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Co-Morbidity of Social Phobia and Alcohol Use Disorders: A Review of Psychopathology Research Findings

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Anxiety and Substance Use Disorders

Part of the book series: Series in Anxiety and Related Disorders ((SARD))

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References

  • Abrams, K., Kushner, M., Medina, K. L., & Voight, A. (2001). The pharmacologic and expectancy effects of alcohol on social anxiety in individuals with social phobia. Drug and Alcohol Dependence, 64, 219–231.

    Article  PubMed  Google Scholar 

  • Abrams, D. B., & Niaura, R. S. (1987). Social learning theory. In H. T. Blane (Ed.), Psychological theories of drinking and alcoholism (pp. 131–178). New York: Guilford Press.

    Google Scholar 

  • Abrams, K., & Kushner, M. G. (2004). The moderating effects of tension-reduction alcohol outcome expectancies on placebo responding in individuals with social phobia. Addictive Behaviors, 29, 1221–1224.

    Article  PubMed  Google Scholar 

  • American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: Author.

    Google Scholar 

  • American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders (Rev. 3rd ed.). Washington, DC: Author.

    Google Scholar 

  • American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.

    Google Scholar 

  • Baker, C. R. (2001). Drug use and mental disorders: An examination of the self-medication hypothesis (Doctoral dissertation, University of Maryland at Baltimore City, 2001). Dissertation Abstracts International, 62, 1310.

    Google Scholar 

  • Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173–1182.

    Article  PubMed  Google Scholar 

  • Beck, A. T., & Emery, G. (1985). Anxiety disorders and phobias: A cognitive perspective. New York: Basic Books.

    Google Scholar 

  • Bruch, M. A., Heimberg, R. G., Harvey, C., & McCann, M. (1992). Shyness, alcohol expectancies, and alcohol use: Discovery of a suppressor effect. Journal of Research in Personality, 26, 137–149.

    Article  Google Scholar 

  • Bruch, M. A., Rivet, K. M., Heimberg, R. G., & Levin, M. A. (1997). Shyness, alcohol expectancies, and drinking behavior: Replication and extension of a suppressor effect. Personality and Individual Differences, 22, 193–200.

    Article  Google Scholar 

  • Burke, R. S., & Stephens, R. S. (1999). Social anxiety and drinking in college students: A social cognitive theory analysis. Clinical Psycholgy Review, 19, 513–530.

    Article  Google Scholar 

  • Carrigan, M. H., Drobes, D. J., & Randall, C. L. (2004). Attentional bias and drinking to cope with social anxiety. Psychology of Addictive Behaviors, 18, 374–380.

    Article  PubMed  Google Scholar 

  • Carrigan, M. H., & Randall, C. L. (2003). Self-medication in social phobia: A review of the alcohol literature. Addictive Behaviors, 28, 269–284.

    Article  PubMed  Google Scholar 

  • Conger, J. J. (1956). Reinforcement theory and the dynamics of alcoholism. Quarterly Journal of Studies on Alcohol, 17, 296–305.

    PubMed  Google Scholar 

  • Crum, R. M., & Pratt, L. A. (2001). Risk of heavy drinking and alcohol use disorders in social phobia: A prospective analysis. American Journal of Psychiatry, 158, 1693–1700.

    Article  PubMed  Google Scholar 

  • Davidson, J. R., Potts, N., Richichi, E., Krishnan, R., Ford, S. M., Smith, R., et al. (1993). Treatment of social phobia with clonazepam and placebo. Journal of Clinical Psychopharmacology, 13, 423–428.

    Google Scholar 

  • Eggleston, M. A., Woolaway-Bickel, K., & Schmidt, N. B. (2004). Social anxiety and alcohol use: Evaluation of the moderating and mediating effect of alcohol expectancies. Journal of Anxiety Disorders, 18, 33–49.

    Article  Google Scholar 

  • Ham, L. S., Carrigan, M. H., Moak, D. H., & Randall, C. L. (2005). Social anxiety and specificity of positive alcohol expectancies. Preliminary findings. Journal of Psychopathology and Behavioral Assessment, 27, 115–121.

