Hazardous Drinking in Young Adults: Personal Characteristics Can Help Identify Effective Interventions

Young adults whose drinking lands them in the emergency room respond differently to different interventions to reduce their hazardous drinking, and those differences may be driven by certain personal characteristics.

Web and Smartphone Apps Providing Personalized Feedback Can Help Hazardous Drinkers Substantially Reduce Their Alcohol Consumption Over Eight Weeks

Brief electronic intervention providing personalized feedback can help hazardous drinkers substantially reduce their drinking, according to a new study in Alcohol: Clinical & Experimental Research.

Objective Blood Alcohol Measures Confirm the Limitations of Questionnaires and Offer Increased Clinical Opportunities for Treating Dangerous Drinking

Patients in the Emergency Room (ER) should be blood-tested for hazardous drinking rather than evaluated by questionnaires alone, according to a new study comparing alcohol use screening methods. A sizeable minority of patients attend the ER for alcohol-related reasons (12–15% in the UK). That proportion is growing, a US study has found. The ER offers valuable opportunities to identify hazardous drinking and intervene with treatments that can help patients reduce their alcohol use. This requires efficiently and reliably screening ER patients for risky consumption. Validated methods include the Alcohol Use Disorders Identification Test (AUDIT) — and its shorter version, AUDIT-C —which are among the most frequently used screening questionnaires. Another, the Timeline Followback Questionnaire (TLFB), is a retrospective self-administered survey estimating daily alcohol consumption over a specific prior period. In contrast, phosphatidylethanol (PEth), a metabolite of ethanol, is a direct and

Drinking to Manage Physical Pain Results in Perceived Relief, Increasing Vulnerability to Dangerous Alcohol Use

People who self-medicate pain with alcohol may be vulnerable to hazardous drinking, with their experience of pain relief a potentially powerful driver of alcohol consumption, a new study suggests. Both pain and dangerous alcohol use are major public health issues. Each affects millions of US adults and costs hundreds of billions of dollars annually in health care and lost productivity. Recent studies have demonstrated a strong correlation between pain and alcohol use; people with chronic pain are more likely than others to report heavy drinking, and those with alcohol use disorder (AUD) are more likely to report chronic pain. Alcohol has known analgesic effects. Evidence of shared neural mechanisms underlying chronic pain and substance misuse suggest alcohol’s pain-relieving capacity might be influenced by individuals’ experience of chronic pain. Better understanding the relationship between chronic pain and alcohol use could inform improved prevention and treatment approaches. For the

Text messaging can help reduce hazardous drinking among older adults

Older adults – those more than 50 years of age – who consume alcohol beyond healthy drinking guidelines are a growing public health concern. A new study has found that using text messaging can help reduce drinking among this population. These findings will be shared at the 45th annual scientific meeting of the Research Society on Alcoholism (RSA) in Orlando, Florida.

Facebook Users’ Language Predicts Who’s at Risk for Dangerous Drinking

The language used in Facebook posts can identify people at risk of hazardous drinking and alcohol use disorders (AUDs), according to a new study. Social media platforms are a “low-cost treasure trove” of data, researchers claim, expanding the options for studying, screening, and helping people at risk. Social media content in recent years has been used to explore various public health phenomena. For example, language and “likes” have predicted depression, hospital visits, low birthweight, obesity, and life expectancy. Social media language has also been linked to patterns of alcohol consumption and related problems. For the study in Alcoholism: Clinical & Experimental Research, investigators explored how convincingly the language of Facebook could be used to identify risky drinking. They compared the accuracy of multiple predictive tools, including a new technique for processing language that has rarely been applied to health research.

Reducing Drinking Among US Veterans with Unhealthy Alcohol Use Might Improve Chronic Pain Symptoms and Reduce Other Substance Use

US veterans with unhealthy alcohol use who reduce their drinking may gain some improvement in chronic pain symptoms and use of other substances, according to a study in Alcoholism: Clinical and Experimental Research. Hazardous drinking is common in the US, and frequently co-occurs with chronic pain, depression and anxiety, and with tobacco, cannabis or cocaine use. Many people use alcohol and other substances to mask or self-manage pain and psychiatric symptoms, although there is little evidence to support such use. If, conversely, a reduction in drinking (or use of treatment for alcohol misuse) were to benefit co-occurring conditions or substance use, this could support an integrated approach to screening or treatment. The new analysis assessed the impact of drinking reduction on improvement of chronic pain, psychiatric symptoms, and other substance use among US veterans with unhealthy alcohol use – a population with high rates of these co-occurring conditions.