Historique
Article de Périodique
Alcohol dependence treatment in the EU: A literature search and expert consultation about the availability and use of guidelines in all EU countries plus Iceland, Norway, and Switzerland (2013)
Auteur(s) :
REHM, J. ;
REHM, M. X. ;
ALHO, H. ;
ALLAMANI, A. ;
AUBIN, H. J. ;
BÜHRINGER, G. ;
DAEPPEN, J. B. ;
FRICK, U. ;
GUAL, A. ;
HEATHER, N.
Année
2013
Page(s) :
53-67
Sous-type de document :
Revue de la littérature / Literature review
Langue(s) :
Anglais
Domaine :
Alcool / Alcohol
Thésaurus géographique
EUROPE
;
UNION EUROPEENNE
;
ISLANDE
;
NORVEGE
;
SUISSE
Thésaurus mots-clés
ALCOOL
;
DEPENDANCE
;
TRAITEMENT
;
RECOMMANDATION
;
COMPARAISON
;
PRATIQUE PROFESSIONNELLE
;
ENTRETIEN
;
REDUCTION DE CONSOMMATION
;
ABSTINENCE
;
SEVRAGE
Résumé :
Aim: To describe guidelines and common practices for alcohol dependence treatment in Europe.
Design: Systematic and qualitative review; for each country, guidelines were identified via systematic literature research, followed by interviews with treatment experts.
Setting: European Union (EU) countries plus Iceland, Norway, and Switzerland.
Participants: Experts in alcohol dependence treatments and treatment systems.
Measure: Semi-structured questionnaire for interviews.
Findings: While fewer than half of EU countries have formal national guidelines for alcohol dependence treatment, a majority of these countries have guidelines by professional organizations such as psychiatric or neuropsychopharmacologic societies, and several are currently developing such guidelines. Abstinence is the usual treatment goal, but the majority of countries accept reduction of drinking as an intermediate or secondary goal, in practice even more than in the guidelines. Psychotherapy, mainly cognitive-behavioral approaches, motivational interviewing, and family therapy, is the most common treatment for relapse prevention, in part accompanied by pharmacotherapy (disulfiram, acamprosate and naltrexone being used most often).
Conclusions: There are differences in treatment for alcohol dependence in Europe. The introduction of reduction of drinking as one treatment goal may attract more patients.
Design: Systematic and qualitative review; for each country, guidelines were identified via systematic literature research, followed by interviews with treatment experts.
Setting: European Union (EU) countries plus Iceland, Norway, and Switzerland.
Participants: Experts in alcohol dependence treatments and treatment systems.
Measure: Semi-structured questionnaire for interviews.
Findings: While fewer than half of EU countries have formal national guidelines for alcohol dependence treatment, a majority of these countries have guidelines by professional organizations such as psychiatric or neuropsychopharmacologic societies, and several are currently developing such guidelines. Abstinence is the usual treatment goal, but the majority of countries accept reduction of drinking as an intermediate or secondary goal, in practice even more than in the guidelines. Psychotherapy, mainly cognitive-behavioral approaches, motivational interviewing, and family therapy, is the most common treatment for relapse prevention, in part accompanied by pharmacotherapy (disulfiram, acamprosate and naltrexone being used most often).
Conclusions: There are differences in treatment for alcohol dependence in Europe. The introduction of reduction of drinking as one treatment goal may attract more patients.
Affiliation :
Social and Epidemiological Research (SER) Department, Centre for Addiction and Mental Health, Toronto, Canada