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Published on: June 23, 2023
Alcohol, Anxiety, and Depressive Disorders
1Marc A. Schuckit, M.D., is a professor of psychiatry at the University of California-San Diego, School of Medicine, and director of the Alcohol Research Center, Veterans Affairs Medical Center, San Diego, California.
Many alcoholics experience depression and anxiety, but these conditions may not cause alcoholism. If linked, the association is likely in a small subgroup, and psychological symptoms worsen alcohol problems.
Area of Science:
- Psychiatry
- Addiction Medicine
- Clinical Psychology
Background:
- Alcohol dependence is frequently accompanied by depression and anxiety.
- Individuals with alcohol dependence often report using alcohol to self-medicate these psychological symptoms.
- The causal relationship between pre-existing anxiety/depressive disorders and alcoholism is not definitively established.
Purpose of the Study:
- To review recent literature on the complex interaction between alcohol dependence and independent anxiety/depressive disorders.
- To clarify the potential association and its prevalence in alcohol-dependent populations.
Main Methods:
- Literature review of family studies.
- Prospective investigations.
- Studies of children of alcoholics.
Main Results:
- Evidence does not unanimously support pre-existing severe depressive or anxiety disorders as a common cause of alcoholism.
- If an association exists, it likely involves a small subgroup of alcoholics.
- Psychological symptoms may be associated with a worse prognosis for alcohol-related problems.
Conclusions:
- The link between alcoholism and co-occurring anxiety/depressive disorders is complex and may not be causal for most individuals.
- Early intervention for psychological symptoms is crucial for improving outcomes in alcoholism treatment.
- Further research is needed to understand the specific subgroups affected by this comorbidity.
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