Treating comorbid social anxiety and alcohol use disorders: Combining motivation enhancement therapy with cognitive-behavioral therapy

Clinical Case Studies

Volumn 7, Issue 3, 2008, Pages 208-223

  Buckner, Julia D ^a   Ledley, Deborah Roth ^b   Heimberg, Richard G ^b   Schmidt, Norman B ^a  

^a FLORIDA STATE UNIVERSITY   (United States)

^b TEMPLE UNIVERSITY   (United States)

Author keywords

Alcohol use disorder; Cognitive behavioral therapy; Motivation enhancement therapy; Motivational interviewing; Social anxiety disorder; Social phobia

Indexed keywords

ADULT; ALCOHOLISM; ARTICLE; CASE REPORT; COGNITIVE THERAPY; COMORBIDITY; FOLLOW UP; HUMAN; MALE; MOTIVATION ENHANCEMENT THERAPY; PSYCHOTHERAPY; REMISSION; SOCIAL PHOBIA;

EID: 43149090495     PISSN: 15346501     EISSN: 15523802     Source Type: Journal    
DOI: 10.1177/1534650107306877     Document Type: Article

References (57)

1. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4 th ed.). Washington, DC: Author.
2. Babor, T.F., Higgins-Biddle, J.C., Saunders, J.B., & Monteiro, M.G. (2001). The Alcohol Use Disorders Identification Test: Guidelines for use in primary care (2 nd ed.). Geneva, Switzerland: World Health Organization Department of Mental Health and Substance Dependence.
3. Baker, S.L., Heinrichs, N., Kim, H.-J., & Hofmann, S.G. (2002). The Liebowitz Social Anxiety Scale as a self-report instrument: A preliminary psychometric analysis. Behaviour Research and Therapy, 40, 701-715.
4. Beck, A.T., Epstein, N., Brown, G., & Steer, R.A. (1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology, 56, 893-897.
5. Beck, A.T., & Steer, R.A. (1987). Manual for the revised Beck Depression Inventory. San Antonio, TX: Psychological Corporation.
6. Brown, T.A., DiNardo, P.A., Lehman, C.L., & Campbell, L.A. (2001). Reliability of DSM-IV anxiety and mood disorders: Implications for the classification of emotional disorders. Journal of Abnormal Psychology, 110, 49-58.
7. Buckner, J.D., Eggleston, A.M., & Schmidt, N.B. (2006). Social anxiety and problematic alcohol consumption: The mediating role of drinking motives and situations. Behavior Therapy, 37, 381-391.
8. Buckner, J.D., Schmidt, N.B., Bobadilla, L., & Taylor, J. (2006). Social anxiety and problematic cannabis use: Evaluating the moderating role of stress reactivity and perceived coping. Behaviour Research and Therapy, 44, 1007-1015.
9. Buckner, J.D., Schmidt, N.B., Lang, A.R., Small, J., Schlauch, R.C., & Lewinsohn, P.M. (in press). Specificity of social anxiety disorder as a risk factor for alcohol and cannabis dependence. Journal of Psychiatric Research.
10. Burke, B.L., Arkowitz, H., & Menchola, M. (2003). The efficacy of motivational interviewing: A meta-analysis of controlled clinical trials. Journal of Consulting and Clinical Psychology, 71, 843-861.
11. Cooper, M.L. (1994). Motivations for alcohol use among adolescents: Development and validation of a four-factor model. Psychological Assessment, 6, 117-128.
12. Cooper, M.L., Frone, M.R., Russell, M., & Mudar, P. (1995). Drinking to regulate positive and negative emotions: A motivational model of alcohol use. Journal of Personality and Social Psychology, 69, 990-1005.
13. DiNardo, P.A., Brown, T.A., & Barlow, D.H. (1994). Anxiety Disorders Interview Schedule for DSM-IV: Lifetime Version (ADIS-IV-L). New York: Oxford University Press.
14. Dunn, C., Deroo, L., & Rivara, F.P. (2001). The use of brief interventions adapted from motivational interviewing across behavioral domains: A systematic review. Addiction, 96, 1725-1742.
15. Eng, W., Coles, M.E., Heimberg, R.G., & Safren, S.A. (2001). Quality of life following cognitive behavioral treatment for social anxiety disorder: Preliminary findings. Depression and Anxiety, 13, 192-193.
16. Erwin, B.A., Heimberg, R.G., Juster, H., & Mindlin, M. (2002). Comorbid anxiety and mood disorders among persons with social anxiety disorder. Behaviour Research and Therapy, 40, 19-35.
17. Fedoroff, I.C., & Taylor, S. (2001). Psychological and pharmacological treatments of social phobia: A meta-analysis. Journal of Clinical Psychopharmacology, 21, 311-324.
