Sintomas de ansiedade social em alcoolistas em tratamento ambulatorial: Prevalência, gravidade e preditores
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1590/0047-2085000000112 http://hdl.handle.net/11449/173215 |
Resumo: | Objectives: High rates of comorbidity between social anxiety disorder (SAD) and alcohol use disorders have been reported, but the predictors of this comorbidity are poorly known and most studies involve primary SAD samples. The aims were to estimate the prevalence and severity of SAD symptoms among alcohol-dependent patients and to investigate sociodemographic and clinical factors associated with SAD comorbidity, including suicidal behaviors. Methods: A cross-sectional study with 53 adults who were in treatment for alcohol dependence at a Brazilian public university outpatient service. Assessment instruments: Social Phobia Inventory (SPIN), Short Alcohol Dependence Data and Beck Depression Inventory. Bivariate analyses between the categorical outcome (Probable SAD: SPIN = 19) and explanatory variables were conducted. Correlates of SPIN total and subscales scores (dimensional outcomes) were also investigated. Results: The diagnosis and treatment of alcohol dependence occurred, on average, 30 years after the onset of alcohol use and 39.6% of the 53 patients (37 men and 16 women) reported alleviation of social anxiety symptoms with alcohol use. Twenty-four (45.3%) patients presented probable SAD. These patients differed from non-SAD alcohol-dependent individuals by having lower income and higher frequency of depression, suicidal ideation, suicide plans and attempts. The SPIN subscales mostly associated with suicidal behaviors were social inadequacy and social inferiority. Conclusions: SAD symptoms are common among help-seeking alcohol-dependent individuals and should be directly investigated and treated, since depression and suicidality are associated with this comorbidity. Prospective studies are needed to assess the impact of SAD treatment on the clinical course of alcohol dependence. |
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Sintomas de ansiedade social em alcoolistas em tratamento ambulatorial: Prevalência, gravidade e preditoresSocial anxiety symptoms in alcohol-dependent outpatients: Prevalence, severity and predictorsAlcohol dependenceAlcohol use disordersComorbiditySocial anxiety disorderSocial phobiaObjectives: High rates of comorbidity between social anxiety disorder (SAD) and alcohol use disorders have been reported, but the predictors of this comorbidity are poorly known and most studies involve primary SAD samples. The aims were to estimate the prevalence and severity of SAD symptoms among alcohol-dependent patients and to investigate sociodemographic and clinical factors associated with SAD comorbidity, including suicidal behaviors. Methods: A cross-sectional study with 53 adults who were in treatment for alcohol dependence at a Brazilian public university outpatient service. Assessment instruments: Social Phobia Inventory (SPIN), Short Alcohol Dependence Data and Beck Depression Inventory. Bivariate analyses between the categorical outcome (Probable SAD: SPIN = 19) and explanatory variables were conducted. Correlates of SPIN total and subscales scores (dimensional outcomes) were also investigated. Results: The diagnosis and treatment of alcohol dependence occurred, on average, 30 years after the onset of alcohol use and 39.6% of the 53 patients (37 men and 16 women) reported alleviation of social anxiety symptoms with alcohol use. Twenty-four (45.3%) patients presented probable SAD. These patients differed from non-SAD alcohol-dependent individuals by having lower income and higher frequency of depression, suicidal ideation, suicide plans and attempts. The SPIN subscales mostly associated with suicidal behaviors were social inadequacy and social inferiority. Conclusions: SAD symptoms are common among help-seeking alcohol-dependent individuals and should be directly investigated and treated, since depression and suicidality are associated with this comorbidity. Prospective studies are needed to assess the impact of SAD treatment on the clinical course of alcohol dependence.Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Sao Paulo State University (Unesp) Botucatu Medical School (FMB)Unesp-FMB Department of Neurology Psychology and PsychiatrySao Paulo State University (Unesp) Botucatu Medical School (FMB)Unesp-FMB Department of Neurology Psychology and PsychiatryUniversidade Estadual Paulista (Unesp)Yoshimi, Nicoli Tamie [UNESP]Campos, Luana Moraes [UNESP]Simão, Maria Odete [UNESP]Torresan, Ricardo Cezar [UNESP]Torres, Albina Rodrigues [UNESP]2018-12-11T17:04:10Z2018-12-11T17:04:10Z2016-04-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article117-126application/pdfhttp://dx.doi.org/10.1590/0047-2085000000112Jornal Brasileiro de Psiquiatria, v. 65, n. 2, p. 117-126, 2016.1982-02080047-2085http://hdl.handle.net/11449/17321510.1590/0047-20850000001122-s2.0-849783746362-s2.0-84978374636.pdfScopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengJornal Brasileiro de Psiquiatria0,224info:eu-repo/semantics/openAccess2023-12-27T06:17:43Zoai:repositorio.unesp.br:11449/173215Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462023-12-27T06:17:43Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Sintomas de ansiedade social em alcoolistas em tratamento ambulatorial: Prevalência, gravidade e preditores Social anxiety symptoms in alcohol-dependent outpatients: Prevalence, severity and predictors |
