Brown S A, Irwin M, Schuckit M A
Psychology Service, San Diego Veterans Affairs Medical Center, Calif. 92161.
J Stud Alcohol. 1991 Jan;52(1):55-61. doi: 10.15288/jsa.1991.52.55.
Symptoms of anxiety are prevalent features of alcoholics seeking treatment. In the present study levels of state anxiety among male primary alcoholics (with no preexisting major psychiatric disorders) were examined 3 times per week during inpatient treatment for alcoholism and again at 3 months following treatment. The 171 male alcoholics also completed the trait scale of the State Trait Anxiety Inventory upon admission to an inpatient program and at 3 months following treatment. Results indicate that recently detoxified males experience multiple anxiety symptoms, with 40% reporting significantly elevated levels of state anxiety at admission (greater than or equal to 75th percentile). By the second week of treatment state anxiety scores typically returned to the normal range although symptoms continued to decrease significantly with each week of continued abstinence. Elevated levels of anxiety symptoms were more common among primary alcoholics with a history of panic episodes or generalized anxiety disorder symptoms. While abstainers and relapsers did not differ in level of anxiety observed during treatment, the relapsers report significantly higher state and trait anxiety scores at follow-up.
焦虑症状是寻求治疗的酗酒者的普遍特征。在本研究中，对男性原发性酗酒者（无既往重大精神疾病）在酒精中毒住院治疗期间每周检查3次状态焦虑水平，并在治疗后3个月再次检查。这171名男性酗酒者在进入住院项目时和治疗后3个月还完成了状态-特质焦虑量表的特质量表。结果表明，近期戒毒的男性会出现多种焦虑症状，40%的人在入院时报告状态焦虑水平显著升高（大于或等于第75百分位数）。到治疗的第二周，状态焦虑评分通常会恢复到正常范围，尽管随着持续戒酒的每一周症状仍在显著减轻。有惊恐发作或广泛性焦虑症症状史的原发性酗酒者中，焦虑症状水平升高更为常见。虽然戒酒者和复饮者在治疗期间观察到的焦虑水平没有差异，但复饮者在随访时报告的状态和特质焦虑评分显著更高。
