Research exam- What is the relationship between anxiety disorders and substance dependence? Treatment implications? Flashcards
Goodwin & Stein (2013) main topics (2)
Anxiety disorders and drug dependence; Evidence on adults
The research of Goodwin & Stein suggest that there are strong __________ associations between _______ ________ ________ and _________ _________ among adults in the community
lifelong; specific anxiety disorder; substance dependence
Goodwin & Stein research shows that anxiety disorders such as _________ _________ typically precede ________ _______
panic disorder; substance abuse
Lifelong substance dependence is often a result of a history of these 3 disorders..
Social phobia, PTSD, or GAD
Goodwin & Stein proposes there are links between anxiety disorders early in life; These are associated with the __________ ______ of ________ ____
subsequent onset; substance use
Lopez, Turner, & Saavedra (2005) main topics (2)
Anxiety, Risk for substance dependence among late adolescents and young adults
Some research shows that ______ puts adolescents at a greater risk for _______ ___ _______
anxiety; substance use disorders
3 theories or views on relationship between anxiety disorders and substance use: Name the 3?
Self-medication hypothesis, Causality, and genetic predisposition
Self-medication hypothesis
Individuals sometimes consume alcohol and/or drugs to alleviate their anxiety symptoms
Causality
substance use may promote the onset of anxiety symptoms as a “bio-psychosocial consequence of chronic substance use
Genetic predisposition
Might not be influence by either of the two first hypotheses; Rather, they might both be influenced by another variable such as genetic predisposition
Smith & Book (2010) main topics (1)
Comorbidity of GAD and AUD–> Individuals seeking outpatient treatment
The Comorbid participants in this study from Smith & Book were more likely to have additional DSM-IV diagnoses, such as these 4..
panic disorder with agoraphobia, sedative hypnotic dependence, stimulant dependence, and opioid dependence
This was indicative of a significant likelihood to have comorbid GAD…..
Alcohol use disorder (AUD)
Neighbors, Kempton, & Forehand (1992) main topic (1)
Study with juvenile deliquents
This study resulted that with substance abuse, there was an increased amount of both ______ and ________
anxiety and depression
This study found that _______ _____ is related to internalizing problems, as it serves as a form of _______ _____________ to reduce anxiety and depressive symptoms
Substance and/or alcohol abuse; self-medication
Data from this study suggests that _______ ________ such as anxiety and depression are an antecedent to _______ _____
internalizing disorders; substance abuse
Kaufmann et al. (2014) main topic (1)
Medication Assisted treatment (MAT)
Kaufmann et al. supports that ____ is important when treating patients with anxiety that abuse substances
Medication Assisted treatment (MAT)
People with comorbid disorders were ____ likely to have ________ barriers to treatment as opposed to their counterparts
more likely; financial
Smith & Book (2008) main topics (2)
Medications for treatment and CBT
Research shows that for this dual diagnosis, a combination of _____________ and ______________ are effective as primary treatment approaches
Pharmacotherapy and psychotherapy
Medications for treatment of anxiety and substance use disorders/ abuse
Paxil, Zoloft, and Topamax
