scholarly journals Las otras dianas del trastorno por uso de alcohol: Afectaciones sistémicas derivadas del consumo excesivo de alcohol

Author(s):  
Arantza Sanvisens ◽  
Robert Muga

Drinking alcohol is an established and normalised practice in our society, even though it can physically harm us. High-risk alcohol drinking patterns can increase the chance of negative consequences for the drinkers or their environment. The liver is by far the organ most affected by alcohol abuse; however, alcohol use disorder is a systemic disease which affects a wide range of organs and psychological processes. Other systems that can be affected by continued alcohol consumption include the immune, neurological, and cardiovascular systems. In addition, alcohol can lead to epigenetic alterations that may be transmitted from one generation to the next.

2020 ◽  
Vol 7 (4) ◽  
pp. 1-9
Author(s):  
Collins E Lewis ◽  

Alcohol use disorder is a chronic disease, and the consumption of alcohol after treatment is an integral part of the disease process. However, drinking alcohol itself is not a disorder; persistent problematic drinking is. This paper assesses the stability of the yearly drinking patterns of individuals with alcohol use disorder after discharge from psychiatric hospitalization for Alcohol Use Disorder (AUD).


2011 ◽  
Vol 26 (S2) ◽  
pp. 122-122 ◽  
Author(s):  
E.J.V. Vizcaíno ◽  
M.M. Mayor ◽  
I.M. Gras ◽  
G.P. Alfaro ◽  
M.Á.J. Arriero ◽  
...  

RationaleGray's theory of personality distinguishes two personality dimensions: Behavioral Activation System (BAS) and Behavioral Inhibition System (BIS). This construct has been widely used in the field of addictions and the study of impulsivity. BIS and BAS can be measured using the Sensitivity to Punishment and Sensitivity to Reward Questionnaire (SPSRQ). This questionnaire has been carried out in cross-sectional studies related to alcohol misuse, eating disorders, pathological gambling and cannabis misuse.ObjectivesTo study Sensitivity to Reward and Sensitivity to Punishment as factors that could predict the development of Alcohol Dependence.Methods380 subjects completed the SPSRQ at the beginning of the study and were followed-up for 4 years. At this point, participants completed a protocol that assessed drinking-related variables and drinking patterns. Statistic was performed using regression analysis.ResultsLow scores obtained in the Reward Sensitivity Subscale was a significant predictor for developing an Alcohol Use Disorder (AUD). High scores obtained in the Punishment Sensitivity Subscale were not significantly related to the subsequent development of an AUD.ConclusionsLow scores obtained in the Reward Sensitivity Subscale predict a higher risk for the development of Alcohol Dependence. This could be due to more difficulties that these individuals exhibit, despite the negative consequences, when they have to inhibit their seeking behavior and intake of alcohol.


1996 ◽  
Vol 79 (3) ◽  
pp. 783-786 ◽  
Author(s):  
Robert L. Montgomery ◽  
Frances M. Haemmerlie ◽  
Shannon Zoellner

A study of 80 midwestern college students indicated that higher scores on Lapsley's 1990 Imaginary Audience scale were associated with lower grades, greater use of immature self-handicapping strategies, and several negative consequences associated with drinking alcohol.


Author(s):  
Silke Behrendt ◽  
Barbara Braun ◽  
Randi Bilberg ◽  
Gerhard Bühringer ◽  
Michael Bogenschutz ◽  
...  

Abstract. Background: The number of older adults with alcohol use disorder (AUD) is expected to rise. Adapted treatments for this group are lacking and information on AUD features in treatment seeking older adults is scarce. The international multicenter randomized-controlled clinical trial “ELDERLY-Study” with few exclusion criteria was conducted to investigate two outpatient AUD-treatments for adults aged 60+ with DSM-5 AUD. Aims: To add to 1) basic methodological information on the ELDERLY-Study by providing information on AUD features in ELDERLY-participants taking into account country and gender, and 2) knowledge on AUD features in older adults seeking outpatient treatment. Methods: baseline data from the German and Danish ELDERLY-sites (n=544) were used. AUD diagnoses were obtained with the Mini International Neuropsychiatric Interview, alcohol use information with Form 90. Results: Lost control, desired control, mental/physical problem, and craving were the most prevalent (> 70 %) AUD-symptoms. 54.9 % reported severe DSM-5 AUD (moderate: 28.2 %, mild: 16.9 %). Mean daily alcohol use was 6.3 drinks at 12 grams ethanol each. 93.9 % reported binging. More intense alcohol use was associated with greater AUD-severity and male gender. Country effects showed for alcohol use and AUD-severity. Conclusion: European ELDERLY-participants presented typical dependence symptoms, a wide range of severity, and intense alcohol use. This may underline the clinical significance of AUD in treatment-seeking seniors.


