scholarly journals Risky Alcohol Use and Comorbidity in a Swedish Adolescent Emergency Psychiatric Inpatient Population

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Sophia Eberhard ◽  
Olof Rask ◽  
Peter Höglund ◽  
Maria Råstam ◽  
Björn Axel Johansson
Keyword(s):  
Alcohol Use ◽  
Drug Use ◽  
Psychiatric Inpatient ◽  
Poor Mental Health ◽  
Diagnostic Categories ◽  
Drug Use Disorders ◽  
Risky Alcohol ◽  
Identification Test ◽  
Disorder Identification ◽  
Computerized Screening

Introduction. Underage drinking is associated with poor mental health. Early detection for risky alcohol use is recommended, although less implemented in adolescent care. The objective of this study was to investigate the prevalence of risky alcohol use and psychiatric comorbidity. Methods. Over a nine-month period, 145 eligible adolescents admitted to the child and adolescent emergency unit in Malmö, Sweden, were offered computerized screening with Alcohol Use Disorder Identification Test-Consumption (AUDIT-C) and Drug Use Disorders Identification Test (DUDIT). Results. Ninety-six patients (73 girls and 23 boys) agreed to participate. The most common diagnoses were affective disorder (41%) and anxiety disorder (27%). Risky alcohol use was found among 33% of the girls and 22% of the boys ( p = 0.45 ) and did not differ between diagnostic categories. There was a positive correlation between AUDIT-C and DUDIT scores ( p = 0.019 ). Among adolescents with risky alcohol use, 33% of the girls and 60% of the boys also had a risky drug use. Conversely, 47% of the girls and 60% of the boys with risky drug use also had a risky alcohol use. Conclusion. In view of the poor prognosis of risky alcohol use in adolescents, alcohol and drug habits should be assessed when adolescents seek psychiatric emergency care.

Persönliche vs. computerbasierte Alkoholintervention für Krankenhauspatienten: Studiendesign

2015 ◽  
Vol 61 (6) ◽  
pp. 347-355 ◽  
Author(s):  
Jennis Freyer-Adam ◽  
Sophie Baumann ◽  
Inga Schnuerer ◽  
Katja Haberecht ◽  
Ulrich John ◽  
...  
Keyword(s):  
Public Health ◽  
Alcohol Use ◽  
Alcohol Use Disorder ◽  
Identification Test ◽  
Disorder Identification

Zusammenfassung. Ziel: Persönliche Beratungen können bei stationären Krankenhauspatienten Alkoholkonsum und Mortalität reduzieren. Sie sind jedoch mit hohen Kosten verbunden, wenn aus Public-Health-Erfordernis viele Menschen einer Bevölkerung erreicht werden müssen. Computerbasierte Interventionen stellen eine Alternative dar. Jedoch ist ihre Wirksamkeit im Vergleich zu persönlichen Beratungen und im Allgemeinkrankenhaus noch unklar. Eine quasi-randomisierte Kontrollgruppenstudie „Die Bedeutung der Vermittlungsform für Alkoholinterventionen bei Allgemeinkrankenhauspatienten: Persönlich vs. Computerisiert“ soll dies untersuchen. Design und Methoden werden beschrieben. Methode: Über 18 Monate sind alle 18- bis 64-jährigen Patienten auf Stationen der Universitätsmedizin Greifswald mittels Alcohol Use Disorder Identification Test (AUDIT) zu screenen. Frauen/Männer mit AUDIT-Consumption ≥ 4/5 und AUDIT < 20 werden einer von drei Gruppen zugeordnet: persönliche Intervention (Beratungen zur Konsumreduktion), computerbasierte Intervention (individualisierte Rückmeldebriefe und Broschüren) und Kontrollgruppe. Beide Interventionen erfolgen im Krankenhaus sowie telefonisch bzw. postalisch nach 1 und 3 Monaten. In computergestützten Telefoninterviews nach 6, 12, 18 und 24 Monaten wird Alkoholkonsum erfragt. Schlussfolgerung: Das Studienvorhaben, sofern erfolgreich umgesetzt, ist geeignet die längerfristige Wirksamkeit einer persönlichen und computerbasierten Intervention im Vergleich zu untersuchen.

scholarly journals Is Alcohol Use Disorder Identification Test (AUDIT) or Its Shorter Versions More Useful to Identify Risky Drinkers in a Chinese Population? A Diagnostic Study

PLoS ONE ◽  
2015 ◽  
Vol 10 (3) ◽  
pp. e0117721 ◽  
Author(s):  
Benjamin H. K. Yip ◽  
Roger Y. Chung ◽  
Vincent C. H. Chung ◽  
Jean Kim ◽  
Iris W. T. Chan ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Chinese Population ◽  
Alcohol Use Disorder ◽  
Diagnostic Study ◽  
Identification Test ◽  
Disorder Identification

scholarly journals Raciocínio moral e uso abusivo de bebidas alcoólicas por adolescentes

2009 ◽  
Vol 19 (42) ◽  
pp. 39-45 ◽  
Author(s):  
Rita Melissa Lepre ◽  
Raul Aragão Martins
Keyword(s):  
Alcohol Use ◽  
Alcohol Use Disorder ◽  
Moral Judgement ◽  
Identification Test ◽  
Disorder Identification