    Article  Google Scholar 

  • Ham, L. S., & Hope, D. A. (2005). Incorporating social anxiety into a model of college student problematic drinking. Addictive Behaviors, 30, 127–150.

    Article  PubMed  Google Scholar 

  • Ham, L. S., Hope, D. A., White, C. S., & Rivers, P. C. (2002). Alcohol expectancies and drinking behavior in adults with social anxiety disorder and dysthymia. Cognitive Therapy and Research, 26, 275–288.

    Article  Google Scholar 

  • Himle, J. A., Abelson, J. L., Haghightgou, H., Hill, E. M., Nesse, R. M., & Curtis, G. C. (1999). Effect of alcohol on social phobic anxiety. American Journal of Psychiatry, 156, 1237–1243.

    PubMed  Google Scholar 

  • Hollander, E., Kwon, J., Weiller, F., Cohen, L., Stein, D. J., DeCaria, C., et al. (1998). Sertonergic function in social phobia: Comparison to normal control and obsessive-compulsive subjects. Psychiatry Research, 79, 213–217.

    Article  PubMed  Google Scholar 

  • Johnson, B. A. (2004). Role of the serotonergic system in the neurobiology of alcoholism: Implications of treatment. CNS Drugs, 18, 1105–1118.

    Article  PubMed  Google Scholar 

  • Kessler, R. C., McGonagle, K. A., Zhao, S., Nelson, C. B., Schulenberg, J., & Anthony, J. C. (1994). Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Results from the National Comorbidity Survey. Archives of General Psychiatry, 51, 8–19.

    PubMed  Google Scholar 

  • Kessler, R. C., Crum, R. M., Warner, L. A., Nelson, C. B., Schulenberg, J., & Anthony, J. C. (1997). Lifetime co-occurrence of DSM-III-R alcohol abuse and dependence with other psychiatric disorders in the National Comorbidity Survey. Archives of General Psychiatry, 54, 313–321.

    PubMed  Google Scholar 

  • Knopik, V. S., Heath, A. C., Madden, P. A. F., Bucholz, K. K., Slutske, W. S., Nelson, E. C., et al. (2004). Genetic effects on alcohol dependence risk: Re-evaluating the importance of psychiatric and other heritable risk factors. Psychological Medicine, 34, 1519–1530.

    Article  PubMed  Google Scholar 

  • Kushner, M. G., Abrams, K., & Borchardt, C. (2000). The relationship between anxiety disorders and alcohol use disorders: A review of major perspectives and findings. Clinical PsychologyReview, 20, 149–171.

    Article  Google Scholar 

  • Kushner, M., Krueger, R., Frye, B., & Peterson, J. (this volume). Epidemiological perspectives on co-occurring anxiety disorder and substance use disorder. In S. H. Stewart & P. J. Conrod (Eds.), Anxiety and substance use disorders: The Vicious cycle of comorbidity. New York: Springer.

    Google Scholar 

  • Kushner, M. G., Sher, K. J., & Beitman, B. D. (1990). The relation between alcohol problems and the anxiety disorders. American Journal of Psychiatry, 147, 685–695.

    PubMed  Google Scholar 

  • Lepine, J. P., & Pelissolo, A. (1998). Social phobia and alcoholism: A complex relationship. Journal of Affective Disorders, 50 (Suppl 1), 23–28.

    Article  Google Scholar 

  • Liebowitz, M. R., Campeas, R., & Hollander, E. (1987). MAOIs: Impact on social behavior. Psychiatry Research, 22, 89–90.

    Article  PubMed  Google Scholar 

  • Lingford-Hughes, A. R., Wilson, S. J., Cunningham, V. J., Feeney, A., Stevenson, B., Brooks, D. J., et al. (2005). GABA-benzodiazepine receptor function in alcohol dependence: A combined 11C Flumazenil PET and pharmacodynamic study. Psychopharmacology, 180, 595–606.

    Article  PubMed  Google Scholar 

  • Magee, W. J., Eaton, W. W., Wittchen, H. U., McGonagle, K. A., & Kessler, R. C. (1996). Agoraphobia, simple phobia, and social phobia in the national comorbidity survey. Archives of General Psychiatry, 53, 159–168.

