The relationship between social anxiety disorder and alcohol use disorders: A critical review

Morris, Eric P.; Stewart, Sherry H.; Ham, Lindsay S.

doi:10.1016/j.cpr.2005.05.004

Cited by 245 publications

(180 citation statements)

References 85 publications

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“…The only significant factor related to alcohol intake was the presence of anxiety, but this was not different between patients and controls. It is a well-known fact that anxiety and alcohol-related disorders are comorbidities 19,20 and this might explain the findings of the present study. …”

supporting

confidence: 76%

Patients with multiple sclerosis do not necessarily consume more alcohol or tobacco than the general population

Fragoso

Gomes

Gonçalves³

et al. 2015

Arq. Neuro-Psiquiatr.

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Purpose Recent papers suggest that patients with multiple sclerosis (MS) are prone to alcohol misuse. This may be due to the combination of a lifelong and disabling disease with a psychiatric profile typical of MS. The objective of the present study was to assess these findings in a culturally different population of patients with MS.Method The present case-control transversal study assessed 168 patients with MS and 168 control subjects from Brazil.Results There were no evidence that patients with MS drank more alcohol or, smoked more than did controls. In fact, control subjects had a significantly higher alcohol consumption. The only trait associated to higher alcohol consumption was anxiety, both for patients and controls.Conclusion Unlike previous reports in the literature, patients with MS in our study did not drink or smoked more than a control population.

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supporting

confidence: 76%

Patients with multiple sclerosis do not necessarily consume more alcohol or tobacco than the general population

Fragoso

Gomes

Gonçalves³

et al. 2015

Arq. Neuro-Psiquiatr.

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“…------IJADR 1(1) ------80 & Randall, 2003;Morris, Stewart, & Ham, 2005;Schneier et al, 2010;Zimmermann et al, 2003), posttraumatic stress disorder or symptoms (Blume, Resor, Villanueva, & Braddy, 2009;Jacobson et al, 2008;McDevitt-Murphy et al, 2010), physical pain (Lawton & Simpson, 2009;Moos, Brennan, Schutte, & Moos, 2010;Riley & King, 2009), cumulative experience with stressful life events (Aseltine & Gore, 2000;Dawson, Grant, & Ruan, 2005;Lloyd & Turner, 2008), after-effects of military combat (Jacobsen et al, 2008;Šakušić et al, 2009;Wilk et al, 2010), after-effects of disasters and terrorism (Boscarino, Adams, & Galea, 2006;Grieger, Fullerton, Ursano, & Reeves, 2003;Hasin, Keyes, Hatzenbuehler, Aharonovich, & Alderson, 2007), after-effects of childhood trauma (Sarin & NolenHoeksema, 2010;Wilsnack, Wilsnack, Kristjanson, Vogeltanz-Holm, & Harris, 2004;Wu et al, 2010), after-effects of assault and criminal victimization (Kaysen et al, 2007;Ullman, Filipas, Townsend, & Starzynski, 2005;Vaughn et al, 2010) and chronic negative emotions arising for other reasons (Costanzo et al, 2007;Dorfman, Trokel, Lincoln, & Mehta, 2010;Witkiewitz & Villarroel, 2009). Links between chronic stress and chronic drinking patterns are found more consistently than links between acute but time-limited stress and immediate drinking responses (Armeli, Todd, & Mohr, 2005;Helzer, Badger, Searles, Rose, & Mongeon, 2006;Skaff, Finney, & Moos, 1999; but see also …”

Section: Ijadr International Journal Of Alcohol and Drug Researchmentioning

confidence: 99%

Distress and drinking: Cross-cultural connections and contexts

Wilsnack¹,

Kristjanson²,

Wilsnack³

et al. 2013

IJADR

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Aims: Research on how distress is related to drinking has paid relatively little attention to gender and to cultural differences. This study examines how distress is associated with men's and women's drinking cross-culturally.Design: Cross-sectional survey.Setting/Participants: Surveys of 30,728 women and 24,204 men in 22 countries of the GENACIS project (Gender, Alcohol and Culture: An International Study) provided data on how women's and men's mental, interpersonal and work-situational distress are related to their drinking patterns. Measurements:Analyses examined correlations within surveys, and used hierarchical linear modeling (HLM) to take into account economic development, abstinence rates and distress levels in the populations surveyed. Findings:We found few associations of drinking patterns with reported stressful work situations. Mental and interpersonal distress had more frequent but geographically scattered associations with men's and women's drinking, particularly with quantities consumed. HLM analyses confirmed cross-culturally that drinking tended to increase with psychological and interpersonal distress, but the societal-level variables had few effects.Conclusions: Distress measures in GENACIS surveys were positively though not powerfully associated with both women's and men's drinking cross-culturally, associations not attributable to societal-level characteristics. The findings indicate a need for better cross-cultural information about the processes by which distress may lead to heavier drinking.For over 50 years, hundreds of scholars have tried to learn how distress is connected to drinking. From all their efforts, one conclusion is certain: sometimes emotional and physical distress are associated with heavier drinking and increased risks of alcohol problems and alcohol disorders. However, after much time and effort, it is still not clear how or when or where or why distress and drinking are connected. Here we briefly review some of the more common findings from recent research, and then offer more information about where distress and drinking occur together and how gender may affect the connections.A basic hypothesis about stress and alcohol is that for people who drink, the effects of alcohol seem to help them deal with unpleasant feelings resulting from stressful experiences. Evidence consistent with this hypothesis has been found in a wide variety of circumstances, in those who suffer from social anxiety disorder or symptoms (Carrigan IJADR

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“…A recent review of pharmacotherapy for social anxiety disorder and a recent review of treatment recommendations for persons with a co-occurring affective or anxiety and substance use disorders specifically have called for more research on comorbid samples (Stein, Ipser & Van Balkom, 2006;Watkins, Hunter, Burnam, Pincus & Nicholson, 2005), including alcohol use disorders (i.e. alcohol abuse or alcohol dependence), which occurs in about 20% of individuals seeking treatment for social anxiety disorder (Burns et al, 2002;Morris, Stewart & Ham, 2005;Van Ameringen, Mancini, Styan & Donison, 1991).…”

Section: Introductionmentioning

confidence: 99%

Paroxetine reduces social anxiety in individuals with a co-occurring alcohol use disorder

Book¹,

Thomas²,

Randall³

et al. 2008

Journal of Anxiety Disorders

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Patients with social anxiety disorder who are seen in clinical practice commonly have additional psychiatric comorbidity, including alcohol use disorders. The first line treatment for social anxiety disorder is selective-serotonin-reuptake-inhibitors (SSRIs), such as paroxetine. However, the efficacy of SSRIs has been determined with studies that excluded alcoholics. Forty two subjects with social anxiety and a co-occurring alcohol use disorder participated in a 16-week, double-blind, placebo-controlled clinical trial to determine the efficacy of paroxetine for social anxiety in patients with co-occurring alcohol problems. Paroxetine was superior to placebo in reducing social anxiety, as measured by the Liebowitz Social Anxiety Scale total and subscale scores and additional measures of social anxiety. This study provides the first evidence-based recommendation for the use of an SSRI to treat social anxiety in this patient population.

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The relationship between social anxiety disorder and alcohol use disorders: A critical review

Cited by 245 publications

References 85 publications

Patients with multiple sclerosis do not necessarily consume more alcohol or tobacco than the general population

Patients with multiple sclerosis do not necessarily consume more alcohol or tobacco than the general population

Distress and drinking: Cross-cultural connections and contexts

Paroxetine reduces social anxiety in individuals with a co-occurring alcohol use disorder

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