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Alcohol, Other Drugs and Tobacco use and Anxiolytic Effectiveness

A Comparison of Anxious Patients and Psychiatric Nurses

Published online by Cambridge University Press:  02 January 2018

S. Tilley*
Affiliation:
Crichton Royal Hospital, Dumfries
*
Nursing Research Unit, University of Edinburgh, 12 Buccleuch Place, Edinburgh EH8 9JT, Scotland

Extract

Recent studies raise questions regarding use or abuse of alcohol by phobics, and about compatibility of behaviour therapy and benzodiazepine use. In this study 40 patients, referred with mainly anxiety-related problems to a nurse behaviour therapist, and a comparison group of 40 psychiatric nurses completed a self-administered questionnaire assessing use of alcohol, sedative drugs and tobacco, and their perceived anxiolytic effectiveness. The paper confirms earlier findings that the patients, in general, drank less than the general public. They also drank less than the nurses, but used more sedative drugs and were heavier smokers. Alcohol was an unreliable anxiolytic. A few patients, including two agoraphobics, drank heavily and did not enter treatment made conditional on stopping drinking. Implications for case management are discussed.

Type
Papers
Copyright
Copyright © Royal College of Psychiatrists, 1987 

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References

Ashton, H. (1984) Benzodiazepine withdrawal: an unfinished story. British Medical Journal, 288, 11351140.Google Scholar
Bernhardt, M. W. & Mumford, J., Murray, R. M. (1984) Can accurate drinking history be obtained from psychiatric patients by a nurse conducting screening interviews. British Journal of Addiction, 79, 201206.CrossRefGoogle Scholar
Bibb, J. L., Chambless, D. L. (1986) Alcohol use and abuse among diagnosed agoraphobics. Behaviour Research and Therapy, 24, 4958.Google Scholar
Bowen, R. C., Cipywnyk, D., D'arcy, C. & Keegan, D. (1984) Alcoholism, anxiety disorders and agoraphobia. Alcoholism: Clinical and Experimental Research, 8, 4850.Google Scholar
Cappell, H. & Herman, C. P. (1972) Alcohol and tension reduction: a review. Quarterly Journal of Studies on Alcohol, 33, 3364.Google Scholar
Chambless, D. L., Foa, E. B., Groves, G. A. & Goldstein, A. J. (1979) Brevital in flooding with agoraphobics. Behaviour Research and Therapy, 17, 243251.CrossRefGoogle Scholar
Dight, S. (1976) Scottish Drinking Habits. London: Hmso. Afner, J. & Marks, L. M. (1976) Exposure in vivo of agoraphobics: The contribution of diazepam, group exposure and anxiety evocation. Psychological Medicine, 6, 7188.Google Scholar
Health Education Council (1983) That's the Limit. London: Collier Searle.Google Scholar
Hodgson, R. J., Stockwell, T. R. & Rankin, H. J. (1979) Can alcohol reduce tension? Behaviour Research and Therapy, 17, 459466.CrossRefGoogle ScholarPubMed
Klein, D. F. (1980) Anxiety reconceptualised. Comprehensive Psychiatry, 2, 411427.Google Scholar
Marks, I. M., Birley, J. L. T. & Gelder, M. G. (1966) Modified leucotomy in severe agoraphobia: a controlled serial inquiry. British Journal of Psychiatry, 112, 757769.Google Scholar
Miller, E. (1986) Benzodiazepines and the behaviour therapist: managing withdrawal and the problems of concurrent treatment with these drugs. Behavioural Psychotherapy, 14, 112.Google Scholar
Mullaney, J. A. & Trippett, C. J. (1979) Alcohol dependence and phobias: clinical description and relevance. British Journal of Psychiatry, 135, 565573.CrossRefGoogle ScholarPubMed
Petersson, H. & Lader, M. H. (1981) Benzodiazepine Dependence. British Journal of Addiction, 76, 133145.Google Scholar
Quitkin, F. M., RIFKIN, A., KAPLAN, J. & KLEIN, D. F. (1972) Phobic anxiety syndrome complicated by drug dependence and addiction. Archives of General Psychiatry, 27, 159162.CrossRefGoogle ScholarPubMed
Ritzler, B. A., Strauss, J. S., Vanord, A. & Kokes, R. F. (1977) Prognostic implications of various drinking patterns in psychiatric patients. American Journal of Psychiatry, 134, 546549.Google Scholar
Samarasinghe, D., Tilley, S. & Marks, I. M. (1984) Alcohol and sedative drug use in neurotic out-patients. British Journal of Psychiatry, 145, 4548.Google Scholar
Sartory, G. (1983) Benzodiazepines and behavioural treatment of phobic anxiety. Behavioural Psychotherapy, 11, 204217.Google Scholar
Sim, M. & Houghton, H. (1966) Phobic anxiety and its treatment. Journal of Nervous and Mental Diseases, 143, 484491.CrossRefGoogle ScholarPubMed
Smail, P., Stockwell, T., Canter, S. & Hodgson, R. (1984) Alcohol dependence and phobic anxiety state I: a prevalence study. British Journal of Psychiatry, 144, 5357.CrossRefGoogle Scholar
Sobell, L. C. & Sobell, M. B. (1975) Out-patient alcoholics give valid self reports. Journal of Nervous and Mental Diseases, 36, 15081536.Google Scholar
Stockwell, T., Smail, P., Hodgson, R. & Canter, S. (1984) Alcohol dependence and phobic anxiety states II: a retrospective study. British Journal of Psychiatry, 144, 5863.Google Scholar
Terhune, W. B. (1949) The phobic syndrome: a study of 86 patients with phobic reactions. Archives of Neurology and Psychiatry, 62, 162172.Google Scholar
Thyer, B. A. & Curtis, G. C. (1984) The effects of ethanol intoxication on phobic anxiety. Behaviour Research and Therapy, 22, 599610.Google Scholar
Woodruff, R. A., Guze, S. B. & Clayton, P. J. (1972) Anxiety neurosis among psychiatric outpatients. Comprehensive Psychiatry, 13, 165170.Google Scholar
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