Alcoholism and its treatment approach from a citizen perspective
DOI:
https://doi.org/10.20882/adicciones.742Keywords:
alcohol, screening, prevention, treatment, risk perceptionAbstract
Introduction: The main objective of the study is to describe alcohol consumption in the general Spanish population, to discover citizens’ opinion on their alcohol consumption, on alcoholism and on treatment approaches. Methods: In 2015 a cross-sectional study was carried out by means of a telephone survey. A representative sample was selected. Participants were asked about their alcohol consumption, their perception of risk regarding their pattern of alcohol consumption, about their opinion on alcoholism, alcohol consequences and the treatment approach. A questionnaire was designed. The Alcohol Use Disorders Identification Test-C was used to define the pattern of alcohol intake. A descriptive and an statistical inference analysis were done.Results: 22.1% were classified as risky drinkers, with a higher proportion in young males. The majority of individuals think that alcoholism is an illness, and more than 75% agree that alcohol has negative consequences on health, social functioning, occupational functioning and family relationships. Furthermore, the perception of risk that citizens have regarding their own drinking pattern is high (37.6%). 67.7% considered that the general practitioner can manage alcoholism, with females and older people believing this most strongly.Conclusions: Alcohol consumption is very prevalent in the Spanish population, especially in young people (31.8%). The perception of alcohol risk is high. The majority agree with the fact that general practitioners are well prepared for treating alcohol problems.References
Adamson, S. J., Heather, N., Morton, V., & Raistrick, D. (2010). Initial preference for drinking goal in the treatment of alcohol problems: II. Treatment outcomes. Alcohol and Alcoholism, 45, 136–42. doi:10.1093/alcalc/agq005
Antai, D., Lopez, G. B., Antai, J., & Anthony, D. S. (2014). Alcohol drinking patterns and differences in alcohol-related harm: a population-based study of the United States. BioMed Research International, 2014, 853410. doi:10.1155/2014/853410
Arrieta Vergara, K. M. (2009). Consumo patológico de alcohol entre los estudiantes de la Universidad de Cartagena, 2008. Revista de Salud Pública, 11, 878-886.
Ayuso-Mateos, J. L., Gutierrez-Recacha, P., Haro, J. M., & Chisholm, D. (2006). Estimating the prevalence of schizophrenia in Spain using a disease model. Schizophrenia Research, 86, 194–201. doi:10.1016/j.schres.2006.06.003
Bertholet, N., Faouzi, M., Studer, J., Daeppen, J.-B., & Gmel, G. (2013). Perception of tobacco, cannabis, and alcohol use of others is associated with one’s own use. Addiction Science & Clinical Practice, 8, 15. doi:10.1186/1940-0640-8-15
Bischof, G., Bischof, A., Meyer, C., & Rumpf, H.-J. (2015). Alcohol-related risk perception in primary care patients screening positive for unhealthy alcohol consumption. Addiction Science & Clinical Practice, 10, O9. doi:10.1186/1940-0640-10-S2-O9
Bradley, K. A., & Kivlahan, D. R. (2014). Bringing patient-centered care to patients with alcohol use disorders. Jounal of the American Medical Association, 311, 1861–1862. doi:10.1001/jama.2014.3629
Cherpitel, C. J. (1999). Emergency room and primary care services utilization and associated alcohol and drug use in the United States general population. Alcohol and Alcoholism, 34, 581–589.
Colom, J., Scafato, E., Segura, L., Gandin, C., & Struzzo, P. (2014). Brief interventions implementation on alcohol from the European health systems perspective. Frontiers in Psychiatry, 5, 161. doi:10.3389/fpsyt.2014.00161
Cunningham, J. A., Neighbors, C., Wild, T. C., & Humphreys, K. Normative misperceptions about alcohol use in a general population sample of problem drinkers from a large metropolitan city. Alcohol and Alcoholism, 47, 63–66. doi:10.1093/alcalc/agr125
Dawson, D. A., Li, T.-K., & Grant, B. F. (2008). A prospective study of risk drinking: at risk for what? Drug and Alcohol Dependence, 95, 62–72. doi:10.1016/j.drugalcdep.2007.12.007
Degenhardt, L., Ferrari, A. J., Calabria, B., Hall, W. D., Norman, R. E., McGrath, J., … Vos, T. (2013). The global epidemiology and contribution of cannabis use and dependence to the global burden of disease: results from the GBD 2010 study. PloS One, 8, e76635. doi:10.1371/journal.pone.0076635
Delegación del Gobierno para Plan Nacional sobre Drogas. (2013). Encuesta sobre alcohol y drogas en población general España, EDADES 2011-2012.