18. Feske, U., & Chambless, D.L. (1995). Cognitive behavioral versus exposure only treatment for social phobia: A meta-analysis. Behavior Therapy, 26, 695-720.
19. Fiellin, D.A., Reid, M.C., & O' Connor, P.G. (2000). Screening for alcohol problems in primary care: A systematic review. Archives of Internal Medicine, 160, 1977-1989.
20. First, M.B., Spitzer, R.L., Gibbon, M., & Williams, J.B.W. (2002). Structured Clinical Interview for DSM-IV-TR Axis I Disorders, Research Version, Non-patient Edition (SCID-I/NP). New York: Biometrics Research, New York State Psychiatric Institute.
21. Fresco, D.M., Coles, M.E., Heimberg, R.G., Liebowitz, M.R., Hami, S., Stein, M.B., et al. (2001). The Liebowitz Social Anxiety Scale: A comparison of the psychometric properties of self-report and clinician-administered formats. Psychological Medicine, 31, 1025-1035.
22. Gould, R.A., Buckminster, S., Pollack, M.H., Otto, M.W., & Yap, L. (1997). Cognitive-behavioral and pharmacological treatment for social phobia: A meta-analysis. Clinical Psychology: Science and Practice, 4, 291-306.
23. Grant, B.F., Hasin, D.S., Blanco, C., Stinson, F.S., Chou, S.P., Goldstein, R.B., et al. (2005). The epidemiology of social anxiety disorder in the United States: Results from the National Epidemiologic Survey on Alcohol and Related Conditions. Journal of Clinical Psychiatry, 66, 1351-1361.
24. Grant, B.F., Stinson, F.S., Dawson, D.A., Chou, S.P., Ruan, W.J., & Pickering, R.P. (2004). Co-occurrence of 12-month alcohol and drug use disorders and personality disorders in the United States: Results from the National Epidemiologic Survey on Alcohol and Related Conditions. Archives of General Psychiatry, 61, 361-368.
25. Hayes, S.A., Miller, N.A., Hope, D.A., Heimberg, R.G., & Juster, H.A. (in press). Assessing client progress session-by-session in the treatment of social anxiety disorder: The Social Anxiety Session Change Index. Cognitive and Behavioral Practice.
26. Heather, N. (2005). Motivational interviewing: Is it all our clients need ? Addiction Research and Theory, 13, 1-18.
27. Heimberg, R.G. (2002). Cognitive-behavioral therapy for social anxiety disorder: Current status and future directions. Biological Psychiatry, 51, 101-108.
28. Hope, D.A., Heimberg, R.G., Juster, H.A., & Turk, C.L. (2000). Managing social anxiety: A cognitive-behavioral therapy approach (Client workbook). New York: Oxford University Press.
29. Hope, D.A., Heimberg, R.G., & Turk, C.L. (2006). Therapist guide for Managing Social Anxiety: A Cognitive-Behavioral Therapy Approach. New York: Oxford University Press.
30. Kessler, R.C., Berglund, P., Demler, O., Jin, R., Merikangas, K.R., & Walters, E.E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62, 593-602.
31. Kushner, M.G., Sher, K.J., & Beitman, B.D. (1990). The relation between alcohol problems and the anxiety disorders. American Journal of Psychiatry, 147, 685-695.
32. Leary, M.R. (1983). A brief version of the Fear of Negative Evaluation Scale. Personality and Social Psychology Bulletin, 9, 371-375.
33. Ledley, D.R., & Heimberg, R.G. (2005). Social anxiety disorder. In M. M. Antony, D. R. Ledley, & R. G. Heimberg (Eds.), Improving outcomes and preventing relapse in cognitive behavioral therapy (pp. 38-76). New York: Guilford.
34. Liebowitz, M.R. (1987). Social phobia. Modern Problems of Psychopharmacology, 22, 141-173.
35. Mennin, D.S., Fresco, D.M., Heimberg, R.G., Schneier, F.R., Davies, S.O., & Liebowitz, M.R. (2002). Screening for social anxiety disorder in the clinical setting: Using the Liebowitz Social Anxiety Scale. Journal of Anxiety Disorders, 16, 661-673.
36. Miller, W. R., & Rollnick, S. (Eds.). (2002). Motivational interviewing: Preparing people for change (Vol. 2). New York: Guilford.
37. Miller, W.R., Zweben, A., DiClemente, C.C., & Rychtarik, R.G. (1992). Motivational enhancement therapy manual: A clinical research guide for therapists treating individuals with alcohol abuse and dependence. Rockville, MD: National Institute on Alcohol Abuse and Alcoholism.
