Hostname: page-component-586b7cd67f-gb8f7 Total loading time: 0 Render date: 2024-11-25T19:02:52.220Z Has data issue: false hasContentIssue false

Alcohol Dependence and Phobic Anxiety States II. a Retrospective Study

Published online by Cambridge University Press:  29 January 2018

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

Summary

Twenty-four hospitalised problem drinkers who were currently suffering from a phobic anxiety state served as subjects for this study. Each was given a detailed retrospective interview concerned with the development over time of both their alcohol dependence and phobic problems. The test-retest and inter-rater reliabilities of the data collected were found to be high. In accordance with previous experimental work, periods of heavy drinking and dependence upon alcohol were associated with an exacerbation of agoraphobia and social phobias. Subsequent periods of abstinence were associated with substantial improvements in these phobic anxiety states. It is suggested that both learning and psychobiological processes underly these observed relationships and that the implications of this finding for treatment of both disorders should be explored.

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

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Acker, W. (1982) Objective psychological changes in detoxified chronic alcoholics, British Medical Bulletin, 38, No. 1.Google Scholar
Alterman, A. I., Gottheil, E. & Crawford, H. D. (1975) Mood Changes in an alcoholism treatment programme based on drinking decisions. American Journal of Psychiatry, 132, 1032–7.Google Scholar
Butterworth, A. T. (1971) Depression associated with alcohol withdrawal. Quarterly Journal of Studies on Alcohol, 32, 343.Google Scholar
Curlee, J. (1972) Depression and Alcoholism. Bulletin Menninger Clinic, 36, 451–5.Google ScholarPubMed
Edwards, G. & Gross, M. M. (1976) Alcohol Dependence: Provisional description of a clinical syndrome. British Medical Journal, i, 1058–61.Google Scholar
Freed, E. X. (1978) Alcohol and mood: An updated review. International Journal of the Addictions, 13, 173200.CrossRefGoogle ScholarPubMed
Goldstein, A. J. & Chambless, D. L. (1978) A reanalysis of agoraphobia, Behaviour Therapy, 9, 4759.CrossRefGoogle Scholar
Gross, M. M. (1977) Psychobiological contribution to the alcohol dependence syndrome: A selective review of recent research. In: Alcohol Related Disabilities (eds. Edwards, G., Gross, M. M., Keller, M., Moser, J. and Room, R.). Geneva: World Health Organization.Google Scholar
Guilford, J. P. (1965) Fundamental Statistics in Psychology and Education. New York: McGraw-Hill.Google Scholar
Hallam, R. S. (1978) Agoraphobia: a critical review of the concept. British Journal of Psychiatry, 133, 314.CrossRefGoogle ScholarPubMed
Hedberg, A. G. & Campbell, L. M. (1974) A comparison of four behavioural treatment approaches to alcoholism, Journal of Behaviour Therapy and Experimental Psychiatry, 5, 251–6.CrossRefGoogle Scholar
Hodgson, R., Stockwell, T., Edwards, G. & Rankin, H. (1978) Alcohol dependence: the concept, its utility and measurement. British Journal of Addiction, 73, 339–42.Google Scholar
Hodgson, R., Stockwell, T. & Rankin, H. (1979) Can alcohol reduce tension? Behaviour Research and Therapy, 14, 305–7.Google Scholar
Jellinek, E. M. (1946) Phases in the drinking history of alcoholics: analysis of a survey conducted by the official organ of Alcoholics Anonymous. Quarterly Journal of Studies in Alcohol, 7, 188.Google Scholar
Marks, I. (1969) Fears and Phobias. London: Heinemann.Google Scholar
Marks, I. & Mathews, A. M. (1979) (as in Paper I) Google Scholar
Meichenbaum, D. (1976) Cognitive Behaviour Modification. In Behavioural Approaches to Therapy, (eds. Spence, J. T., Carson, R. C. and Thibaut, J. W.). New Jersey: General Learning Press.Google Scholar
Mendelson, J. H. & Mello, N. K. (1979) One unanswered question about alcoholism. British Journal of Addiction, 74, 1114.Google Scholar
Mullaney, J. A. & Trippett, C. J. (1979) Alcohol dependence and phobias clinical description and relevance. British Journal of Psychiatry, 135, 656–73.CrossRefGoogle ScholarPubMed
Nathan, P. E., Titler, N. A., Lowenstein, L. M., Solomon, P. & Rossi, A. M. (1970) Behavioural analysis of chronic alcoholism; interaction of alcohol and human contact. Archives of General Psychiatry, 22, 419–30.CrossRefGoogle ScholarPubMed
Nathan, P. E. & O'Brien, J. S. (1971) An experimental analysis of the behaviour of alcoholics and non-alcoholics during prolonged experimental drinking: A necessary precursor of behaviour therapy. Behaviour Therapy, 2, 455–76.Google Scholar
National Council on Alcoholism, Criteria Committee (1972) Criteria for the diagnosis of alcoholism, American Journal of Psychiatry, 129, 127–35.Google Scholar
Petursson, H. & Lader, M. H. (1981) Benzodiazepine dependence, British Journal of Addiction, 76, 2, 133–46.CrossRefGoogle ScholarPubMed
Royal College of Psychiatrists (1979) Alcohol and Alcoholism: The Report of a Special Committee of the Royal College of Psychiatrists: Chairman G. Edwards. London: Tavistock.Google Scholar
Smail, P., Stockwell, T., Canter, S. & Hodgson, R. (1984) Alcohol dependence and phobic states. I. A prevalence study. British Journal of Psychiatry, 144, 5357.CrossRefGoogle Scholar
Solomon, R. L. (1977) The affective dynamics of drug addiction. In Psychopathology: Experimental Models. (eds. Maser, J. D. and Seligman, M. E.). San Francisco: Freeman.Google Scholar
Stockwell, T. R., Hodgson, R. J., Edwards, G., Taylor, C. & Rankin, H. J. (1979) The development of a questionnaire to measure severity of alcohol dependence. British Journal of Addiction, 74, 7987.Google Scholar
Stockwell, T. R., Hodgson, R. J. & Rankin, H. (1982) Tension Reduction and the Effects of Prolonged Alcohol Consumption. British Journal of Addiction, 77, 6573.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.