Does co-occurring social phobia interfere with alcoholism treatment adherence and relapse?

Terra, Mauro Barbosa; Barros, Helena Maria Tannhauser; Stein, Airton Tetelbom; Figueira, Ivan; Athayde, Luciana Dias; Spanemberg, Lucas; Possa, Marianne; Filho, Ledo Daruy; Silveira, Dartiu Xavier da

doi:10.1016/j.jsat.2006.05.013

Cited by 27 publications

(19 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Pirkola et al [45] examined a representative general population sample to ascertain the characteristics of subjects remitted from alcohol dependence by comparisons with actively alcohol-dependent subjects and found a higher prevalence of SP and dysthymia in the latter group. Contrasting with these studies, others displayed no correlation between social anxiety disorder and alcohol use relapse [46,47] . Thus the impact of anxiety disorders on the prognosis of alcoholism remains an open question.…”

Section: Discussioncontrasting

confidence: 65%

Depression and Social Phobia Secondary to Alcohol Dependence

Olgiati

Liappas²,

Malitas

et al. 2007

Neuropsychobiology

View full text Add to dashboard Cite

Background: According to the self-medication hypothesis, individuals with depression and anxiety disorders use alcohol to control their symptoms and subsequently become dependent. Conversely, alcohol dependence disorder (ADD) can cause or exacerbate psychiatric disorders. This study analyzed the characteristics of depression and social phobia secondary to ADD. (1) What is their functional impact? (2) Are they independent or associated conditions? (3) Do they completely remit in abstinent individuals? (4) Is the remission of one disorder associated with the remission of the other disorder? Methods: Sixty-four inpatients with ADD were evaluated with depression and anxiety disorder scales upon admission to hospital and after 5 weeks of detoxification. Results: Baseline comparisons differentiated patients with a Hamilton Rating Scale for Depression (HDRS) score >35 (n = 50; 78%) from those with an HDRS score ≤35 by higher levels of generalized anxiety and lower global functioning. Patients with generalized social phobia [Leibowitz Social Anxiety Scale (LSAS) score >60: n = 20; 31.2%] were not distinguishable from those with an LSAS score ≤60 by depressive and anxiety disorder symptoms. In postdetoxification assessment, patients who remitted from depression (HDRS score <7: n = 35; 54.6%) had a lower generalized anxiety and marginally higher levels of hypochondriasis compared to nonremitter subjects (HDRS score ≧7). Patients who remitted from social phobia (LSAS score <30: n = 32; 50%) did not significantly differ from nonremitter subjects in depressive and anxiety disorder symptoms. Generalized anxiety (Hamilton Rating Scale for Anxiety) and hypochondriasis (Whiteley Index) were the significant predictors of global functioning (Global Assessment Scale). Conclusions: Depression and social phobia secondary to ADD are independent conditions that do not completely remit after cessation of drinking. Specific treatments are needed to reduce residual depressive and anxiety symptoms in abstinent alcoholics.

show abstract

Section: Discussioncontrasting

confidence: 65%

Depression and Social Phobia Secondary to Alcohol Dependence

Olgiati

Liappas²,

Malitas

et al. 2007

Neuropsychobiology

View full text Add to dashboard Cite

show abstract

“…First, data contribute to a large body of work finding that aspects of social anxiety tend to be related to drinking problems (e.g., Buckner, Ecker, & Proctor, 2011; Buckner, et al, 2006; Buckner & Heimberg, 2010; Gilles, et al, 2006; Grant, et al, 2005; Lewis & O'Neill, 2000; Terlecki, Ecker, & Buckner, 2014; Terra et al, 2006). The current study extended this body of research by determining that FPE was strongly related to more drinking-related problems.…”

Section: Discussionmentioning

confidence: 99%

Fear of positive evaluation and alcohol use problems among college students: the unique impact of drinking motives

Howell

Buckner

Weeks

2015

Anxiety, Stress, & Coping

View full text Add to dashboard Cite

Background and Objectives There is strong empirical support that individuals with elevated social anxiety are at risk for alcohol-related impairment. Because social anxiety is a multi-faceted construct, it is important to consider which specific facets contribute to alcohol problem vulnerability. For example, although social anxiety has traditionally been conceptualized as a fear of negative evaluation (FNE), emerging data suggest that fear of positive evaluation (FPE) is also an important factor in pathological social anxiety. The current manuscript reports novel findings regarding FPE, alcohol use motives, and reported alcohol use problems. Design and Methods Participants included undergraduates from two American universities (n = 351) who completed a battery of measures assessing fears of evaluation, drinking motives, and alcohol usage related problems. Results FPE significantly predicted alcohol use problems, above and beyond FNE. Also, coping and conformity motives for drinking, but not social or enhancement motives, each uniquely mediated the relationship between FPE and alcohol use problems. Conclusions FPE may be an important cognitive-affective vulnerability factor. With additional clinical research, FPE could serve as a meaningful therapeutic target in interventions designed to decrease problem drinking among highly socially anxious patients.

show abstract

“…Com relação ao uso de substâncias, o uso de álcool esteve associado à presença de TMC como relatado por grande parte da literatura científica 30,31,32,33,34,35,36,37 . O tabagismo também mostrou associação significativa para TMC, assim como em um estudo realizado em Pelotas com adolescentes de 15 a 18 anos (p < 0,001) 2 .…”

Section: Discussionunclassified

Transtornos mentais comuns e qualidade de vida em jovens: uma amostra populacional de Pelotas, Rio Grande do Sul, Brasil

et al. 2011

View full text Add to dashboard Cite

O objetivo foi verificar a prevalência de transtornos mentais comuns (TMC) e sua associação com qualidade de vida em jovens da cidade de Pelotas, Rio Grande do Sul, Brasil. Estudo transversal de base populacional com jovens de 18 a 24 anos. A seleção amostral foi realizada por conglomerados. Para a investigação dos transtornos mentais comuns foi aplicado o Self Report Questionnaire (SRQ-20), enquanto os níveis de qualidade de vida foram mensurados por intermédio da Medical Outcomes Survey Short-form General Health Survey (SF-36). A prevalência de TMC na amostra estudada foi de 24,5% (N = 382), apresentando-se mais evidente entre as mulheres, entre aqueles que pertenciam à menor classe socioeconômica (D ou E), não estavam estudando, não estavam trabalhando, consumiram álcool e usaram tabaco pelo menos uma vez na última semana e que fizeram uso de alguma substância ilícita nos últimos três meses. Os jovens com TMC obtiveram uma menor média nos escores da SF-36 em todos os domínios de qualidade de vida avaliados. Deve-se investir em medidas preventivas de TMC no intuito de proporcionar uma melhor qualidade de vida à população.

show abstract

Does co-occurring social phobia interfere with alcoholism treatment adherence and relapse?

Cited by 27 publications

References 23 publications

Depression and Social Phobia Secondary to Alcohol Dependence

Depression and Social Phobia Secondary to Alcohol Dependence

Fear of positive evaluation and alcohol use problems among college students: the unique impact of drinking motives

Transtornos mentais comuns e qualidade de vida em jovens: uma amostra populacional de Pelotas, Rio Grande do Sul, Brasil

Contact Info

Product

Resources

About