EMCDDA. (2015). European Drug Report 2015: Trends and Developments.
Erdozain, A. M., & Callado, L. F. (2014). Neurobiological alterations in alcohol addiction: a review. Adicciones, 26, 360–370.
French, D. J., Sargent-Cox, K. A., Kim, S., & Anstey, K. J. (2014). Gender differences in alcohol consumption among middle-aged and older adults in Australia, the United States and Korea. Australian and New Zealand Journal of Public Health, 38, 332–339. doi:10.1111/1753-6405.12227
Garnett, C., Crane, D., West, R., Michie, S., Brown, J., & Winstock, A. (2015). Normative misperceptions about alcohol use in the general population of drinkers: a cross-sectional survey. Addictive Behaviors, 42, 203–206. doi:10.1016/j.addbeh.2014.11.010
Gmel, G., Kuntsche, E., & Rehm, J. (2011). Risky single-occasion drinking: bingeing is not bingeing. Addiction (Abingdon, England), 106, 1037–1045. doi:10.1111/j.1360-0443.2010.03167.x
Gual, A., Martos, A. R., Lligoña, A., & Llopis, J. J. Does the concept of a standard drink apply to viticultural societies? Alcohol and Alcoholism (Oxford, Oxfordshire), 34, 153–160.
Hampson, S. E., Severson, H. H., Burns, W. J., Slovic, P., & Fisher, K. J. (2001). Risk perception, personality factors and alcohol use among adolescents. Personality and Individual Differences, 30, 167–181. doi:10.1016/S0191-8869(00)00025-8
Hasin, D. S., & Grant, B. F. (2015). The National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) Waves 1 and 2: review and summary of findings. Social Psychiatry and Psychiatric Epidemiology, 50, 1609–1640. doi:10.1007/s00127-015-1088-0
Haug, S., Ulbricht, S., Hanke, M., Meyer, C., & John, U. Overestimation of drinking norms and its association with alcohol consumption in apprentices. Alcohol and Alcoholism, 46, 204–209. doi:10.1093/alcalc/agq103
Heather, N., Adamson, S. J., Raistrick, D., & Slegg, G. P. (2010). Initial preference for drinking goal in the treatment of alcohol problems: I. Baseline differences between abstinence and non-abstinence groups. Alcohol and Alcoholism, 45, 128–135. doi:10.1093/alcalc/agp096
Kaner, E. F. S., Dickinson, H. O., Beyer, F. R., Campbell, F., Schlesinger, C., Heather, N., … Pienaar, E. D. (2009). Effectiveness of brief alcohol interventions in primary care populations. Cochrane Database of Systematic Reviews. Retrieved from http://www.scopus.com/inward/record.url?eid=2-s2.0-77950228136&partnerID=tZOtx3y1
Karlsson, P. (2012). Personal experiences of drinking and alcohol-related risk perceptions: The importance of the subjective dimension. Nordic Studies on Alcohol and Drugs, 29, 413–428. doi:10.2478/v10199-012-0036-5
Keurhorst, M. N., Anderson, P., Spak, F., Bendtsen, P., Segura, L., Colom, J., … Laurant, M. G. H. (2013). Implementing training and support, financial reimbursement, and referral to an internet-based brief advice program to improve the early identification of hazardous and harmful alcohol consumption in primary care (ODHIN): study protocol for a cluster rando. Implementation Science, 8, 11. doi:10.1186/1748-5908-8-11
López-Pelayo, H., Wallace, P., Segura, L., Miquel, L., Díaz, E., Teixidó, L., … Gual, A. (2014). A randomised controlled non-inferiority trial of primary care-based facilitated access to an alcohol reduction website (EFAR Spain): the study protocol. BMJ Open, 4, e007130. doi:10.1136/bmjopen-2014-007130
Luoma, J. B., Twohig, M. P., Waltz, T., Hayes, S. C., Roget, N., Padilla, M., & Fisher, G. (2007). An investigation of stigma in individuals receiving treatment for substance abuse. Addictive Behaviors, 32, 1331–1346. doi:10.1016/j.addbeh.2006.09.008
Cortés, M.T., Giménez, J.A., Motos, P., & Cadaveira, F. (2014). The importance of expectations in the relationship between impulsivity and binge drinking among university students. Adicciones, 26, 134–145.
