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Social Anxiety Disorder and Alcohol Use Disorders

Yıl 2010, Cilt: 2 Sayı: 4, 473 - 515, 01.12.2010

Öz

High rates of comorbidity were found between alcohol use disorders and social anxiety disorder in epidemiologic studies. Although many studies show strong relationship between social anxiety disorder and alcohol use disorder diagnosis, inconsistency about the causal relationship still remains. High rates of comorbidity is a subject of concern since patients with both alcohol use disorder and social anxiety disorder show more severe symptoms and more functional impairment than those patients who have only one of these disorders. Thus social anxiety symptoms among those with alcohol use disorder and alcohol use disorder symptoms among those with social anxiety disorder must be evaluated carefuly. In this article studies that tried to explain the high comorbidity between social anxiety and alcohol related problems have been reviewed. Better understanding of this complex relationship would help physicians to easily recognize these individuals with dual diagnosis which would increase the efficiency of existent treatments.

Kaynakça

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Sosyal Anksiyete Bozukluğu ve Alkol Kullanım Bozuklukları

Yıl 2010, Cilt: 2 Sayı: 4, 473 - 515, 01.12.2010

Öz

Epidemiyolojik çalışmalar sosyal anksiyete bozukluğu ve alkol kullanım bozuklukları arasında yüksek oranlarda komorbidite saptamışlardır. Bir çok çalışmanın sosyal anksiyete bozukluğu ile alkol kullanım bozukluğu tanıları arasında güçlü bir ilişki olduğunu göstermesine rağmen, bu ilişkinin yönü ya da nedenselliği konusunda belirsizlik vardır. Hem alkol kullanım bozukluğu hem de sosyal anksiyete bozukluğu olan hastalar bu bozuklukların sadece birine sahip olanlara göre daha şiddetli belirtiler ve daha fazla yetersizlik gösterdikleri için yüksek komorbidite oranları endişe doğurmaktadır. Bu nedenle alkol bağımlılığı olan hastalarda sosyal anksiyete belirtileri ve sosyal anksiyete bozukluğu olan hastalarda alkol kullanım bozukluğu belirtilerinin ayrıntılı araştırılması gerekmektedir. Bu derlemede, hem klinik düzeyde belirgin olan, hem de klinik altı düzeyde olan; yani belirtileri olan ancak tanı ölçütlerini karşılamayan sosyal anksiyeteli bireylerde, sosyal anksiyete ve alkolle ilgili sorunların yüksek birlikteliğini açıklamaya çalışan çalışmalar gözden geçirilmiştir. Bu karmaşık ilişkinin daha iyi anlaşılması ile tedavi programları bu komorbiditeye sahip bireyleri daha kolay fark edebilecek ve bu bireyler için halihazırda var olan tedavilerinin etkinliğini arttırabileceklerdir.

