Clinical and Demographic Characteristics of Binge Drinkers Associated with Lack of Efficacy of Brief Intervention and Medical Advice
DOI:
https://doi.org/10.20882/adicciones.694Keywords:
Brief intervention, Medical advice, Binge drinking, Harmful alcohol consumption.Abstract
Brief Counseling Intervention (BCI) and Medical advice (MA) are psychotherapeutic approaches used for the treatment of binge drinkers in Primary Care. Although binge drinking is a common pattern of alcohol misuse in Europe and in the US, no studies have evaluated those subjects who do not respond to Brief Counseling Interventions or Medical Advice. Objective. To determine the clinical and demographic characteristics of binge drinkers in whom BCI or MA are not effective in reducing harmful alcohol use. Methods. This is a secondary analysis of data from a randomized alcohol brief intervention trial with a 12-month follow-up period. A total of 674 subjects (89%) participated right through to the end of the study. The primary outcome measure was change in harmful alcohol use from baseline to 12 months. Results. The strongest baseline predictors of harmful alcohol use during follow-up were educational status, young adults, and high number of cigarettes smoked, present family history of alcoholism, treatment condition and number of drinks per episode of binge drinking. Conclusions. Binge drinkers are a heterogeneous group that responds to brief intervention or MA but in a subgroup of them these interventions fail to prevent harmful alcohol use. Other interventions should be implemented for these subjects.References
Aalto, M., & Sillanaukee, P. (2000). Compliance rate and associated factors for entering an alcohol brief intervention treatment programme. Alcohol and Alcoholism, 35, 372–376. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/10906003
Ames, S. C., Pokorny, S. B., Schroeder, D. R., Tan, W., & Werch, C. E. (2014). Integrated smoking cessation and binge drinking intervention for young adults: a pilot efficacy trial. Addictive Behaviors, 39, 848–853. doi:10.1016/j.addbeh.2014.02.001
Ames, S. C., Werch, C. E., Ames, G. E., Lange, L. J., Schroeder, D. R., Hanson, A. C., & Patten, C. A. (2010). Integrated smoking cessation and binge drinking intervention for young adults: a pilot investigation. Annals of Behavioral Medicine : A Publication of the Society of Behavioral Medicine, 40, 343–349. doi:10.1007/s12160-010-9222-4
Anderson, P., & Baumberg, B. (2008). Alcohol in Europe. London: Institute of Alcohol Studies.
Bertholet, N., Palfai, T., Gaume, J., Daeppen, J. B., & Saitz, R. (2014). Do brief alcohol motivational interventions work like we think they do? Alcoholism, Clinical and Experimental Research, 38, 853–859. doi:10.1111/acer.12274
Blazer, D. G., & Wu, L. T. (2009). The epidemiology of at-risk and binge drinking among middle-aged and elderly community adults: National Survey on Drug Use and Health. The American Journal of Psychiatry, 166, 1162–1169. doi:10.1176/appi.ajp.2009.09010016
Breese, G. R., Overstreet, D. H., & Knapp, D. J. (2005). Conceptual framework for the etiology of alcoholism: a “kindling”/stress hypothesis. Psychopharmacology, 178, 367–380. doi:10.1007/s00213-004-2016-2
Courtney, K. E., & Polich, J. (2009). Binge drinking in young adults: Data, definitions, and determinants. Psychological Bulletin, 135, 142–156. doi:10.1037/a0014414
Curry, S. J., Ludman, E. J., Grothaus, L. C., Donovan, D., & Kim, E. (2003). A randomized trial of a brief primary-care-based intervention for reducing at-risk drinking practices. Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association, 22, 156–165.
Daeppen, J.-B., Bertholet, N., Gaume, J., Fortini, C., Faouzi, M., & Gmel, G. (2011). Efficacy of brief motivational intervention in reducing binge drinking in young men: A randomized controlled trial. Drug and Alcohol Dependence, 113, 69–75. doi:10.1016/j.drugalcdep.2010.07.009
Endicott, J., Andreasen, N., & Spitzter, R. (1989). Research Diagnostic Criteria (Spanish version by Hubert M.S.). Madrid: E. Médicos, Ed.
Fleming, M. F. (2003). Brief interventions and the treatment of alcohol use disorders: current evidence. Recent Developments in Alcoholism : An Official Publication of the American Medical Society on Alcoholism, the Research Society on Alcoholism, and the National Council on Alcoholism, 16, 375–390.
Fleming, M. F., Barry, K. L., Manwell, L. B., Johnson, K., & London, R. (1997). Brief physician advice for problem alcohol drinkers. A randomized controlled trial in community-based primary care practices. JAMA, 277, 1039–1045. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/9091691
Fleming, M. F., Manwell, L. B., Barry, K. L., Adams, W., & Stauffacher, E. A. (1999). Brief physician advice for alcohol problems in older adults: a randomized community-based trial. The Journal of Family Practice, 48, 378–384. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/10334615
Grossberg, P. M. (2004). Brief physician advice for high-risk drinking among young adults. The Annals of Family Medicine, 2, 474–480. doi:10.1370/afm.122
Harrison, L. (1997). The validity of self-reported drug use in survey research: an overview and critique of research methods. NIDA Research Monograph, 167, 17–36.
Hosmer, D., & Lemeshow, S. (2000). Applied Logistic Regression. John Wiley & Sons Ltd.
