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dc.contributor.authorBulley, A
dc.contributor.authorMiloyan, B
dc.contributor.authorBrilot, Ben
dc.contributor.authorGullo, MJ
dc.contributor.authorSuddendorf, T
dc.date.accessioned2016-06-13T10:10:38Z
dc.date.available2016-06-13T10:10:38Z
dc.date.issued2016-05-15
dc.identifier.issn0165-0327
dc.identifier.issn1573-2517
dc.identifier.urihttp://hdl.handle.net/10026.1/4893
dc.description.abstract

Social Anxiety Disorder (SAD) commonly co-occurs with, and often precedes, Alcohol Use Disorder (AUD). In this paper, we address the relationship between SAD and AUD by considering how natural selection left socially anxious individuals vulnerable to alcohol use, and by addressing the underlying mechanisms. We review research suggesting that social anxiety has evolved for the regulation of behaviors involved in reducing the likelihood or consequences of threats to social status. The management of potential threats to social standing is important considering that these threats can result in reduced cooperation or ostracism - and therefore to reduced access to coalitional partners, resources or mates. Alcohol exerts effects upon evolutionarily conserved emotion circuits, and can down-regulate or block anxiety (or may be expected to do so). As such, the ingestion of alcohol can artificially signal the absence or successful management of social threats. In turn, alcohol use may be reinforced in socially anxious people because of this reduction in subjective malaise, and because it facilitates social behaviors - particularly in individuals for whom the persistent avoidance of social situations poses its own threat (i.e., difficulty finding mates). Although the frequent co-occurrence of SAD and AUD is associated with poorer treatment outcomes than either condition alone, a richer understanding of the biological and psychosocial drives underlying susceptibility to alcohol use among socially anxious individuals may improve the efficacy of therapeutic interventions aimed at preventing or treating this comorbidity.

dc.format.extent62-70
dc.format.mediumPrint-Electronic
dc.languageen
dc.language.isoen
dc.publisherElsevier BV
dc.subjectAlcohol use disorder
dc.subjectComorbidity
dc.subjectEvolution
dc.subjectSocial anxiety disorder
dc.titleAn evolutionary perspective on the co-occurrence of social anxiety disorder and alcohol use disorder
dc.typejournal-article
dc.typeJournal Article
dc.typeReview
plymouth.author-urlhttp://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000372716800007&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=11bb513d99f797142bcfeffcc58ea008
plymouth.volume196
plymouth.publication-statusAccepted
plymouth.journalJOURNAL OF AFFECTIVE DISORDERS
dc.identifier.doi10.1016/j.jad.2016.02.028
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/Faculty of Science and Engineering
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA04 Psychology, Psychiatry and Neuroscience
dc.publisher.placeNetherlands
dcterms.dateAccepted2016-02-06
dc.rights.embargodate2017-5-15
dc.identifier.eissn1573-2517
dc.rights.embargoperiodNot known
rioxxterms.versionofrecord10.1016/j.jad.2016.02.028
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.licenseref.startdate2016-05-15
rioxxterms.typeJournal Article/Review


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