Brady K T, Lydiard R B
Department of Psychiatry, Medical University of South Carolina, Charleston 29425.
Psychiatr Q. 1993 Summer;64(2):135-49. doi: 10.1007/BF01065866.
The relationship between alcoholism and anxiety disorders is complex and has been the subject of much investigation. While data from community samples as well as samples of treatment-seeking populations indicate that these disorders co-occur far more commonly than would be expected by chance, the nature of the relationship is unclear. It is clear from both prevalence as well as order of onset data that various anxiety disorders have differing associations with alcohol problems. There is much overlap in symptomatology of panic disorder, generalized anxiety disorder, and alcohol withdrawal. This observation has led to speculation about common neurochemical perturbations and a kindling phenomenon as a possible connection between these disorders. Cognitive theories have been used to connect alcohol abuse and phobic disorders. Treatment of patients with co-morbid anxiety and alcoholism is discussed.
酒精成瘾与焦虑症之间的关系错综复杂，一直是众多研究的主题。虽然来自社区样本以及寻求治疗人群样本的数据表明，这些疾病同时出现的频率远远高于偶然预期，但两者关系的本质尚不清楚。从患病率以及发病顺序数据都可以清楚地看出，各种焦虑症与酒精问题有着不同的关联。惊恐障碍、广泛性焦虑症和酒精戒断的症状学有很多重叠之处。这一观察结果引发了关于常见神经化学扰动和点燃现象作为这些疾病之间可能联系的推测。认知理论已被用于将酒精滥用与恐惧症联系起来。文中还讨论了共病焦虑症和酒精成瘾患者的治疗方法。
