Social anxiety disorder and alcohol use

Alcohol Research & Health, Spring, 2002 by Sarah W. Book, Carrie L. Randall

KESSLER, R.C.; STEIN, M.B.; AND BERGLUND, P. Social phobia subtypes in the National Comorbidity Survey. American Journal of Psychiatry 155(5): 613-619, 1998.

PETTINATI, H.M.; VOLPICELLI, J.R; KRANZLER, H.R; ET AL. Sertraline treatment for alcohol dependence: Interactive effects of medication and alcoholic subtype. Alcoholism: Clinical and Experimental Research 24(7):1041-1049, 2000.

RANDALL, C.L; THOMAS, S.E.; AND THEVOS, A.K. Gender comparison in alcoholics with concurrent social phobia: Implications for alcoholism treatment. American Journal on Addictions 9(3):202-215, 2000.

RANDALL, C.L; THOMAS, S.; AND THEVOS, A.K. Concurrent alcoholism and social anxiety disorder: A first step toward developing effective treatments. Alcoholism: Clinical and Experimental Research 25(2): 210-220, 2001a.

RANDALL, C.L; JOHNSON, M.R; THEVOS, AK; ET AL. Paroxetine for social anxiety and alcohol use in dual-diagnosed patients. Depression and Anxiety 14:255-262, 2001b.

SCHNEIER, F.R; JOHNSON, J.; HORNIG, C.D.: ET AL. Social phobia: Comorbidity and morbidity in an epidemiologic sample. Archives of General Psychiatry 49(4):282-288, 1992.

SPENCER, R.L., AND HUTCHISON, K.E. Alcohol, aging, and the stress response. Alcohol Research & Health 23(4):272-283, 1999.

TAYLOR, S. Meta-analysis of cognitive-behavioral treatments for social phobia. Journal of Behavior Therapy and Experimental Psychiatry 27(1):1-9, 1996.

THEVOS, A.K.; ROBERTS, J.S.; THOMAS, S.E.; AND RANDALL, C.L. Cognitive behavioral therapy delays relapse in female socially phobic alcoholics. Addictive Behaviors 25(3):333-345, 2000.

TRAN, G.Q; HAAGA, D.A.F.; AND CHAMBLESS, D.L. Expecting that alcohol use will reduce social anxiety moderates the relation between social anxiety and alcohol consumption. Cognitive Therapy and Research 21(5):535-553, 1997.

VAN AMERINGEN, M.; MANCINI, C.; STYAN, G.; AND DONISON, D. Relationship of social phobia with other psychiatric illness. Journal of Affective Disorders 21(2):93-99, 1991.

RELATED ARTICLE: DIAGNOSTIC CRITERIA FOR SOCIAL PHOBIA

Social phobia * is diagnosed if the person meets all of the following criteria:

A. A marked and persistent fear of one or more social or performance situations in which the person is exposed to unfamiliar people or to possible scrutiny by others. The individual fears that he or she will act in a way (or show anxiety symptoms) that will be humiliating or embarrassing.

B. Exposure to the feared social situation almost invariably provokes anxiety, which may take the form of a situationally bound or situationally predisposed panic attack.

C. The person recognizes that the fear is excessive or unreasonable.

D. The feared social or performance situations are avoided or else are endured with intense anxiety or distress.

E. The avoidance, anxious anticipation, or distress in the feared social or performance situation(s) interferes significantly with the person's normal routine, occupational (academic) functioning, or social activities or relationships, or there is marked distress about having the phobia.