The Importance of Quality of Life in Patients with Alcohol Abuse and Dependence

Ugochukwu, Chio; Bagot, Kara; Delaloye, Sibylle; Pi, Sarah; Vien, L.P.; Garvey, Tim; Bolotaulo, Nestor Ian; Kumar, Nishant; IsHak, Waguih William

doi:10.1097/hrp.0b013e31827fd8aa

Cited by 67 publications

(50 citation statements)

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“…The gained results showed that the improvement in the quality of physical and mental functioning of alcohol dependent rehab inpatients may take place as a result of therapeutic activity including firstly diagnosis and reduction of depression and anxiety symptoms and secondly minimisation of physical disturbances immediately following the quitting of drinking [42]. Meanwhile, among the homeless an improvement in the same quality of life components could be gained through early interventions cutting down the drinking binges and optimisation of social support [41].…”

Section: ■ Omówienie Wynikówmentioning

confidence: 99%

“…Uzyskane wyniki pokazały, że poprawa jakości funkcjonowania fizycznego i psychicznego osób uzależnionych od alkoholu leczonych stacjonarnie może nastąpić w wyniku działań terapeutycznych, w których należałoby po pierwsze diagnozować oraz redukować objawy depresyjne i lękowe, po drugie -minimalizować zaburzenia somatyczne zaraz po odstawieniu alkoholu [42]. Z kolei u osób bezdomnych poprawę tych samych komponentów jakości życia można byłoby uzyskać przez wczesne interwencje przerywające ciągi picia i optymalizację wsparcia społecznego [41].…”

Section: ■ Omówienie Wynikówunclassified

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Quality of life and its correlates in alcohol dependent males: rehab inpatients and shelter or hostel homeless persons

Czarnecki¹,

Ziółkowski²,

Chodkiewicz³

et al. 2017

ain

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Introduction: Alcohol abuse leads to a lot of mental, somatic and social problems and may also be a cause of homelessness. These problems are often correlated with a decrease in alcohol dependent persons' quality of life including their capacity to handle everyday issues and the ability to obtain medical care. The purpose of the study was to compare the quality of life of alcohol dependent persons:

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Section: ■ Omówienie Wynikówmentioning

confidence: 99%

Section: ■ Omówienie Wynikówunclassified

Quality of life and its correlates in alcohol dependent males: rehab inpatients and shelter or hostel homeless persons

Czarnecki¹,

Ziółkowski²,

Chodkiewicz³

et al. 2017

ain

View full text Add to dashboard Cite

show abstract

“…In persons aged 20–39 years, 25% of deaths are caused by alcohol addiction 4. Alcohol-related diseases such as hepatitis, pancreatitis and various psychiatric disorders (eg, depression) cause a reduced quality of life 5 6. Negative social consequences of alcohol dependence (AD) include unemployment and social isolation.…”

Section: Introductionmentioning

confidence: 99%

Excess costs of alcohol-dependent patients in German psychiatric care compared with matched non-alcohol-dependent individuals from the general population: a secondary analysis of two datasets

et al. 2018

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ObjectivesHeavy alcohol use can cause somatic and mental diseases, affects patients’ social life and is associated with social isolation, unemployment and reduced quality of life. Therefore, societal costs of alcohol dependence are expected to be high. The aim of this study was to estimate excess costs of patients with alcohol dependence diagnosed using the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition criteria compared with individuals without alcohol dependence in Germany.DesignIn a secondary analysis, baseline data of patients with alcohol dependence enrolled in a randomised controlled trial (German Clinical Trials Register DRS00005035) were compared with data collected via a telephone survey from individuals without alcohol dependence and that had been matched by entropy balancing. Health service use was evaluated retrospectively for a 6-month period.SettingsFour German psychiatric university clinics (patients with alcohol dependence) and the German general adult population (individuals without alcohol dependence).Participantsn=236 adult patients with alcohol dependence and n=4687 adult individuals without alcohol dependence.Primary and secondary outcome measuresThe excess costs of health service use, absenteeism and unemployment of patients with alcohol dependence were calculated and compared with individuals without alcohol dependence. In subgroup analyses, the associations between excess cost and gender, comorbidities and the duration of disease were investigated.ResultsTotal 6-month excess costs of €11 839 (95% CI €11 529 to €12 147) were caused by direct excess costs of €4349 (95% CI €4129 to €4566) and indirect costs of €7490 (95% CI €5124 to €9856). In particular, costs of inpatient treatment, formal long-term care, absenteeism and unemployment were high.ConclusionsAlcohol dependence causes substantial direct and indirect excess costs. Cost-effective interventions to prevent and treat alcohol dependence are urgently needed.Trial registration numberDRKS00005035.