    PubMed  Google Scholar 

  • Malcolm, R., Anton, R. F., Randall, C. L., & Johnston, A. (1992). A placebo-controlled trial of buspirone in anxious inpatient alcoholics. Alcoholism: Clinical and Experimental Research, 16, 1007–1013.

    Article  Google Scholar 

  • Merikangas, K. R. (1990). The genetic epidemiology of alcoholism. Psychological Medicine, 20, 11–22.

    Article  PubMed  Google Scholar 

  • Merikangas, K. R., Avenevoli, S., Acharyya, S., Zhang, H., & Angst, J. (2002). The spectrum of social phobia in the Zurich Cohort Study of Young Adults. Biological Psychiatry, 51, 81–91.

    Article  PubMed  Google Scholar 

  • Merikangas, K. R., Stevens, D. E., Fenton, B., Stolar, M., O’Malley, S., Woods, S. W., et al. (1998). Co-morbidity and familial aggregation of alcoholism and anxiety disorders. Psychological Medicine, 28, 773–788.

    Article  PubMed  Google Scholar 

  • Mikkelsen, E. J., Detlor, J., & Cohen, D. J. (1981). School avoidance and social phobia triggered by haloperidol in patients with Tourette’s disorder. American Journal of Psychiatry, 138, 1572–1576.

    PubMed  Google Scholar 

  • Morris, E. P., Stewart, S. H., & Ham, L. S. (2005). The relationship between social anxiety disorder and alcohol use disorders: A critical review. Clinical Psychology Review, 25, 734–760.

    Article  PubMed  Google Scholar 

  • Naftolowitz, D. F., Vaughn, B. V., Ranc, J., & Tancer, M. E. (1994). Response to alcohol in social phobia. Anxiety, 1, 96–99.

    PubMed  Google Scholar 

  • Nelson, E. C., Grant, J. D., Bucholz, K. K., Glowinski, A., Madden, P. A. F., Reich, W., et al. (2000). Social phobia in a population-based female adolescent twin sample: Comorbidity and associated suicide-related symptoms. Psychological Medicine, 30, 797–804.

    Article  PubMed  Google Scholar 

  • Nutt, D. J. (1999). Alcohol and the brain: Pharmacological insights for psychiatrists. British Journal of Psychiatry, 175, 114–119.

    PubMed  Google Scholar 

  • Nutt, D. J., & Malizia, A. L. (2001). New insights into the role of GABA (A)- benzodiazepine receptor in psychiatric disorder. British Journal of Psychiatry, 179, 390–396.

    Article  PubMed  Google Scholar 

  • Randall, C. R., Book, S. W., Carrigan, M. H., & Thomas, S. E. (this volume). Treatment of co-occurring alcoholism and social anxiety disorder. In S. H. Stewart & P. J. Conrod (Eds.), Anxiety and substance use disorders: The Vicious cycle of comorbidity. New York: Springer.

    Google Scholar 

  • Randall, C. L., Johnson, M. R., Thevos, A. K., Sonne, S. C., Thomas, S. E., Willard, S. L., et al. (2001). Paroxetine for social anxiety and alcohol use in dual-diagnosed patients. Depression and Anxiety, 14, 255–262.

    Article  PubMed  Google Scholar 

  • Randall, C. R., Thomas, S., & Thevos, A. K. (2001). Concurrent alcoholism and social anxiety disorder: A first step toward developing effective treatments. Alcoholism: Clinical and Experimental Research, 25, 210–220.

    Article  Google Scholar 

  • Sayette, M. (1993). An appraisal-disruption model of alcohol’s effects on stress responses in social drinkers. Psychological Bulletin, 114, 459–476.

    Article  PubMed  Google Scholar 

  • Schneier, F. R., Liebowitz, M. R., Abi-Dargham, A., Zea-Ponce, Y., Lin, S. H., & Larulle, M. (2000). Low dopamine D receptor binding potential in social phobia. American Journal of Psychiatry, 157, 457–459.

    Article  PubMed  Google Scholar 

  • Schuckit, M. A., Mazzanti, C., Smith, T. L., Ahmed, U., Radel, M., Iwata, N., et al. (1999). Selective genotyping for the role of 5-HT2A, 5-HT2C, and GABA alpha 6 receptors and the serotonin transporter in the level of response to alcohol: A pilot study. Biological Psychiatry, 45, 647–651.

