STREAM: Elucidating How Alcohol Use Disorders are Managed in UK General Practice Today

Alcohol and Alcoholism : International Journal of the Medical Council on Alcoholism
Florence CostePaul Wallace

Abstract

To characterize a contemporaneous cohort of UK general practice patients with alcohol use disorder and describe their management. Prospective observational study in 25 primary care practices in England and Scotland. Adult patients with known or suspected alcohol dependence (Alcohol Use Disorders Identification Test score ≥8) were followed for 6 months and were profiled using baseline data. Changes over time in treatment for alcohol dependence (strategy, goals, modality) and the level of compliance were examined. Targeted case identification was a feasible means of identifying patients with DSM-IV confirmed alcohol dependence in general practice. In the cohort (n = 218), mean total alcohol consumption was high (men: 86.9 g/day; women: 62.7 g/day) and psychiatric co-morbidities were common (depression: 25.8% of patients; anxiety disorders: 25.8% of patients). At baseline, about half of patients reported ongoing or planned treatment for alcohol dependence. Over 6 months' observation, treatment modalities did not change and most patients retained their original stated treatment goal of abstinence or reduced alcohol intake. Targeted case identification in general practice identifies patients with alcohol use disorder in need of trea...Continue Reading

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Citations

Jan 3, 2018·Alcohol and Alcoholism : International Journal of the Medical Council on Alcoholism·Sadie BonifaceZarnie Khadjesari
Jan 19, 2018·Alcohol and Alcoholism : International Journal of the Medical Council on Alcoholism·Sara Wallhed FinnSven Andreasson

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Alcohol use disorder involves a pattern of alcohol consumption that includes compulsive use and a loss of control over intake of alcohol. The impact on physical health, socioeconomic factors, and psychiatric health is profound. Find the latest research on alcohol use disorder here.