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Alcohol Use Disorder Diagnosis

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1. Alcohol-use disorders: diagnosis, assessment and management of harmful drinking and alcohol dependence

Alcohol-use disorders: diagnosis, assessment and management of harmful drinking and alcohol dependence Alcohol-use disorders: diagnosis, Alcohol-use disorders: diagnosis, assessment and management of harmful assessment and management of harmful drinking and alcohol dependence drinking and alcohol dependence Clinical guideline Published: 23 February 2011 nice.org.uk/guidance/cg115 © NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice (...) unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with complying with those duties. Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible. Alcohol-use disorders: diagnosis, assessment and management

2011 National Institute for Health and Clinical Excellence - Clinical Guidelines

2. Diagnosis, Assessment, and Treatment of Fetal Alcohol Spectrum Disorders: A Review of Clinical and Cost-Effectiveness and Guidelines

Diagnosis, Assessment, and Treatment of Fetal Alcohol Spectrum Disorders: A Review of Clinical and Cost-Effectiveness and Guidelines Diagnosis, Assessment, and Treatment of Fetal Alcohol Spectrum Disorders: A Review of Clinical and Cost-Effectiveness and Guidelines | CADTH.ca Find the information you need Diagnosis, Assessment, and Treatment of Fetal Alcohol Spectrum Disorders: A Review of Clinical and Cost-Effectiveness and Guidelines Diagnosis, Assessment, and Treatment of Fetal Alcohol (...) Spectrum Disorders: A Review of Clinical and Cost-Effectiveness and Guidelines Published on: May 3, 2017 Project Number: RC0880-000 Product Line: Research Type: Other Diagnostics Report Type: Summary with Critical Appraisal Result type: Report Question What is the diagnostic test accuracy of tools or tests for the diagnosis and/or assessment of fetal alcohol spectrum disorder in individuals of any age? What is the clinical utility of diagnosis and/or assessment of fetal alcohol spectrum disorder

2017 Canadian Agency for Drugs and Technologies in Health - Rapid Review

3. Alcohol-use disorder

Alcohol-use disorder Alcohol-use disorder - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Alcohol-use disorder Last reviewed: February 2019 Last updated: June 2018 Summary Alcohol-use disorder is a common psychiatric disorder that is multifactorial in aetiology, chronic in nature, and is associated with a wide variety of medical and psychiatric sequelae. Tolerance, withdrawal, impaired control of drinking behaviour (...) -based interventions, or psychological interventions such as cognitive behavioural therapy. Moderate or severe alcohol-use disorder requires multi-modal treatment. Detoxification in an inpatient or outpatient setting may be necessary. The goal of detoxification is to minimise withdrawal symptoms and to facilitate entry into an ongoing, multi-modal treatment programme directed towards assisting the patient in maintaining abstinence. Medications, including naltrexone, nalmefene, acamprosate

2018 BMJ Best Practice

4. Baclofen for alcohol use disorder. (PubMed)

Baclofen for alcohol use disorder. Alcohol use disorder (AUD) and alcohol-related impairments belong to the most widespread psychiatric disorders leading to specific psychophysical, affective and cognitive symptoms and consequences for psychosocial well-being and health. Alcohol consumption is increasingly becoming a problem in many developing regions and AUD prevalence is estimated at 4.1% worldwide, with highest prevalence in European countries (7.5%), and the North America (6.0 (...) articles. The date of the most recent search was 30 January 2018.Randomised controlled trials (RCTs) of at least four weeks' treatment duration and 12 weeks' overall study duration comparing baclofen for relapse prevention of AUD with placebo, no treatment or other treatments.We used standard methodological procedures expected by Cochrane.We included 12 RCTs (1128 participants). All studies but three recruited fewer than 100 participants. Participants had a diagnosis of alcohol dependence according