Miquel, L., Rodamilans, M., Giménez, R., Cambras, T., Canudas, A. M., & Gual, A. Alcohol consumption in college students from the pharmacy faculty. Adicciones, 27, 190–197.
Moreno-Küstner, B., Mayoral, F., Navas-Campaña, D., García-Herrera, J. M., Angona, P., Martín, C., & Rivas, F. (2016). Prevalence of schizophrenia and related disorders in Malaga (Spain): results using multiple clinical databases. Epidemiology and Psychiatric Sciences, 25, 38-48. doi:10.1017/S2045796014000614
Motos Sellés, P., Cortés Tomás, M. T., Giménez Costa, J. A., & Cadaveira Mahía, F. (2015). Predictors of weekly alcohol drinking and alcohol-related problems in binge-drinking undergraduates. Adicciones, 27, 119–131.
Mutalip, M. H. B. A., Kamarudin, R. B., Manickam, M., Abd Hamid, H. A. B., & Saari, R. B. Alcohol consumption and risky drinking patterns in Malaysia: findings from NHMS 2011. Alcohol and Alcoholism, 49, 593–599. doi:10.1093/alcalc/agu042
New drug to treat alcoholism (2004). FDA Consumer. United States.
Patel, V., Chisholm, D., Parikh, R., Charlson, F. J., Degenhardt, L., Dua, T., … Whiteford, H. (2015). Addressing the burden of mental, neurological, and substance use disorders: key messages from Disease Control Priorities, 3rd edition. Lancet. doi:10.1016/S0140-6736(15)00390-6
Peluso, E. de T. P., & Blay, S. L. (2008). Public perception of alcohol dependence. Revista Brasileira de Psiquiatria, 30, 19–24.
Rehm, J., Marmet, S., Anderson, P., Gual, A., Kraus, L., Nutt, D. J., … Gmel, G. Defining substance use disorders: do we really need more than heavy use? Alcohol and Alcoholism, 48, 633–640. doi:10.1093/alcalc/agt127
Rehm, J., Shield, K. D., Rehm, M. X., Gmel, G., & Frick, U. (2012). Alcohol consumption, alcohol dependence and attributable burden of disease in Europe: Potential gains from effective interventions for alcohol dependence. CAMH: Canada.
Riou Franca, L., Dautzenberg, B., Falissard, B., & Reynaud, M. (2010). Peer substance use overestimation among French university students: a cross-sectional survey. BMC Public Health, 10, 169. doi:10.1186/1471-2458-10-169
Robert, K., Saxena, S., Levav, I., & Saraceno, B. (2004). The treatment gap in mental health care. Bulletin of the World Health Organization, 82, 858-866.
Robinson, E., Jones, A., Christiansen, P., & Field, M. (2014). Perceived peer drinking norms and responsible drinking in UK university settings. Substance Use & Misuse, 49, 1376–1384. doi:10.3109/10826084.2014.901390
Rodríguez Artalejo, F., de Andrés Manzano, B., Guallar-Castillón, P., Puente Mendizabal, M. T., González Enríquez, J., & del Rey Calero, J. (2000). The association of tobacco and alcohol consumption with the use of health care services in Spain. Preventive Medicine, 31, 554–561. doi:10.1006/pmed.2000.0734
Rösner, S., Hackl-Herrwerth, A., Leucht, S., Vecchi, S., Srisurapanont, M., & Soyka, M. (2010). Opioid antagonists for alcohol dependence. The Cochrane Database of Systematic Reviews, 12, CD001867. doi:10.1002/14651858.CD001867.pub2
Rubio, G., López-Rodríguez, J. A., Zuluaga, P., Ponce, G., Martínez-Gras, I., & Jiménez-Arriero, M. Á. (2015). Clinical and Demographic Characteristics of Binge Drinkers Associated with Lack of Efficacy of Brief Intervention and Medical Advice. Adicciones, 27, 90–98.
