The role of alcohol consumption in future classifications of alcohol use disorders

Abstract Rationale Rumination is a repetitive, negative, self-focused thinking style associated with various forms of psychopathology. Recent studies suggest that rumination increases craving for alcohol and predicts harmful drinking and alcohol-related problems. However, the acute effects of alcohol on rumination have not been previously studied. It is proposed that alcohol may reduce ruminative thinking through decreasing negative mood. Objectives In the present study, we aimed to test the previously unexplored effects of acute alcohol consumption on rumination in a hazardous drinking population. Methods We conducted a randomised placebo-controlled laboratory study to examine the effect of low (0.4 g kg−1) and high doses (0.8 g kg−1) of alcohol on state rumination compared to placebo. Participants completed a rumination induction task prior to receiving drinks. We then measured state rumination and mood at repeated time points; 30 min, 60 min and 90 min post-drinks consumption. Results We found a significant decrease in state rumination in the low-dose alcohol group compared to placebo at 30 min post-alcohol consumption, but no difference was observed between the high-dose alcohol and placebo groups. Mediation analysis provided evidence for an indirect effect of alcohol on state rumination through concurrent changes in negative mood. Conclusions These findings suggest that acute alcohol consumption can regulate negative mood and concurrently rumination, providing preliminary evidence for the role of rumination in alcohol use disorders. Rumination may be a treatment target in alcohol use disorders.

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The Role of Delta Opioid Receptors in Ethanol Consumption and Seeking: Implications for New Treatments for Alcohol Use Disorders

Neuroscience - Dealing With Frontiers ◽

10.5772/32239 ◽

2012 ◽

Author(s):

Carsten K. ◽

Selena E.

Keyword(s):

Alcohol Use ◽

Opioid Receptors ◽

Alcohol Use Disorders ◽

Ethanol Consumption ◽

Delta Opioid Receptors ◽

New Treatments

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Substance Use Disorders and Intentional Injury

10.1093/oxfordhb/9780199381708.013.002 ◽

2014 ◽

Author(s):

S. Janet Kuramoto-Crawford ◽

Holly C. Wilcox

Keyword(s):

Substance Use ◽

Alcohol Use ◽

Substance Use Disorders ◽

Partner Violence ◽

Alcohol Use Disorders ◽

Research Attention ◽

Intentional Injuries ◽

Drug Use Disorders ◽

The Relationship

Intentional injuries affect millions of lives worldwide. The authors provide an overview of the epidemiological and preventive evidence on the relationship between substance use disorders (SUD) and intentional injuries. Emphasis is placed on suicide and intimate partner violence, as each area has received substantial research attention in relation to SUD. There is robust epidemiological evidence on the relationship between SUD, notably with alcohol use disorders, and most intentional injuries. Research has focused on the identification of factors that distinguish individuals with alcohol use disorders who are at particularly high risk for intentional injuries. Characterization of those with other drug use disorders who are at risk for engaging in intentional injuries and the role of SUD in intentional injuries has been less extensively investigated. The authors conclude with a discussion of public health approaches to the prevention of intentional injuries among individuals with SUD.

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Comparing short versions of the Alcohol Use Disorders Identification Test (AUDIT) in a military cohort

Journal of the Royal Army Medical Corps ◽

10.1136/jramc-2018-001024 ◽

2018 ◽

Vol 165 (5) ◽

pp. 312-316 ◽

Cited By ~ 1

Author(s):

Jason Watterson ◽

B Gabbe ◽

P Dietze ◽

A Bowring ◽

J V Rosenfeld

Keyword(s):

