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Do specific anxiety disorders show specific drug problems?

A C Page1, G Andrews

  • 1Department of Psychology, University of Western Australia, Nedlands, Australia.

The Australian and New Zealand Journal of Psychiatry
|June 1, 1996
PubMed
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Anxiety disorder patients show high rates of alcohol and sedative-hypnotic problems. Social phobics reported more alcohol issues, highlighting the need for routine substance use screening in anxiety care.

Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Addiction Medicine

Background:

  • Comorbidity between anxiety and substance use disorders is a significant clinical concern.
  • Understanding specific patterns of substance use in different anxiety disorders can inform targeted interventions.

Purpose of the Study:

  • To examine the comorbidity between anxiety disorders and substance use disorders.
  • To test the hypothesis that social phobics may report greater problem alcohol use, while panic disorder patients may report greater problem use of sedative-hypnotics.

Main Methods:

  • 146 patients with panic disorder and social phobia were assessed.
  • Self-reported lifetime rates of drug and alcohol problems were collected using the computerised Diagnostic Interview Schedule-Revised.

Related Experiment Videos

Main Results:

  • High prevalences of alcohol problems (3x expected) and sedative-hypnotic problems (8x expected) were observed across all anxiety diagnoses.
  • Social phobics showed higher rates of problem alcohol use, but no specific differences in sedative-hypnotic use were found between diagnostic groups.

Conclusions:

  • Routine screening for drug and alcohol problems is essential for individuals diagnosed with anxiety disorders.
  • These findings underscore the importance of integrated care approaches for co-occurring anxiety and substance use issues.