Impact of alcohol intoxication and withdrawal syndrome on social phobia and panic disorder in alcoholic inpatients

Revista do Hospital das Clínicas
Mauro Barbosa TerraHelena Maria Tannhauser Barros

Abstract

To investigate the impact of alcohol intoxication and withdrawal on the course of social phobia and panic disorder. A group of 41 alcoholic inpatients undergoing detoxification therapy were interviewed using the SCID-I (DSM-IV) and questions to detect fluctuations in the course of social phobia and panic disorder as a function of the different phases in alcohol dependence (intoxication, withdrawal, and lucid interval). Only 1 (2.4%) patient presented panic disorder throughout life, and 9 (21.9%) had panic attacks during alcohol intoxication or during the withdrawal syndrome. Sixteen (39%) alcoholic patients showed social phobia with onset prior to drug use. However, drinking eventually became unable to alleviate social phobia symptoms or worsened such symptoms in 31.2% of social-phobic patients. While patients with social phobia reported a significant improvement in psychiatric symptoms during alcohol intoxication, patients experiencing panic attacks worsened significantly during intoxication. In the withdrawal phase, patients with social phobia tended to have more and more intense phobic symptoms. Our findings indicate that the impact of alcohol intoxication is different for social phobia as compared to panic disorder, at firs...Continue Reading

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Citations

Nov 7, 2006·Journal of Substance Abuse Treatment·Mauro Barbosa TerraDartiu Xavier da Silveira
Jan 10, 2008·Neuropsychobiology·Paolo OlgiatiAlessandro Serretti
Apr 3, 2007·European Archives of Psychiatry and Clinical Neuroscience·Mauro Barbosa TerraDartiu Xavier da Silveira

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