Comorbid social anxiety and alcohol use disorders (SAD-AUD) in the community and the complex interactions that occur between these disorders have emerged as a significant clinical, public health, and research issue. The authors examined (a) the rates of comorbid SAD-AUD, (b) the impact of comorbid SAD-AUD on outcomes targeting social anxiety disorder, and (c) the effect of pretreatment alcohol consumption and alcohol use before, during, and after social situations on a composite measure of social anxiety in 172 adults presenting with social anxiety disorder. There was low incidence of AUD in this sample of individuals with SAD. Results indicated that alcohol consumption did not lead to worse social anxiety symptoms; however, alcohol use before and during social situations was associated with more severe social anxiety symptoms. These findings suggest that the function of alcohol use may be more important than the overall level of alcohol use and has implications for treatment.

中文翻译：

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酒精使用障碍和酒精消费对寻求治疗的社交焦虑症患者的影响。

社区中的共病社交焦虑和酒精使用障碍 (SAD-AUD) 以及这些障碍之间发生的复杂相互作用已成为重要的临床、公共卫生和研究问题。作者检查了 (a) 共病 SAD-AUD 的发生率，(b) 共病 SAD-AUD 对针对社交焦虑症的结果的影响，以及 (c) 治疗前、治疗中和治疗后饮酒和饮酒的影响172 名患有社交焦虑症的成年人的社交焦虑综合测量的社交情境。在这个 SAD 个体样本中，AUD 的发生率很低。结果表明，饮酒不会导致更严重的社交焦虑症状；然而，在社交场合之前和期间饮酒会导致更严重的社交焦虑症状。