Alcohol consumption and anxiety in young adults: a case study with cognitive-behavioral intervention
DOI:
https://doi.org/10.62452/myekf669Keywords:
Alcohol consumption, anxiety, cognitive-behavioral therapy, emotional coping, clinical case study, young adultsAbstract
This case study describes the psychological assessment and intervention process of a 30-year-old male patient residing in Quito, La Marín sector, presenting recurrent alcohol consumption associated with anxiety symptoms. Initial assessment revealed moderate-to-severe anxiety levels (BAI = 30) and a hazardous drinking pattern (AUDIT = 12), primarily used as an emotional coping strategy in response to occupational and social stressors. An eight-session cognitive-behavioral intervention (CBT) was implemented, targeting emotional regulation, cognitive restructuring, and stress management. Post-intervention results indicated significant reductions in anxiety (BAI = 16) and alcohol risk consumption (AUDIT = 7), along with improvements in emotional self-control and personal and social functioning. Findings support the efficacy of CBT as an integrated approach for anxiety-alcohol comorbidity in young adults within Latin American urban settings.
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References
Arraque, D. C. (2024). Relación entre el consumo de alcohol y problemas de salud mental en adolescentes: Una revisión sistemática [Tesis de maestría, Universidad Internacional SEK].
Del Valle Vera, B., Carmona-Márquez, J., Lozano-Rojas, Ó. M., Parrado-González, A., Vidal-Giné, C., Pautassi, R. M., & Fernández-Calderón, F. (2021). Changes in alcohol use during the COVID-19 pandemic among young adults: The prospective effect of anxiety and depression. Journal of Clinical Medicine, 10(19), 4468. https://doi.org/10.3390/jcm10194468
Dyer, M. L., Easey, K. E., Heron, J., Hickman, M., & Munafò, M. R. (2019). Associations of child and adolescent anxiety with later alcohol use and disorders: a systematic review and meta-analysis of prospective cohort studies. Addiction (Abingdon, England), 114(6), 968–982. https://doi.org/10.1111/add.14575
Flores León, R. I., & Galárraga-Andrade, A. (2023). Ansiedad y consumo de alcohol en los estudiantes de bachillerato de una Unidad Educativa del cantón Riobamba, período 2022-2023. Prometeo Conocimiento Científico, 3(1), e31. https://doi.org/10.55204/pcc.v3i1.e31
Guillot, C. R., Pang, R. D., Vilches, J. R., Arnold, M. L., Cajas, J. O., Alemán, A. M., & Leventhal, A. M. (2024). Longitudinal associations between anxiety sensitivity and substance use in adolescents: Mediation by depressive affect. Experimental and clinical psychopharmacology, 32(1), 90–103. https://doi.org/10.1037/pha0000668
Kiri, J., Hall, J., Cortese, S., & Brandt, V. (2025). Reciprocal relationships between adolescent mental health difficulties and alcohol consumption. European child & adolescent psychiatry, 34(8), 2347–2357. https://doi.org/10.1007/s00787-025-02644-6
Koob, G., & Colrain, I. (2020). Alcohol use disorder and sleep disturbances: A feed-forward allostatic framework. Neuropsychopharmacology, 45(1), 141–165. https://doi.org/10.1038/s41386-019-0446-0
Luna-Alvarez, H. E., & Franco-Chóez, X. E. (2024). Terapia racional emotiva: De lo individual a lo comunitario. Sophia Editions.
McCabe, C., Brumback, T., Brown, S., & Meruelo, A. (2023). Assessing cross-lagged associations between depression, anxiety, and binge drinking in the National Consortium on Alcohol and Neurodevelopment in Adolescence (NCANDA) study. Drug and Alcohol Dependence, 243, 109761. https://doi.org/10.1016/j.drugalcdep.2022.109761
Puddephatt, J., Irizar, P., Jones, A., Gage, S., & Goodwin, L. (2022). Associations of common mental disorder with alcohol use in the adult general population: A systematic review and meta-analysis. Addiction, 117(6), 1543–1572. https://doi.org/10.1111/add.15735
Ruisoto, P., Cacho, R., López-Goñi, J. J., Vaca, S., & Jiménez, M. (2016). Prevalence and profile of alcohol consumption among university students in Ecuador. Gaceta Sanitaria, 30(5), 370–374. https://doi.org/10.1016/j.gaceta.2016.02.008
Senarathne, B., Palliyaguru, D., Oshini, A., Gamage, J., Jayathilaka, R., Rajamanthri, L., & Wickramarachchi, C. (2025). Evaluating the synergy: Anxiety prevalence and alcohol consumption patterns in high-income countries using Granger causality analysis. BMC Public Health, 25, Article 220. https://doi.org/10.1186/s12889-025-21402-6
Stein, K. F., Allen, J. L., & Robinson, R. (2022). Do interventions principally targeting excessive alcohol use in young people improve depression symptoms? A systematic review and meta-analysis. BMC Psychiatry, 22. https://doi.org/10.1186/s12888-022-04006-x
Ummels, S., Seldenrijk, A., Bos, E., de Graaf, R., Batelaan, N., & Ten Have, M. (2022). The bidirectional relationship between anxiety disorders and alcohol use disorders in adults: Findings from a longitudinal population-based study. Journal of Affective Disorders, 314, 126–132. https://doi.org/10.1016/j.jad.2022.06.091
World Medical Association. (2013). Declaration of Helsinki: Ethical principles for medical research involving human subjects. JAMA, 310(20), 2191–2194. https://doi.org/10.1001/jama.2013.281053
Yin, R. K. (2017). Case study research and applications: Design and methods (6th ed.). SAGE Publications.
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Copyright (c) 2026 Jesús Armando Villamizar-Montenegro, Azucena Monserrate Macías-Merizalde, Andrés Eduardo Quelal-Perugachi (Autor/a)
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