effect sizes extracted. The average age was 20 years (n = 38 517; 66.2% female).

resultsSocial anxiety was negatively associated with index alcohol use [number of studies (k) = 28, r = -0.05, 95% confidence interval (CI) = -0.08 to -0.03, t = -4.04, P < 0.001] but statistically non-significant with quantity (k = 21, r = 0.00, 95% CI = -0.04 to 0.05, t = 0.18, P = 0.86) or frequency (k = 18, r = -0.01, 95% CI = -0.06 to 0.05, t = -0.29, P = 0.78) of alcohol use. Social anxiety was statistically significantly positively associated with ARPs (k = 45, r = 0.13, 95% CI = 0.10-0.16, t = 9.93, P < 0.001) and problematic alcohol use (k = 23, r = 0.06, 95% CI = 0.01-0.11, t = 2.68, P = 0.01). Impulsivity was a statistically significant moderator, such that, as the correlation of impulsivity with social anxiety increased, the association of social anxiety with index alcohol use positively increased. Subgroup analyses for ARPs measure used were also statistically significant.

conclusionYoung people with elevated social anxiety appear to drink less alcohol than their peers, but report more problematic alcohol use and alcohol-related problems. Impulsivity may clarify unexpected patterns of lower alcohol consumption, although conclusions remain tentative due to methodological constraints.

Indexed as

Alcohol DrinkingAlcohol-Related DisordersAnxietyAdolescentAdultFemaleHumansImpulsive BehaviorMalePhobia, SocialYoung Adultalcohol‐related problemsalcohol useimpulsivitymeta‐analysissocial anxietyyoung people

Identifiers

PMID41796042
PMCPMC13155264

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.