Assessing Alcohol Problems: A Guide for Clinicians and Researchers

Rotgers, Frederick

doi:10.15288/jsa.1997.58.106

Cited by 84 publications

(8 citation statements)

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“…Definitions of significant alcohol exposure vary, but consumption of six or more drinks per week for more than 2 weeks or three or more drinks on two or more occasions can be considered a guideline for determining significant alcohol consumption (82). Additional history of significant alcohol consumption can also be obtained from documentation of social or legal problems associated with alcohol use or intoxication during pregnancy (83). Screening for PAE is often an iterative process that may require revisitation and in which a parent who may initially deny use of alcohol during pregnancy, later discloses use in the context of a relationship of trust that focuses upon the wellbeing of the child.…”

Section: Screening For Prenatal Alcoholmentioning

confidence: 99%

Common developmental trajectories and clinical identification of children with fetal alcohol spectrum disorders: A synthesis of the literature

Waite

Burd

2023

Adv. Drug Alcohol Res.

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At an estimated prevalence of up to five percent in the general population, fetal alcohol spectrum disorders (FASD) are the most common neurodevelopmental disorder, at least if not more prevalent than autism (2.3%). Despite this prevalence in the general population, pediatricians and other developmental specialists have thus far failed to diagnose this disability, leaving most children and adults without the supports provided for most other disabilities. This paper will provide a review of clinically relevant literature that describes the developmental challenges of children with fetal alcohol spectrum disorders and addresses similarities to and differences of FASD from other neurodevelopmental disorders such as autism and attention deficit hyperactivity disorder. A subsequent discussion will describe how a diagnosis of an FASD can establish a basis for understanding the developmental and behavioral challenges of children with an FASD, and how specific interventions can help support child development and maximize adult independence.

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Section: Screening For Prenatal Alcoholmentioning

confidence: 99%

Common developmental trajectories and clinical identification of children with fetal alcohol spectrum disorders: A synthesis of the literature

Waite

Burd

2023

Adv. Drug Alcohol Res.

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“…Alcohol drinking was defined as the consumption of more than 14 standard drinks per week for men and more than 7 standard drinks per week for women during the last 6 months. 27 A standard drink was defined as any type of alcoholic drink that contained more than 12 g of pure alcohol. 28 Helicobacter pylori infection was defined as a positive result on either a urea breath test or an immunoglobin G test for H pylori.…”

Section: Covariatesmentioning

confidence: 99%

Assessment of Cimetropium Bromide Use for the Detection of Gastric Neoplasms During Esophagogastroduodenoscopy

et al. 2022

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Key Points Question Is the use of cimetropium bromide, an antispasmodic agent, associated with higher rates of detection of gastric neoplasms during esophagogastroduodenoscopy (EGD) screening? Findings In this cohort study of 67 683 participants who received EGD screening, the use of cimetropium bromide as premedication was associated with higher gastric neoplasm detection rates during EGD than nonuse. Lesions in the gastric body were detected more frequently in those who received cimetropium bromide compared with those who did not. Meaning This study’s findings suggest that cimetropium bromide may be considered as premedication for the detection of gastric neoplasms during EGD examination among individuals with no contraindications.

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“…This lack of consensus may be partially due to the absence of a systematic evaluation of existing alcohol scales in terms of their methodological quality and measurement properties. Allen and Wilson's "Assessment of Alcohol Problems" comprehensively evaluated alcohol scales that experts had deemed highly relevant for assessing and treating alcohol problems 6 ; however, the second edition of the book is already 20 years old. Thus, little robust evidence is available for researchers and clinicians to determine their choice of assessment scales in evaluating problems associated with alcohol use, resulting in an arbitrary and inappropriate selection of the populations and settings of their interest.…”

Section: Introductionmentioning

confidence: 99%

“…15 screening tests, 22 symptom assessment scales, and three assessment scales for drinking behaviors. They were classified in terms of their purpose to the following seven groups: (1) to screen for alcohol use disorders (n = 10), (2) to assess the severity of alcoholrelated problems, including alcohol use disorders (n = 7), (3) to assess specific symptoms or aspects of alcohol use disorders, such as craving and withdrawal (n = 8), (4) to assess motivation or illness stages during the treatment process (n = 4),(5) to assess alcohol-related problems in special population, including adolescents and pregnant women (n = 6),(6) to quantify alcohol use (n = 3), and(7) to assess the treatment outcome in patients (n = 2). Revised versions were available for three scales (7.5%); however, the original versions were predominantly used with a few exceptions, such as AEQ-A, CIWA-A, and SOCRATES-A.…”

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confidence: 99%

Highly endorsed screening and assessment scales for alcohol problems: A systematic review

Ohtani

Ueno

Kimura

et al. 2023

Neuropsychopharm Rep

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BackgroundProblems associated with alcohol use are multidimensional with psychiatric, psychological, physical, and social aspects, which makes it challenging to choose appropriate assessment scales. However, there has been no systematic evaluation of existing alcohol scales.MethodsA systematic literature search was conducted for articles that assessed the psychometric properties of scales for alcohol use disorder on March 19, 2023, using Medline, EMBASE, and PsycINFO. Only scales whose original development papers were cited more than 20 times were included. The methodological quality and psychometric properties of the scales were evaluated using COnsensus‐based Standards for the selection of health Measurement INstruments. The overall rating of the scales were assessed with a score ranging from 0 to 18.ResultsIn total, 314 studies and 40 scales were identified. These scales differ widely in measurement methods, target populations, and psychometric properties. The overall mean score was 6.3, and only the following three scales received >9 points suggesting a moderate level of evidence: Alcohol Use Disorders Identification Test (AUDIT), Alcohol Dependence Scale (ADS), and Short Alcohol Dependence Data Questionnaire (SADD). Measurement error and responsiveness were not evaluated or reported in the included scales.ConclusionsAlthough the AUDIT, ADS, and SADD were rated the highest among the 40 scales, they showed, at most, a moderate level of evidence. These findings underscore the need to accumulate further evidence to assure the quality of the scales. It may be advisable to select and combine scales to meet the purpose of the assessment.

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Assessing Alcohol Problems: A Guide for Clinicians and Researchers

Cited by 84 publications

References 0 publications

Common developmental trajectories and clinical identification of children with fetal alcohol spectrum disorders: A synthesis of the literature

Common developmental trajectories and clinical identification of children with fetal alcohol spectrum disorders: A synthesis of the literature

Assessment of Cimetropium Bromide Use for the Detection of Gastric Neoplasms During Esophagogastroduodenoscopy

Highly endorsed screening and assessment scales for alcohol problems: A systematic review

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