O uso abusivo de álcool por adolescentes é uma questão que preocupa os envolvidos com a educação, uma vez que as consequências desse fato podem gerar sérios prejuízos ao processo ensino-aprendizagem e ao adolescente que abusa. Com o objetivo de contribuir para o debate na busca de uma intervenção efetiva que possa ser utilizada, sobretudo nas escolas, procuramos detectar a possível relação entre uso abusivo de álcool e raciocínio moral. Para tanto, participaram alunos do ensino médio de uma escola pública, selecionados por meio da aplicação do AUDIT (The Alcohol Use Disorder Identification Test), que posteriormente foram entrevistados, conforme a Moral Judgement Interview (MJI) proposta por Kohlberg. Os resultados obtidos revelam níveis e estágios morais aquém dos esperados. Concluímos que a prevenção pode ser pensada por meio da Educação Moral como uma proposta de intervenção efetiva contra o uso abusivo de álcool e outras drogas.

scholarly journals Alcohol, harmful use and dependence: Assessment using the WHO Alcohol Use Disorder Identification Test tool in a South Indian fishermen community

2018 ◽  
Vol 27 (2) ◽  
pp. 259 ◽  
Author(s):  
Palanivel Chinnakali ◽  
AManoj Kumar ◽  
Gomathi Ramaswamy ◽  
MarieGilbert Majella ◽  
Balaji Bharadwaj ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Alcohol Use Disorder ◽  
Test Tool ◽  
South Indian ◽  
Identification Test ◽  
Harmful Use ◽  
Disorder Identification

scholarly journals Fatores sociais e de saúde relacionados à gravidez na adolescência

2019 ◽  
pp. e988
Author(s):  
Joana Elisabeth de Sousa Martins Freitas ◽  
Matheus Gaspar de Miranda ◽  
Luma Goiana Pinto Simeão ◽  
Scarlet Frota Aguiar ◽  
Larissa Freire Gomes ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Alcohol Use Disorder ◽  
Identification Test ◽  
Disorder Identification

Objetivo: Relacionar características socioeconômicas, uso do fumo, do álcool e do comportamento sexual entre as adolescentes primíparas, primigestas e nulíparas. Métodos: Delineamento transversal controlado, analítico, realizado em unidades básicas, Teresina-PI. Amostragem de 105 adolescentes, 35 por grupo. Utilizado formulário para coleta de dados com variáveis socioeconômicas, tabagismo, comportamento sexual e Alcohol Use Disorder Identification Test para identificação consumo de álcool. Resultados: Apresentou médias de idade (p=0,005) entre 16-17 anos, e escolaridade (p=0,007), 10-12 anos de estudo. As primíparas e primigestas apresentaram maiores frequências de vivência com companheiro (p<0,001), maior percentual sem ocupação, menor número de estudantes (p=0,003), maior frequência de mães com baixa escolaridade (p=0,022), pertencentes aos estratos econômicos C, D ou E, (p=0,009). As primíparas apresentaram frequências mais elevadas de fumantes ou ex-fumantes, uso nocivo de álcool, não utilização de preservativos na primeira relação e de relação nos últimos 12 meses (p=0,014), porém com maior uso do preservativo (p=0,126).  Conclusão: As primíparas e primigestas apresentaram condições socioeconômicas mais desfavoráveis.  As primigestas e nuligestas, menor exposição ao uso do fumo e álcool. Maior frequência de proteção na primeira relação sexual, mesmo assim caracterizando maior risco de saúde tanto para a mãe, como para o bebê.

scholarly journals Problematic Alcohol and Drug Use Is Associated with Low Self-Directedness and Cooperativeness

2020 ◽  
Vol 26 (6) ◽  
pp. 326-334
Author(s):  
Steinn Steingrimsson ◽  
Hanne Krage Carlsen ◽  
Emil Lundström ◽  
Sebastian Lundström ◽  
Thomas Nilsson
Keyword(s):  
Standard Deviation ◽  
Drug Use ◽  
Personality Traits ◽  
Population Total ◽  
Alcohol And Drug Use ◽  
Problematic Alcohol ◽  
Identification Test ◽  
Character Inventory ◽  
Disorder Identification ◽  
Drug Use Disorder

<b><i>Background:</i></b> Personality traits, such as self-directedness (SD) and cooperativeness (CO), may be indicative of problematic alcohol and/or drug use. <b><i>Objectives:</i></b> The aim of this study was to quantify the association of substance use with SD and CO in a large cohort of adolescents. <b><i>Method:</i></b> A total of 6,917 individuals (58% women) at the age of 18 who had filled in the Alcohol Use Disorder Identification Test (AUDIT) and Drug Use Disorder Identification Test (DUDIT), and the SD and CO scales from the Temperament and Character ­Inventory, as part of the Child and Adolescent Twin study in Sweden were included in the analyses. <b><i>Results:</i></b> High AUDIT scores (&#x3e;15) were found in 2.4% of the population and high DUDIT scores (&#x3e;7) in 1.2% of the population. Total score on the AUDIT was negatively correlated (<i>p</i> &#x3c; 0.001) with SD (<i>r</i> = –0.18) and CO (<i>r</i> = –0.15), as well as total DUDIT with SD (<i>r</i> = –0.11) and CO (<i>r</i> = –0.08). The risk of high AUDIT (&#x3e;15) and DUDIT (&#x3e;7) was highest for those with a low (1 standard deviation below mean) SD score (ORs 4.1 and 4.5, <i>p</i> &#x3c; 0.001) and a low CO score (ORs 3.5 and 4.5, <i>p</i> &#x3c; 0.001). However, at 1 standard deviation above mean, no association between alcohol or drug use and SD or CO was seen. Using SD and CO scores to predict AUDIT &#x3e;15 or DUDIT &#x3e;7 yielded a sensitivity between 62.4 and 71.3% and a specificity between 64.9 and 70.4%. <b><i>Conclusions:</i></b> Personality traits of low SD and CO are associated with increased alcohol and drug use. These findings support the notion that personality traits can be used to identify individuals at high risk of substance abuse.

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