Early Adolescent Symptoms of Social Phobia Prospectively Predict Alcohol Use

Dahne, Jennifer; Banducci, Anne N.; Kurdziel, Gretchen; MacPherson, Laura

doi:10.15288/jsad.2014.75.929

Cited by 18 publications

(13 citation statements)

References 36 publications

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“…The evidence from literature in the area for social phobia, however, is inconclusive. For example, in a longitudinal study, Dahne and colleagues (2014) reported that elevated social phobia symptoms predicted higher odds of alcohol use.…”

Section: Discussionmentioning

confidence: 99%

Psychiatric Symptom Clusters as Risk Factors for Alcohol Use Disorders in Adolescence: A National Study

Harford¹,

Yi²,

Chen³

et al. 2015

Alcoholism Clin & Exp Res

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Background Few epidemiologic studies have examined a full range of adolescent psychiatric disorders in the general population. The association between psychiatric symptom clusters (PSCs) and DSM-IV alcohol use disorders (AUDs) among adolescents is not well understood. Methods This study draws upon the public-use data from the 2000 National Household Survey on Drug Abuse, including a study sample of 19,430 respondents ages 12 to 17. Logistic regression and exploratory structural equation modeling assess the associations between PSCs and DSM-IV AUDs by gender. The PSCs are based on brief screening scales devised from the Diagnostic Interview Schedule for Children Predictive Scales. Results Several PSCs were found to be significantly associated with DSM-IV AUDs, including separation anxiety, generalized anxiety, depression, oppositional defiant disorder, and conduct disorder among both genders, and panic disorder and obsessive compulsive disorder among females. Consistent with the literature, the analysis of PSCs yields three factors identical for both genders—two internalizing factors (fear and anxiety–misery) and one externalizing factor. Adolescents who scored higher on the externalizing factor tended to have higher levels of the AUD factor. Female adolescents who scored higher on the internalizing misery factor and lower on the internalizing fear factor also tended to have higher levels of the AUD factor. Conclusion The associations that we found between PSCs and AUDs among adolescents in this study are consistent with those found among adults in other studies, although gender may moderate associations between internalizing PSCs and AUDs. Our findings lend support to previous findings on the developmentally stable associations between disruptive behaviors and AUDs among adolescents as well as adults in the general population.

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Section: Discussionmentioning

confidence: 99%

Psychiatric Symptom Clusters as Risk Factors for Alcohol Use Disorders in Adolescence: A National Study

Harford¹,

Yi²,

Chen³

et al. 2015

Alcoholism Clin & Exp Res

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“…Indeed, SAD and symptoms of social anxiety prospectively predicts AUD and substance use disorders (Buckner & Schmidt, 2009;Buckner & Turner, 2009;Buckner et al, 2008;Dahne, Banducci, Kurdziel, & MacPherson, 2014;Wolitzky-Taylor, Bobova, Zinbarg, Mineka, & Craske, 2012). Indeed, SAD and symptoms of social anxiety prospectively predicts AUD and substance use disorders (Buckner & Schmidt, 2009;Buckner & Turner, 2009;Buckner et al, 2008;Dahne, Banducci, Kurdziel, & MacPherson, 2014;Wolitzky-Taylor, Bobova, Zinbarg, Mineka, & Craske, 2012).…”

Section: Introductionmentioning

confidence: 98%

“…The above-mentioned studies provide less evidence for a direct effect from AUD to SAD (Buckner & Turner, 2009;Dahne et al, 2014;Wolitzky-Taylor et al, 2012). Nevertheless, from a psychopharmacological perspective, it is likely that alcohol use produces anxiety, at least during withdrawal, and a few studies indicate that AUD causes anxiety (Becker, 2012;Fergusson, Boden, & Horwood, 2011).…”

