Intention to Change Drinking Behaviour in General Practice Patients With Problematic Drinking and Comorbid Depression or Anxiety

Grothues, Janina; Bischof, Gallus; Reinhardt, Susa; Hapke, Ulfert; Meyer, Christian; John, Ulrich; Rumpf, Hans‐Jürgen

doi:10.1093/alcalc/agh182

Cited by 26 publications

(20 citation statements)

References 27 publications

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“…This finding may be of importance as has been demonstrated that once the problematic alcohol use can be detected and modified at an earlier stage, then alcohol related problems can be prevented [36,37]. …”

Section: Discussionmentioning

confidence: 99%

Alcohol use and abuse in training conscripts of the Hellenic navy

et al. 2006

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ObjectivesAlcohol abuse and addiction are big current problems of the developed world having multivariate causality and multiple effects. Alcohol abuse in young people is a matter of central importance due to its wide range long lasting effects, especially so in Greece where the problem has only recently started growing. The Hellenic Navy is interested in the complications of alcohol abuse in training conscripts. Because young conscripts will be placed in demanding positions, but also because in Greece the military service is obligatory and represents an important period for the socialization of young men.MethodsIn the present study, levels of alcohol use and abuse were measured in a sample of 650 male training conscripts of the Hellenic Navy. The tools used are: (a) two questionnaires measuring frequency and quantity of alcohol consumption and psychosocial variables, (b) the CAGE test, which is a questionnaire measuring hidden alcoholism.Results38,1% conscripts were characterized problematic drinkers according the adolescents criteria. Additional psychological complications were related to alcohol use. Using the stricter criterion for adults (plus psychological complications) 8.9% were found to be problematic drinkers. The use of CAGE questionnaire which is measuring hidden alcoholism, identified 16% of the total sample as hidden alcoholics.DiscussionThe findings regarding unregular levels of alcohol use and abuse are presented as well as their relation to psychosocial complications and to demographic characteristics. The results are discussed in the light of Creek and international bibliography.

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Section: Discussionmentioning

confidence: 99%

Alcohol use and abuse in training conscripts of the Hellenic navy

et al. 2006

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“…1 Considering the final inclusion criteria. 2 Inappropriate age range was determined in the initial contact via phone prior to the execution of the screening procedure. 3 After explaining the study on the phone and/or sending out the study information via E-mail or postal letter.…”

Section: Interventionmentioning

confidence: 99%

“…However, their impact might be diminished by the concurrent existence of mental health problems. Numerous studies have shown that mental health problems are associated with cognitive and motivational patterns that could hinder individuals from successfully changing substance use behavior [2][3][4]. Thus, in individuals with comorbid mental disorders, single-focused interventions targeting alcohol consumption might not be sufficient to change consumption patterns.…”

Section: Introductionmentioning

confidence: 99%

Feasibility and Acceptability of an Intervention Providing Computer-Generated Tailored Feedback to Target Alcohol Consumption and Depressive Symptoms in Proactively Recruited Health Care Patients and Reactively Recruited Media Volunteers: Results of a Pilot Study

et al. 2019

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Background: A pre-post pilot study was conducted to test the feasibility, acceptability, and potential effectiveness of a fully automatized computer-based intervention targeting hazardous drinking and depressiveness in proactively recruited health care patients (HCPs). To address the importance of the sample selection when testing interventions, HCPs were compared to media recruited volunteers (MVs). Method: In a multicenter screening program 2,773 HCPs were screened for hazardous drinking and depressive symptoms. MVs were recruited via media solicitation. Over a period of 6 months, study participants received 6 individualized counseling letters and weekly short messages. Pre-post data were analyzed for 30 participants (15 HCPs, 15 MVs). Intervention acceptability was assessed in post-intervention interviews conducted with 32 study participants. Results: MVs showed higher problem severity and motivation to change than HCPs. Over the course of the intervention both subsamples reduced regular binge drinking (HCPs: p = 0.016; MVs: p = 0.031) and depressiveness (HCPs: p = 0.020; MVs: p < 0.001). MVs further reduced average daily alcohol consumption (p = 0.034). The intervention received positive ratings from both subsamples, the alcohol module was rated more favorably by MVs than by HCPs (p = 0.012). Subsamples further differed in terms of intervention usage (p = 0.013). Conclusion: The intervention was technically and logistically feasible, well accepted, and may have the potential to reduce hazardous drinking and depressive symptoms in different populations. Subsamples differed in terms of problem severity, motivation to change, intervention usage, pre-post changes, and attitudes toward the intervention, showing that intervention development should involve the intended target populations to avoid biased conclusions on intervention effectiveness and acceptability.

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“…Although previous studies have implicated POCs in successful behavior change for alcohol abuse (Ferguson, 1998;Santos Diez et al, 2001;Snow et al, 1994; also see Carbonari & DiClemente, 2000;Freyer et al, 2006;Grothues et al, 2005;Hodgins et al, 1997;Isenhart & Van Krevelan, 1998;Migneault et al, 2005), there has been uncertainty regarding strategy preferences, across and within AUD groups. Thus, on the one hand existing literature suggests strategies for managing high-risk situations, notably stimulus control, facilitate behavior change in people with addiction to alcohol (Bien et al, 1993;Snow et al, 1994).…”

Section: Researchmentioning

confidence: 99%

“…Studies have found POCs useful in motivating behavior change in people with AUDs (Ferguson, 1998;Snow, Prochaska, & Rossi, 1994). For example, Snow et al (1994) found action-oriented POCs such as stimulus control and reinforcement management useful in eliciting behavior change in people with an alcohol dependency (also see Carbonari & DiClemente, 2000;Freyer et al, 2006;Grothues et al, 2005;Hodgins, Ungar, el-Guebaly, & Armstrong, 1997;Isenhart & Van Krevelan, 1998;Migneault et al, 2005). However, there is a paucity of literature on utilization differentials between and within AUD groups.…”

Section: Introduction Disordersmentioning

confidence: 99%

Behavior Change Strategies Underutilized by Alcohol Use Disorder Sufferers

Umeh

Sherratt

2013

Alcoholism Treatment Quarterly

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Research suggests emphasizing underutilized behavior change strategies improves therapeutic outcomes in people with alcohol use disorders (AUDs). Using the transtheoretical model as a backdrop this study assessed utilization of experiential and action-based ''processes of change'' (POCs) by dependent, harmful, hazardous, and low-risk drinkers. Two-hundred university undergraduates completed a questionnaire survey assessing AUDs and POCs in relation to alcohol consumption. Situational control-an effective action-based strategy-did not vary across groups but was the least preferred strategy within each group, except low-risk drinkers. Overall, people with AUDs avoided managing high-risk situations in favor of experiential appraisals.

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Intention to Change Drinking Behaviour in General Practice Patients With Problematic Drinking and Comorbid Depression or Anxiety

Abstract: Individuals with problematic drinking and comorbid anxiety or depression may be well accessible for pro-active intervention to reduce drinking. Strategies should focus on the enhancement of coping skills to control temptation and self-efficacy.

Cited by 26 publications

References 27 publications

Alcohol use and abuse in training conscripts of the Hellenic navy

Alcohol use and abuse in training conscripts of the Hellenic navy

Feasibility and Acceptability of an Intervention Providing Computer-Generated Tailored Feedback to Target Alcohol Consumption and Depressive Symptoms in Proactively Recruited Health Care Patients and Reactively Recruited Media Volunteers: Results of a Pilot Study

Behavior Change Strategies Underutilized by Alcohol Use Disorder Sufferers

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