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AUDIT Alcohol Use Disorder Identification Test [keywords]
- P-16the role of personality and relapse in alcohol dependence. [Journal Article]
- Alcohol Alcohol 2014 Sep.:i56.
Personality profiling allows researchers to generate important hypotheses in risk factors and correlates of alcohol use and misuse. Studies examining the association between personality traits and relapse are limited in India. We studied the role of personality and relapse in alcohol dependent patients.Adult participants with alcohol dependence were recruited from the inpatient and outpatient wards of deaddiction unit of a tertiary care facility in India using a prospective design and followed up after three months. Questionnaire administered were NEO-PI-R (Revised NEO Personality Inventory), AUDIT (Alcohol Use Disorders Identification Test) and AWARE (Advanced Warning of Alcohol Relapse).Out of 99 recruited participants (92% males) with mean age 37 years, 69 patients were followed up, of which 44.93% abstained; 55.07% relapsed. E5 facet (excitement seeking) in the extraversion domain of the NEO-PI-R significantly correlated with AWARE scores (p = 0.047) and also with the followup drinking scores among the patients who continued to drink (p = 0.015).Our study suggests that factors related to extraversion, specifically, excitement seeking might be associated with a higher risk of alcohol relapse. Predicting alcohol relapse by studying the personality traits would help clinicians in improving treatment outcomes.
- P-10alcohol-related problems among volunteer firefighters in a disaster area hit by a huge earthquake. [Journal Article]
- Alcohol Alcohol 2014 Sep.:i55.
In Japan, volunteer fire departments (VFDs), which are fire departments composed of volunteers who fight fires and provide other related emergency services for a local jurisdiction, have been organized, especially in rural areas. During the Great East Japan Earthquake on March 11, 2011, VFDs in disaster areas engaged in various activities to aid disaster victims. The aim of this study was to elucidate changes of alcohol use among VFD members.We sent self-administered questionnaires to 1044 VFD members. The questionnaire included Alcohol Use Disorder Identification Test [AUDIT] and questions regarding changes in each member's drinking habits after the earthquake.Overall, 683 (65.4%) members responded to our survey. The percentage of VFD members who scored ten or above on the AUDIT was higher among members with experiences losing families and/or friends (33.7%) compared with those without such experiences (22.5%) (P < 0.0049) CONCLUSION: The survey suggest that experiences of human loss influence dinking behavior. In addition to this first survey, we will present the result of the second survey which was conducted in 2013.
- P-8prediction of relapse using implicit association test to Japanese alcohol dependence inpatients. [Journal Article]
- Alcohol Alcohol 2014 Sep.:i54-i55.
The aim of the present study was to examine whether an implicit attitude to alcohol drinking for Japanese alcohol dependent inpatients predict their relapse after discharging from hospital. The participants were 21 inpatients of alcohol dependence with informed consent. During hospitalization, alcohol-pleasure Implicit Association Test (IAT) and self-rating scales including severity of their alcohol dependence with Alcohol Use Disorder Identification Test (AUDIT), relapse risk of alcohol with Alcohol Relapse Risk Scale (ARRS), subjective craving for alcohol with Visual Analogue Scale (VAS) were administered. A follow-up survey was executed within approximately two weeks after their discharging from hospital to measure their reuse of alcohol. As a result of correlation analysis, moderate correlation between IAT-D score and reuse alcohol (.487). Some of subscales in ARRS (stimulus-induced vulnerability, compulsivity for alcohol, and lack of insight) were also significantly correlated with reuse respectively (.454, .519, .466). Moreover, IAT-D score was significantly correlated with lack of insight subscale score (.596). These results indicated that implicit attitude for alcohol preference could predict their alcohol reuse, being associated with their lack of insight (This research is ongoing now until sufficient data collection).
- P-6cut-off score of the alcohol use disorders identification test-consumption and its application to detect hazardous drinking in korean male population. [Journal Article]
- Alcohol Alcohol 2014 Sep.:i54.
The aim of this study was to define optimal cut points of Alcohol Use Disorders Identification Test-Consumption (AUDIT-C) to detect hazardous drinking in the Korean general male population.This study had recruited subjects among male individuals who were invited to a health check and had excluded those who had any past and present history of alcohol or substance use disorder. Among them, 221 subjects completed the AUDIT and questionnaires about their alcohol consumption.The optimal cut-off point of AUDIT-C was found to be > 6 to detect a hazard drinker based on > 9 of total AUDIT scores. The optimal cut-off point was observed to be > 5 for AUDIT-C to detect a hazard drinker defined as > 14 standard drinks per week or > 4 standard drinks per occasion. According to AUDIT cut-off > 9 and AUDIT-C cut-off > 6 for a hazard drinker, 32.3% subjects were positive for both the AUDIT and AUDIT-C, 9.2% were positive for AUDIT-C only, and 3.7% were positive for AUDIT only. The subjects with AUDIT-positive and AUDIT-C-negative had significantly higher alcohol-related problem score in AUDIT than others. They all had insight in their alcohol-related problem and showed their willing to reduce alcohol drinking. However, the males with AUDIT-negative and AUDIT-C-positive showed lack of insight and willing to reduce alcohol drinking.Our study found the optimal cut points to be 5 or 6 for AUDIT-C to detect a hazard drinker in the Korean male population. Clinicians should apply both AUDIT total score and AUDIT-C score to differentiate individual's characteristics in alcohol-related problem.
