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Extra resources for Anxiety and Substance Use Disorders: The Vicious Cycle of Comorbidity
However I will distinguish three ways in which such states can occur: normal, symptomatic, and syndromal. In the normal case, panic (for example) will occur because of the presentation of a very high level of threat in the environment and will be appropriate (in an evolutionary sense) and usually adaptive. In the symptomatic case, the level of threat would be lower but the panic would still be appropriate to the level of (syndromal) fear or anxiety experienced. In the syndromal case the panic response would be excessive for the level of (normal) input to the panic generating systems.
Farmer, M. , Rae, D. , Locke, B. , Keith, S. , Judd, L. , et al. (1990). Comorbidity of mental disorders with alcohol and other drug abuse: Results from the 1 Epidemiological Perspectives 17 Epidemiologic Catchment Area (ECA) Study. Journal of the American Medical Association, 264, 2511–2518. , & Hall, W. (1998). An evaluation of Cloninger’s typology of alcohol abuse. Addiction, 93, 1241–1249. Schuckit, M. , & Hesselbrock, V. (1994). Alcohol dependence and anxiety disorders: What is the relationship?
Rogers, M. , et al. (1995). DSM-IV and the disappearance of agoraphobia without a history of panic disorder: New data on a controversial diagnosis. American Journal of Psychiatry, 152, 1438–1443. Gray, J. A. (1970). The psychophysiological basis of introversion- extraversion. Behaviour Research and Therapy, 8, 249–266. Gray, J. A. (1982). The Neuropsychology of anxiety: An enquiry in to the functions of the septohippocampal system. Oxford: Oxford University Press. Gray, J. , & McNaughton, N. (2000).
Anxiety and Substance Use Disorders: The Vicious Cycle of Comorbidity by Sherry H. Stewart, Patricia Conrod