The Association Between Somatic Symptoms, Anxiety Disorders and Substance Use. A Literature Review

Hassan, Imran; Ali, Rizwan

doi:10.1007/s11126-011-9174-2

Cited by 28 publications

(19 citation statements)

References 24 publications

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“…Items assessing somatization query physical complaints such as weakness, nausea, hot or cold spells, dizziness, chest pains, and numbness—sensations that may result from substance use or that may trigger someone to self-medicate to relieve these symptoms. The association between somatic complaints and substance use has been noted in a variety of other studies, and additional work is needed to clarify the complex nature of this association (Hassan & Ali, 2011; Yoshimasu, 2012). …”

Section: Discussionmentioning

confidence: 92%

Prevalence and Trajectories of Psychiatric Symptoms Among Sober Living House Residents

Polcin

Korcha

Gupta

et al. 2016

Journal of Dual Diagnosis

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Objectives Sober living houses are alcohol- and drug-free recovery residences that help individuals with substance use disorders maintain long-term abstinence. Given the prevalence of co-occurring mental disorders among individuals entering substance use treatment, it is likely that many residents entering sober living houses are also contending with psychiatric symptoms, and it is unclear how these symptoms may affect their sobriety. This study sought to describe the prevalence and trajectories of different types of symptoms among sober living house residents and examine how these symptoms affect substance use outcomes. Methods 300 residents (241 men and 59 women, with a mean age of 38.5 years) were interviewed upon entry and re-interviewed at 6-, 12-, and 18-month follow-ups. Psychiatric symptoms were assessed using the Brief Symptom Inventory (BSI). General estimating equations were used to test changes in BSI global psychological distress and clinical symptom scales (depression, hostility, somatization, and phobic anxiety) over time and to test the relationship between scale scores and substance use in longitudinal models controlling for demographics, length of stay, and psychiatric service utilization. Results Psychiatric symptoms were common. At baseline, the majority (51%) of participants endorsed 20 or more symptoms. Overall psychological distress and symptoms of depression and phobic anxiety significantly improved over time. Rates of abstinence and days of use among those who reported using substances also improved over time. Overall distress and all symptoms dimensions measured were associated with a decreased likelihood of abstinence. Symptoms of somatization were associated with an increase in the number of days substances were used among those who reported use. Conclusions Psychological symptoms among sober living house residents improve over time, but they are risk factors for relapse, suggesting that additional support provided to residents with psychiatric symptoms could improve substance use outcomes.

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Section: Discussionmentioning

confidence: 92%

Prevalence and Trajectories of Psychiatric Symptoms Among Sober Living House Residents

Polcin

Korcha

Gupta

et al. 2016

Journal of Dual Diagnosis

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“…For example, it is also possible that irritability in the young male students may have been caused by the substance use and not vice versa. Fifth, given that anxiety symptoms and disorders are associated with increased alcohol use and substance use in general (Gilles et al, 2006; Hassan and Ali, 2011; Kushner et al, 1999) and that irritability is common in anxiety disorders, the association between the presence of risky behaviors and irritability may be explained by the presence of higher anxiety among the students with depressive symptoms and irritability. However, we were not able to test this hypothesis because of the small sample size.…”

Section: Discussionmentioning

confidence: 99%

Correlates of Irritability in College Students With Depressive Symptoms

Pedrelli¹,

Nyer²,

Holt³

et al. 2013

Journal of Nervous &Amp; Mental Disease

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Depression is a prevalent psychiatric disorder associated with significant personal and societal burden. There is accumulating evidence for the presence of a subtype of depression characterized by the presence of irritability that is associated with increased morbidity, risk for suicidal ideation, and functional impairments in adults. Little is known about the features of depressive symptoms with and without irritability among young adults in college. The primary aim of this study was to characterize the presentation of college students with depressive symptoms and irritability. Two-hundred eighty-seven undergraduate college students with depressive symptoms with and without irritability were compared across several psychiatric and functional outcome variables. Independent samples t-tests or logistic regressions were conducted for each outcome variable using the irritability item of the Beck Depression Inventory as a dichotomous grouping variable. Analyses were conducted separately for the men and the women. Both male and female students with depressive symptoms and severe irritability reported a greater severity of depressive symptoms compared with their peers with no or mild irritability. In the women, the presence of irritability was associated with greater symptoms of anxiety, whereas in the men, it was associated with increased likelihood of engaging in risky behaviors, including compulsive use of alcohol, illicit drugs, and prescription drugs. The male and female college students with depressive symptoms with and without irritability did not differ on severity of suicidal ideation, hopelessness, or cognitive functioning. The findings from this study suggest that depressive symptoms and irritability may characterize a subtype of college students who have a greater symptom burden and with the potential need for more aggressive and prompt treatment.

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“…Sedeno et al, 2014;Simmons et al, 2013). In studies of anxiety and anxiety disorder, increased attention toward somatic symptoms was frequently reported (Anderson & Hope, 2009;Gupta, 2013;Hassan & Ali, 2011). In studies of anxiety and anxiety disorder, increased attention toward somatic symptoms was frequently reported (Anderson & Hope, 2009;Gupta, 2013;Hassan & Ali, 2011).…”

Section: Key Biomarkers Of Interoception Intensitymentioning

confidence: 99%

“…Anxiety refers to a kind of inner uneasiness or unwarranted fear without obvious objective reasons, which can be triggered in the face of a potential threat (sometimes it can be somatic symptoms) and can also produce further somatic symptoms, such as restlessness, palpitation, difficulty breathing, and so forth (Amstadter, 2008;Hassan & Ali, 2011). Anxiety is inextricably linked to feelings inside the body, and the rapid development of neuroscience and psychology has brought increased empirical knowledge regarding the relationship between anxiety and interoception.…”

Section: Introductionmentioning

confidence: 99%

Brain connection pattern under interoceptive attention state predict interoceptive intensity and subjective anxiety feeling

Shi

Wei

et al. 2018

Human Brain Mapping

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Interoception involves the processing of a variety of different types of information ascending from the body. Accumulating evidence has indicated that interoception plays a fundamental role in cognitive and emotional processes, such as anxiety, but how different functional connectivity patterns contribute to emotions and visceral feelings during an interoceptive attention state is still unclear. In the present study, an interoceptive attention task was performed during functional magnetic resonance imaging of healthy subjects, and the participants' subjective ratings of the intensity of interoception and feelings of anxiety were recorded. Several network nodes were selected, based on previous studies, to construct task‐dependent functional connectivity patterns, which were processed by support vector regression to predict the corresponding feeling scores. The results showed that for interoception, the cingulo‐opercular task control network provided the greatest contribution, whereas the most important feature for anxiety was the connections between the sensorimotor area (SSM) and the salience network (SN). There existed four overlapping connections between the two predictions: two negative connections between the default mode network (DMN) and the SSM, one negative connection between the DMN and the SN, and one positive connection between the ventral attention network and the SN; this overlap might suggest common bodily attention processing that is involved in both interoception and anxiety. This study remediates the lack of network‐level biomarkers of interoception and provides a reference at the level of the brain for further understanding anxiety from an interoceptive perspective.

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The Association Between Somatic Symptoms, Anxiety Disorders and Substance Use. A Literature Review

Cited by 28 publications

References 24 publications

Prevalence and Trajectories of Psychiatric Symptoms Among Sober Living House Residents

Prevalence and Trajectories of Psychiatric Symptoms Among Sober Living House Residents

Correlates of Irritability in College Students With Depressive Symptoms

Brain connection pattern under interoceptive attention state predict interoceptive intensity and subjective anxiety feeling

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