The association of alcoholism and anxiety

The association of alcoholism and anxiety
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DOI:
10.1007/bf01065866
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发表时间:
1993-01-01
期刊:
Psychiatric Quarterly (New York)
影响因子:
--
通讯作者:
Lydiard, R. Bruce
Lydiard, R. Bruce
中科院分区:
其他
文献类型:
--
作者:
Brady, Kathleen T.;Lydiard, R. Bruce

文献摘要

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酒精中毒和焦虑症之间的关系是复杂的,已经成为许多研究的主题。虽然来自社区样本和寻求治疗人群样本的数据表明,这些疾病同时发生的频率远高于预期的偶然性,但这种关系的本质尚不清楚。从患病率和发病顺序数据可以清楚地看出,各种焦虑症与酒精问题有不同的关联。惊恐障碍、广泛性焦虑障碍和酒精戒断在症状学上有很多重叠。这一观察结果引发了对常见的神经化学扰动和引燃现象的推测,这些疾病之间可能存在联系。认知理论已经被用来将酒精滥用和恐惧症联系起来。讨论了焦虑和酒精中毒共病患者的治疗。
The relationship between alcoholism and anxiety disorders is complex and has been the subject of much investigation. While data from community samples as well as samples of treatment-seeking populations indicate that these disorders co-occur far more commonly than would be expected by chance, the nature of the relationship is unclear. It is clear from both prevalence as well as order of onset data that various anxiety disorders have differing associations with alcohol problems. There is much overlap in symptomatology of panic disorder, generalized anxiety disorder, and alcohol withdrawal. This observation has led to speculation about common neurochemical perturbations and a kindling phenomenon as a possible connection between these disorders. Cognitive theories have been used to connect alcohol abuse and phobic disorders. Treatment of patients with co-morbid anxiety and alcoholism is discussed.