Prevalence and correlates of hazardous alcohol use and co-occurring mental health problems in Nepal following the 2015 earthquakes

2017 ◽  
Vol 171 ◽  
pp. e98 ◽  
Author(s):  
Jeremy C. Kane ◽  
Nagendra Luitel ◽  
Mark J.D. Jordans ◽  
Brandon A. Kohrt ◽  
M. Claire Greene ◽  
...  
Keyword(s):  
Mental Health ◽  
Alcohol Use ◽  
Mental Health Problems ◽  
Health Problems ◽  
Hazardous Alcohol Use ◽  
Hazardous Alcohol

scholarly journals Satisfaction With Life, Mental Health Problems and Potential Alcohol-Related Problems Among Norwegian University Students

2021 ◽  
Vol 12 ◽  
Author(s):  
Pia Jensen ◽  
Ellen Haug ◽  
Børge Sivertsen ◽  
Jens Christoffer Skogen
Keyword(s):  
Mental Health ◽  
Logistic Regression ◽  
Alcohol Consumption ◽  
Alcohol Use ◽  
Satisfaction With Life ◽  
Mental Health Problems ◽  
Health Problems ◽  
Harmful Alcohol ◽  
Risky Alcohol ◽  
Alcohol Related Problems

Objective: Recent studies have shown that today's college students more than ever are struggling with mental health and alcohol problems. While poor satisfaction with life and mental health problems have been linked to higher alcohol consumption, there is still a lack of studies examining in detail the shape and nature of the relationship between mental health and alcohol consumption.Aim: To investigate the associations between satisfaction with life, mental health problems and potential alcohol-related problems among Norwegian university students. The shape of the associations was also examined.Methods: Data were drawn from a 2018 national survey of students in higher education in Norway (the SHoT-study). Associations between satisfaction with life, mental health problems and potential alcohol-related problems (AUDIT; risky and harmful alcohol use) were investigated using logistic regression. Both crude models and models adjusted for age, gender and marital status were conducted. To investigate the shape of the associations, logistic regression with quadric and cubic terms was tested.Results: Decreased satisfaction with life and increased mental health problems were associated with potential alcohol-related problems. For satisfaction with life, a curvilinear association with risky alcohol use and a linear association with harmful alcohol use was identified. For mental health problems, curvilinear associations were found for both risky and harmful alcohol use.Conclusion: Many students report potential alcohol-related problems. Students with harmful alcohol use seem to be more at risk of reduced satisfaction with life and increased mental health problems than students with risky alcohol use. Educational institutions may be an ideal setting for raising awareness of mental health issues and responsible alcohol consumption among students. The present study contributes with important information about the shape of the associations between satisfaction with life, mental health problems and potential alcohol-related problems in the student population.

scholarly journals The prevalence of hazardous and harmful drinking in the UK Police Service, and their co-occurrence with job strain and mental health problems

2021 ◽  
Vol 30 ◽  
Author(s):  
P. Irizar ◽  
S. H. Gage ◽  
M. Field ◽  
V. Fallon ◽  
L. Goodwin
Keyword(s):  
Mental Health ◽  
Alcohol Consumption ◽  
Alcohol Use ◽  
Health Problem ◽  
Mental Health Problems ◽  
Job Strain ◽  
Reference Group ◽  
Health Problems ◽  
Police Service ◽  
The Uk

Abstract Aims Due to the stressful nature of policing, police employees are at risk of mental health problems and problematic alcohol use. We aim to determine the prevalence of hazardous and harmful alcohol use in the UK Police Service, and to explore the associations with job strain and mental health problems. Methods Cross-sectional data from the Airwave Health Monitoring Study (N = 40 986) included measures of alcohol consumption (total units in past week), mental health (depression, anxiety and post-traumatic stress disorder [PTSD]) and job strain. The associations between mental health and job strain with alcohol consumption (i.e. abstinence, low-risk [<14 units per week, reference group], hazardous [>14 to 35 units for women, >14 to 50 units for men], harmful [>35 units for women, >50 units for men]), were analysed using multinomial logistic regressions, adjusting for potential confounders (i.e. age, gender, ethnicity, marital status, children under 18, income and smoking status). Results A total of 32.6% of police employees reported hazardous drinking, with 3.0% drinking at harmful levels. Compared to those without a mental health problem, police employees with depression, anxiety or PTSD were twice as likely to be harmful drinkers and were also 1.3 times more likely to report abstinence. Those reporting low strain (reference group) were more likely to drink hazardously compared to those reporting high strain, which was statistically moderated by mental health. When the sample was stratified by mental health status, the association between low strain (compared to all other categories) and hazardous drinking, was significant only in those without a mental health problem. Conclusions These findings indicate that police employees may be an occupational group at risk of alcohol harm, with one-third drinking hazardously. The J-shaped relationship between mental health and alcohol use highlights a need for an integration of mental health and alcohol services, tailored for the UK Police Service.