2018 Cochrane

5. Diagnosis and Pharmacotherapy of Alcohol Use Disorder: A Review. (PubMed)

Diagnosis and Pharmacotherapy of Alcohol Use Disorder: A Review. Alcohol consumption is associated with 88 000 US deaths annually. Although routine screening for heavy alcohol use can identify patients with alcohol use disorder (AUD) and has been recommended, only 1 in 6 US adults report ever having been asked by a health professional about their drinking behavior. Alcohol use disorder, a problematic pattern of alcohol use accompanied by clinically significant impairment or distress, is present (...) of pharmacogenetics to personalize AUD treatments.Alcohol consumption is associated with a high rate of morbidity and mortality, and heavy alcohol use is the major risk factor for AUD. Simple, valid screening methods can be used to identify patients with heavy alcohol use, who can then be evaluated for the presence of an AUD. Patients receiving a diagnosis of the disorder should be given brief counseling and prescribed a first-line medication (eg, naltrexone) or referred for a more intensive psychosocial

2018 JAMA

6. Systematic review of neuropsychological assessment batteries used in diagnosis for fetal alcohol spectrum disorders

Systematic review of neuropsychological assessment batteries used in diagnosis for fetal alcohol spectrum disorders Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any associated (...) . No metastases/ only primary tumor 4. No control group 5. Combination therapy or contamination 6. Not about analgesics used in the clinic Full text-screening: As above, with the addition of: 7. No relevant outcome measure reported ">Prioritise the exclusion criteria Example: Two reviewers will independently extract data from each article. We first try to extract numerical data from tables, text or figures. If these are not reported, we will extract data from graphs using digital ruler software. In case data

2019 PROSPERO

7. Diagnosis and treatment of alcohol use disorder in patients with end-stage alcoholic liver disease. (PubMed)

Diagnosis and treatment of alcohol use disorder in patients with end-stage alcoholic liver disease. Between 14%-30% of the world's population is affected by alcohol use disorder (AUD), and excessive alcohol consumption represents the most common cause of liver disease in the western world. The clinical picture of alcoholic end-stage liver disease is rendered extremely complex, as manifestations such as alcohol withdrawal syndrome, craving and physical dependence, as well as extrahepatic alcohol (...) -related diseases merge with the complications of advanced cirrhosis. This makes AUD recognition and assessment difficult and its management arduous as many drugs commonly used to treat complications such as alcohol withdrawal syndrome are often contraindicated by the presence of hepatic encephalopathy or hepatorenal syndrome. Reaching and maintaining abstinence represents the mainstay of managing patients with AUD and end-stage liver disease. Psychosocial interventions are an essential component

2018 Hepatology

8. Stress Reactivity as a Determinant in Co-occurring Alcohol Use and Anxiety Disorder: Diagnosis and Alcohol Use Outcomes

Stress Reactivity as a Determinant in Co-occurring Alcohol Use and Anxiety Disorder: Diagnosis and Alcohol Use Outcomes Stress Reactivity as a Determinant in Co-occurring Alcohol Use and Anxiety Disorder: Diagnosis and Alcohol Use Outcomes - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum (...) number of saved studies (100). Please remove one or more studies before adding more. Stress Reactivity as a Determinant in Co-occurring Alcohol Use and Anxiety Disorder: Diagnosis and Alcohol Use Outcomes The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details

2017 Clinical Trials

9. Usefulness of the Alcohol Use Disorders Identification Test-Korean Revised Version in Screening for Diagnostic and Statistical Manual of Mental Disorders 5th Edition Alcohol Use Disorder among College Students (PubMed)

by AUDIT-KR was 0.768 (0.715-0.821) and 0.883 (0.848-0.919) for males and females, respectively. The optimal cutoff point of alcohol use disorder for males was >9, sensitivity 64.49%, and specificity 76.85%. The optimal cutoff point for females was >6, sensitivity 82.02%, and specificity 80.48%.This study suggested that AUDIT-KR can be used as a screening tool for alcohol use disorder in groups of college students when DSM-5 diagnosis criteria are applied. (...) Usefulness of the Alcohol Use Disorders Identification Test-Korean Revised Version in Screening for Diagnostic and Statistical Manual of Mental Disorders 5th Edition Alcohol Use Disorder among College Students There is a distinction in alcohol consumption behavior between adults and college students. This study aims to verify the usability and the optimal cutoff point of Alcohol Use Disorders Identification Test-Korean revised version (AUDIT-KR) for screening alcohol use disorder in college

