Social anxiety disorder in 300 patients hospitalized for alcoholism in Brazil: high prevalence and undertreatment
| Autor: | Marcelo de Souza Gonçalves, Mauro Barbosa Terra, Helena Maria Tannhauser Barros, Luciana Dias Athayde, Lucas Spanemberg, Ledo Daruy Filho, Dartiu Xavier da Silveira, Ivan Figueira, Marianne de Aguiar Possa, Miguel Roberto Jorge, Luiz Henrique Palermo, Airton Tetelbom Stein |
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| Jazyk: | angličtina |
| Rok vydání: | 2006 |
| Předmět: |
Adult
Male medicine.medical_specialty Generalized anxiety disorder Quality Assurance Health Care genetic structures lcsh:RC435-571 Liebowitz social anxiety scale Comorbidity behavioral disciplines and activities Specific phobia lcsh:Psychiatry mental disorders medicine Humans Psychiatry Health Services Needs and Demand Social anxiety Alcohol dependence Social environment Middle Aged medicine.disease Anxiety Disorders humanities Hospitalization Alcoholism Psychiatry and Mental health Clinical Psychology Cross-Sectional Studies Treatment Outcome Phobic Disorders Anxiety Female medicine.symptom Psychology Brazil Anxiety disorder Clinical psychology |
| Zdroj: | Comprehensive Psychiatry, Vol 47, Iss 6, Pp 463-467 (2006) |
| Popis: | Background: Although the frequency of social phobia is high among alcoholic patients, this anxiety disorder is often neglected because treatment tends to be focused exclusively on alcohol dependence. Methods: A total of 300 hospitalized alcoholic patients were interviewed using Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, and Liebowitz Social Anxiety Scale as well a questionnaire to check the use of medication for social phobia among alcoholics and the relationship between social phobia and alcohol use. Results: A prevalence of 30.6% was found for specific phobia, 24.7% for social phobia, 22.2% for anxiety disorder induced by alcohol, 19.3% for generalized anxiety disorder, 5% for obsessive-compulsive disorder, 4.6% for posttraumatic stress disorder, and 2% for panic disorder with agoraphobia. Social phobia preceded alcohol dependence in 90.2% of the patients. The frequency of the use of medication for social phobia among social phobic alcoholics was 20.3%. Conclusions: The study confirms the high prevalence of anxiety disorders among alcoholics, particularly of social phobia. It also suggests that social phobia precedes alcohol dependence but shows that the use of medication for social phobia is still infrequent. Further studies are required to check if the failure to identify this comorbidity can make the recovery of alcoholics even more difficult. |
| Databáze: | OpenAIRE |
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