Evidence map›Paper›PMID 30838764›Full record

ArticleDepression and anxiety2019

Explaining the association between anxiety disorders and alcohol use disorder: A twin study.

Fartein Ask Torvik, Tom Henrik Rosenström, Kristin Gustavson, Eivind Ystrom, Kenneth S Kendler, Jørgen G Bramness, Nikolai Czajkowski, Ted Reichborn-Kjennerud

Open access · greenAbstract readTwin Study
In one paragraph

Article in Depression and anxiety, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
3.8field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 49 citations in OpenAlex.

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  3. Protective behavioral strategies underutilization mediates effect of a brief motivational intervention among socially anxious undergraduate drinkers.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2021
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  18. Novel characterization of the multivariate genetic architecture of internalizing psychopathology and alcohol use.American journal of medical genetics. Part B, Neuropsychiatric genetics : the official publication of the International Society of Psychiatric Genetics · 2021
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  19. Twins and Causal Inference: Leveraging Nature's Experiment.Cold Spring Harbor perspectives in medicine · 2021
    Review
  20. Anxiety and Stress-Related Disorders.Focus (American Psychiatric Publishing) · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

Fartein Ask TorvikDepartment of Mental Disorders, Norwegian Institute of Public Health, Oslo, Norway.ORCID 0000-0003-3984-5978
Tom Henrik RosenströmDepartment of Mental Disorders, Norwegian Institute of Public Health, Oslo, Norway.
Kristin GustavsonDepartment of Mental Disorders, Norwegian Institute of Public Health, Oslo, Norway.
Eivind YstromDepartment of Mental Disorders, Norwegian Institute of Public Health, Oslo, Norway.
Kenneth S KendlerDepartment of Psychiatry, Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University, Richmond, Virginia.
Jørgen G BramnessNorwegian National Advisory Unit on Concurrent Substance Abuse and Mental Health Disorders, Brumunddal, Norway.
Nikolai CzajkowskiDepartment of Mental Disorders, Norwegian Institute of Public Health, Oslo, Norway.
Ted Reichborn-KjennerudDepartment of Mental Disorders, Norwegian Institute of Public Health, Oslo, Norway.
Norwegian Institute of Public Health · NOInnlandet Hospital Trust · NOVirginia Commonwealth University · US

Funding

Pathways from Normal and Disordered Personality to Substance Use DisordersR01DA037558 · NIDA · VIRGINIA COMMONWEALTH UNIVERSITY · PI GILLESPIE, NATHAN ALEXANDER, KENDLER, KENNETH SEEDMAN · 2014 to 2017
$1.5M
Axis I &Axis II Psychiatric Disorders in Norwegian TwinR01MH068643 · NIMH · VIRGINIA COMMONWEALTH UNIVERSITY · PI KENDLER, KENNETH SEEDMAN · 2004 to 2007
$1.2M
NIDA NIH HHS R01 DA037558NIMH NIH HHS R01 MH068643
6 · The paper itself

Abstract

backgroundIt is unknown whether social anxiety disorder (SAD) has a unique association with alcohol use disorder (AUD) over and beyond that of other anxiety disorders, how the associations develop over time, and whether the associations are likely to be causal.

methodsDiagnoses of AUD, SAD, generalized anxiety disorder, panic disorder, agoraphobia, and specific phobias were assessed twice using the Composite International Diagnostic Interview among 2,801 adult Norwegian twins. The data were analyzed using logistic regression analyses and multivariate biometric structural equation modeling.

resultsSAD had the strongest association with AUD, and SAD predicted AUD over and above the effect of other anxiety disorders. In addition, SAD was prospectively associated with AUD, whereas other anxiety disorders were not. AUD was associated with a slightly elevated risk of later anxiety disorders other than SAD. Biometric modeling favored a model where SAD influenced AUD compared to models where the relationship was reversed or due to correlated risk factors. Positive associations between AUD and other anxiety disorders were fully explained by shared genetic risk factors.

conclusionsUnlike other anxiety disorders, SAD plausibly has a direct effect on AUD. Interventions aimed at prevention or treatment of SAD may have an additional beneficial effect of preventing AUD, whereas interventions aimed at other anxiety disorders are unlikely to have a similar sequential effect on AUD.

Indexed as

AdultAgoraphobiaAlcoholismAnxiety DisordersFemaleHumansMaleNorwayPanic DisorderPhobia, SocialPhobic DisordersRisk FactorsTwinsYoung Adultagoraphobiaalcohol use disorderanxiety disorderssocial anxiety disordersocial phobiaspecific phobiatwin studies

Identifiers

PMID30838764
PMCPMC6548587
OpenAlexW2919367199

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.