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2018 Korean journal of family medicine

10. Opioid Use Disorder - Diagnosis and Management in Primary Care

Opioid Use Disorder - Diagnosis and Management in Primary Care Opioid Use Disorder - Diagnosis and Management in Primary Care - Province of British Columbia theme_3_collection theme_3_frontend theme_3_collection theme_3_frontend Birth, Adoption, Death, Marriage & Divorce theme_1_collection theme_1_frontend theme_1_collection theme_1_frontend British Columbians & Our Governments theme_data_collection data_frontend theme_data_collection data_frontend Data theme_5_collection theme_5_frontend (...) theme_10_collection theme_10_frontend Sports, Recreation, Arts & Culture theme_8_collection theme_8_frontend theme_8_collection theme_8_frontend Taxes & Tax Credits theme_14_collection theme_14_frontend theme_14_collection theme_14_frontend Tourism & Immigration Search default_collection default_frontend Section Navigation Opioid Use Disorder - Diagnosis and Management in Primary Care Effective Date: June 1 st , 2018 Recommendations and Topics Scope This guideline presents recommendations for the diagnosis

2018 Clinical Practice Guidelines and Protocols in British Columbia

11. Pharmacological Treatment of Patients with Alcohol Use Disorder

substance use as part of the psychiatric evaluation. However, screening for use of tobacco, alcohol, and other substances has been studied in other settings, suchPractice Guideline for the Pharmacological Treatment of Patients With Alcohol Use Disorder 9 as primary care. In addition, expert opinion suggests that conducting such assessments as part of the initial psychiatric evaluation improves the identification and diagnosis of substance use disor- ders (for additional details, see American Psychiatric (...) psychiatric evaluation of a patient with sus- pected alcohol use disorder include a quantitative behavioral measure to detect the presence of alcohol misuse and assess its severity. Implementation Quantitative behavioral measures should be used during the initial psychiatric evaluation of a pa- tient with AUD to detect the presence of alcohol misuse and determine its severity. The intent of using a quantitative behavioral measure is not to establish diagnosis but rather to complement other aspects

2017 American Psychiatric Association

12. Systematic Review - Relationship of Deployment-related Mild Traumatic Brain Injury to Posttraumatic Stress Disorder, Depressive Disorders, Substance Use Disorders, Suicidal Ideation, and Anxiety Disorders

compared to no TBI. Another study reported a similar prevalence of depression (a symptom score exceeding a cut point) in service members with a history of mTBI vs no TBI. Depressive symptom severity results were mixed. · Substance use disorders (primarily alcohol abuse defined as a diagnosis or as a positive screen) were generally more prevalent in Veterans with a history of TBI (mTBI or TBI unspecified) vs no-TBI and service members with a history of mTBI vs no-TBI. Differences in prevalence ranged (...) -deployment health assessment and Veterans using VHA care with a history of mTBI or TBI unspecified compared to 11% to 35% in those with no TBI. National samples generally found a higher prevalence of substance use disorders in the service member and Veterans groups with a history of mTBI or TBI unspecified vs the no-TBI groups. For alcohol abuse the prevalence was 4% to 19% for the TBI groups and 2% to 11% in those with no TBI history. Results for substance use disorders were mixed for the geographically

2019 Veterans Affairs Evidence-based Synthesis Program Reports

13. Screening, Diagnosis, and Management of Patients With Alcohol Use Disorders at Bwindi Community Hospital, Uganda (PubMed)