    Article  PubMed  Google Scholar 

  • Sher, K. J. (1987). Stress response dampening. In H. T. Blane & K. E. Leonard (Eds.), Psychological theories of drinking and alcoholism (pp. 227–271). New York: Guilford Press.

    Google Scholar 

  • Sontag, H., Wittchen, H. U., Hofler, M., Kessler, R. C., & Stein, M. B. (2000). Are social fears and DSM-IV social anxiety disorder associated with smoking and nicotine dependence in adolescents and young adults. European Psychiatry, 15, 67–74.

    Article  Google Scholar 

  • Stein, M. B., Leibowitz, M. R., Lydiard, R. B., Pitts, C. D., Bushnell, W., & Gergel, I. (1998). Paroxetine treatment of generalized social phobia (social anxiety disorder): A randomized controlled trial. Journal of the American Medical Association, 280, 708–713.

    Article  PubMed  Google Scholar 

  • Stewart, S. H., Morris, E., Mellings, T., & Komar, J. (2006). Relations of social anxiety variables of drinking motives, drinking quantity and frequency, and alcohol–related problems in undergraduates. Journal of Mental Health, 15, 671–682.

    Article  Google Scholar 

  • Thomas, S. E., Randall, C. L., & Carrigan, M. H. (2003). Drinking to cope in socially anxious individuals: A controlled study. Alcoholism: Clinical and Experimental Research, 27, 1937–1943.

    Article  Google Scholar 

  • Thomas, S. E., Thevos, A. K., & Randall, C. L. (1999). Alcoholics with and without social phobia: A comparison of substance use and psychiatric variables. Journal of Studies on Alcohol, 60, 472–479.

    PubMed  Google Scholar 

  • Tran, G. Q., Anthenelli, R. M., Smith, J. P., Corcoran, K. J., & Rofey, D. L. (2004). Alcohol use, cognitive correlates of drinking and change readiness in hazardous drinkers with high level versus low social anxiety. Journal of Studies on Alcohol, 65, 715–724.

    PubMed  Google Scholar 

  • Tran, G. Q., & Haaga, D. A. F. (2002). Coping responses and alcohol outcome expectancies in alcohol abusing and nonabusing social phobics. Cognitive Therapy & Research, 26, 1–17.

    Article  Google Scholar 

  • Tran, G. Q., Haaga, D. A. F., & Chambless, D. L. (1997). Expecting that alcohol use will reduce social anxiety moderates the relation between social anxiety and alcohol consumption. Cognitive Therapy & Research, 21, 535–553.

    Article  Google Scholar 

  • Tran, G. Q., Smith, J. P., Rofey, D., & Corcoran, K. J. (2002, November). Social anxiety and alcohol use problems in college drinkers: Theoretical conceptualization and empirical support. In C. L. Randall & G. Q. Tran (Co-Chairs), Comorbidity of social anxiety disorder and alcohol use disorders: A lifespan approach to preventive interventions. Paper presented at the annual meeting of the Association for Advancement of Behavior Therapy, Reno, NV.

    Google Scholar 

  • Tupala, E., & Tiihonen, J. (2004). Dopamine and alcoholism: Neurobiological basis of ethanol abuse. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 28, 1221–1247.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Psychology, University of Cincinnati, 401-C Dyer Hall, PO Box 210376, Cincinnati, OH, USA 45221-0376

    Giao Q. Tran

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  1. Giao Q. Tran
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  2. Joshua P. Smith
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Editors and Affiliations

  1. Departments of Psychiatry and Psychology, Dalhousie University, Halifax, NS B3H 4J1, Canada

    Sherry H. Stewart

  2. Institute of Psychiatry, King’s College, London, London SE5 8AF, UK

    Patricia J. Conrod

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Tran, G.Q., Smith, J.P. (2008). Co-Morbidity of Social Phobia and Alcohol Use Disorders: A Review of Psychopathology Research Findings. In: Stewart, S.H., Conrod, P.J. (eds) Anxiety and Substance Use Disorders. Series in Anxiety and Related Disorders. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-74290-8_4

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