Universität zu Köln

Stevens, Stephan, Cooper, Ruth, Bantin, Trisha, Hermann, Christiane and Gerlach, Alexander L. ORCID: 0000-0001-6794-5349 (2017). Feeling safe but appearing anxious: Differential effects of alcohol on anxiety and social performance in individuals with social anxiety disorder. Behav. Res. Ther., 94. S. 9 - 19. OXFORD: PERGAMON-ELSEVIER SCIENCE LTD. ISSN 1873-622X

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Abstract

Social anxiety disorder (SAD) and alcohol use disorders (AUD) co-occur frequently and there is preliminary evidence that alcohol might reduce social anxiety. It is, however, unclear which mechanisms contribute to the anxiety reducing effect, particularly regarding key aspects of social anxiety such as deficits in social performance. We compared self-rated and physiological measures of anxiety as well as self- and observer-rated social performance in a sample of 62 individuals with SAD and 60 nonanxious control participants during a speech task after receiving either alcohol, an alcohol-free placebo drink or orange juice. SAD patients reported more anxiety during the speech task than did control participants. Furthermore, SAD patients underestimated their performance in comparison to observer ratings. Alcohol reduced self-report anxiety only in SAD patients, while observers rated all participants as less competent when intoxicated. Although individuals with SAD experience a reduction in anxiety when drinking alcohol, simultaneous decreases in social performance might contribute to negative reactions from others and consequently increase the risk of further alcohol use to cope with these negative reactions. (C) 2017 Elsevier Ltd. All rights reserved.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Stevens, Stephan UNSPECIFIED UNSPECIFIED UNSPECIFIED Cooper, Ruth UNSPECIFIED UNSPECIFIED UNSPECIFIED Bantin, Trisha UNSPECIFIED UNSPECIFIED UNSPECIFIED Hermann, Christiane UNSPECIFIED UNSPECIFIED UNSPECIFIED Gerlach, Alexander L. UNSPECIFIED orcid.org/0000-0001-6794-5349 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-226337
DOI:	10.1016/j.brat.2017.04.008
Journal or Publication Title:	Behav. Res. Ther.
Volume:	94
Page Range:	S. 9 - 19
Date:	2017
Publisher:	PERGAMON-ELSEVIER SCIENCE LTD
Place of Publication:	OXFORD
ISSN:	1873-622X
Language:	English
Faculty:	Faculty of Human Sciences
Divisions:	Faculty of Human Sciences > Department Psychologie
Subjects:	Psychology
Uncontrolled Keywords:	Keywords Language IDENTIFICATION TEST AUDIT; EMOTIONAL FACIAL EXPRESSIONS; PSYCHOMETRIC PROPERTIES; SELF-MEDICATION; HEAVY-DRINKING; PHOBIA; BEHAVIORS; RATINGS; STRESS; MODEL Multiple languages Psychology, Clinical Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/22633