Alcohol Consumption ◽

Alcohol Use ◽

Internal Consistency ◽

Alcohol Use Disorders ◽

Pearson’S Correlation ◽

Identification Test ◽

Hazardous Alcohol ◽

Military Populations ◽

Pearson's Correlation ◽

Short Versions

BackgroundThe Alcohol Use Disorders Identification Test (AUDIT) is widely used for monitoring harmful alcohol consumption among high-risk populations. A number of short versions of AUDIT have been developed for use in time-constrained settings. In military populations, a range of AUDIT variations have been used, but the optimal combination of AUDIT items has not been determined.MethodsA total of 952 participants (80% male), recruited as part of a wider study, completed the AUDIT-10. We systematically assessed all possible combinations of three or four AUDIT items and established AUDIT variations using the following statistics: Cronbach’s alpha (internal consistency), variance explained (R2) and Pearson’s correlation coefficient (concurrent validity).ResultsMedian AUDIT-10 score was 7 for males and 6 for females, and 380 (40%) participants were classified as having a score indicative of harmful or hazardous alcohol use (≥8) according to WHO classifications.A novel four-item AUDIT variation (3, 4, 8 and 9) performed consistently higher than established variations across statistical measures; it explained 85% of variance in AUDIT-10, had a Pearson’s correlation of 0.92 and Cronbach’s alpha was 0.63. The FAST, an established shortened AUDIT variant, together with several other four-item novel variants of AUDIT-10 performed similarly. The AUDIT-C performed consistently low on all measures, but with a satisfactory level of internal consistency (75%).ConclusionShortened AUDIT variations may be suitable alternatives to the full AUDIT for screening hazardous alcohol consumption in military populations. Four-item AUDIT variations focused on short-term risky drinking and its consequences performed better than three item versions.Trial registration numberACTRN12614001332617.

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AUDIT (Alcohol Use Disorders Identification Test) to Estimate the Pattern and Correlates of Alcohol Consumption among the Adult Population of West Bengal, India: A Community Based Cross-sectional Study

JOURNAL FOR CLINICAL AND DIAGNOSTIC RESEARCH ◽

10.7860/jcdr/2017/23587.9559 ◽

2017 ◽

Author(s):

Arkaprabha Sau

Keyword(s):

Alcohol Consumption ◽

Alcohol Use ◽

West Bengal ◽

Adult Population ◽

Alcohol Use Disorders ◽

Cross Sectional Study ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Identification Test

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The impact of alcohol use disorders and alcohol consumption on treatment-seeking individuals with social anxiety disorder

Bulletin of the Menninger Clinic ◽

10.1521/bumc.2021.85.2.100 ◽

2021 ◽

Vol 85 (2) ◽

pp. 100-122

Author(s):

Mirjana Subotic-Kerry ◽

Andrew J. Baillie ◽

Lexine A. Stapinski ◽

Maree J. Abbott ◽

Jo MacDonald ◽

...

Keyword(s):

Anxiety Disorder ◽

Social Anxiety ◽

Alcohol Consumption ◽

Alcohol Use ◽

Social Anxiety Disorder ◽

Alcohol Use Disorders ◽

Anxiety Symptoms ◽

Social Situations ◽

Low Incidence ◽

The Impact

Comorbid social anxiety and alcohol use disorders (SAD-AUD) in the community and the complex interactions that occur between these disorders have emerged as a significant clinical, public health, and research issue. The authors examined (a) the rates of comorbid SAD-AUD, (b) the impact of comorbid SAD-AUD on outcomes targeting social anxiety disorder, and (c) the effect of pretreatment alcohol consumption and alcohol use before, during, and after social situations on a composite measure of social anxiety in 172 adults presenting with social anxiety disorder. There was low incidence of AUD in this sample of individuals with SAD. Results indicated that alcohol consumption did not lead to worse social anxiety symptoms; however, alcohol use before and during social situations was associated with more severe social anxiety symptoms. These findings suggest that the function of alcohol use may be more important than the overall level of alcohol use and has implications for treatment.

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Drunk in Society

Drunk Japan ◽

10.1093/oso/9780190070847.003.0007 ◽

2020 ◽

pp. 142-174

Author(s):

Mark D. West

Keyword(s):

Alcohol Consumption ◽

Alcohol Use ◽

Social Problem ◽

Family Law ◽

Drunk Driving ◽

Employment Law ◽

Legal Contexts ◽

Insight Into ◽

The Way

This chapter focuses on the role of intoxication in society. After examining the way courts discuss alcohol use as a social problem, it turns to three legal contexts: employment law, family law, and torts. First, it examines cases of disciplinary dismissals, in which civil servants whose employment is terminated after drunk-driving convictions sue their former employers. Second, it explores divorce cases in which alcohol consumption and intoxication are raised as factors that contributed to the demise of the marriage. Third, it turns to cases in which people claim they were defamed by statements related to alcohol consumption. In each case, courts issue opinions that either offer little insight into their thoughts on intoxication (despite a penchant for editorializing in other types of cases) or apply uneven, but individualized, justice.

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