Follow-up Study of Anxiety Disorder and Alcohol Dependence in Comorbid Alcoholism Treatment Patients

Department of Psychology, University of Richmond, Ричмонд, Virginia, United States
Alcoholism Clinical and Experimental Research (Impact Factor: 3.21). 09/2005; 29(8):1432-43. DOI: 10.1097/01.alc.0000175072.17623.f8
Source: PubMed


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.

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Available from: Kenneth B Abrams, Sep 30, 2015
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    • "Additionally, the risk of relapse after treatment for AUD increases if people have concurrent conditions, such as anxiety or stress sensitivity (Kushner et al. 2005; Sinha et al. 2011). "
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    • "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). "
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    • "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. "
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    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.
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