Historique
Article de Périodique
Alcohol use disorders (2016)
Auteur(s) :
CONNOR, J. P. ;
HABER, P. S. ;
HALL, W. D.
Année
2016
Page(s) :
988-998
Sous-type de document :
Revue de la littérature / Literature review
Langue(s) :
Anglais
Refs biblio. :
137
Domaine :
Alcool / Alcohol
Thésaurus mots-clés
ALCOOL
;
MORBIDITE
;
FACTEUR DE RISQUE
;
INTERVENTION BREVE
;
PATHOLOGIE ORGANIQUE
;
TRAITEMENT
;
NEUROBIOLOGIE
;
PRISE EN CHARGE
;
DIAGNOSTIC
;
COMORBIDITE
;
EFFICACITE
Résumé :
Alcohol use disorders are common in developed countries, where alcohol is cheap, readily available, and heavily promoted. Common, mild disorders often remit in young adulthood, but more severe disorders can become chronic and need long-term medical and psychological management. Doctors are uniquely placed to opportunistically assess and manage alcohol use disorders, but in practice diagnosis and treatment are often delayed. Brief behavioural intervention is effective in primary care for hazardous drinkers and individuals with mild disorders. Brief interventions could also encourage early entry to treatment for people with more-severe illness who are underdiagnosed and undertreated. Sustained abstinence is the optimum outcome for severe disorder. The stigma that discourages treatment seeking needs to be reduced, and pragmatic approaches adopted for patients who initially reject abstinence as a goal. To engage people in one or more psychological and pharmacological treatments of equivalent effectiveness is more important than to advocate a specific treatment. A key research priority is to improve the diagnosis and treatment of most affected people who have comorbid mental and other drug use disorders.
Affiliation :
Centre for Youth Substance Abuse Research, The University of Queensland, Brisbane, QLD, Australia