Lépine J P, Pélissolo A
Hôpital Fernand Widal, Paris, France.
J Affect Disord. 1998 Sep;50 Suppl 1:S23-8. doi: 10.1016/s0165-0327(98)00089-5.
The relationship between social phobia and alcoholism is complex. Alcohol problems typically develop secondary to social phobia, with patients reporting that they find alcohol helpful in coping with the symptoms of anxiety. However, excessive alcohol consumption may actually precipitate anxiety symptoms, and thus a vicious circle of anxiety and alcoholism is established. The clinician must consider the possibility of comorbidity in patients presenting with either alcoholism or social phobia. Only when both components of the condition are adequately assessed and treated can the cycle of social phobia and alcohol abuse be broken.
社交恐惧症与酒精成瘾之间的关系很复杂。酒精问题通常继发于社交恐惧症，患者表示他们发现酒精有助于应对焦虑症状。然而，过量饮酒实际上可能会引发焦虑症状，从而形成焦虑与酒精成瘾的恶性循环。临床医生必须考虑同时患有酒精成瘾或社交恐惧症的患者存在共病的可能性。只有当病情的两个方面都得到充分评估和治疗时，社交恐惧症和酒精滥用的循环才能被打破。