- The Effect of a Yoga Intervention on Alcohol and Drug Abuse Risk in Veteran and Civilian Women with Posttraumatic Stress Disorder. [JOURNAL ARTICLE]
- J Altern Complement Med 2014 Sep 11.
Abstract Background: Individuals with posttraumatic stress disorder (PTSD) often exhibit high-risk substance use behaviors. Complementary and alternative therapies are increasingly used for mental health disorders, although evidence is sparse. Objectives: Investigate the effect of a yoga intervention on alcohol and drug abuse behaviors in women with PTSD. Secondary outcomes include changes in PTSD symptom perception and management and initiation of evidence-based therapies. Methods: The current investigation analyzed data from a pilot randomized controlled trial comparing a 12-session yoga intervention with an assessment control for women age 18 to 65 years with PTSD. The Alcohol Use Disorder Identification Test (AUDIT) and Drug Use Disorder Identification Test (DUDIT) were administered at baseline, after the intervention, and a 1-month follow-up. Linear mixed models were used to test the significance of the change in AUDIT and DUDIT scores over time. Treatment-seeking questions were compared by using Fisher exact tests. Results: The mean AUDIT and DUDIT scores decreased in the yoga group; in the control group, mean AUDIT score increased while mean DUDIT score remained stable. In the linear mixed models, the change in AUDIT and DUDIT scores over time did not differ significantly by group. Most yoga group participants reported a reduction in symptoms and improved symptom management. All participants expressed interest in psychotherapy for PTSD, although only two participants, both in the yoga group, initiated therapy. Conclusions: Results from this pilot study suggest that a specialized yoga therapy may play a role in attenuating the symptoms of PTSD, reducing risk of alcohol and drug use, and promoting interest in evidence-based psychotherapy. Further research is needed to confirm and evaluate the strength of these effects.
- Alcohol dependence and CD4 cell count: is there a relationship? [JOURNAL ARTICLE]
- AIDS Care 2014 Sep 1.:1-5.
Alcohol and other drugs use seem to be common among people infected with HIV on antiretroviral treatment (ART). Their effects on HIV progression is still in debate. This study aimed to assess the association between alcohol and drug use and an HIV disease progression biomarker (CD4 cell count) among patients on ART. A cross-sectional study was carried out at an HIV treatment center affiliated with Medical School of the University of São Paulo, Brazil. Four hundred and thirty-eight HIV-positive patients on ART were interviewed by trained psychiatrists and psychologists using the following instruments: Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I), Alcohol Use Disorders Identification Test (AUDIT), 17-item Hamilton Rating Scale for Depression, and the Simplified Medication Adherence Questionnaire (SMAQ). In the previous month, 219 (50%) and 41 (9.3%) patients reported use of alcohol and illicit drugs, respectively. Fifty patients (12.6%) were classified as having harmful alcohol use by AUDIT. According to SCID-I, 80 patients (18.3%) were alcohol abusers, 24 (5.5%) alcohol dependents, and 21 (4.2%) had a current depressive disorder. Almost 73% (n = 319-72.8%) of the patients were adherent to ART. Alcohol dependents were nine times (p < 0.01) more likely to have CD4 cell count ≤200/mm(3), and this association was independent of ART adherence. In conclusion, alcohol dependence seems to be associated with low CD4 cell count in HIV-positive patients. Based on these data, HIV health care workers should always assess alcohol consumption in the treatment setting, and patients should be advised that alcohol dependence may be linked to low CD4.
- Prevalence and Correlates of Alcohol Abuse and Dependence in Lebanon: Results from the Lebanese Epidemiologic Survey on Alcohol (LESA). [JOURNAL ARTICLE]
- J Addict Dis 2014 Aug 12.:0.
Abstract Purpose: Determining the 12-months prevalence and correlates of DSM-IV alcohol abuse and dependence in a nationally representative sample of Lebanese adults. Methods: 1000 participants collaborated in face-to-face interviews in 2011. Results: Prevalence of 12-months alcohol dependence was 5.00% with a higher risk for men, unmarried, youngest adults, students, participants with a liberal occupation, participants with low income, participants with positive family history of alcohol misuse and smokers. Prevalence of 12-months alcohol abuse was 6.20% with a higher risk for men, students, employees and Druze and Christians as compared to Muslims. Conclusions: Current alcohol abuse and dependence were found to be very highly prevalent in Lebanon.
