Alcohol misuse

2007-04-30T08:31:00.000+01:00

This review is a pragmatic attempt to highlight recent research and some backround reading on alcohol misuse. It should not be considered exhaustive, simply a way of reviewing some of the major developments and current thinking in the area.

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Evidence-Based Reports

Review: sensitivity of the CAGE questionnaire for the DSM diagnosis of alcohol abuse and dependence in general clinical populations was 71% at cut points 2. Evidence-Based Medicine (Requires free registration), 2005
Brief interventions for alcohol problems. Bandolier, 2004
The role of occupational performance in prediction of drug and alcohol abstinence in a substance abuse population. Rehabilitation Therapy CATs, 2005
Review: naltrexone reduces alcohol consumption (in the short-term) in patients with alcohol dependence. Evidence-Based Medicine (Requires free registration), 2005
Is ED-based brief intervention worthwhile in children and adolescents presenting with alcohol-related events? BestBets, 2007

Clinical Guidelines

Substance misuse. NICE, 2007
Roles and responsibilities of doctors in the provision of treatment for drug and alcohol misusers. Royal College of Psychiatrists (UK), 2005
Alcohol - (Diagnostic checklist). WHO Guide to Mental and Neurological Health in Primary Care, 2004
Alcohol - problem drinking. PRODIGY, 2004
Tobacco, alcohol, and other drugs: the role of the pediatrician in prevention, identification, and management of substance abuse. American Academy of Pediatrics, 2005
Screening and behavioral counseling interventions in primary care to reduce alcohol misuse: recommendation statement. U.S. Preventive Services Task Force, 2004
Management of alcohol withdrawal delirium. An evidence-based practice guideline. Veterans Administration, 2004

Systematic Reviews

Review of the effectiveness of treatment for alcohol problems. National Treatment Agency for Substance Misuse, 2006
Mandatory alcohol intervention for alcohol-abusing college students: a systematic review. DARE, 2005
Reduction of alcohol consumption by brief alcohol intervention in primary care: systematic review and meta-analysis. DARE, 2005
Cost effectiveness of treatment for alcohol problems: findings of the randomised UK alcohol treatment trial (UKATT). NHS EED, 2005
Cost-effectiveness of screening and referral to an alcohol health worker in alcohol misusing patients attending an accident and emergency department: a decision-making approach. NHS EED, 2006
Benzodiazepines for alcohol withdrawal. Cochrane Database of Systematic Reviews, 2005
Anticonvulsants for alcohol withdrawal. Cochrane Database of Systematic Reviews, 2005
Alcoholics Anonymous and other 12-step programmes for alcohol dependence. Cochrane Database of Systematic Reviews, 2006
Cost-benefit analysis of a new alcohol biomarker, Carbohydrate Deficient Transferrin, in a chronic illness primary care sample. NHS EED, 2005
Opportunistic screening for alcohol use disorders in primary care: comparative study. NHS EED, 2006
Treatment of alcohol abuse: a health technology assessment. Danish Centre for Evaluation and Health Technology Assessment, 2006

Recent articles from core medical journals

Brief intervention for medical inpatients with unhealthy alcohol use: a randomized, controlled trial. Annals of Internal Medicine, 2007
Early weaning and hospitalization with alcohol-related diagnoses in adult life. Am J Psychiatry, 2006
The status of naltrexone in the treatment of alcohol dependence: specific effects on heavy drinking. J Clin Psychopharmacol, 2006
Efficacy and tolerability of long-acting injectable naltrexone for alcohol dependence: a randomized controlled trial. JAMA, 2005
Opportunistic screening for alcohol use disorders in primary care: comparative study. BMJ, 2006 View article OR Can you answer this related question for extra CPD?
Combined pharmacotherapies and behavioral interventions for alcohol dependence: the COMBINE study: a randomized controlled trial. JAMA, 2006
Brief interventions for high-risk drinkers. J Clin Nurs, 2006
Cognitive-behavioural therapy for substance use disorders in people with psychotic disorders: Randomised controlled trial. Br J Psychiatry, 2006

eTextbooks

Clinical Queries

In patients with a probable physical dependance on alcohol what is the recommended rate reducing alcohol consumption in the community? NLH Q&A Service, 2007 View answer OR Can you answer this question for extra CPD?
In patients with Korsakoff syndrome, will deterioration in memory and cognitive function continue after they give up alcohol? NLH Q&A Service, 2007
How long after reducing alcohol intake does the gamma GT take to fall? NLH Q&A Service, 2007
How accurately does the GGT test reflect alcohol units intake? NLH Q&A Service, 2007
How many units of alcohol a week should someone be drinking before thiamine supplements are advised? NLH Q&A Service, 2006
How useful is carbohydrate deficient transferrin (CDT) as a marker for alcohol abuse? what are its limitations? NLH Q&A Service, 2006 View answer OR Can you answer this question for extra CPD?

Patient Information

TRIP Evidence Reviews: Alcohol misuse

Alcohol misuse