Harmful drinking and alcohol dependence

Abstract

Alcohol is one of the most popular psychoactive substances in the world, and drinking it is considered a social norm in the UK. The pandemic has increased the potential for hazardous drinking, as well as the risk of relapse from abstinence in those with dependence. This article will discuss the risks associated with drinking alcohol, how to assess alcohol consumption and what interventions can be provided for motivated patients who want to cut their alcohol intake.

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References

AA (2020) Alcoholic Anonymous goes online during Covid-19 pandemic. Available at: www.alcoholics-anonymous.org.uk/Media/Press-Releases/Alcoholics-Anonymous-goes-online-during-Covid∼19-pandemic (accessed 20 May 2021).

Alcohol Concern (2009) Off measure: How we underestimate the amount we drink. Available at: www.ias.org.uk/uploads/pdf/News%20stories/ac-report-181209.pdf (accessed 19 May 2021).

Bagnardi

Rota

Botteri

, et al.(2015) Alcohol consumption and site-specific cancer risk: A comprehensive dose–response meta-analysis. British Journal of Cancer 112(3): 580–593. DOI: 10.1038/bjc.2014.579.

Brown

Rumgay

Dunlop

, et al.(2018) The fraction of cancer attributable to modifiable risk factors in England, Wales, Scotland, Northern Ireland, and the United Kingdom in 2015. British Journal of Cancer 118(8): 1130–1141. DOI: 10.1038/s41416-018-0029-6.

Cheng

McGuinness

Elbers

, et al.(2020) Treatment interventions to maintain abstinence from alcohol in primary care: Systematic review and network meta-analysis. British Medical Journal 371: m3934DOI: 10.1136/bmj.m3934.

Department of Health (2016a) UK Chief Medical Officers’ alcohol guidelines review. Available at: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/489795/summary.pdf (accessed 23 May 2021).

Department of Health (2016b) UK Chief Medical Officers’ low risk drinking guidelines. Available at: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/545937/UK_CMOs__report.pdf (accessed 23 May 2021).

Drinkaware (2021) Unit and calorie calculator. Available at: www.drinkaware.co.uk/tools/unit-and-calorie-calculator accessed (accessed 23 May 2021).

DVLA (2021) Drug or alcohol misuse or dependence: Assessing fitness to drive. Available at: www.gov.uk/guidance/drug-or-alcohol-misuse-or-dependence-assessing-fitness-to-drive (accessed 19 May 2021).

10.

Eley J (2020) Record month for UK supermarkets as consumers spend extra £1.9bn. Available at: www.ft.com/content/cf153651-09f3-4cf5-a012-e4f823b648be (accessed 23 May 2021).

11.

Institute of Alcohol Studies (2020) A brief history of the UK’s alcohol drinking guidelines. Available at: www.ias.org.uk/uploads/pdf/Consumption%20docs/A%20brief%20history%20of%20the%20low%20risk%20drinking%20guidelines.pdf (accessed 23 May 2021).

12.

Kaner E (2013) Effectiveness of screening and brief alcohol intervention in primary care (SIPS trial). British Medical Journal 346: e8501 DOI: 10.1136/bmj.e8501.

13.

Morrison Leach

(2017) Should GPs prescribe vitamin B compound strong tablets to alcoholics? British Journal of General Practice 67(656): 134–135. DOI: 10.3399/bjgp17X689809.

14.

NICE (2011) Alcohol use disorders. Available at: www.nice.org.uk/guidance/cg115/chapter/introduction (accessed 20 May 2021).

15.

NICE (2018) Clinical knowledge summary: Alcohol – problem drinking. Available at: https://cks.nice.org.uk/topics/alcohol-problem-drinking/background-information/definition/ (accessed 23 May 2021).

16.

Office for National Statistics (2019) Crime in England and Wales. Available at: www.ons.gov.uk/peoplepopulationandcommunity/crimeandjustice/datasets/crimeinenglandandwalesotherrelatedtables (accessed 24 May 2021).

17.

Office for National Statistics (2021) Quarterly alcohol specific deaths in England and Wales. Available at: www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/bulletins/quarterlyalcoholspecificdeathsinenglandandwales/2001to2019registrationsandquarter1jantomartoquarter4octtodec2020provisionalregistrations (accessed 23 May 2021).

18.

Platt

Melendez-Torres

O'Donnell

, et al.(2016) How effective are brief interventions in reducing alcohol consumption: Do the setting, practitioner group and content matter? Findings from a systematic review and metaregression analysis. BMJ Open 6: e011473DOI: 10.1136/bmjopen-2016-011473.

19.

Public Health England (2016) The public health burden of alcohol and the effectiveness and cost-effectiveness of alcohol control policies: An evidence review. Available at: https//.assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/733108/alcohol_public_health_burden_evidence_review_update_2018.pdf (accessed 25 May 2021).

20.

Public Health England (2020) Guidance on the 5 alcohol screening tests. Available at: www.gov.uk/government/publications/alcohol-use-screening-tests (accessed 23 May 2021).

21.

RCGP. Clinical topic guide: Smoking, alcohol and substance misuse. Available at: www.rcgp.org.uk/training-exams/training/gp-curriculum-new/clinical-topic-guides/smoking-alcohol-and-substance-misuse.aspx (accessed 25 May 2021).

22.

Stockwell

Sitharthan

McGrath

, et al.(1994) The measurement of alcohol dependence and impaired control in community samples. Addiction 89(2): 167–174. DOI: 10.1111/j.1360-0443.1994.tb00875.x.

23.

Usher

Bhullar

Durkin

, et al.(2020) Family violence and COVID-19: Increased vulnerability and reduced options for support. International Journal of Mental Health Nursing 29(4): 549–552. DOI: 10.1111/inm.12735.

24.

Welch AE, Caramanica K, Maslow CB, et al. (2014) Frequent binge drinking five to six years after exposure to 9/11: Findings from the World Trade Center Health Registry. F140:1-7. DOI: 10.1016/j.drugalcdep.2014.04.013.