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“…One review found that reductions in alcohol use markedly increase HRQL for alcoholics (Donovan et al, 2005), even if the HRQL for those reducing alcohol intake is still lower than HRQL for normative or abstaining populations (Donovan et al, 2005; Saarni et al, 2008). Alcohol abuse treatment programs also improve HRQL (Srivastava & Bhatia, 2013; Ugochukwu et al, 2013). Further, simple interventions like motivational aid or advice can help reduce alcohol use among heavy drinkers, which improves HRQL (Kraemer et al, 2002).…”

Section: Introductionmentioning

confidence: 99%

The Effect of a Patient–Provider Educational Intervention to Reduce At-Risk Drinking on Changes in Health and Health-Related Quality of Life Among Older Adults: The Project SHARE Study

Barnes

Tseng

et al. 2016

Journal of Substance Abuse Treatment

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Background At-risk drinking, defined as alcohol use that is excessive or potentially harmful in combination with select comorbidities or medications, affects about 10% of older adults in the United States and is associated with higher mortality. The Project SHARE intervention, which uses patient and provider educational materials, physician counseling, and health educator support, was designed to reduce at-risk drinking among this vulnerable population. Although an earlier study showed that this intervention was successful in reducing rates of at-risk drinking, it is unknown whether these reductions translate into improved health and health-related quality of life (HRQL). Objective To examine changes in health and HRQL of older adult at-risk drinkers resulting from a patient-provider educational intervention. Research Design A randomized controlled trial to compare the health and HRQL outcomes of patients assigned to the Project SHARE intervention vs. care as usual at baseline, six- and twelve-months post assignment. Control patients received usual care, which may or may not have included alcohol counseling. Intervention group patients received a personalized Patient Report, educational materials on alcohol and aging, a brief provider intervention, and a telephone health educator intervention. Subjects Current drinkers age 60 years and older accessing primary care clinics around Santa Barbara, California (n=1,049). Measurements Data were collected from patients using baseline, six- and twelve-month mail surveys. Health and HRQL measures included mental and physical component scores (MCS and PCS) based on the Short Form-12v2 (SF-12v2), the SF-6D, which is also based on the SF-12, and the Geriatric Depression Scale (GDS). Adjusted associations of treatment assignment with these outcomes were estimated using generalized least squares regressions with random provider effects. Regressions controlled for age group, sex, race/ethnicity, marital status, education, household income, home ownership and the baseline value of the dependent variable. Results After regression adjustment, the intervention was associated with a 0.58 point (95% CI: −0.06, 1.21) increase in 6-month MCS and a 0.14 point (95% CI: 0.01, 0.26) improvement in 12-month GDS score, compared to the control group. The intervention also increased adjusted SF-6D scores by 0.01 points at both six and twelve months (6-month 95% CI: 0.01, 0.02; 12-month 95% CI: 0.01, 0.01). Conclusions Despite the previously shown effectiveness of the Project SHARE intervention to reduce at-risk drinking among older adults, this effect translated into effects on health and HRQL that were statistically but not necessarily clinically significant. Effects were most prominent for patients who received physician discussions, suggesting that provider counseling may be a critical component of primary care-based interventions targeting at-risk alcohol use.

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The Importance of Quality of Life in Patients with Alcohol Abuse and Dependence

Cited by 67 publications

References 81 publications

Quality of life and its correlates in alcohol dependent males: rehab inpatients and shelter or hostel homeless persons

Quality of life and its correlates in alcohol dependent males: rehab inpatients and shelter or hostel homeless persons

Excess costs of alcohol-dependent patients in German psychiatric care compared with matched non-alcohol-dependent individuals from the general population: a secondary analysis of two datasets

The Effect of a Patient–Provider Educational Intervention to Reduce At-Risk Drinking on Changes in Health and Health-Related Quality of Life Among Older Adults: The Project SHARE Study

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