Schomerus, G., Corrigan, P. W., Klauer, T., Kuwert, P., Freyberger, H. J., & Lucht, M. (2011). Self-stigma in alcohol dependence: consequences for drinking-refusal self-efficacy. Drug and Alcohol Dependence, 114, 12–17. doi:10.1016/j.drugalcdep.2010.08.013
Schomerus, G., Evans-Lacko, S., Rüsch, N., Mojtabai, R., Angermeyer, M. C., & Thornicroft, G. (2015). Collective levels of stigma and national suicide rates in 25 European countries. Epidemiology and Psychiatric Sciences, 24, 166–71. http://doi.org/10.1017/S2045796014000109
Schomerus, G., Lucht, M., Holzinger, A., Matschinger, H., Carta, M. G., & Angermeyer, M. C. The stigma of alcohol dependence compared with other mental disorders: a review of population studies. Alcohol and Alcoholism, 46, 105–112. doi:10.1093/alcalc/agq089
Schomerus, G., Matschinger, H., & Angermeyer, M. C. (2013). Continuum beliefs and stigmatizing attitudes towards persons with schizophrenia, depression and alcohol dependence. Psychiatry Research, 209, 665–669. doi:10.1016/j.psychres.2013.02.006
Schomerus, G., Matschinger, H., & Angermeyer, M. C. (2014). Attitudes towards alcohol dependence and affected individuals: persistence of negative stereotypes and illness beliefs between 1990 and 2011. European Addiction Research, 20, 293–299. doi:10.1159/000362407
Schomerus, G., Matschinger, H., Lucht, M. J., & Angermeyer, M. C. (2014). Changes in the perception of alcohol-related stigma in Germany over the last two decades. Drug and Alcohol Dependence, 143, 225–231. doi:10.1016/j.drugalcdep.2014.07.033
Segura Garcia, L., Gual Solé, A., Montserrat Mestre, O., Bueno Belmonte, A., & Colom Farran, J. (2006). [Detection and handling of alcohol problems in primary care in Catalonia]. Atencion Primaria, 37, 484–488.
Silveira, C., Siu, E., Wang, Y., Viana, M., Andrade, A., & Andrade, L. (2012). Gender differences in drinking patterns and alcohol-related problems in a community sample in São Paulo, Brazil. Clinics, 67, 205–212. doi:10.6061/clinics/2012(03)01
Slovic, P. (1983). Perception of risk/behavioral perspective. AJR. American Journal of Roentgenology, 140, 601–602. doi:10.2214/ajr.140.3.601
Smedslund, G., Berg, R. C., Hammerstrøm, K. T., Steiro, A., Leiknes, K. A., Dahl, H. M., & Karlsen, K. (2011). Motivational interviewing for substance abuse. The Cochrane Database of Systematic Reviews, 5, CD008063. http://doi.org/10.1002/14651858.CD008063.pub2
UNAIDS. (2014). UNAIDS Gap Report 2014.
Wallhed Finn, S., Bakshi, A.-S., & Andreasson, S. (2014). Alcohol consumption, dependence, and treatment barriers: perceptions among nontreatment seekers with alcohol dependence. Substance Use & Misuse, 49, 762-769. doi:10.3109/10826084
Wolstenholme, A., Drummond, C., Deluca, P., Davey, Z., Elzerbi, C., Gual, A., … Baena, B. (2013). Report on the mapping of European need and service provision for early diagnosis and treatment of alcohol use disorders.
World Health Organization. (2011). Global status report on alcohol and health.