38. Moyer, A., Finney, J.W., Swearingen, C.E., & Vergun, P. (2002). Brief interventions for alcohol problems: A meta-analytic review of controlled investigations in treatment-seeking and non-treatment-seeking populations. Addiction, 97, 279-292.
39. O'Connell, H., Chin, A.-V., Hamilton, F., Cunningham, C., Walsh, J.B., Coakley, D., et al. (2004). A systematic review of the utility of self-report alcohol screening instruments in the elderly. International Journal of Geriatric Psychiatry, 19, 1074-1086.
40. Project MATCH Research Group. (1993). Project MATCH: Rationale and methods for a multisite clinical trial matching patients to alcoholism treatment. Alcoholism: Clinical and Experimental Research, 17, 1130-1145.
41. Project MATCH Research Group. (1997). Matching alcoholism treatments to client heterogeneity: Project MATCH posttreatment drinking outcomes. Journal of Studies on Alcohol, 58, 7-29.
42. Randall, C.L., Thomas, S., & Thevos, A.K. (2001). Concurrent alcoholism and social anxiety disorder: A first step toward developing effective treatments. Alcoholism: Clinical and Experimental Research, 25, 210-220.
43. Rodebaugh, T.L., Holaway, R.M., & Heimberg, R.G. (2004). The treatment of social anxiety disorder. Clinical Psychology Review, 24, 883-908.
44. Rodebaugh, T.L., Woods, C.M., Thissen, D.M., Heimberg, R.G., Chambless, D.L., & Rapee, R.M. (2004). More information from fewer questions: The factor structure and item properties of the original and brief fear of negative evaluation scale. Psychological Assessment, 16, 169-181.
45. Rytwinski, N.K., Fresco, D.M., Heimberg, R.G., Coles, M.E., Liebowtitz, M.R., Stein, M.B., et al. (2007). Screening for social anxiety disorder with the self-report version of the Liebowitz Social Anxiety Scale. Manuscript submitted for publication.
46. Safren, S.A., Heimberg, R.G., Brown, E.J., & Holle, C. (1997). Quality of life in social phobia. Depression and Anxiety, 4, 126-133.
47. Saunders, J.B., Aasland, O.G., Babor, T.F., de la Fuente, J.R., & Grant, M. (1993). Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption-II. Addiction Research and Theory, 88, 791-804.
48. Schneier, F.R., Martin, L.Y., Liebowitz, M.R., Gorman, J.M., & Fyer, A.J. (1989). Alcohol abuse in social phobia. Journal of Anxiety Disorders, 3, 15-23.
49. Smail, P., Stockwell, T., Canter, S., & Hodgson, R. (1984). Alcohol dependence and phobic anxiety states: I. A prevalence study. British Journal of Psychiatry, 144, 53-57.
50. Taylor, S. (1996). Meta-analysis of cognitive-behavioral treatments for social phobia. Journal of Behavior Therapy and Experimental Psychiatry, 27, 1-9.
51. Thevos, A.K., Thomas, S.E., & Randall, C.L. (1999). Baseline differences in social support among treatment-seeking alcoholics with and without social phobia. Substance Abuse, 20, 107-121.
52. Thomas, S.E., Randall, C.L., & Carrigan, M.H. (2003). Drinking to cope in socially anxious individuals: A controlled study. Alcoholism: Clinical and Experimental Research, 27, 1937-1943.
53. Thomas, S.E., Thevos, A.K., & Randall, C.L. (1999). Alcoholics with and without social phobia: A comparison of substance use and psychiatric variables. Journal of Studies on Alcohol, 60, 472-479.
54. Weeks, J.W., Heimberg, R.G., Fresco, D.M., Hart, T.A., Turk, C.L., Schnieier, F.R., et al. (2005). Empirical validation and psychometric evaluation of the Brief Fear of Negative Evaluation Scale in patients with social anxiety disorder. Psychological Assessment, 17, 179-190.
55. Westra, H.A. (2004). Managing resistance in cognitive behavioural therapy: The application of motivational interviewing in mixed anxiety and depression. Cognitive Behaviour Therapy, 33, 161-175.
56. Westra, H.A., & Dozois, D.J. (2006). Preparing clients for cognitive behavioral therapy: A randomized pilot study of motivational interviewing for anxiety. Cognitive Therapy and Research, 30, 481-498.
57. Westra, H.A., & Phoenix, E. (2003). Motivational enhancement therapy in two cases of anxiety disorder. Clinical Case Studies, 2, 306-322.