Generalized anxiety disorder is under-recognized in clinical practice in patients with alcohol dependence in France
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(Impact Factor: 2.01).
10/2012; 47(1). DOI: 10.1016/j.alcohol.2012.08.008
Generalized Anxiety Disorder (GAD) is a frequent disabling disorder that often occurs with alcohol dependence. However comorbidity between substance use disorders and psychiatric disorders is often under-diagnosed. This study tried to evaluate an under-recognition of GAD by clinicians in alcoholic inpatients. Two groups of alcohol-dependent inpatients, hospitalized in the same non-academic psychiatric hospital in France, were included. The first group (Group 1) (n = 205) was included retrospectively within all patients hospitalized for alcohol dependence from may to November 2007. A record review was performed to determine the number of GAD (and other psychiatric disorders) diagnosis which was reported on these files by the clinicians. The second group (Group 2) (n = 199) was included prospectively from May to November 2008. GAD diagnosis was screened with the Worry and Anxiety Questionnaire and then confirmed with the Mini International Neurodiagnostic Interview. The two groups were similar in terms of social and demographic variables. GAD prevalence rate was significantly higher in Group 2 (30.7% with Confidence Interval [0.242; 0.371]) than in Group 1 (2.4% with Confidence Interval [0.003; 0.045]). This study confirms our hypothesis of an under-recognition of GAD by clinicians in alcohol dependant inpatients. It also confirms the high prevalence rate of comorbidity between alcohol dependence and GAD.
Available from: Francisco Javier del Río Olvera
- "As for anxiety, men who are substance users have greater anxiety on average than men who were not users. The relationship between substance use and anxiety is known (Cardoso-Moreno & Tomás-Aragonés, 2013; Charriau et al., 2013; Córdova & García, 2011). Men who are substance users scored statistically significantly higher on both state anxiety and trait anxiety than nonusers. "
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ABSTRACT: Erectile dysfunction in men may be due to multiple causes, including anxiety and substance abuse. The main objective of this study is to know how it affects the continued use of addictive substances in the erectile response, taking into account not only the type of substances consumed, but also other variables that may influence on sexual response, such as the time of withdrawal, anxiety and sexual attitude. Two samples were used, one for males (n = 925) who had a history of substance use and another one for males (n = 82) with no history of substance abuse. Both populations were selected by a cluster sampling of 27 Spanish provinces. The GRISS, SOS and STAI questionnaires were used. The results indicate that men with a history of consumption obtained a higher percentage of dysfunction in the erectile dysfunction questionnaire GRISS scale than those who have a history of consumption (36.69% vs.15.85%) who also have higher scores on state anxiety (19.83 vs.11.89) and trait anxiety (25.66 vs.12.39) and lowest in erotophilia (86.85 vs. 97.29) was statistically significant difference. It is also proved that the time of withdrawal does not help ex drug users improve their erectile response.
Available from: Eva Grill
- "The association of alcohol drinking patterns and anxiety disorders is well recognized. Evidence indicates that anxiety disorders may cause and aggravate alcohol intake and vice versa (Smail et al. 1984; Himle and Hill 1991; Lotufo-Neto and Gentil 1994; Allan 1995; Kessler et al. 1997; Kushner et al. 2000; Singh et al. 2005; Charriau et al. 2012). The relationship of phobic disorders, especially social anxiety, and alcohol consumption has been emphasized (Morris et al. 2005; Blumenthal et al. 2010; Schneier et al. 2010; Buckner and Matthews 2012). "
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ABSTRACT: Visual height intolerance occurs when a visual stimulus causes apprehension of losing balance and falling from some height. Affecting one-third of the population, it has a broad spectrum of symptoms, ranging from minor distress to fear of heights, which is defined as a specific phobia. Specific phobias are associated with higher alcohol consumption. This has not been specifically shown for susceptibility to the more general visual height intolerance.
Representative case–control study nested within a population-based cross-sectional telephone survey to assess epidemiologically 1253 individuals ≥14 years, using a questionnaire on sociodemographic data, typical symptoms, precipitating visual stimuli, and alcohol drinking patterns (overall frequency of alcohol consumption, the daily quantities, and the motives).
Individuals susceptible or nonsusceptible to visual height intolerance showed no significant differences in drinking patterns. The daily average alcohol consumption was slightly higher in persons susceptible to visual height intolerance (4.1 g/day vs. 3.7 g/day). Of those consuming alcohol, cases and controls reported on average consuming 2.3 glasses per day. The prevalence of visual height intolerance was insignificantly higher in the small minority of those drinking 2–3 times per week versus teetotalers.
Our study does not provide evidence that visual height intolerance – contrary to various specific phobias – is significantly associated with individual alcohol consumption patterns.
Available from: Lucia Tomas-aragones
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ABSTRACT: Resumen 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.
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