Screening, Diagnosis, and Management of Patients With Alcohol Use Disorders at Bwindi Community Hospital, Uganda Introduction: The harmful use of alcohol is a growing global public health concern, with Sub-Saharan Africa at particular risk. A large proportion of adults in Uganda consume alcohol and the country has a high prevalence of alcohol use disorders (AUD), almost double that for the African region as a whole. Bwindi Community Hospital, in rural western Uganda, recently introduced (...) a program of screening, diagnosis and management of AUD and we assessed how this worked. Methods: This was a cross-sectional study in three departments (out-patients, adult in-patients and sexual & reproductive health) of Bwindi Community Hospital assessing numbers of patients screened, diagnosed and treated with AUD between January 2014 and June 2017. Data sources included the hospital electronic data base and departmental case files. Frequencies and proportions are reported and odds ratios used

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2018 Frontiers in public health

14. Alcohol-use disorders: diagnosis and management of physical complications

Alcohol-use disorders: diagnosis and management of physical complications Alcohol-use disorders: diagnosis and Alcohol-use disorders: diagnosis and management of ph management of physical complications ysical complications Clinical guideline Published: 2 June 2010 nice.org.uk/guidance/cg100 © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of- rights).Y Y our responsibility our responsibility The recommendations in this guideline (...) inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with complying with those duties. Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible. Alcohol-use disorders: diagnosis and management of physical complications (CG100) © NICE 2019. All rights reserved. Subject to Notice of rights (https

2010 National Institute for Health and Clinical Excellence - Clinical Guidelines

15. Accuracy of motor assessment in the diagnosis of fetal alcohol spectrum disorder. (PubMed)

Accuracy of motor assessment in the diagnosis of fetal alcohol spectrum disorder. To evaluate the accuracy of motor assessment tools listed in Fetal alcohol spectrum disorder: a guideline for diagnosis across the lifespan (Canadian Guideline) for the purpose of fetal alcohol spectrum disorder (FASD) diagnosis. Specifically, we aimed to determine: 1) diagnostic accuracy of motor assessment tools and subtests; 2) accuracy of multiple subtests versus total scores; and 3) accuracy of alternate cut (...) the BOT-2SF (0.02; 95% CI 0.00-0.12) at the 2nd percentile (-2SD). The MABC-2 total motor score was more accurate than any combination of subtest scores. The Motor Coordination subtest of the BeeryVMI-6 (BeeryMC) at the 5th percentile (- 1.5SD) (sensitivity 0.68, specificity 0.90) was the most accurate subtest.The BOT-2SF was an inaccurate assessment tool for FASD diagnosis. The MABC-2 total motor score was the most accurate using current guidelines, though its sensitivity was still low. Further

2019 BMC Pediatrics

16. Fetal alcohol spectrum disorders

Fetal alcohol spectrum disorders Fetal alcohol spectrum disorders - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Fetal alcohol spectrum disorders Last reviewed: February 2019 Last updated: April 2018 Summary Considered a spectrum of disorders that includes fetal alcohol syndrome, partial fetal alcohol syndrome, alcohol-related neurodevelopmental disorder, and alcohol-related birth defects. Caused by fetal exposure (...) to alcohol during pregnancy. Early diagnosis may prevent secondary disabilities, but many clinicians are unaware of, or are confused by, existing diagnostic criteria and terminology. Management involves identifying and working with a child's specific strengths and weaknesses; however, there is a paucity of evidence for efficacy of specific treatments. Prevention is a priority, as brain injury sustained in utero is permanent and is associated with severe physical, behavioural, learning, and mental health

2018 BMJ Best Practice

17. Inflammatory mediators and dual depression: Potential biomarkers in plasma of primary and substance-induced major depression in cocaine and alcohol use disorders. (PubMed)

