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Social Psychiatry and Psychiatric Epidemiology
Published in: Social Psychiatry and Psychiatric Epidemiology 12/2009

01-12-2009 | Original Paper

Secondary prevention of hazardous alcohol consumption in psychiatric out-patients: a randomised controlled study

Authors: Sophia Eberhard, Göran Nordström, Peter Höglund, Agneta Öjehagen

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 12/2009

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Abstract

Background

Hazardous alcohol use is associated with an increased risk for development of a substance use disorder, leading to negative outcomes in psychiatric patients.

Aims

In order to investigate whether psychiatric outpatients’ hazardous alcohol consumption could be reduced by way of a brief intervention by telephone.

Method

Non-psychotic psychiatric outpatients, n = 1,670, completed a self-rating form concerning alcohol habits (AUDIT). Participants with scores indicating risk consumption (n = 344) were randomised to intervention (immediate advice) or control (advice after 6 months).

Results

Hazardous alcohol habits occurred among 19% of the women and 24% of the men. In the intervention group, half of the patients reduced their alcohol consumption to non-hazardous levels at 6-month follow-up (ITT analysis). In women, 41.5% in the intervention group had no hazardous consumption at follow-up compared to 24.7% in the control group (P = 0.003), corresponding figure for men was 49.1 and 34.0%.

