scholarly journals Revisiting 12-Step Approaches: An Evidence-Based Perspective

2021 ◽  
Author(s):  
Dorothy Greene
Keyword(s):  
Clinical Practice ◽  
Alcohol Use ◽  
Alcoholics Anonymous ◽  
Alcohol Use Disorders ◽  
Special Populations ◽  
Evidence Based ◽  
Mutual Aid ◽  
Cultural Considerations ◽  
12 Steps ◽  
History Of

Alcoholics Anonymous (AA) is the longest-running mutual aid group for people with alcohol use disorders, and AA turned 85 years old in 2020. Though there has been much criticism regarding AA and other 12-step programs, there has been an equal amount of evidence to support their efficacy. This chapter explores the history of AA and other 12-step approaches, the foundational philosophy of the 12-steps, the key elements that support recovery, cultural considerations for special populations, and a review of the criticisms as well as strengths of 12-step approaches. The chapter concludes with recommendations for the integration of the approach into clinical practice.

scholarly journals Assessment of alcohol use disorder and its associated factors among alcohol users of medical and surgical outpatients attending a specialized hospital in Gondar, Ethiopia: a cross-sectional study

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Demeke Demilew ◽  
Berhanu Boru ◽  
Getachew Tesfaw ◽  
Habtamu Kerebih ◽  
Endalamaw Salelew
Keyword(s):  
Alcohol Use ◽  
Associated Factors ◽  
Alcohol Use Disorder ◽  
Alcohol Use Disorders ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Multivariate Logistic Regression ◽  
Cross Sectional ◽  
History Of ◽  
Male Sex

Abstract Background Alcohol use disorder increase the risk of physical harm, mental or social consequences for patients and others in the community. Studies on alcohol use disorder and associated factors among medical and surgical outpatients in Ethiopia are limited. Therefore, this study is meant to provide essential data on alcohol use disorder and associated factors among alcohol user medical and surgical outpatients to intervene in the future. Methods An institution-based cross-sectional study was conducted by using the systematic random sampling technique. Alcohol use disorders were assessed using the World Health Organization’s 10-item Alcohol Use Disorder Identification Test (AUDIT) questionnaire. Bivariate and multivariate logistic regression analyses were performed, a P-value less than 0.05 were considered statistically significant in the multivariate analysis and the strength of association was measured at a 95% confidence interval. Results The prevalence of alcohol use disorder was 34.5% with a 95% CI (29.20, 39.80) among study participants. In the multivariate logistic regression analysis, male sex (AOR = 3.33, 95%CI: 1.40, 7.93), history of mental illness (AOR = 2.68, 95%CI: 1.12, 6.38), drinking for relaxation (AOR = 1.88, 95%CI: 1.02, 3.48) and history of lifetime tobacco use (AOR = 5.64, 95%CI: 1.95, 16.29) were factors significantly associated with alcohol use disorder. Conclusion The prevalence of alcohol use disorders among medical and surgical outpatients was found to be high. Male sex, history of mental illness, alcohol use for relaxation and lifetime cigarette smoking need more attention during the assessment of patients in the medical and surgical outpatient departments.

Evidence-based care for alcohol use disorders is affordable.

2004 ◽  
Vol 65 (4) ◽  
pp. 521-529 ◽  
Author(s):  
Justine Corry ◽  
Kristy Sanderson ◽  
Cathy Issakidis ◽  
Gavin Andrews ◽  
Helen Lapsley
Keyword(s):  
Alcohol Use ◽  
Alcohol Use Disorders ◽  
Evidence Based ◽  
Evidence Based Care

scholarly journals Developing the Juramento into an Evidence-Based Brief Intervention: A Brief Report

2020 ◽  
pp. 154041532097157
Author(s):  
Victor Garcia ◽  
Emily Lambert ◽  
Alex Heckert ◽  
Nahomy Hidalgo Pinchi
Keyword(s):  
Alcohol Use ◽  
Brief Intervention ◽  
Alcohol Use Disorders ◽  
Evidence Based ◽  
Mexican Immigrant ◽  
Immigrant Community ◽  
Our Lady Of Guadalupe ◽  
The Core ◽  
Culturally Based ◽  
Identification Test

Introduction: This brief report recommends how the effectiveness of the juramento, a practice found in Mexican Catholicism, can be enhanced by combining it with Screening, Brief Intervention, and Referral to Treatment. The juramento is a grassroots intervention around a sacred pledge made to Our Lady of Guadalupe to abstain from alcohol from 6 months to 1 year. Method: The recommendations are made possible from an ongoing qualitative study on the use of the juramento among Mexican immigrant farmworkers in southeastern Pennsylvania. The subsample for this report is 15 Mexican immigrant farmworkers who made a juramento and two priests who administer the intervention. Results: Adding the Alcohol Use Disorders Identification Test and a referral to treatment in the counseling session of the juramento keeps its religious and cultural appeal. The core of the intervention—the ritualized pledge to Our Lady of Guadalupe—remains intact. Conclusion: Approaching the juramento with an evidence-based brief intervention lens will expand the availability of culturally based interventions to include a grassroots intervention in the Mexican immigrant community. The juramento is organic, rooted in culture and religion, making it more likely that it will help in reducing alcohol use disorders, especially those with strong religiosity.

Relation of attachment style to family history of alcoholism and alcohol use disorders in early adulthood

2004 ◽  
Vol 75 (1) ◽  
pp. 47-53 ◽  
Author(s):  
Martha Vungkhanching ◽  
Kenneth J Sher ◽  
Kristina M Jackson ◽  
Gilbert R Parra
Keyword(s):  
Family History ◽  
Alcohol Use ◽  
Attachment Style ◽  
Early Adulthood ◽  
Alcohol Use Disorders ◽  
History Of

scholarly journals History of Alcohol Use Disorders and Risk of Severe Cognitive Impairment: A 19-Year Prospective Cohort Study

2014 ◽  
Vol 22 (10) ◽  
pp. 1047-1054 ◽  
Author(s):  
Elżbieta Kuźma ◽  
David J. Llewellyn ◽  
Kenneth M. Langa ◽  
Robert B. Wallace ◽  
Iain A. Lang
Keyword(s):  
Cohort Study ◽  
Cognitive Impairment ◽  
Alcohol Use ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Alcohol Use Disorders ◽  
Severe Cognitive Impairment ◽  
History Of
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