Kaner, E. F. S., Beyer, F., Dickinson, H. O., Pienaar, E., Campbell, F., Schlesinger, C., … Burnand, B. (2007). Effectiveness of brief alcohol interventions in primary care populations. The Cochrane Database of Systematic Reviews, CD004148. doi:10.1002/14651858.CD004148.pub3
Kiefer, F., Jiménez-Arriero, M. A., Klein, O., Diehl, A., & Rubio, G. (2008). Cloninger’s typology and treatment outcome in alcohol-dependent subjects during pharmacotherapy with naltrexone. Addiction Biology, 13, 124–129. doi:10.1111/j.1369-1600.2007.00073.x
Knight, J. R., Wechsler, H., Kuo, M., Seibring, M., Weitzman, E. R., & Schuckit, M. A. (2002). Alcohol abuse and dependence among U.S. college students. Journal of Studies on Alcohol, 63, 263–270.
Littlejohn, C. (n.d.). Does socio-economic status influence the acceptability of, attendance for, and outcome of, screening and brief interventions for alcohol misuse: a review. Alcohol and Alcoholism, 41, 540–545. doi:10.1093/alcalc/agl053
Monti, P. M., Colby, S. M., Barnett, N. P., Spirito, A., Rohsenow, D. J., Myers, M., … Lewander, W. (1999). Brief intervention for harm reduction with alcohol-positive older adolescents in a hospital emergency department. Journal of Consulting and Clinical Psychology, 67, 989–994.
Murray, R. P., Istvan, J. A., Voelker, H. T., Rigdon, M. A., & Wallace, M. D. (1995). Level of involvement with alcohol and success at smoking cessation in the lung health study. Journal of Studies on Alcohol, 56, 74–82.
Naimi, T. S., Brewer, R. D., Mokdad, A., Denny, C., Serdula, M. K., & Marks, J. S. (2003). Binge drinking among US adults. JAMA, 289. doi:10.1001/jama.289.1.70
National Institute of Alcohol Abuse and Alcoholism, A. (2004). NIAAA Council Approves Definition of Binge Drinking. NIAAA Newsletter.
NIH, US Department of Health and Human Services, PHS y NIAAA. (2000). The tenth special report to the U.S. Congress on alcohol and health from the Secretary of Health and Human Services. Washington DC: U.S. Department of Health and Human Services.
Ockene, J. K., Adams, A., Hurley, T. G., Wheeler, E. V, & Hebert, J. R. (1999). Brief physician- and nurse practitioner-delivered counseling for high-risk drinkers: does it work? Archives of Internal Medicine, 159, 2198–205.
Okoro, C. A., Brewer, R. D., Naimi, T. S., Moriarty, D. G., Giles, W. H., & Mokdad, A. H. (2004). Binge drinking and health-related quality of life: do popular perceptions match reality? American Journal of Preventive Medicine, 26, 230–233. doi:10.1016/j.amepre.2003.10.022
Reiff-Hekking, S., Ockene, J. K., Hurley, T. G., & Reed, G. W. (2005). Brief physician and nurse practitioner-delivered counseling for high-risk drinking. Results at 12-month follow-up. Journal of General Internal Medicine, 20, 7–13. doi:10.1111/j.1525-1497.2005.21240.x
Rubio, G., Jiménez-Arriero, M. A., Martínez, I., Ponce, G., & Palomo, T. (2010). Efficacy of physician-delivered brief counseling intervention for binge drinkers. The American Journal of Medicine, 123, 72–78. doi:10.1016/j.amjmed.2009.08.012
Rubio, G., León, G., Pascual, F. F., & Santo-Domingo, J. (1998). Clinical significance of Cloninger’s classification in a sample of alcoholic Spanish men. Addiction, 93, 93–101.
Rubio, G., Ponce, G., Rodriguez-Jiménez, R., Jiménez-Arriero, M. a, Hoenicka, J., & Palomo, T. (2005). Clinical predictors of response to naltrexone in alcoholic patients: who benefits most from treatment with naltrexone? Alcohol and Alcoholism, 40, 227–233. doi:10.1093/alcalc/agh151
Rubio Valladolid, G., Bermejo Vicedo, J., Caballero Sánchez-Serrano, M. C., & Santo-Domingo Carrasco, J. (1998). Validation of the Alcohol Use Disorders Identification Test (AUDIT) in primary care. Revista Clínica Española, 198, 11–14.
Soler González, C., Balcells Oliveró, M., & Gual Solé, A. (2014). Alcohol related brain damage. State of the art and a call for action. Adicciones, 26, 199–207.
Stephens, D. N., Ripley, T. L., Borlikova, G., Schubert, M., Albrecht, D., Hogarth, L., & Duka, T. (2005). Repeated ethanol exposure and withdrawal impairs human fear conditioning and depresses long-term potentiation in rat amygdala and hippocampus. Biological Psychiatry, 58, 392–400. doi:10.1016/j.biopsych.2005.04.025
Town, M., Naimi, T. S., Mokdad, A. H., & Brewer, R. D. (2006). Health care access among U.S. adults who drink alcohol excessively: missed opportunities for prevention. Preventing Chronic Disease, 3, A53.
Townshend, J. M., & Duka, T. (2005). Binge drinking, cognitive performance and mood in a population of young social drinkers. Alcoholism: Clinical & Experimental Research, 29, 317–325. doi:10.1097/01.ALC.0000156453.05028.F5