scholarly journals Changes in alcohol consumption after treatment for depression: a secondary analysis of the Swedish randomised controlled study REGASSA

BMJ Open ◽  
2019 ◽  
Vol 9 (11) ◽  
pp. e028236
Author(s):  
Catharina Strid ◽  
Mats Hallgren ◽  
Yvonne Forsell ◽  
Martin Kraepelien ◽  
Agneta Öjehagen
Keyword(s):  
Mental Health ◽  
Alcohol Consumption ◽  
Alcohol Use ◽  
Rating Scale ◽  
Mental Health Problems ◽  
Hazardous Drinking ◽  
Controlled Study ◽  
Entire Group ◽  
Hazardous Alcohol ◽  
Randomised Controlled

ObjectivesMental health problems and hazardous alcohol consumption often co-exist. Hazardous drinking could have a negative impact on different aspects of health and also negatively influence the effect of mental health treatment. The aims of this study were to examine if alcohol consumption patterns changed after treatment for depression and if the changes differed by treatment arm and patient sex.MethodsThis study of 540 participants was conducted in a large randomised controlled trial (RCT) that aimed to compare the effect of internet-based cognitive behavioural therapy, physical exercise and treatment as usual on 945 participants with mild-to-moderate depression. Treatment lasted for 12 weeks; alcohol consumption (Alcohol Use Disorder Identification Test (AUDIT)) and depression (Montgomery Åsberg Depression Rating Scale (MADRS)) were assessed at baseline and 12-month follow-up. Changes in alcohol consumption were examined in relation to depression severity, treatment arm and patient sex.ResultsThe AUDIT distribution for the entire group remained unchanged after treatment for depression. Hazardous drinkers exhibit decreases in AUDIT scores, although they remained hazardous drinkers according to the cut-off scores. Hazardous drinkers experienced similar improvements in symptoms of depression compared with non-hazardous drinkers, and there was no significant relation between changes in AUDIT score and changes in depression. No differences between treatment arm and patient sex were found.ConclusionThe alcohol consumption did not change, despite treatment effects on depression. Patients with depression should be screened for hazardous drinking habits and offered evidence-based treatment for hazardous alcohol use where this is indicated.Trial registration numberDRKS00008745.

scholarly journals UK veterans’ mental health and well-being before and during the COVID-19 pandemic: a longitudinal cohort study

BMJ Open ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. e049815
Author(s):  
Marie-Louise Sharp ◽  
Danai Serfioti ◽  
Margaret Jones ◽  
Howard Burdett ◽  
David Pernet ◽  
...  
Keyword(s):  
Mental Health ◽  
Cohort Study ◽  
Alcohol Use ◽  
Armed Forces ◽  
Well Being ◽  
Hazardous Drinking ◽  
Hazardous Alcohol Use ◽  
Hazardous Alcohol ◽  
The Uk ◽  
Health And Well Being

ObjectiveTo investigate the impact of the COVID-19 pandemic on the health and well-being of UK ex-service personnel (veterans) before and during the pandemic, and to assess associations of COVID-19 experiences and stressors with mental health, alcohol use and loneliness.DesignAn additional wave of data was collected from a longitudinal cohort study of the UK Armed Forces.SettingOnline survey June–September 2020.ParticipantsCohort members were included if they had completed a questionnaire at phase 3 of the King’s Centre for Military Health Research health and well-being study (2014–2016), had left the Armed Forces after regular service, were living in the UK, had consented to follow-up and provided a valid email address. Invitation emails were sent to N=3547 with a 44% response rate (n=1562).Primary outcome measuresCommon mental health disorders (CMDs) (measured using the General Health Questionnaire, 12 items—cut-off ≥4), hazardous alcohol use (measured using the Alcohol Use Disorder Identification Test, 10 items—cut off ≥8) and loneliness (University of California, Los Angeles, Loneliness Scale— 3 items-cut-off ≥6).ResultsVeterans reported a statistically significant decrease in hazardous drinking of 48.5% to 27.6%, while CMD remained stable (non-statistically significant increase of 24.5% to 26.1%). 27.4% of veterans reported feelings of loneliness. The COVID-19 stressors of reporting difficulties with family/social relationships, boredom and difficulties with health were statistically significantly associated with CMD, hazardous drinking and loneliness, even after adjustment for previous mental health/hazardous alcohol use.ConclusionsOur study suggests a COVID-19 impact on veterans’ mental health, alcohol use and loneliness, particularly for those experiencing difficulties with family relationships. Veterans experienced the pandemic in similar ways to the general population and in some cases may have responded in resilient ways. While stable levels of CMD and reduction in alcohol use are positive, there remains a group of veterans who may need mental health and alcohol treatment services.

