Relapse among alcoholics with phobic and panic symptoms

LaBounty, Lynda P.; Hatsukami, Dorothy K.; Morgan, Steven F.; Nelson, Lianne

doi:10.1016/0306-4603(92)90048-z

Cited by 46 publications

(29 citation statements)

References 15 publications

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“…This finding is in line with the results of LaBounty et al (1992), who reported similar relapse rates in alcoholics with and without symptoms of phobia, panic, or both. 6.2 ± 0.9 6.4 ± 1.0 6.1 ± 0.9 P = 0.03 6.1 ± 0.9 6.1 ± 0.9 P = 0.96 Age at first alcohol drink (M ± SD)…”

Section: Discussionsupporting

confidence: 82%

“…The conclusions of the first-mentioned studies (LaBounty et al, 1992;Tómasson and Vaglum, 1997;Tómasson and Vaglum, 1998) are difficult to interpret, however, as the diagnoses of comorbid anxiety disorder may not have been valid. Tómasson and Vaglum (1997) made their baseline assessments after too short a period of abstinence, whereas the patients studied by LaBounty et al (1992) were not abstinent at all.…”

Section: Discussionmentioning

confidence: 84%

“…A recent systematic review (Moyer and Finney, 2002) reported abstinence rates of 35% in 232 randomized trials and 39% in 92 non-randomized trials, suggesting that the high abstinence rate of 60.5% found by Driessen might be due to some (unknown) population characteristics peculiar to their study. LaBounty et al (1992) found no significant influence of comorbid anxiety disorders on outcome, but did conclude that a phobic disorder was a significant predictor of relapse associated with drinking to cope with anxiety. This finding suggests that anxiety disorders may be a cause of relapse, even if alcoholics without anxiety disorders relapse for other reasons at the same rate.…”

Section: Discussionmentioning

confidence: 87%

“…Tómasson and Vaglum (1997) made their baseline assessments after too short a period of abstinence, whereas the patients studied by LaBounty et al (1992) were not abstinent at all. Diagnosis within less than 4 weeks of the start of abstinence may lead to anxiety symptoms caused by alcohol use being misdiagnosed as independent comorbid anxiety disorders (Schneider et al, 2001).…”

Section: Discussionmentioning

confidence: 99%

“…As patients with alcohol dependence frequently suffer from comorbid anxiety disorders (Schneider et al, 2001), it has been claimed that comorbid anxiety disorders predict poor outcome of alcohol treatment (Chambless et al, 1987;Oei and Loveday, 1997;Kushner et al, 2000). A recent review (Schadé et al, 2003) concluded, however, that the empirical basis for this claim is rather weak, and rests on only four small sample studies (LaBounty et al, 1992;Tómasson and Vaglum, 1997;Tómasson and Vaglum, 1998;Driessen et al, 2001). No specific anxiety treatment was provided in these studies.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Comorbid Phobic Disorders Do Not Influence Outcome of Alcohol Dependence Treatment. Results of a Naturalistic Follow-Up Study

Marquenie

Schadé²,

Balkom³

et al. 2005

Alcohol and Alcoholism

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-Aims: Despite claims that comorbid anxiety disorders tend to lead to a poor outcome in the treatment of alcohol dependence, the few studies on this topic show conflicting results. Objective: To test whether the outcome of treatment-seeking alcoholdependent patients with a comorbid phobic disorder is worse than that of similar patients without a comorbid phobic disorder. Methods: The probabilities of starting to drink again and of relapsing into regular heavy drinking in (i) a group of 81 alcoholdependent patients with comorbid social phobia or agoraphobia were compared with those in (ii) a group of 88 alcohol-dependent patients without anxiety disorders in a naturalistic follow-up using Cox regression analysis. Results: Adjusted for initial group differences, the hazard ratio for the association of phobic disorders with resumption of drinking was 1.05 (95% CI, 0.85-1.30, P = 0.66) and the adjusted hazard ratio for the association of phobic disorders with a relapse into regular heavy drinking was 1.02 (95% CI, 0.78-1.33, P = 0.89). Conclusion: The findings of this study do not confirm the idea that alcohol-dependent patients who have undergone alcoholdependence treatment are at greater risk of a relapse if they have a comorbid anxiety disorder. No differences were found in abstinence duration or time to relapse into regular heavy drinking between patients with and without comorbid phobic disorders.

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Section: Discussionsupporting

confidence: 82%