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The prevalence and clinical implications of self-medication among individuals with anxiety disorders.

Abstract：

:Alcohol dependence (AD) is more likely to occur among individuals with rather than without an anxiety disorder. Self-medication theory (SMT) holds that drinking behavior is negatively reinforced when alcohol temporarily reduces anxiety and that the resulting escalation of drinking increases the risk for AD. We set out to empirically scrutinize SMT using the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) dataset. We found that only a minority (about 20%) of anxiety disordered individuals endorsed drinking to control anxiety symptoms. This minority drank more alcohol, had a higher cross-sectional rate of AD, and was at higher risk for developing new AD over four years compared to anxiety disordered non-self-medicators and individuals with no anxiety disorder. Consistent with SMT, increased prospective risk for AD among self-medicators is partially mediated by an increased level of alcohol use. Understanding the processes that promote and inhibit self-medication should be a priority for anxiety disorder researchers.

journal_name

J Anxiety Disord

journal_title

Journal of anxiety disorders

authors

Menary KR,Kushner MG,Maurer E,Thuras P

doi

10.1016/j.janxdis.2010.10.006

subject

Has Abstract

pub_date

2011-04-01 00:00:00

pages

335-9

issue

3

eissn

0887-6185

issn

1873-7897

pii

S0887-6185(10)00211-2

journal_volume

25

pub_type

杂志文章

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