Increased severity of alcohol withdrawal in in-patient alcoholics with a co-existing anxiety diagnosis

Br J Addict. 1991 Jun;86(6):719-25. doi: 10.1111/j.1360-0443.1991.tb03098.x.

Abstract

The purpose of this study was to determine whether alcoholics with a co-existing anxiety disorder (dual-diagnosed group) experienced different withdrawal symptomatology from alcoholics without an anxiety disorder (alcohol-only group). Symptoms of alcohol withdrawal were measured on admission to an in-patient treatment program and throughout treatment (days 0, 2, 7, 14 and 21) using the revised Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar) scale. The dual-diagnosed group exhibited more severe alcohol withdrawal, as indicated by higher total CIWA-Ar scores, at all time points than the alcohol-only group. The possibility that anxiety disorders and alcohol withdrawal share a common neurochemical basis and that the CIWA-Ar scale may be useful as a screening instrument for anxiety disorders in alcoholics is discussed.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Alcohol Withdrawal Delirium / diagnosis*
  • Alcohol Withdrawal Delirium / psychology
  • Alcoholism / complications
  • Alcoholism / psychology
  • Alcoholism / rehabilitation*
  • Anxiety Disorders / complications
  • Anxiety Disorders / psychology
  • Anxiety Disorders / rehabilitation*
  • Hospitalization*
  • Humans
  • Male
  • Middle Aged
  • Neuropsychological Tests
  • Personality Assessment