Testing a Moderated Mediation Model of Mindfulness, Psychosocial Stress, and Alcohol Use Among African American Smokers

Claire E. Adams, Miguel A. Cano, Whitney L. Heppner, Diana W. Stewart, Virmarie Correa-Fernández, Jennifer Irvin Vidrine, Yisheng Li, Paul M. Cinciripini, Jasjit S. Ahluwalia, David W. Wetter

Research output: Contribution to journalArticlepeer-review

27 Scopus citations


Mindfulness-based strategies have received empirical support for improving coping with stress and reducing alcohol use. The present study presents a moderated mediation model to explain how mindfulness might promote healthier drinking patterns. This model posits that mindfulness reduces perceived stress, leading to less alcohol use, and also weakens the linkage between stress and alcohol use. African American smokers (N = 399, 51 % female, Mage = 42) completed measures of dispositional mindfulness, perceived stress, quantity of alcohol use, frequency of binge drinking, and alcohol use disorder symptoms. Participants with higher levels of dispositional mindfulness reported less psychosocial stress and lower alcohol use on all measures. Furthermore, mindfulness moderated the relationship between perceived stress and quantity of alcohol consumption. Specifically, higher perceived stress was associated with increased alcohol use among participants low, but not high, in mindfulness. Mindfulness may be one strategy to reduce perceived stress and associated alcohol use among African American smokers.

Original languageEnglish (US)
Pages (from-to)315-325
Number of pages11
Issue number2
StatePublished - Apr 2015

Bibliographical note

Funding Information:
This research was supported by the National Cancer Institute through grants R01CA94826, R25-TCA57730, the University of Texas MD Anderson Cancer Center’s Support Grant CA016672, and the Latinos Contra el Cancer Community Networks Program Center Grant U54CA153505. This work was also supported by a faculty fellowship from the University of Texas MD Anderson Cancer Center Duncan Family Institute for Cancer Prevention and Risk Assessment.

Publisher Copyright:
© 2013, Springer Science+Business Media New York.


  • African Americans
  • Alcohol use
  • Mindfulness
  • Moderated mediation
  • Stress


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