Some new directions for research on psychological interventions for comorbid anxiety and substance use disorders

Andrew J. Baillie*, Lexine Stapinski, Erica Crome, Kirsten Morley, Claudia Sannibale, Paul Haber, Maree Teesson

*Corresponding author for this work

Research output: Contribution to journalArticle (Academic Journal)peer-review

25 Citations (Scopus)

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]

Original languageEnglish
Pages (from-to)518-524
Number of pages7
JournalDrug and Alcohol Review
Volume29
Issue number5
DOIs
Publication statusPublished - Sep 2010

Keywords

  • PSYCHIATRIC-DISORDERS
  • RISK-FACTORS
  • ALCOHOL-USE DISORDERS
  • comorbidity
  • DEPENDENT PATIENTS
  • PANIC DISORDER
  • COGNITIVE-BEHAVIORAL THERAPY
  • substance use disorder
  • RANDOMIZED CONTROLLED-TRIAL
  • TREATMENT OUTCOMES
  • SOCIAL ANXIETY
  • anxiety disorder
  • PTSD

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