Kaynakça

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  • Pinto-Gouveia J, Castilho P, Galhardo A, Cunha M. Early maladaptive schemas and social phobia. Cogn Ther Res 2006; 30:571-584.
  • Fontenelle LF, Domingues AM, Souza WF, Mendlowicz MV, de Menezes GB, Figueira IL et al. History of trauma and dissociative symptoms among patients with obsessive-compulsive disorder and social anxiety disorder. Psychiatr Q 2007; 78:241- 250.
  • Evren C, Sar V, Dalbudak E, Oncu F, Cakmak D. Social anxiety and dissociation among male patients with alcohol dependency. Psychiatr Res 2009; 165:273-280.
  • Stewart SH, Morris E, Mellings T, Komar J. Relations of social anxiety variables to drinking motives, drinking quantity and frequency, and alcohol-related problems in undergraduates. J Ment Health 2006; 15:671-682.
  • Buckner JD, Turner RJ. Social anxiety disorder as a risk factor for alcohol use disorders: Aprospective examination of parental and peer influences. Drug Alcohol Depend 2008; 100:128-137.
  • Thevos AK, Roberts JS, Thomas SE, Randall CL. Cognitive behavioral therapy delays relapse in female socially phobic alcoholics. Addict Behav 2000; 25:333-345.
  • Davidson JR. Pharmacotherapy of social anxiety disorder: what does the evidence tell us? J Clin Psychiatry 2006; 67(Suppl 12):20-26.
  • Schneier FR. Treatment of social phobia with antidepressants. J Clin Psychiatry 2001; 62(Suppl 1):43-48.
  • Van der Linden GJH, Stein DJ, van Balkom AJLM. The efficacy of the selective serotonin reuptake inhibitors for social anxiety disorder (social phobia): a metaanalysis of randomized controlled trials. Int Clin Psychopharmacol 2000; 15(Suppl 2):15-23.
  • Versiani M. A review of 19 double-blind placebo-controlled studies in social anxiety disorder (social phobia). World J Biol Psychiatry 2000; 1:27-33.
  • Stein DJ, Ipser JC, Balkom AJ. Pharmacotherapy for social anxiety disorder. Cochrane Database Syst Rev 2004;18:CD001206.
  • Worthington JJ 3rd, Kinrys G, Wygant LE, Pollack MH. Aripiprazole as an augmentor of selective serotonin reuptake inhibitors in depression and anxiety disorder patients. Int Clin Psychopharmacol. 2005; 20:9-11.
  • Simon NM, Hoge EA, Fischmann D, Worthington JJ, Christian KM, Kinrys G et al. An open-label trial of risperidone augmentation for refractory anxiety disorders. J Clin Psychiatry 2006;67:381-385.
  • Van Ameringen M, Mancini C, Wilson C. Buspirone augmentation of selective serotonin reuptake inhibitors (SSRIs) in social phobia. J Affect Disord 1996; 39:115- 121.
  • Ipser JC, Carey P, Dhansay Y, Fakier N, Seedat S, Stein DJ. Pharmacotherapy augmentation strategies in treatment-resistant anxiety disorders. Cochrane Database Syst Rev 2006;CD005473.
  • Simon NM, Korbly NB, Worthington JJ, Kinrys G, Pollack MH. Citalopram for social anxiety disorder: an open-label pilot study in refractory and nonrefractory patients. CNS Spectr 2002; 7:655-657.
  • Aarre TF. Phenelzine efficacy in refractory social anxiety disorder: a case series. Nord J Psychiatry 2003; 57:313-315.
  • Altamura AC, Pioli R, Vitto M, Mannu P. Venlafaxine in social phobia: a study in selective serotonin reuptake inhibitor non-responders. Int Clin Psychopharmacol 1999; 14:239-245.
  • Barnett SD, Kramer ML, Casat CD, Connor KM, Davidson JR. Efficacy of olanzapine in social anxiety disorder: a pilot study. J Psychopharmacol 2002; 16:365-368.
  • Kinrys G, Pollack MH, Simon NM, Worthington JJ, Nardi AE, Versiani M. Valproic acid for the treatment of social anxiety disorder. Int Clin Psychopharmacol 2003; 18:169
  • Stein MB, Sareen J, Hami S, Chao J. Pindolol potentiation of paroxetine for generalized social phobia: A double-blind, placebo-controlled, crossover study. Am J Psychiatry 2001; 158:1725-1727.
  • Pettinati HM, Volpicelli JR, Kranzler HR, Luck G, Rukstalis MR, Cnaan A. Sertraline treatment for alcohol dependence: interactive effects of medication and alcoholic subtype. Alcohol Clin Exp Res 2000; 24:1041-1049.
  • Myrick H, Brady K. Current review of the comorbidity of affective, anxiety, and substance use disorders. Curr Opin Psychiatry 2003; 16:261-270.
  • Book SW, Thomas SE, Randall PK, Randall CL. Paroxetine reduces social anxiety in individuals with a co-occurring alcohol use disorder. J Anxiety Disord 2008; 22:310
  • Thomas SE, Randall PK, Book SW, Randall CL. A Complex relationship between co- occurring social anxiety and alcohol use disorders: What effect does treating social anxiety have on drinking? Alcohol Clin Exp Res 2008; 32:77-84.
  • Liappas J, Paparrigopoulos T, Tzavellas E, Christodoulou G. Alcohol detoxification and social anxiety symptoms: a preliminary study of the impact of mirtazapine administration. J Affect Disord 2003; 76:279-284.
  • McEvoy PM, Shand F.The effect of comorbid substance use disorders on treatment outcome for anxiety disorders. J Anxiety Disord 2008; 22:1087-1098.
Toplam 165 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Derleme
Yazarlar

Cüneyt Evren Bu kişi benim

Yayımlanma Tarihi 1 Aralık 2010
Yayımlandığı Sayı Yıl 2010 Cilt: 2 Sayı: 4

Kaynak Göster

AMA Evren C. Sosyal Anksiyete Bozukluğu ve Alkol Kullanım Bozuklukları. Psikiyatride Güncel Yaklaşımlar. Aralık 2010;2(4):473-515. doi:10.18863/pgy.133426

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