Author(s):  
T.J. Kasperbauer

This chapter discusses why people often fail to meet their moral goals and identifies the main obstacles in achieving moral change. It shows how psychological processes specific to animals, as outlined in chapters 2–4, interact with broader components of moral psychology. Three main moral psychological factors are discussed: emotions, situational conditions, and self-control. These factors are used to illustrate the frequent failure of reason and higher-level cognition to modify our moral responses, including our treatment of animals. The discussion draws from a wide range of research within empirical moral psychology as well as recent critical discussion of this research among philosophers.


Author(s):  
Patrick Bodenmann ◽  
Miriam Kasztura ◽  
Madison Graells ◽  
Elodie Schmutz ◽  
Oriane Chastonay ◽  
...  

Frequent users of emergency departments (FUED; ≥ 5 ED visits/year) commonly cumulate medical, social, and substance use problems requiring complex and sustained care coordination often unavailable in ED. This study aimed to explore ED healthcare providers’ challenges related to FUED care to gain insight into the support and resources required to address FUED complex needs. An online survey was sent to all general adult emergency services within Switzerland (N = 106). Participants were asked to indicate the extent to which they perceived that FUED represented a problem and to describe the main challenges encountered. In total, 208 physicians and nurses from 75 EDs (70.7%) completed the survey. Among the 208 participants, 134 (64%) reported that FUED represented a challenge and 133 described 1 to 5 challenges encountered. A conventional content analysis yielded 4 main categories of perceived challenges. Negative consequences in the ED secondary to FUED’s presence (eg, ED overcrowding, staff helplessness, and fatigue) was the most frequently reported challenge, followed by challenges related to FUEDs’ characteristics (eg, mental health and social problems) leading to healthcare complexity. The third most frequently encountered challenge was related to the ED inappropriateness and inefficiency to address FUEDs’ needs. Finally, challenges related to the lack of FUED healthcare network were the least often mentioned. ED healthcare providers experience a wide range of challenges related to FUED care. These findings suggest that currently EDs nor their staff are equipped to address FUEDs’ complex needs.


Author(s):  
Seung Won Lee ◽  
Sung-In Jang

This study examined the association of alcohol drinking patterns with metabolic syndrome (MetS) and its components in a nationally representative sample of South Korean adults. The cross-sectional study included 12,830 current drinkers (6438 men and 6392 women) who were at least 20 years old. Measures of alcohol drinking patterns included average drinking frequency, usual quantity, and binge drinking frequency over the past year. Multivariate logistic regression was performed to estimate odds ratios and 95% confidence intervals for MetS and its components according to alcohol drinking patterns, and also to examine linear trends in these relationships. The prevalence of MetS was 1822 (26.2%) in men and 1313 (17.5%) in women. After adjusting for potential confounding factors, drinking quantity and binge drinking frequency were positively associated with MetS in both sexes. Regarding components of MetS, while the risk of low HDL cholesterol decreased as drinking frequency increased, other MetS components (abdominal obesity, high blood pressure, and impaired fasting glucose) worsened. Our results suggest that separate management of each component of MetS will be required to protect cardio-metabolic health, and a healthy drinking culture that refrains from binge drinking should be established in the context of public health.


2021 ◽  
Author(s):  
Shibani Sahni

The purpose of this article was to describe a narrative review of the literature for understanding the reasons behind Oral Medicine gaining popularity as a choice for post graduate specialty training. Oral Medicine is the intersection of medicine and dentistry, and the clinicians are responsible for the management of oral mucosal disease, salivary gland dysfunction and oral manifestation of systemic disease, and facial pain in the definition of oral medicine and hence having a wide range of responsibilities. Breadth of knowledge on medically complex patients for example, rheumatologic, cardiovascular, cancer, endocrine, immuno-deficiency patients is required, which makes it an extremely interesting specialty and enables the clinicians to provide interdisciplinary care to the patients. It is important for dental education to foster new techniques in learning and preparing the students for clinical skills prior to patient care. The scope of impact of Oral Medicine has increased over the years, leading to it gaining popularity amongst dentists to take it up as a specialty training. The future direction of the study will be to understand how to enhance the research, clinical practice, and education for Oral Medicine.


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