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Randomized Controlled Trial
. 2015 Mar:30:88-93.
doi: 10.1016/j.janxdis.2014.12.011. Epub 2015 Jan 8.

The impact of alcohol use severity on anxiety treatment outcomes in a large effectiveness trial in primary care

Kate Wolitzky-Taylor  1 , Lily A Brown  2 , Peter Roy-Byrne  3 , Cathy Sherbourne  4 , Murray B Stein  5 , Greer Sullivan  6 , Alexander Bystritsky  7 , Michelle G Craske  8
Affiliations
Randomized Controlled Trial

The impact of alcohol use severity on anxiety treatment outcomes in a large effectiveness trial in primary care

Kate Wolitzky-Taylor et al. J Anxiety Disord. 2015 Mar.

Abstract

Objective: The presence of anxiety disorders is associated with poorer alcohol use disorder treatment outcomes, but little is known about the impact of alcohol use problems on anxiety disorder treatment outcomes despite their high comorbidity. The current study examined the impact of alcohol use symptom severity on anxiety disorder treatment outcomes in a multi-site primary care effectiveness study of anxiety disorder treatment.

Method: Data came from the Coordinated Anxiety Learning and Management (CALM) effectiveness trial. Participants (N=1004) were randomized to an evidence-based anxiety intervention (including cognitive behavioral therapy and medications) or usual care in primary care. Participants completed measures of alcohol use, anxiety, and depression at baseline, 6-, 12-, and 18-month follow-up periods. Patients with alcohol dependence were excluded.

Results: There were no significant moderating (Treatment Group × Alcohol Use Severity) interactions. The majority of analyses revealed no predictive effects of alcohol use severity on outcome; however, alcohol problems at baseline were associated with somewhat higher anxiety and depression symptoms at the 18-month follow-up.

Conclusions: These data indicate that patients with alcohol problems in primary care can be effectively treated for anxiety disorders. Baseline alcohol problems were associated with some poorer long-term outcomes, but this was evident across CALM and usual care. These findings provide preliminary evidence that there may be no need to postpone treatment of anxiety disorders until alcohol problems are addressed, at least among those who have mild to moderate alcohol problems. Replication with more severe alcohol use disorders is needed.

Keywords: Alcohol use; Anxiety disorders; Predictors of treatment outcome.

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Figures

Figure 1
Figure 1
Frequency of AUDIT Scores by Risk Zone in the CALM Sample Note: Zone categories were not used to classify patients in any of the statistical analyses, but are presented in order to provide a meaningful descriptive summary of the level of alcohol severity seen in this primary care sample.
See this image and copyright information in PMC

References

    1. Fals-Stewart W, Angarano K. Obsessive-Compulsive Disorder Among Patients Entering Substance Abuse Treatment: Prevalence and Accuracy of Diagnosis. Journal of Nervous & Mental Disease. 1994;182:715–9. - PubMed
    1. Brown PJ, Stout RL, Mueller T. Substance use disorder and posttraumatic stress disorder comorbidity: Addiction and psychiatric treatment rates. Psychology of Addictive Behaviors. 1999;13:115–22.
    1. Bakken K, Landheim AS, Vaglum P. Substance-dependent patients with and without social anxiety disorder: Occurrence and clinical differences: A study of a consecutive sample of alcohol-dependent and poly-substance-dependent patients treated in two counties in Norway. Drug and Alcohol Dependence. 2005;80:321–8. - PubMed
    1. McGovern MP, Xie H, Segal SR, Siembab L, Drake RE. Addiction treatment services and co-occurring disorders: Prevalence estimates, treatment practices, and barriers. Journal of Substance Abuse Treatment. 2006;31:267–75. - PubMed
    1. Bakken K, Landheim AS, Vaglum P. Axis I and II disorders as long-term predictors of mental distress: a six-year prospective follow-up of substance-dependent patients. BMC Psychiatry. 2007:7. - PMC - PubMed

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