- Mood, Mood Regulation, and Frontal Systems Functioning in Current Smokers, Long-Term Abstinent Ex-Smokers, and Never-Smokers. [JOURNAL ARTICLE]
- J Psychoactive Drugs 2014 April-June; 46(2):133-139.
Abstract Indices of mood, mood regulation, and executive functioning were examined in 61 current smokers who have smoked daily for at least one year, 36 ex-smokers who had not smoked a cigarette for at least one year, and 86 never-smokers. All participants completed the following measures online: Depression Anxiety Stress Scales (DASS-21), the Negative Mood Regulation (NMR) scale, the Frontal Systems Behavior Scale (FrSBe), the Fagerström Test for Cigarette Dependence (FTCD), and the Alcohol Use Disorders Identification Test (AUDIT). Multivariate analysis of variance (MANOVA) followed by Tukey post-hoc tests revealed significant differences (p < .01) such that current smokers indicated worse functioning than both ex-smokers and never-smokers on DASS, NMR, and FrSBe, as well as heavier drinking as measured by AUDIT. These differences remained significant even after controlling for AUDIT scores. Results most plausibly reflect a return to pre-smoking baseline brain function in long-term abstinent ex-smokers.
- Cross-sectional Study to Acknowledge the Independent Association of the Socio-demographic Determinants of Alcohol Use in an Urban Slum of North India. [Journal Article]
- Int J Prev Med 2014 Jun; 5(6):749-57.
To seek pleasure is man's innate nature. In his search for gratification, man has discovered a world of substances that intoxicated him. Those who fell within its trap, their life changed, their families aggrieved and they shrank from company. The addiction remained alone in the end. To many death was a relief.A community based cross- sectional study was conducted in the Catchment area of UHTC (Urban Health and training Centre) where all males aged ≥15 years residing in the study area were included. Data was collected by home visit using WHO questionnaire (Alcohol use disorder identification test) Modified Kuppuswamy scale was used to assess the socio-economic status of the families. Data was analyzed by appropriate test using SPSS 20.0 version. Logistic regression was applied to the positively associated results.According to the AUDIT score, Hazardous, Dependent and harmful drinkers were 7.7%, 9.2% and 2.4% respectively. Age, marital status, education of the head of the family, occupation of the respondent, caste, family history of alcohol use had statistically significant association (P < 0.05, 95% confidence interval). Logistic regression was applied and marital status, family history of alcohol use and caste retained their statistical significance (P < 0.05, 95% confidence interval).It can be concluded that being young, being low educated, being married and having a family history of alcohol use are more at risk to it. This indicates the dire necessity to consider the above factors in order to combat with this evil of alcohol use.
- Association Between Alcohol Consumption and Periodontal Disease: The 2008-2010 Korea National Health and Nutrition Examination Survey. [JOURNAL ARTICLE]
- J Periodontol 2014 Jul 10.:1-16.
Background: A positive association has been reported between alcohol and periodontal disease. Therefore, this study was conducted to assess the relationship between alcohol intake and severity of periodontal disease in a large probability sample of the Korean population using the Korea National Health and Nutrition Examination Survey (KNHANES). Methods: The data from KNHANES conducted between 2008 and 2010 by the Division of Chronic Disease Surveillance under the Korea Centers for Disease Control and Prevention and the Korean Ministry of Health and Welfare were used for this study. The presence of periodontal treatment needs according to demographic variables and anthropometric and hematological characteristics of the participants are presented as means with their standard errors. Multivariate logistic regression analyses were used to assess the associations of periodontal treatment needs with the amount of alcohol intake and other variables including smoking and the number of tooth brushing times per day. Results: An association between drinking alcohol and periodontal treatment needs could be seen in men after adjustment for variables. Adjusted odds ratios (ORs) and their 95% confidence intervals (CIs) in males were 1.271 [1.030-1.568] for heavy drinkers after controlling for age, smoking, body mass index, exercise, education, income, white blood cell count, diabetes, hypertension, metabolic syndrome, number of tooth brushing episodes per day (Model 3). Adjusted ORs and their 95% CIs in males were 1.569 [1.284-1.916] for AUDIT (alcohol use disorders identification test) level of 20 or greater in Model 3. ORs increased with the increase in alcohol consumption levels and AUDIT levels. Statistically significant correlations between drinking and periodontal treatment needs could not be seen in female heavy drinkers and in female drinkers with AUDIT levels of 20 or greater. Conclusions: Men with higher alcohol intake were more likely to have a higher prevalence of treatment needs regardless of their age, socioeconomic factors, systemic conditions (including diabetes, hypertension, and metabolic syndrome) and number of tooth brushing per day in multivariable adjusted models. By contrast, in women, alcohol intake was not independently associated with periodontal treatment needs. Alcohol consumption was discovered to be a potential risk indicator for periodontal treatment needs in men in this study.