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Alcohol Dependence and Phobic Anxiety States I. a Prevalence Study

Published online by Cambridge University Press:  29 January 2018

Penelope Smail
Affiliation:
Northwick Park Hospital, Harrow, Middlesex
Tim Stockwell*
Affiliation:
Addiction Research Unit, Institute of Psychiatry, 101 Denmark Hill, London SE5 8AF
Sandra Canter
Affiliation:
Department of Psychology, University of Surrey, Guildford
Ray Hodgson
Affiliation:
Top Grade Psychologist, Whitchurch Hospital, Cardiff
*
Correspondence

Summary

Sixty alcoholics (40 males) were assessed for agoraphobia and social phobia, and over half the sample were rated as having either or both these disorders when last drinking. Twenty one subjects had mild phobias and eleven had severe phobias. The more severely phobic males were also found to be the most alcohol dependent and those with no phobias were least alcohol dependent but this effect was not found among the females. All phobic alcoholics reported that alcohol had helped them to cope in feared situations, and almost all had deliberately used it for this purpose.

A small sample of out-patients referred for phobias alone were also asked about their use of alcohol. The majority had found it helpful in coping with fears, although more men than women had deliberately used it for this purpose.

Type
Research Article
Copyright
Copyright © 1984 The Royal College of Psychiatrists 

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References

Cappell, H. & Herman, C. P. (1972) Alcohol and tension reduction: A review. Quarterly Journal of Studies on Alcohol, 33, 3364.CrossRefGoogle ScholarPubMed
Cohen, J. A. (1960) A coefficient of agreement for nominal scales. Educational and Psychological Measurement, 20, 3746.CrossRefGoogle Scholar
Edwards, G. & Gross, M. M. (1976) Alcohol dependence, provisional description of a clinical syndrome. British Medical Journal, i, 1058–61.Google Scholar
Hodgson, R. & Rachman, S. (1974) Desynchrony in measures of fear. Behaviour Research and Therapy, 12, 319–27.CrossRefGoogle ScholarPubMed
Hodgson, R., Stockwell, T. & Rankin, H. (1979) Can alcohol reduce tension? Behaviour Research and Therapy, 17, 459–66.Google ScholarPubMed
Marks, I. M., Birley, L. T. & Gelder, M. G. (1966) Modified leucotomy in severe agoraphobia: A controlled social inquiry. British Journal of Psychiatry, 112, 757–69.CrossRefGoogle Scholar
Marks, I. M. & Mathews, A. M. (1979) Brief standard self-rating for phobic patients. Behaviour Research and Therapy, 17, 263–7.CrossRefGoogle ScholarPubMed
Mullaney, J. A. & Trippett, C. J. (1979) Alcohol dependence and phobias, clinical description and relevance. British Journal of Psychiatry, 135, 565–73.CrossRefGoogle ScholarPubMed
Quitkin, F. M., Rifkin, A., Kaplan, J. & Klein, D. F. (1972) Phobic anxiety syndrome complicated by drug dependence and addiction. Archives of General Psychiatry, 27, 159–62.CrossRefGoogle ScholarPubMed
Special Committee of the Royal College of Psychiatrists (1979) Alcohol and Alcoholism. London: Tavistock Publications.Google Scholar
Stockwell, T., Hodgson, R., Edwards, G., Taylor, T. & Rankin, H. (1979) The development of a questionnaire to measure severity of alcohol dependence. British Journal of Addiction, 74, 7987.Google ScholarPubMed
Stockwell, T., Hodgson, R. & Rankin, H. (1982) Tension reduction and the effects of prolonged alcohol consumption. British Journal of Addiction, 77, 6573.CrossRefGoogle ScholarPubMed
Stockwell, T., Murphy, D. & Hodgson, R. (1983) The severity of alcohol dependence questionnaire: Its use, reliability and validity. British Journal of Addiction, 78, 2.CrossRefGoogle ScholarPubMed
Watson, J. & Marks, I. M. (1971) Relevant and irrelevant fears in flooding. Behaviour Therapy, 2, 275–93.CrossRefGoogle Scholar
Westphal, C. (1871/72) Die agoraphobie: Eine neuropathische Erscheinung. Archives Psychiatrie und Nervenkrankheit, 3, 138–71, 219–21.Google Scholar
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