Some new directions for research on psychological interventions for comorbid anxiety and substance use disorders
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Abstract Issues. Comorbidity between anxiety and substance use disorders is common, yet it is poorly understood and poorly treated. Approach. Narrative literature review. PsycINFO and Medline databases were searched for clinical trials of anxiety and substance use disorders using clinical queries for 2005–2009. Key Findings. There are few well‐conducted treatment outcome trials for comorbid anxiety and substance use disorders. Some recent (2005–2009) outcome literature has focused on specific mechanisms (anxiety sensitivity and tension reduction alcohol expectancies) that may underlie comorbidity between anxiety and substance use disorders and may lead to more targeted intervention. Implications and Conclusion: The research base for understanding and treating comorbid anxiety and substance use disorders needs to be broadened. In particular research is needed with a focus on: (i) specifying particular comorbid relationships between anxiety and substance use disorders; (ii) the mechanisms that may underlie and maintain those relationships; and (iii) well‐conducted evaluations of treatments that target those mechanisms.[Baillie AJ, Stapinski L, Crome E, Morley K, Sannibale C, Haber P, Teesson M. Some new directions for research on psychological interventions for comorbid anxiety and substance use disorders. Drug Alcohol Rev 2010;29;518–524]
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Given the feed-forward cycle between alcohol use and anxiety, it is possible that combining these programs will have multiplicative effects on treatment outcomes.
“Given the feed-forward cycle between alcohol use and anxiety, whereby each disorder fuels and impedes recovery from the other (Baillie et al., 2010; Stewart and Conrod, 2008), it is possible that combining these programs will have multiplicative effects on treatment outcomes.”
From Acceptability and Co-Development of an Online Cognitive Bias Modification Intervention for Emerging Adults With Hazardous Alcohol Use and Social Anxiety: A Mixed Methods Study (2020) · cites this paper as Baillie et al., 2010
The Conclusions and suggestions for future research (page not available) say that relationships between some comorbid disorders appear at least partially reciprocal, supporting the idea of a possible cycle. The Prediction of outcome in clinical samples section says comorbid anxiety predicts worse alcohol-treatment outcomes in some studies but not others; it does not establish that each disorder impedes recovery from the other. The proposed multiplicative effect follows the citation and is the citing authors’ speculation, not a finding attributed to this source. (LLM, conf=0.84)
Experimental — accuracy not yet measuredWhen alcohol use and anxiety disorders co-occur, ongoing interactions between the disorders may maintain or exacerbate each other in a vicious perpetuating cycle.
“When alcohol use and anxiety disorders co-occur, there are ongoing interactions between the disorders that may maintain or exacerbate each other in a vicious perpetuating cycle (Baillie et al., 2010; Stewart and Conrod, 2008).”
From Acceptability and Co-Development of an Online Cognitive Bias Modification Intervention for Emerging Adults With Hazardous Alcohol Use and Social Anxiety: A Mixed Methods Study (2020) · cites this paper as Baillie et al., 2010
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Cited by
Sorted by citations
Stapinski, L. A., Sannibale, C., Subotic, M., Rapee, R. M., Teesson, M., Haber, P. S., & Baillie, A. J. (2021) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/0004867420952539 · Cited by 22 · see citing works
Self-citationPrior, K., Salemink, E., Wiers, R. W., Teachman, B. A., Piggott, M., Newton, N. C., Teesson, M., Baillie, A. J., Campbell, S., & Stapinski, L. A. (2020) · Alcoholism: Clinical and Experimental Research · doi:10.1111/acer.14452 · Cited by 18 · see citing works
Self-citationWorden, B. L., Genova, M., & Tolin, D. F. (2017) · Journal of Psychoactive Drugs · doi:10.1080/02791072.2017.1329570 · Cited by 6 · see citing works
- Authors
- BAILLIE, A. J., STAPINSKI, L., CROME, E., MORLEY, K., SANNIBALE, C., HABER, P., & TEESSON, M.
- Affiliations
- Macquarie University (AU)
- The University of Sydney (AU)
- Royal Prince Alfred Hospital (AU)
- UNSW Sydney (AU)
- Corresponding author
- BAILLIE, ANDREW J.
- Venue
- Drug and Alcohol Review
- Publisher
- Wiley
- Published
- 2010-09
- Volume
- 29
- Issue
- 5
- Pages
- 518-524
- ISSN
- 0959-5236 (ISSN-L)
- 1465-3362
- OpenAlex
- W2097945280
- Cited by
- 33
- References
- 12
- Citations by year
- 2024: 2 · 2023: 1 · 2022: 1 · 2021: 3 · 2020: 6 · 2019: 1 · 2017: 2 · 2016: 3 · 2014: 5 · 2013: 1 · 2012: 6
- FWCI
- 0.33
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Drug and Alcohol Review (publishedVersion)
- PubMed (publishedVersion)
- Explore Bristol Research (submittedVersion)
- Funders
- Macquarie University
- Medical Research Council
- National Health and Medical Research Council
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- anxiety disorders, substance use disorders, comorbidities, psychological intervention, anxiety sensitivity, tension reduction, alcohol expectancies
- MeSH terms
- Anxiety Disorders, Clinical Trials as Topic, Humans, Psychotherapy, Research Design, Treatment Outcome, Diagnosis, Dual (Psychiatry), Substance-Related Disorders
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