Section: Introductionmentioning

confidence: 99%

Explaining the association between anxiety disorders and alcohol use disorder: A twin study

et al. 2019

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Background: It is unknown whether social anxiety disorder (SAD) has a unique association with alcohol use disorder (AUD) over and beyond that of other anxiety disorders, how the associations develop over time, and whether the associations are likely to be causal.Methods: Diagnoses of AUD, SAD, generalized anxiety disorder, panic disorder, agoraphobia, and specific phobias were assessed twice using the Composite International Diagnostic Interview among 2,801 adult Norwegian twins. The data were analyzed using logistic regression analyses and multivariate biometric structural equation modeling.Results: SAD had the strongest association with AUD, and SAD predicted AUD over and above the effect of other anxiety disorders. In addition, SAD was prospectively associated with AUD, whereas other anxiety disorders were not. AUD was associated with a slightly elevated risk of later anxiety disorders other than SAD. Biometric modeling favored a model where SAD influenced AUD compared to models where the relationship was reversed or due to correlated risk factors. Positive associations between AUD and other anxiety disorders were fully explained by shared genetic risk factors.Conclusions: Unlike other anxiety disorders, SAD plausibly has a direct effect on AUD. Interventions aimed at prevention or treatment of SAD may have an additional beneficial effect of preventing AUD, whereas interventions aimed at other anxiety disorders are unlikely to have a similar sequential effect on AUD. K E Y W O R D S agoraphobia, alcohol use disorder, anxiety disorders, social anxiety disorder, social phobia, specific phobia, twin studies Depress Anxiety. 2019;36:522-532. wileyonlinelibrary.com/journal/da 522 |

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“…Childhood and adolescent anxiety often follows a chronic trajectory and persists into adulthood (Beesdo, Knappe, & Pine, 2009), where it is associated with a host of adverse consequences (e.g., poor health, social and work impairment; Aderka et al, 2012; Ramsawh, Stein, Belik, Jacobi, & Sareen, 2009; Stein et al, 2005) and significant economic burden (Baxter, Vos, Scott, Ferrari, & Whiteford, 2014). In addition to anxiety disorders, increased anxiety symptoms in early adolescence have been associated with future psychopathology and poorer outcomes (Bosquet & Egeland, 2006; Cole, Peeke, Martin, Truglio, & Seroczynski, 1998; Dahne, Banducci, Kurdziel, & MacPherson, 2014; McLaughlin & King, 2015). To address this major public health concern research has begun to focus on early identification and prevention, and one way this has been accomplished is through a better understanding of the etiopathogenesis of anxiety disorders and symptoms.…”

mentioning

confidence: 99%

Anxiety and Depression Symptom Dimensions Demonstrate Unique Relationships with the Startle Reflex in Anticipation of Unpredictable Threat in 8 to 14 Year-Old Girls

Nelson

Hajcak

2016

J Abnorm Child Psychol

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There is growing evidence that heightened sensitivity to unpredictability is a core mechanism of anxiety disorders. In adults, multiple anxiety disorders have been associated with a heightened startle reflex in anticipation of unpredictable threat. Child and adolescent anxiety has been linked to an increased startle reflex across baseline, safety, and threat conditions. However, it is unclear whether anxiety in youth is related to the startle reflex as a function of threat predictability. In a sample of 90 8 to 14 year-old girls, the present study examined the association between anxiety symptom dimensions and startle potentiation during a no, predictable, and unpredictable threat task. Depression symptom dimensions were also examined given their high comorbidity with anxiety and mixed relationship with the startle reflex and sensitivity to unpredictability. To assess current symptoms, participants completed the self-report Screen for Child Anxiety Related Emotional Disorders and Children’s Depression Inventory. Results indicated that social phobia symptoms were associated with heightened startle potentiation in anticipation of unpredictable threat and attenuated startle potentiation in anticipation of predictable threat. Negative mood and negative self-esteem symptoms were associated with attenuated and heightened startle potentiation in anticipation of unpredictable threat, respectively. All results remained significant after controlling for the other symptom dimensions. The present study provides initial evidence that anxiety and depression symptom dimensions demonstrate unique associations with the startle reflex in anticipation of unpredictable threat in children and adolescents.

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Early Adolescent Symptoms of Social Phobia Prospectively Predict Alcohol Use

Cited by 18 publications

References 36 publications

Psychiatric Symptom Clusters as Risk Factors for Alcohol Use Disorders in Adolescence: A National Study

Psychiatric Symptom Clusters as Risk Factors for Alcohol Use Disorders in Adolescence: A National Study

Explaining the association between anxiety disorders and alcohol use disorder: A twin study

Anxiety and Depression Symptom Dimensions Demonstrate Unique Relationships with the Startle Reflex in Anticipation of Unpredictable Threat in 8 to 14 Year-Old Girls

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