Disability Associated With Alcohol Abuse and Dependence

Samokhvalov, Andriy V.; Popova, Svetlana; Room, Robin; Ramonas, Milita; Rehm, Jürgen

doi:10.1111/j.1530-0277.2010.01275.x

Cited by 114 publications

(67 citation statements)

References 64 publications

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“…The results confirm that in Europe alcohol dependence is common and disabling among primary care practices Overlap CIDI diagnosis vs GP assessment (n = 154) (8.7%), 8,17 and it is twice as prevalent in primary care than in general population studies (3.4% 18 ). Compared with the CIDI, general practitioners identified more patients with alcohol dependence, and their cases seemed to be more severe (same level of drinking and mental problems, but higher level of physical problems and social disintegration).…”

Section: Discussionsupporting

confidence: 73%

General Practitioners Recognizing Alcohol Dependence: A Large Cross-Sectional Study in 6 European Countries

Rehm

Allamani

Vedova

et al. 2015

The Annals of Family Medicine

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PURPOSE Although alcohol dependence causes marked mortality and disease burden in Europe, the treatment rate is low. Primary care could play a key role in reducing alcohol-attributable harm by screening, brief interventions, and initiating or referral to treatment. This study investigates identification of alcohol dependence in European primary care settings.METHODS Assessments from 13,003 general practitioners, and 9,098 interviews (8,476 joint number of interviewed patients with a physician's assessment) were collected in 6 European countries. Alcohol dependence, comorbidities, and health service utilization were assessed by the general practitioner and independently using the Composite International Diagnostic Interview (CIDI) and other structured interviews. Weighted regression analyses were used to compare the impact of influencing variables on both types of diagnoses. RESULTSThe rate of patients being identified as alcohol dependent by the CIDI or a general practitioner was about equally high, but there was not a lot of overlap between cases identified. Alcohol-dependent patients identified by a physician were older, had higher rates of physicial comorbidity (liver disease, hypertension), and were socially more marginalized, whereas average consumption of alcohol and mental comorbidity were equally high in both groups.CONCLUSION General practitioners were able to identify alcohol dependence, but the cases they identified differed from cases identified using the CIDI. The role of the CIDI as the reference standard should be reexamined, as older alcohol-dependent patients with severe comorbidities seemed to be missed in this assessment.

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Section: Discussionsupporting

confidence: 73%

General Practitioners Recognizing Alcohol Dependence: A Large Cross-Sectional Study in 6 European Countries

Rehm

Allamani

Vedova

et al. 2015

The Annals of Family Medicine

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“…This finding has been corroborated by other studies [17]. Thus, this study focuses on AD as the most severe [18,19] and valid sub-diagnosis of AUDs.…”

Section: Introductionsupporting

confidence: 78%

Prevalence of and Potential Influencing Factors for Alcohol Dependence in Europe

Rehm¹,

et al. 2014

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Alcohol use disorders (AUDs), and alcohol dependence (AD) in particular, are prevalent and associated with a large burden of disability and mortality. The aim of this study was to estimate prevalence of AD in the European Union (EU), Iceland, Norway, and Switzerland for the year 2010, and to investigate potential influencing factors. The 1-year prevalence of AD in the EU was estimated at 3.4% among people 18-64 years of age in Europe (women 1.7%, men 5.2%), resulting in close to 11 million affected people. Taking into account all people of all ages, AD, abuse and harmful use resulted in an estimate of 23 million affected people. Prevalence of AD varied widely between European countries, and was significantly impacted by drinking cultures and social norms. Correlations with level of drinking and other drinking variables and with major known outcomes of heavy drinking, such as liver cirrhosis or injury, were moderate. These results suggest a need to rethink the definition of AUDs.

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“…Moreover, DSM-IV alcohol use disorders were estimated at 6.5% (dependence 3.4%, abuse 3.1%), resulting in 3.4 million 18-64 year-olds being negatively affected by alcohol use. While abuse is mostly associated with disabling effects that manifest themselves in neglect of social roles or functional problems in everyday life [6], alcohol dependence (AD) is regarded a major health risk contributing as much as 74% to the estimated overall net burden of mortality [7]. The social burden and the economic costs from alcohol consumption in Germany are immense [8], with costs amounting to 32.5 billion EUR in 2010 borne by the society [9].…”

Section: Introductionmentioning

confidence: 99%

Temporal Changes in Alcohol-Related Morbidity and Mortality in Germany

et al. 2015

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Aims: Trends in morbidity and mortality, fully or partially attributable to alcohol, for adults aged 18-64 were assessed for Germany. Methods: The underestimation of population exposure was corrected by triangulating survey data with per capita consumption. Alcohol-attributable fractions by sex and two age groups were estimated for major disease categories causally linked to alcohol. Absolute numbers, population rates and proportions relative to all hospitalizations and deaths were calculated. Results: Trends of 100% alcohol-attributable morbidity and mortality over thirteen and eighteen years, respectively, show an increase in rates of hospitalizations and a decrease in mortality rates. Comparisons of alcohol-attributable morbidity including diseases partially caused by alcohol revealed an increase in hospitalization rates between 2006 and 2012. The proportion of alcohol-attributable hospitalizations remained constant. Rates of alcohol-attributable mortality and the proportion among all deaths decreased. Conclusions: The increasing trend in mortality due to alcohol until the mid-1990s has reversed. The constant proportion of all hospitalizations that were attributable to alcohol indicates that factors such as improved treatment and easier health care access may have influenced the general increase in all-cause morbidity. To further reduce alcohol-related mortality, efforts in reducing consumption and increasing treatment utilization are needed.

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Disability Associated With Alcohol Abuse and Dependence

Cited by 114 publications

References 64 publications

General Practitioners Recognizing Alcohol Dependence: A Large Cross-Sectional Study in 6 European Countries

General Practitioners Recognizing Alcohol Dependence: A Large Cross-Sectional Study in 6 European Countries

Prevalence of and Potential Influencing Factors for Alcohol Dependence in Europe

Temporal Changes in Alcohol-Related Morbidity and Mortality in Germany

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