Sub-clinical anxiety and the onset of alcohol use disorders: Longitudinal associations from the baltimore eca follow-up, 1981-2004

Ryan MacDonald, Rosa M. Crum, Carla L. Storr, Alyson Schuster, O. Joseph Bienvenu

Research output: Contribution to journalArticlepeer-review

Abstract

The current study examines the longitudinal relationship between anxiety disorders in general, specific phobia in particular, and subsequent-onset alcohol use disorders in an adult population-based sample. In addition, the authors explore whether the hypothesized associations vary by gender. Approximately 23 years of data from the Baltimore Epidemiological Catchment Area Follow-up (N = 587) allow for the estimation of the development of incident alcohol use disorders in later life among those with anxiety disorders at the time of the baseline interview in 1981. Although baseline specific phobias were common, neither the number of fears nor any specific fear was statistically associated with the onset of alcohol use disorders. Rather, the findings suggested a modest association between adult sub-clinical specific phobia (without substantial distress or interference) and later-onset alcohol use disorders (odds ratio = 3.2). Moreover, the authors found that this association might be stronger for women than for men.

Original languageEnglish (US)
Pages (from-to)45-53
Number of pages9
JournalJournal of Addictive Diseases
Volume30
Issue number1
DOIs
StatePublished - Jan 1 2011

Keywords

  • Anxiety
  • alcohol
  • cohort
  • specific phobia
  • sub-clinical

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Clinical Psychology
  • Psychiatry and Mental health

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