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Different methods of early identification of risky drinking : a review of clinical signs

Reinholdz, Hanna K LU orcid ; Bendtsen, Preben and Spak, Fredrik (2011) In Alcohol and Alcoholism 46(3). p.283-291
Abstract

AIMS: To review the literature on detection of risky drinking to compare early identification based on everyday clinical encounters with systematic screening. We also reviewed specific clinical signs that have been suggested to be used as indicators of risky drinking.

METHODS: A literature review was performed in PubMed and CINAHL of articles up to November 2010.

RESULTS: Systematic screening and semi-systematic methods in various forms detected more risky drinkers than non-systematic identification during clinical encounter, but there was a lack of studies comparing the various means of identifying risky drinking. It may be too early to completely rule out the possibility of using non-systematic methods as an effective... (More)

AIMS: To review the literature on detection of risky drinking to compare early identification based on everyday clinical encounters with systematic screening. We also reviewed specific clinical signs that have been suggested to be used as indicators of risky drinking.

METHODS: A literature review was performed in PubMed and CINAHL of articles up to November 2010.

RESULTS: Systematic screening and semi-systematic methods in various forms detected more risky drinkers than non-systematic identification during clinical encounter, but there was a lack of studies comparing the various means of identifying risky drinking. It may be too early to completely rule out the possibility of using non-systematic methods as an effective strategy to identify risky drinking. The earliest signs of risky drinking suggested in the literature are psychological distress and social problems.

CONCLUSION: From a public health perspective, there is a lack of evidence that non-systematic or semi-systematic methods can substitute systematic screening in terms of numbers of risky drinkers detected. If early signs are going to be used to identify risky drinkers, or those to be screened for risky drinking, more focus should be on psychological and social signs because they appear earlier than somatic signs.

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author
; and
publishing date
type
Contribution to journal
publication status
published
keywords
Alcohol Drinking/psychology, Alcoholic Intoxication/diagnosis, Alcoholism/diagnosis, Central Nervous System Depressants/adverse effects, Ethanol/adverse effects, Female, Humans, Male, Risk Assessment, Risk-Taking, Substance Abuse Detection/methods, Time Factors
in
Alcohol and Alcoholism
volume
46
issue
3
pages
283 - 291
publisher
Oxford University Press
external identifiers
  • scopus:79955418826
  • pmid:21414949
ISSN
0735-0414
DOI
10.1093/alcalc/agr021
language
English
LU publication?
no
id
350478fa-7e80-4d28-9ebb-de03a8da08d7
date added to LUP
2024-05-23 09:13:12
date last changed
2024-05-24 04:01:19
@article{350478fa-7e80-4d28-9ebb-de03a8da08d7,
  abstract     = {{<p>AIMS: To review the literature on detection of risky drinking to compare early identification based on everyday clinical encounters with systematic screening. We also reviewed specific clinical signs that have been suggested to be used as indicators of risky drinking.</p><p>METHODS: A literature review was performed in PubMed and CINAHL of articles up to November 2010.</p><p>RESULTS: Systematic screening and semi-systematic methods in various forms detected more risky drinkers than non-systematic identification during clinical encounter, but there was a lack of studies comparing the various means of identifying risky drinking. It may be too early to completely rule out the possibility of using non-systematic methods as an effective strategy to identify risky drinking. The earliest signs of risky drinking suggested in the literature are psychological distress and social problems.</p><p>CONCLUSION: From a public health perspective, there is a lack of evidence that non-systematic or semi-systematic methods can substitute systematic screening in terms of numbers of risky drinkers detected. If early signs are going to be used to identify risky drinkers, or those to be screened for risky drinking, more focus should be on psychological and social signs because they appear earlier than somatic signs.</p>}},
  author       = {{Reinholdz, Hanna K and Bendtsen, Preben and Spak, Fredrik}},
  issn         = {{0735-0414}},
  keywords     = {{Alcohol Drinking/psychology; Alcoholic Intoxication/diagnosis; Alcoholism/diagnosis; Central Nervous System Depressants/adverse effects; Ethanol/adverse effects; Female; Humans; Male; Risk Assessment; Risk-Taking; Substance Abuse Detection/methods; Time Factors}},
  language     = {{eng}},
  number       = {{3}},
  pages        = {{283--291}},
  publisher    = {{Oxford University Press}},
  series       = {{Alcohol and Alcoholism}},
  title        = {{Different methods of early identification of risky drinking : a review of clinical signs}},
  url          = {{http://dx.doi.org/10.1093/alcalc/agr021}},
  doi          = {{10.1093/alcalc/agr021}},
  volume       = {{46}},
  year         = {{2011}},
}