Diagnosis, assessment, and management of harmful drinking and alcohol dependence: summary of NICE guidance
| Autor: | Clare J Taylor, Colin Drummond, Stephen Pilling, Amina Yesufu-Udechuku |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Cost effectiveness Poison control Craving Suicide prevention Occupational safety and health Young Adult Injury prevention Medicine Humans Psychiatry Child General Environmental Science Aged Depressive Disorder business.industry Alcohol dependence General Engineering Human factors and ergonomics General Medicine Middle Aged Anxiety Disorders Psychotherapy Alcoholism Practice Guidelines as Topic General Earth and Planetary Sciences Female medicine.symptom business |
| Zdroj: | BMJ (Clinical research ed.). 342 |
| ISSN: | 1756-1833 |
| Popis: | Alcohol dependence affects 4% of people aged between 16 and 65 years in England (6% of men and 2% of women),1 and over 26% of all adults (38% of men and 16% of women) consume alcohol in a way that is potentially or actually harmful to their health or wellbeing. Yet currently only 6% of people who are alcohol dependent receive treatment.1 Alcohol dependence is characterised by withdrawal, craving, impaired control, and tolerance of alcohol and is associated with a higher rate of mental and physical illness and a wide range of social problems. Harmful drinking is a pattern of alcohol consumption that can lead to psychological problems such as depression, accidents, injuries, and physical health problems such as pancreatitis. Alcohol misuse is also an increasing problem in children and young people, with over 24 000 treated in the NHS for alcohol related problems in 2008 and 2009.2 Hospital admissions related to alcohol consumption increased by 81% between 2003 and 2009.3 Harmful drinking and alcohol dependence therefore represent a considerable burden to individuals, their families, and wider society. This article summarises the most recent recommendations from the National Institute for Health and Clinical Excellence (NICE) on the diagnosis, assessment, and management of harmful drinking and alcohol dependence.4 NICE recommendations are based on systematic reviews of best available evidence and explicit consideration of cost effectiveness. When minimal evidence is available, recommendations are based on the Guideline Development Group’s experience and opinion of what constitutes good practice. Evidence levels for the recommendations are given in italic in square brackets. ### Identification and initial assessment |
| Databáze: | OpenAIRE |
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