Attention to social threat as a vulnerability to the development of comorbid social anxiety disorder and alcohol use disorders: An Avoidance-Coping Cognitive Model

Attention to social threat as a vulnerability to the development of comorbid social anxiety disorder and alcohol use disorders: An Avoidance-Coping Cognitive Model
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DOI:
10.1016/j.addbeh.2010.06.002
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发表时间:
2010-11-01
影响因子:
4.4
通讯作者:
Ham, Lindsay S.
Ham, Lindsay S.
中科院分区:
医学2区
文献类型:
--
作者:
Bacon, Amy K.;Ham, Lindsay S.

文献摘要

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尽管社交焦虑障碍和酒精使用障碍的频繁共病,目前还没有理论模型来解释这两种疾病之间的共病的具体机制。将社交焦虑和饮酒文献中现有的理论模型和经验证据整合为回避-应对认知模型,该模型提出,社交焦虑的个体可能特别容易受到酒精的抗焦虑作用的影响,因为它减少了对社交的注意力偏见。威胁。焦虑的不成比例的减少可能使酒精成为一种有吸引力的逃避应对方法。在实证文献中的差距进行了审查,在这个模型作为未来的方向提出了建议。(C)2010爱思唯尔有限公司版权所有。
Despite the frequent comorbidity of social anxiety disorder and alcohol use disorders, no theoretical model currently exists to explain the specific mechanisms underlying the comorbidity between these two disorders. An integration of existing theoretical models and empirical evidence across the social anxiety and alcohol use literatures is presented as the Avoidance-Coping Cognitive Model, which proposes that socially anxious individuals may be particularly vulnerable to the anxiolytic effects of alcohol through reductions in attention biases to social threat. The disproportionate reduction in anxiety may then make alcohol an attractive method of avoidance coping. Gaps in the empirical literature are reviewed in light of this model as future directions are suggested. (C) 2010 Elsevier Ltd. All rights reserved.