Inflammatory mediators and dual depression: Potential biomarkers in plasma of primary and substance-induced major depression in cocaine and alcohol use disorders. Major depressive disorder (MDD) is the most prevalent comorbid mental disorder among people with substance use disorders. The MDD can be both primary and substance-induced and its accurate diagnosis represents a challenge for clinical practice and treatment response. Recent studies reported alterations in the circulating expression (...) of inflammatory mediators in patients with psychiatric disorders, including those related to substance use. The aim of the study was to explore TNF-α, IL-1β, CXCL12, CCL2, CCL11 (eotaxin-1) and CX3CL1 (fractalkine) as potential biomarkers to identify comorbid MDD and to distinguish primary MDD from substance-induced MDD in patients with substance disorders. Patients diagnosed with cocaine (CUD, n = 64) or alcohol (AUD, n = 65) use disorders with/without MDD were recruited from outpatient treatment programs

2019 PLoS ONE

18. Identifying Effective Approaches to Support Parents and Caregivers of Children with Fetal Alcohol Spectrum Disorder

sustainable? Why the issue is important • Fetal Alcohol Spectrum Disorder (FASD) is used “to describe a broader spectrum of presentations and disabilities resulting from alcohol exposure in utero.” • FASD affects between 2% and 3% of elementary school students in the greater Toronto area. • There has been increasing evidence that the right information, supports and services provided in a timely manner can significantly reduce the burden of this condition on individuals, families and caregivers. • Given (...) alcohol spectrum disorder and other neurodevelopmental conditions? • In Ontario, Canada, what approaches have been successful in parent support groups for parents and caregivers of those with FASD, what is needed to further tailor or enhance support groups and other supports available through its health and social systems, and what is needed to make these approaches sustainable? WHY THE ISSUE IS IMPORTANT Fetal Alcohol Spectrum Disorder (FASD) is used “to describe a broader spectrum of presentations

2018 McMaster Health Forum

19. Usefulness of Heavy Drinking and Binge Drinking for the Diagnosis of Alcohol Use Disorder (PubMed)

Usefulness of Heavy Drinking and Binge Drinking for the Diagnosis of Alcohol Use Disorder This research investigated the sensitivity and specificity of heavy and binge drinking for screening of alcohol use disorder.This retrospective study was conducted with 976 adults who visited the Sun Health Screening Center for health screenings in 2015. Daily drinking amount, drinking frequency per week, and weekly drinking amount were investigated. Using criteria from the National Institute on Alcohol (...) Abuse and Alcoholism, participants were classified as normal drinkers, heavy drinkers, or binge drinkers, and grouped by age and sex. The sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of heavy and binge drinking were compared for the diagnosis of alcohol abuse and alcohol dependence using the Diagnostic and Statistical Manual of Mental Disorders (DSM) 4th edition-text revision and alcohol use disorder using the DSM 5th edition.The sensitivity of heavy

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2016 Korean journal of family medicine

20. Divorce and alcohol use disorder in Sweden

Divorce and alcohol use disorder in Sweden Divorce and alcohol use disorder in Sweden Search National Elf Service Search National Elf Service » » » » Divorce and alcohol use disorder in Sweden Jun 14 2017 Posted by Divorce has been the subject of many a Hollywood movie, epic novel and heart-wrenching country ballad. Perhaps, this is not so surprising considering that divorce is rated only after “Death of a spouse” as the second most stressful life event (Holmes and Rahe, 1967). Divorce often (...) represents a psychologically distressing period, requiring significant adjustment. Whist in the UK, divorce rates have steadily declined over the past 10 years across all age groups, Sweden has seen a record increase in divorce in recent years. In 2013, there were over 25,100 divorces in Sweden, the highest figure for divorce since 1975. Epidemiological research has consistently demonstrated an association between divorce, alcohol consumption and risk for alcohol use disorder (AUD) (Grant et al, 2015

2017 The Mental Elf

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