Alcohol Dependence, Co-occurring Conditions and Attributable Burden

Abstract

Alcohol-dependent patients manifest high rates of co-occurring psychiatric and somatic conditions, which are associated with impaired work productivity and HRQoL. The continued burden of illness observed in these already-diagnosed patients suggests an unmet need in both primary and secondary care.

A transdiagnostic dimensional approach towards a neuropsychological assessment for addiction: an international Delphi consensus study

“…Only 10-20% of patients with substance and behavioural addictions receive treatment [1][2][3], which tend to have modest outcomes, reflected in low compliance and high relapse rates [4]. Only 10-20% of patients with substance and behavioural addictions receive treatment [1][2][3], which tend to have modest outcomes, reflected in low compliance and high relapse rates [4].…”

“…The aetiopathogeny of addiction remains poorly understood, as we lack assessment models to identify vulnerability to addiction. Only 10-20% of patients with substance and behavioural addictions receive treatment [1][2][3], which tend to have modest outcomes, reflected in low compliance and high relapse rates [4]. Thus, there is an urgent need for alternative assessment and intervention strategies to prevent or reduce the personal, social and economic burden associated with addictions.…”

Alcohol dependence and risk of somatic diseases and mortality: a cohort study in 19 002 men and women attending alcohol treatment

“…Understanding how AD relates to somatic diseases is important, as this may yield informative and complementary estimates to what is already known about relative risks and alcohol‐attributable fractions for somatic diseases (for review see ). A greater number of somatic diseases has been reported among individuals with AD than non‐AD individuals , and it is known that a substantial excess of alcohol‐related conditions such as alcoholic pancreatitis and alcoholic liver failure are reported in individuals with AD . AD has also been found to be associated strongly with cancers of the mouth, oesophagus and larynx, and less strongly with cancers of the colon, rectum, breast and liver .…”

Comorbilidad médica asociada al abuso y dependencia de alcohol. Revisión documental

“…Con relación al origen de los artículos revisados, se encontró que la mayoría proviene de países europeos (Italia, Dinamarca, Holanda, Alemania y España), seguidos por los de procedencia asiática, de los cuales Taiwán contribuyó con el mayor número de publicaciones (Chao, Ma, Lin, Chiang, & Hwang, 2015;Hsu et al, 2016;Hsu, Pai, Chang, Liu, & Hsu, 2013;Wei et al, 2016). América del Norte aportó tres artículos con las características necesarias, dos de ellos originarios de Estados Unidos (Katcher, Reiter, & Aragón, 2010;Odlaug et al, 2016) y uno de Canadá (Shield, Taylor, Kehoe, Patra, & Rehm, 2012). Por su parte, la literatura latinoamericana se hizo presente con documentos originarios de Brasil (Bohland & Ribeiro, 2015;Marsola, et al, 2014) (Vargas, 2011).…”

“…Respecto a la unidad de análisis, la mayor proporción de las investigaciones (50.0%) consideró a pacientes de instituciones de atención especializada (Gerridzen & Goossensen, 2014;Hsu et al, 2013;Hsu et al, 2016;Kahl et al, 2010;Marsola et al, 2014;Morandi, Periche, & Pirani, 2016;Odlaug et al, 2016;Otete, Orton, Fleming, & West, 2016;Rivas et al, 2013;Ross et al, 2012;Schoepf & Heun, 2015;Wijnia, Wetering, Zwart, Nieuwenhuis, & Goossensen, 2012). En segundo lugar, con 37.5% se ubicaron estudios que recogieron información de registros, censos y encuestas (Bang, Benfield, Hyldstrup, Bendsen, & Jensen, 2014;Bardach et al, 2017;Bohland & Ribeiro, 2015;Guerrero-López et al, 2013;Katcher, Reiter, & Aragón, 2010;Liang et al, 2010;Shield et al, 2012;Vargas, 2011;Wei et al, 2016).…”