Conclusion

Brief intervention seems to be effective to reduce hazardous alcohol consumption in psychiatric outpatients.
Literature
1.
Regier DA, Farmer ME, Rae DS, Locke BZ, Keith SJ, Judd LL, Goodwin FK (1990) Comorbidity of mental health with alcohol and other drug abuse. Results from the Epidemiologic Catchment Area (ECA) Study. J Am Med Assoc 264:2511–2518CrossRef
2.
Mueser KT, Drake RE, Wallach MA (1998) Dual diagnosis: a review of etiological theories. Addict Behav 23:717–734CrossRefPubMed
3.
Suominen K, Isometsä E, Haukka J, Lönnqvist J (2004) Substance use and male gender as risk factors for death and suicide. Soc Psychiatry Psychiatr Epidemiol 9:720–724CrossRef
4.
Mukamal KJ, Kawach I, Miller M, Rimm EB (2007) Drinking frequency and quantity and risk of suicide among men. Soc Psychiatry Psychiatr Epidemiol 2:153–160CrossRef
5.
Hulse GK, Tait RJ (2002) Six-month outcome associated with a brief alcohol intervention for adult in-patients with psychiatric disorders. Drug Alcohol Rev 21:105–112PubMed
6.
Urbanoski KA, Cairney J, Adlaf E, Rush B (2007) Substance abuse and quality of life among severely mental ill consumers. Soc Psychiatry Psychiatr Epidemiol 10:810–818CrossRef
7.
Saunders JB, Lee, NK (2000) Hazardous alcohol use: its delineation as a subthreshold disorder, and approaches to its diagnosis and management. Compr Psychiatry 41(2 Suppl 1):95–103
8.
Barnaby B, Drummond C, McCloud A, Burns T, Omu N (2003) Substance misuse in psychiatric inpatients: comparison of a screening questionnaire survey with case notes. BMJ 327:783–784CrossRefPubMed
9.
Hulse GK, Tait RJ (2003) Five-year outcomes of a brief alcohol intervention for adult in-patients with psychiatric disorders. Addiction 98:1061–1068CrossRefPubMed
10.
Babor TF, Higgins-Biddle JC, Saunders JB, Monteiro MG (2001) AUDIT, the Alcohol Use Disorders Identification Test, guidelines for use in primary care, 2nd edn. WHO/MSD/MSB/01.6a. World Health Organisation
11.
Salaspuro M (2003) Intervention against hazardous alcohol consumption—secondary prevention of alcohol problems. In: Berglund M, Thelander S, Jonsson E (eds) Treating alcohol and drug abuse, Chap 1. Wiley-VCH, Weinheim
12.
American Psychiatric Association (2007) Practical guideline for the treatment of patients with substance use disorders, Second edition. 164(4):61–71
13.
Kavanagh DJ, Young R, White A, Saunders JB, Wallis J, Shockley N, Jenner L, Clair A (2004) A brief motivational intervention for substance misuse in recent-onset psychosis. Drug Alcohol Rev 23:151–155CrossRefPubMed
14.
Baker A, Lewin T, Reichler H, Clancy R, Carr V, Garrett R, Sly K, Devir H, Terry M (2002) Evaluation of a motivational interview for substance use within psychiatric in-patient services. Addiction 97:1329–1337CrossRefPubMed
15.
Martino S, Caroll KM, Nich CN, Rounsaville BJ (2006) A randomized controlled pilot study of motivational interviewing for patients with psychotic and drug use disorders. Addiction 101(10):1479–1492CrossRefPubMed
16.
Hulse GK, Tait RJ (2006) Hospital morbidity and alcohol consumption in less severe psychiatric disorder: 7-year outcomes. BJP 188:554–559CrossRef
17.
Cruce G, Ojehagen A (2007) Risky use of alcohol, drugs and cigarettes in a psychosis unit: a 1½ year follow-up of stability and changes after initial screening. BMC Psychiatry 7:31
18.
Berman AH, Bergman H, Palmstierna T, Schlyter F (2005) Evaluation of the Drug Use Disorders Identification Test (DUDIT) in criminal justice and detoxification settings and in a Swedish population sample. Eur Addict Res 11:22–31CrossRefPubMed
19.
Babor TF, de la Fuente JR, Saunders J, Grant M (1989) AUDIT The Alcohol Use Disorders Identification Test: guidelines for use in primary health care. WHO/MNH/DAR 89.4. World Health Organization, Geneva
20.
Bergman H, Källmén H (2002) Alcohol use among Swedes and a psychometric evaluation of the alcohol use disorders identification test. Alcohol Alcohol 37:245–251PubMed
21.
Reinert DF, Allen JP (2002) The alcohol use disorders identification test (AUDIT): a review of resent research. Alcohol Clin Exp Res 26:272–279PubMed
22.
Claussen B, Aasland OG (1993) The Alcohol Use Disorders Identification Test (AUDIT) in a routine health examination of long term unemployed. Addiction 88:363–368CrossRefPubMed
23.
Donovan DM, Kivlahan DR, Doyle SR, Longabaugh R, Greenfield SF (2006) Concurrent validity of the Alcohol Use Disorders Identification Test (AUDIT) and AUDIT zones in defining levels of severity among out-patients with alcohol dependence in the COMBINE study. Addiction 101:1696–1704CrossRefPubMed
24.
Miller W, Rollnick S (1991) Motivational interviewing. Guilford, London
25.
Prochaska J, DiClemente C (1986) Toward a comprehensive model of change. In: Miller W, Heather N (eds) Treating addictive behaviours: processes of change. Plenum, New York, pp 4–27
26.
Woolf B (1954) On estimating the relationship between blood group and disease. Ann Hum Genet 19:251–253CrossRef
27.
O’Brian PC, Zhang D, Bailey KR (2005) Semi-parametric and non-parametric methods for clinical trials with incomplete data. Stat Med 24:341–358CrossRef
28.
Appleby L, Dyson V, Luchins DJ, Cohen LS (1997) The impact of substance use screening on a public psychiatric inpatient population. Psychiatr Serv 48:1311–1316PubMed
29.
Kyppri K, Langley JD, Saunders JB, Cashell-Smith ML (2007) Assessment may conceal therapeutic benefit: findings from a randomized controlled trial for hazardous drinking. Addiction 102:62–70CrossRef
30.
Drake RE, Wallach MA (1993) Moderate drinking among people with severe mental illness. Hosp Community Psychiatry 44:780–782PubMed
31.
Renner JA Jr, Quinones J, Wilson A (2005) Training psychiatrists to diagnose and treat substance abuse disorders. Curr Psychiatry Rep 5:352–359CrossRef
32.
Swedish Board of Health and Welfare (2008) Unit for statistics. Stockholm, Sweden
33.
Brown RL, Saunders LA, Bobula JA, Mundt MP, Koch PE (2007) Randomized-controlled trial of a telephone and mail intervention for alcohol use disorders: three-month drinking outcomes. Alcohol Clin Exp Res 8:1372–1379CrossRef
34.
Simson TL, Kivlahan DR, Bush KR, McFall ME (2005) Telephone self-monitoring among alcohol use disorder patients in early recovery, a randomized study of feasibility and measurement reactivity. Drug Alcohol Depend 79:241–250CrossRef
35.
Vaiva G, Ducrocq F, Meyer P, Mathieu D, Philippe A, Libersa C, Goudemand M (2006) Effect of telephone contact on further suicide attempts in patients discharged from an emergency department: randomised controlled study. BMJ 332:1211–1214CrossRef
Metadata
Title
Secondary prevention of hazardous alcohol consumption in psychiatric out-patients: a randomised controlled study
Authors
Sophia Eberhard
Göran Nordström
Peter Höglund
Agneta Öjehagen
Publication date
01-12-2009
Publisher
D. Steinkopff-Verlag
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 12/2009
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-009-0023-7

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