Anxiety disorders are present in a high percentage of alcoholism treatment patients. We tested the prediction that having a comorbid anxiety disorder increases the prospective risk for relapse to drinking after alcoholism treatment. We also explored the prospective associations of specific anxiety syndromes (and depression) with drinking and anxiety outcomes.
We assessed the diagnostic status and daily drinking patterns of 82 individuals approximately one week after they entered alcoholism treatment (baseline) and again approximately 120 days later (follow-up) (n=53).
Consistent with study predictions, those with a baseline anxiety disorder (approximately 55%) were significantly more likely than others to meet various definitions of drinking relapse over the course of the follow-up. Regression models showed that baseline social phobia was the single best predictor of a return to any drinking after treatment, whereas panic disorder was the single best predictor of a relapse to alcohol dependence after treatment. Having multiple anxiety disorders (versus any specific anxiety disorder) at the baseline was the strongest predictor of having at least one active ("persistent") anxiety disorder at the follow-up. Cross-sectional analysis at the follow-up showed that anxiety disorder persisted in the absence of a relapse to alcohol dependence far more often than relapse to alcohol dependence occurred in the absence of a persistent anxiety disorder.
Screening for comorbid anxiety disorder in alcoholism treatment patients is warranted and, where found, should be considered a marker of high relapse risk relative to that of noncomorbid patients. The capacity of specific anxiety treatment to mitigate relapse risk among comorbid patients remains an open question.
Data provided are for informational purposes only. Although carefully collected, accuracy cannot be guaranteed. The impact factor represents a rough estimation of the journal's impact factor and does not reflect the actual current impact factor. Publisher conditions are provided by RoMEO. Differing provisions from the publisher's actual policy or licence agreement may be applicable.
[Show abstract][Hide abstract] ABSTRACT: Chronic alcohol-related neuroadaptations in key neural circuits of emotional and cognitive control play a critical role in the development of, and recovery from, alcoholism. Converging evidence in the neurobiological literature indicates that neuroplastic changes in the prefrontal-striatal-limbic circuit, which governs emotion regulation and decisionmaking and controls physiological responses in the autonomic nervous system and hypothalamic-pituitary-adrenal axis system, contribute to chronic alcoholism and also are significant predictors of relapse and recovery. This paper reviews recent evidence on the neuroplasticity associated with alcoholism in humans, including acute and chronic effects, and how these neurobiological adaptations contribute to alcohol recovery, along with the discussion of relevant clinical implications and future research directions.
Alcohol research : current reviews 09/2015; 37(1):143-152.
"Elyakoubi, Millet, Drapier, Robin, D. y Moirand, 2013; Kushner, Abrams, Thuras, Hanson, Brekke y Sletten, 2005). Diversos estudios concluyen que los pacientes con trastorno de ansiedad presentan 2,5 a 4,3 veces más riesgo para presentar un abuso de alcohol que la población general (Chignon y Papeta, 1999). "
[Show description][Hide description] DESCRIPTION: The influence of high levels of anxiety prior to surgery has been sufficiently researched as a symptom to be considered in all surgical processes. It is necessary to observe its possible influence in patients as well as in the different surgery protocols. Alcoholics frequently suffer psychiatric syndromes, particularly anxiety and depression. The objective of this work is to examine the possible relationship between anxiety and alcohol abuse in patients that are about to undergo a surgical procedure. The study was based on the voluntary participation of 42 hospital patients awaiting surgery at the Infanta Cristina Hospital in Badajoz, Spain. They completed the State-Trait-Anxiety-Inventory (STAI) and the MCMII-II questionnaire before the surgical intervention took place. Results indicated that scores on the alcohol abuse scale are higher in patients with a greater degree of anxiety.
"Individuals who reported higher social anxiety scores at the 12 month follow-up were more likely to use a substance at 18 months. This finding is consistent with past research that anxiety may place individuals at risk for relapse (Charney et al., 2005; Kushner et al., 2005). However, given the lack of consistent findings across data collection time points, it is likely that this finding reflects a Type I error rather than a replicable result. "
[Show abstract][Hide abstract] ABSTRACT: This study sought to identify individual- and house-level predictors of women's employment, education, and retention in self-run recovery homes. Data from a national study of 292 women in Oxford House, an international organization of recovery homes grounded on self-help/mutual aid and 12-step principles were analyzed. Results indicated that the house's Reciprocal Responsibility predicted number of days of paid work. Individual and house variables did not predict participation in education. The presence of recovery home members in personal social networks was statistically significant in predicting retention in the recovery home. Lastly, results indicated that number of days of paid work were not predictive of likelihood of substance use in the next 12 months. The findings of this study indicate that the ability to develop social networks and Reciprocal Responsibility in recovery homes can contribute to positive outcomes for women.
International Journal of Self Help and Self Care 12/2014; 8(2):239-257. DOI:10.2190/SH.8.2.f