Impact of exposure to combat during deployment to Iraq and Afghanistan on mental health by gender

2012 ◽  
Vol 42 (9) ◽  
pp. 1985-1996 ◽  
Author(s):  
C. Woodhead ◽  
S. Wessely ◽  
N. Jones ◽  
N. T. Fear ◽  
S. L. Hatch
Keyword(s):  
Mental Health ◽  
Gender Differences ◽  
Alcohol Use ◽  
Common Mental Disorder ◽  
Armed Forces ◽  
Post Traumatic Stress ◽  
Hazardous Alcohol Use ◽  
Men And Women ◽  
Hazardous Alcohol ◽  
The Impact

BackgroundInterest in the mental health of women deployed to modern military campaigns is increasing, although research examining gender differences is limited. Little is known about experiences women have had on these deployments, or whether men and women respond differently to combat exposure.MethodThe current study used data from a representative sample of UK Armed Forces personnel to examine gender differences among those deployed to Iraq and Afghanistan (n=432 women,n=4554 men) in three measures of experience: ‘risk to self’, ‘trauma to others’ and ‘appraisal of deployment’. We examined the impact of such experiences on post-deployment symptoms of post-traumatic stress disorder (PTSD), symptoms of common mental disorder (CMD) and hazardous alcohol use.ResultsAfter adjustment, men reported more exposure to ‘risk to self’ and ‘trauma to others’ events and more negative appraisals of their deployment. Among both genders, all measures of combat experience were associated with symptoms of PTSD and CMD (except ‘risk to self’ events on symptoms of CMD among women) but not with alcohol misuse. Women reported higher scores on the PTSD Checklist – Civilian Version (PCL-C) among those exposed to lower levels of each experience type but this did not hold in the higher levels. Women reported greater symptoms of CMD and men reported greater hazardous alcohol use across both levels of each experience type. Examining men and women separately suggested similar responses to exposure to adverse combat experiences.ConclusionsThe current findings suggest that, although gender differences in mental health exist, the impact of deployment on mental health is similar among men and women.

scholarly journals Assessment and Treatment of Patients with Comorbidity of Mental Health Problems and Alcohol Use Disorders: Experiences of Clinicians and Patients in the UK and Poland

2019 ◽  
Vol 54 (3) ◽  
pp. 279-286
Author(s):  
Justyna Klingemann ◽  
Marta Welbel ◽  
Pablo Nicaise ◽  
Stefan Priebe ◽  
Aleksandra Matanov ◽  
...  
Keyword(s):  
Mental Health ◽  
Alcohol Use ◽  
Mental Health Problems ◽  
Alcohol Use Disorders ◽  
Health Problems ◽  
Assessment And Treatment ◽  
The Uk

scholarly journals The influence of hazardous drinking on psychological functioning, stress and sleep during and after treatment in patients with mental health problems: a secondary analysis of a randomised controlled intervention study

BMJ Open ◽  
2018 ◽  
Vol 8 (3) ◽  
pp. e019128 ◽  
Author(s):  
Catharina Strid ◽  
Claes Andersson ◽  
Agneta Öjehagen
Keyword(s):  
Mental Health ◽  
Alcohol Use ◽  
Perceived Stress ◽  
Psychological Functioning ◽  
Mental Health Problems ◽  
Alcohol Use Disorders ◽  
Health Problems ◽  
Hazardous Drinking ◽  
Cognitive Behaviour ◽  
Randomised Controlled

ObjectivesHazardous drinking could negatively affect health and lead to alcohol use disorders, but it is unclear how hazardous drinking affects treatment outcomes of depression and anxiety and stress-related mental health problems. The aim of this study was to examine whether hazardous drinking, measured by Alcohol Use Disorders Identification Test-Consumption (AUDIT-C), influences the outcomes of repeated assessments of psychological functioning (Outcome Questionnaire-45), stress (Perceived Stress Scale) and sleep (Karolinska Sleep Questionnaire), during and after treatment in patients with mental ill health.MethodsThe study was conducted within REGASSA, a randomised controlled trial aimed at comparing Internet-based cognitive–behaviour therapy and physical exercise with treatment as usual on primary care patients with mental ill health. The study involved 871 participants who completed the AUDIT at baseline and who were assessed repeatedly during and after treatment on psychological functioning, stress and sleep by interactive voice response, a computerised, automated telephone technology.ResultsAt baseline, hazardous drinkers were more depressed and had lower scores on psychological functioning than non-hazardous drinkers, while there were no differences on stress and sleep. During the follow-ups, hazardous drinking negatively influenced perceived stress, that is, hazardous drinkers seemed to have less treatment effect on stress, and the results remained after controlling for depression. There were no differences during the follow-ups regarding psychological functioning and sleep.ConclusionsHazardous drinking negatively influenced perceived stress. The findings of the study emphasise the importance of screening for alcohol habits in mental ill-health patients, since risky drinking may affect the outcomes of treatment.Trial registration numberDRKS00008745; Post-results.

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