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Titolo:
Concurrent alcoholism and social anxiety disorder: A first step toward developing effective treatments
Autore:
Randall, CL; Thomas, S; Thevos, AK;
Indirizzi:
Med Univ S Carolina, Alcohol Res Ctr, Charleston, SC 29425 USA Med Univ S Carolina Charleston SC USA 29425 Ctr, Charleston, SC 29425 USA
Titolo Testata:
ALCOHOLISM-CLINICAL AND EXPERIMENTAL RESEARCH
fascicolo: 2, volume: 25, anno: 2001,
pagine: 210 - 220
SICI:
0145-6008(200102)25:2<210:CAASAD>2.0.ZU;2-P
Fonte:
ISI
Lingua:
ENG
Soggetto:
NATIONAL-COMORBIDITY-SURVEY; COGNITIVE-BEHAVIORAL THERAPY; RANDOMIZED CONTROLLED TRIAL; PSYCHIATRIC-DISORDERS; PHOBIA; ABUSE; DEPRESSION; PREVALENCE; DIAGNOSIS; STRATEGIES;
Keywords:
alcoholism; anxiety; comorbidity; social phobia; CBT;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
62
Recensione:
Indirizzi per estratti:
Indirizzo: Randall, CL Med Univ S Carolina, Ctr Drug & Alcohol Programs, 67 PresidentSt, Charleston, SC 29425 USA Med Univ S Carolina 67 President St Charleston SC USA 29425 SA
Citazione:
C.L. Randall et al., "Concurrent alcoholism and social anxiety disorder: A first step toward developing effective treatments", ALC CLIN EX, 25(2), 2001, pp. 210-220

Abstract

Background: Social anxiety disorder (also called social phobia) is an anxiety disorder in which affected individuals fear the scrutiny of others. Clinical reports suggest that individuals with social anxiety disorder often use alcohol to alleviate anxiety symptoms, a practice that leads to alcohol abuse and/or dependence in approximately 20% of affected individuals. The present study investigated whether simultaneous treatment of social phobia and alcoholism compared with treatment of alcoholism alone, improved alcoholuse and social anxiety for clients with dual diagnoses of social anxiety disorder and alcohol dependence. Methods: The design was a two-group, randomized clinical trial that used 12 weeks of individual cognitive behavioral therapy for alcoholism only (n =44) or concurrent treatment for both alcohol and social anxiety problems (n = 49). Outcome data were collected at the end of 12 weeks of treatment and at 3 months after the end of treatment. Results: Results with intent-to-treat analyses showed that both groups improved on alcohol-related outcomes and social anxiety after treatment. With baseline scores covaried, there was a significant effect of treatment groupon several drinking measures. Counter to the hypothesis, the group treatedfor both alcohol and social anxiety problems had worse outcomes on three of the four alcohol use indices. No treatment group effects were observed onsocial anxiety indices. Conclusions: Implications for the staging of treatments for coexisting social phobia and alcoholism are discussed, as well as ways that modality of treatments might impact outcomes.

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Documento generato il 21/09/20 alle ore 16:03:48