The impact of alcohol use disorders and alcohol consumption on treatment-seeking individuals with social anxiety disorder

2021 ◽  
Vol 85 (2) ◽  
pp. 100-122
Author(s):  
Mirjana Subotic-Kerry ◽  
Andrew J. Baillie ◽  
Lexine A. Stapinski ◽  
Maree J. Abbott ◽  
Jo MacDonald ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Social Anxiety ◽  
Alcohol Consumption ◽  
Alcohol Use ◽  
Social Anxiety Disorder ◽  
Alcohol Use Disorders ◽  
Anxiety Symptoms ◽  
Social Situations ◽  
Low Incidence ◽  
The Impact

Comorbid social anxiety and alcohol use disorders (SAD-AUD) in the community and the complex interactions that occur between these disorders have emerged as a significant clinical, public health, and research issue. The authors examined (a) the rates of comorbid SAD-AUD, (b) the impact of comorbid SAD-AUD on outcomes targeting social anxiety disorder, and (c) the effect of pretreatment alcohol consumption and alcohol use before, during, and after social situations on a composite measure of social anxiety in 172 adults presenting with social anxiety disorder. There was low incidence of AUD in this sample of individuals with SAD. Results indicated that alcohol consumption did not lead to worse social anxiety symptoms; however, alcohol use before and during social situations was associated with more severe social anxiety symptoms. These findings suggest that the function of alcohol use may be more important than the overall level of alcohol use and has implications for treatment.

scholarly journals Group CBT versus MBSR for Social Anxiety Disorder: A Randomized Controlled Trial

2017 ◽  
Author(s):  
philippe goldin ◽  
Amanda Morrison ◽  
Hooria Jazaieri ◽  
faith brozovich ◽  
richard heimberg ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Social Anxiety ◽  
Social Anxiety Disorder ◽  
Self Efficacy ◽  
Cognitive Distortions ◽  
Anxiety Symptoms ◽  
Cognitive Behavioral Group Therapy ◽  
Mindfulness Skills ◽  
Avoidance Behaviors ◽  
The Impact

Objective: To investigate treatment outcome and mediators of Cognitive-Behavioral Group Therapy (CBGT) vs. Mindfulness-Based Stress Reduction (MBSR) vs. Waitlist (WL) in patients with generalized social anxiety disorder (SAD). Method: 108 unmedicated patients (55.6% female; mean age = 32.7, SD = 8.0; 43.5% Caucasian, 39% Asian, 9.3% Hispanic, 8.3% other) were randomized to CBGT vs. MBSR vs. WL and completed assessments at baseline, post-treatment/WL, and at 1-year follow-up, including the Liebowitz Social Anxiety Scale – Self-Report (primary outcome) as well as measures of treatment-related processes. Results: Linear mixed model analysis showed that CBGT and MBSR both produced greater improvements on most measures compared to WL. Both treatments yielded similar improvements in social anxiety symptoms, cognitive reappraisal frequency and self-efficacy, cognitive distortions, mindfulness skills, attention focusing and rumination. There were greater decreases in subtle avoidance behaviors following CBGT than MBSR. Mediation analyses revealed that increases in reappraisal frequency, mindfulness skills, attention focusing and attention shifting, and decreases in subtle avoidance behaviors and cognitive distortions mediated the impact of both CBGT and MBSR on social anxiety symptoms. However, increases in reappraisal self-efficacy and decreases in avoidance behaviors mediated the impact of CBGT (vs. MBSR) on social anxiety symptoms. Conclusions: CBGT and MBSR both appear to be efficacious for SAD. However, their effects may be a result of both shared and unique changes in underlying psychological processes.

The Impact of Varenicline on Alcohol Consumption in Subjects With Alcohol Use Disorders

2020 ◽  
Vol 81 (2) ◽  
Author(s):  
Kriti D. Gandhi ◽  
Meghna P. Mansukhani ◽  
Victor M. Karpyak ◽  
Terry D. Schneekloth ◽  
Zhen Wang ◽  
...  
Keyword(s):  
Alcohol Consumption ◽  
Alcohol Use ◽  
Alcohol Use Disorders ◽  
The Impact

Prevalence and features of spontaneous recurrent images in social anxiety disorder: findings from a Korean community sample

2019 ◽  
Vol 48 (2) ◽  
pp. 172-184 ◽  
Author(s):  
Da Eun Suh ◽  
Kyung-Ah Chang ◽  
Ji Un Hwang ◽  
Jung-Hye Kwon
Keyword(s):  
Anxiety Disorder ◽  
Social Anxiety ◽  
Social Anxiety Disorder ◽  
Community Sample ◽  
Structured Interview ◽  
Social Contexts ◽  
Self Report ◽  
Social Situations ◽  
Distress Level ◽  
Negative Images

AbstractBackground:Previous studies have indicated that people with social anxiety disorder (SAD) often experience spontaneous, recurrent images (SRI). It was assumed that Koreans with interdependent self-views may contain more features related to social contexts in their self-images than those reported in Western cultures.Aims:In the present study, we aimed to explore the prevalence and content of SRIs in individuals with SAD in Korea. Furthermore, we investigated the relationship between features of SRIs and variables of SAD.Method:Sixty-four individuals with SAD (27.00 ± 7.42 years, 64.1% female), diagnosed with SAD, completed self-report questionnaires related to social anxiety. Afterwards, a semi-structured interview was used to assess features and content of the individuals’ SRI.Results:Thirty (47%) of the participants reported experiencing SRIs in social situations. The content of the SRIs were classified under three themes: negative self-images, negative images of others, and abstract images. The distress level of SRIs was positively associated with social phobia scales (r = .385, p < .05) and physical anxiety symptoms (r = .478, p < .05). Frequency of SRIs was positively associated with avoidance scores (r = .402, p < .05).Conclusions:The results demonstrated differences in the prevalence and content of the SRIs between Western and non-Western cultures. Fewer individuals with SAD in Korea reported having SRIs, and the content of these SRIs involved people other than the self. Some features of SRIs were associated with variables of SAD.

Sign in / Sign up

Export Citation Format

Share Document