Substance use disorders and anxiety: a treatment challenge for social workers.

Substance use disorders and anxiety: a treatment challenge for social workers.
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DOI:
10.1080/19371918.2013.774675
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发表时间:
2013
影响因子:
2.5
通讯作者:
Killeen TK
Killeen TK
中科院分区:
医学4区
文献类型:
--
作者:
Brady KT;Haynes LF;Hartwell KJ;Killeen TK

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来自流行病学和治疗研究的证据表明,焦虑症和物质使用障碍通常共同发生,并且相互作用是多方面的和可变的。对临床药物滥用人群的流行病学研究和调查发现,焦虑症与药物使用障碍之间存在关联。特定的焦虑症,包括广泛性焦虑症,恐慌症和创伤后应激障碍都与物质使用有关。与强迫症的联系不太牢固,一些研究发现了一种负面联系。尼古丁依赖的风险在焦虑症患者中显着更高,相反,吸烟被发现与特质焦虑和焦虑症有关。回顾目前的文献和具体的焦虑症和酒精和物质使用障碍之间的关系进行了详细讨论。这篇文章,写在各种实践环境中的社会工作者,审查的患病率,诊断和治疗问题,在物质使用障碍和焦虑症的接口。
Converging evidence from epidemiologic and treatment studies indicate that anxiety disorders and substance use disorders commonly co-occur, and the interaction is multifaceted and variable. Epidemiological studies and investigations within clinical substance abuse populations have found an association between anxiety disorders and substance use disorders. Specific anxiety disorders including generalized anxiety disorder, panic disorder, and post traumatic stress disorder have all been associated with substance use. The association with obsessive–compulsive disorder is less robust, and some research has found a negative association. The risk of nicotine dependence is significantly higher among individuals with an anxiety disorder, and conversely, smoking has been found to be associated with trait anxiety and anxiety disorders. A review of the current literature and the relationship between specific anxiety disorders and alcohol and substance use disorders is discussed in detail. This article, written for social workers in a variety of practice settings, reviews the prevalence, diagnostic, and treatment issues at the interface of substance use disorders and anxiety disorders.
DOI: 10.1037/10460-001
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