Alcohol and Alcoholism Advance Access originally published online on February 16, 2007
Alcohol and Alcoholism 2007 42(2):57-63; doi:10.1093/alcalc/agl125
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© The Author 2007. Published by Oxford University Press on behalf of the Medical Council on Alcohol. All rights reserved
IS THERE A FUTURE FOR QUANTIFYING DRINKING IN THE DIAGNOSIS, TREATMENT, AND PREVENTION OF ALCOHOL USE DISORDERS?
National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, U.S. Department of Health and Human Services, Bethesda, MD 20892-9304, USA
* Author to whom correspondence should be addressed at: National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, U.S. Depart-ment of Health and Human Services, Bethesda, MD 20892-9304, USA. Tel: +1 301 443 5726; Fax: +1 301 443 7043; E-mail: bhewitt@mail.nih.gov
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INTRODUCTION |
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This commentary is based on a Plenary Address at th 2006 Meetingof the International Society for Biomedical Research on Alcoholism (ISBRA) held in Sydney, Australia, which posed the simple question: Is There a Future for Quantifying Drinking in the Diagnosis, Treatment, and Prevention of Alcohol Use Disorders? The intention is to stimulate dialogue among the many disciplines represented in the alcohol field about where we should be going with respect to diagnostic criteria for alcohol use disorders (AUDs), now that the American Psychiatric Association (APA) and the World Health Organization (WHO) have launched initiatives for the construction of the fifth revision of the APA Diagnostic and Statistical Manual (DSM-V) and the l1th edition of the WHO International Classification of Diseases (ICD-11).
Our position is that quantifying drinking is very relevant to the diagnosis, treatment, and prevention of AUDs. Good examples are the diagnostic criteria developed over time for other complex
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ALCOHOL USE AND HARM IN ANTIQUITY |
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ACUTE AND CHRONIC CONSEQUENCES OF EXCESSIVE ALCOHOL USE |
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Acute consequences
Chronic effects of alcohol use
Volume of consumption
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INDIVIDUAL VARIATIONS IN RESPONSE TO ALCOHOL |
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Alcohol use disorders: a developmental trajectory
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WHAT IS THE RELATIONSHIP OF ALCOHOL CONSUMPTION VOLUME, FREQUENCY AND PATTERN TO AA AND AD? |
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NIAAA NATIONAL SURVEYS |
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The NIAAA National Longitudinal Alcohol Epidemiologic Survey
The NIAAA National Epidemiological Survey on Alcohol and Related Conditions
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DO ALCOHOL USE DISORDERS FALL ALONG A CONTINUUM OF SEVERITY? |
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NESARC findings
Relationship of quantity/frequency and drinking pattern to prevention and treatment
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CONCLUSION |
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