Long-term effects of alcohol consumption on anxiety in adults: A systematic review

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL Addictive behaviors Pub Date : 2024-04-28 DOI:10.1016/j.addbeh.2024.108047

Simon D'Aquino , Akaash Kumar , Benjamin Riordan , Sarah Callinan

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Abstract

Objective

Despite the high prevalence and comorbidity of alcohol consumption and anxiety, it is unclear whether alcohol consumption influences long-term anxiety. This study aimed to systematically review the literature on the long-term longitudinal effects of alcohol consumption on anxiety in adults.

Methods

EMBASE, PsychInfo, Medline, and Web of Science databases were systematically searched from inception to April 12th, 2024. Articles analysing the relationship between alcohol consumption and anxiety symptoms or anxiety disorder diagnosis at least three-months later in adults were eligible. Articles were screened and extracted by two independent reviewers with study quality assessed using the Mixed Methods Appraisal Tool.

Results

From 884 records, eight studies of mixed quality met inclusion criteria. One study using a sample representative of the USA population found low volume consumption was associated with lower long-term anxiety. All other studies used a convenience sample or a specific medical population sample. The significance and direction of the relationship between alcohol consumption and long-term anxiety in these studies varied, likely due to differences in alcohol consumption thresholds used and populations studied.

Conclusions

A paucity of research on the longitudinal effects of alcohol consumption on anxiety was found, highlighting a significant gap in the research literature. Furthermore, existing research, primarily focussed on clinical subpopulations, has yielded mixed results. Further research is needed to explore the longitudinal dose dependent impact of alcohol consumption on anxiety using samples representative of national populations.

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饮酒对成年人焦虑的长期影响：系统综述

目的尽管饮酒和焦虑的发病率和合并症都很高，但饮酒是否会影响长期焦虑还不清楚。本研究旨在系统回顾有关饮酒对成人焦虑的长期纵向影响的文献。方法系统检索了从开始到 2024 年 4 月 12 日的 EMBASE、PsychInfo、Medline 和 Web of Science 数据库。符合条件的文章分析了成人饮酒与焦虑症状或至少三个月后焦虑症诊断之间的关系。文章由两名独立审稿人进行筛选和提取，并使用混合方法评估工具对研究质量进行评估。结果从884条记录中，有8项质量参差不齐的研究符合纳入标准。其中一项研究使用了代表美国人口的样本，发现低消费量与较低的长期焦虑相关。其他所有研究都采用了方便样本或特定医疗人群样本。在这些研究中，饮酒量与长期焦虑之间关系的显著性和方向各不相同，这可能是由于所使用的饮酒量阈值和所研究的人群不同。此外，现有的研究主要集中在临床亚人群，其结果好坏参半。需要进一步开展研究，利用具有全国代表性的样本来探讨饮酒对焦虑的纵向剂量依赖性影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Addictive behaviors 医学-药物滥用

CiteScore

8.40

自引率

4.50%

发文量

283

审稿时长

46 days

期刊介绍： Addictive Behaviors is an international peer-reviewed journal publishing high quality human research on addictive behaviors and disorders since 1975. The journal accepts submissions of full-length papers and short communications on substance-related addictions such as the abuse of alcohol, drugs and nicotine, and behavioral addictions involving gambling and technology. We primarily publish behavioral and psychosocial research but our articles span the fields of psychology, sociology, psychiatry, epidemiology, social policy, medicine, pharmacology and neuroscience. While theoretical orientations are diverse, the emphasis of the journal is primarily empirical. That is, sound experimental design combined with valid, reliable assessment and evaluation procedures are a requisite for acceptance. However, innovative and empirically oriented case studies that might encourage new lines of inquiry are accepted as well. Studies that clearly contribute to current knowledge of etiology, prevention, social policy or treatment are given priority. Scholarly commentaries on topical issues, systematic reviews, and mini reviews are encouraged. We especially welcome multimedia papers that incorporate video or audio components to better display methodology or findings. Studies can also be submitted to Addictive Behaviors? companion title, the open access journal Addictive Behaviors Reports, which has a particular interest in ''non-traditional'', innovative and empirically-oriented research such as negative/null data papers, replication studies, case reports on novel treatments, and cross-cultural research.