title |
Sintomas de ansiedade social em alcoolistas em tratamento ambulatorial: Prevalência, gravidade e preditores |
spellingShingle |
Sintomas de ansiedade social em alcoolistas em tratamento ambulatorial: Prevalência, gravidade e preditores Yoshimi, Nicoli Tamie [UNESP] Alcohol dependence Alcohol use disorders Comorbidity Social anxiety disorder Social phobia |
title_short |
Sintomas de ansiedade social em alcoolistas em tratamento ambulatorial: Prevalência, gravidade e preditores |
title_full |
Sintomas de ansiedade social em alcoolistas em tratamento ambulatorial: Prevalência, gravidade e preditores |
title_fullStr |
Sintomas de ansiedade social em alcoolistas em tratamento ambulatorial: Prevalência, gravidade e preditores |
title_full_unstemmed |
Sintomas de ansiedade social em alcoolistas em tratamento ambulatorial: Prevalência, gravidade e preditores |
title_sort |
Sintomas de ansiedade social em alcoolistas em tratamento ambulatorial: Prevalência, gravidade e preditores |
author |
Yoshimi, Nicoli Tamie [UNESP] |
author_facet |
Yoshimi, Nicoli Tamie [UNESP] Campos, Luana Moraes [UNESP] Simão, Maria Odete [UNESP] Torresan, Ricardo Cezar [UNESP] Torres, Albina Rodrigues [UNESP] |
author_role |
author |
author2 |
Campos, Luana Moraes [UNESP] Simão, Maria Odete [UNESP] Torresan, Ricardo Cezar [UNESP] Torres, Albina Rodrigues [UNESP] |
author2_role |
author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (Unesp) |
dc.contributor.author.fl_str_mv |
Yoshimi, Nicoli Tamie [UNESP] Campos, Luana Moraes [UNESP] Simão, Maria Odete [UNESP] Torresan, Ricardo Cezar [UNESP] Torres, Albina Rodrigues [UNESP] |
dc.subject.por.fl_str_mv |
Alcohol dependence Alcohol use disorders Comorbidity Social anxiety disorder Social phobia |
topic |
Alcohol dependence Alcohol use disorders Comorbidity Social anxiety disorder Social phobia |
description |
Objectives: High rates of comorbidity between social anxiety disorder (SAD) and alcohol use disorders have been reported, but the predictors of this comorbidity are poorly known and most studies involve primary SAD samples. The aims were to estimate the prevalence and severity of SAD symptoms among alcohol-dependent patients and to investigate sociodemographic and clinical factors associated with SAD comorbidity, including suicidal behaviors. Methods: A cross-sectional study with 53 adults who were in treatment for alcohol dependence at a Brazilian public university outpatient service. Assessment instruments: Social Phobia Inventory (SPIN), Short Alcohol Dependence Data and Beck Depression Inventory. Bivariate analyses between the categorical outcome (Probable SAD: SPIN = 19) and explanatory variables were conducted. Correlates of SPIN total and subscales scores (dimensional outcomes) were also investigated. Results: The diagnosis and treatment of alcohol dependence occurred, on average, 30 years after the onset of alcohol use and 39.6% of the 53 patients (37 men and 16 women) reported alleviation of social anxiety symptoms with alcohol use. Twenty-four (45.3%) patients presented probable SAD. These patients differed from non-SAD alcohol-dependent individuals by having lower income and higher frequency of depression, suicidal ideation, suicide plans and attempts. The SPIN subscales mostly associated with suicidal behaviors were social inadequacy and social inferiority. Conclusions: SAD symptoms are common among help-seeking alcohol-dependent individuals and should be directly investigated and treated, since depression and suicidality are associated with this comorbidity. Prospective studies are needed to assess the impact of SAD treatment on the clinical course of alcohol dependence. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-04-01 2018-12-11T17:04:10Z 2018-12-11T17:04:10Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1590/0047-2085000000112 Jornal Brasileiro de Psiquiatria, v. 65, n. 2, p. 117-126, 2016. 1982-0208 0047-2085 http://hdl.handle.net/11449/173215 10.1590/0047-2085000000112 2-s2.0-84978374636 2-s2.0-84978374636.pdf |
url |
http://dx.doi.org/10.1590/0047-2085000000112 http://hdl.handle.net/11449/173215 |
identifier_str_mv |
Jornal Brasileiro de Psiquiatria, v. 65, n. 2, p. 117-126, 2016. 1982-0208 0047-2085 10.1590/0047-2085000000112 2-s2.0-84978374636 2-s2.0-84978374636.pdf |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Jornal Brasileiro de Psiquiatria 0,224 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
117-126 application/pdf |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
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1792962184328773632 |