All Effectiveness Bank analyses to date of documents related to alcohol compiled for our supporter Alcohol Change UK, starting with the analyses most recently added or updated, totalling today 768 documents.
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STUDY 1992 HTM file
Disulfiram treatment of alcoholism
Chick J., Gough K., Falkowski W. et al.
British Journal of Psychiatry: 1992, 161, p. 84–89.
Still relevant today, from the early 1990s this UK randomised trial of disulfiram in the treatment of alcohol dependence found that, given daily supervision to make sure patients took tablets they knew would cause unpleasant effects if they drank, the effect was to significantly reduce drinking.
DOCUMENT 2013 HTM file
Alcohol treatment in England 2012–13
Public Health England.
Public Health England, 2013.
In England nearly 110,000 patients were in specialist alcohol treatment in 2012/13 and over a third left as planned free of dependence. These numbers probably mean most dependent drinkers who could benefit from treatment do without it, perhaps partly because so few find their way to treatment via their GPs and other medical services.
Gilligan C., Kypri K, Lubman D.
Alcohol and Alcoholism: 2012, 47(3), p. 349–354.
Should parents introduce their underage children to alcohol, and if they give their children alcohol, is it important that they supervise its consumption? Opinions and guidelines differ as do research findings, perhaps because much depends on the context.
DOCUMENT 2013 HTM file
Druglink: November/December 2013.
Can we dispense with counselling, therapy, treatment as we know it, and just punish or deprive patients of rewards when they use substances in undesired ways, and reward them when they behave as we/they would wish? British services are trialling an approach about which many clinicians express major ethical concerns – contingency management.
REVIEW 2013 HTM file
Quitting drugs: quantitative and qualitative features
Annual Review of Clinical Psychology: 2013, 9, p. 29–59.
Innovative re-analysis of US national surveys reveals that no matter how long ago someone became dependent on an illegal drug or alcohol, their chances of achieving remission remain the same. The findings challenge models which assume that progressive neural, lifestyle or psychological changes increasingly lock someone in to addiction.
STUDY 2011 HTM file
Probability and predictors of remission from life-time nicotine, alcohol, cannabis or cocaine dependence: results from the National Epidemiologic Survey on Alcohol and Related Conditions
Lopez-Quintero C., Hasin D.S., Pérez de los Cobos J. et al.
Addiction: 2011, 106(3), p. 657–669.
The largest recent US national survey of drink and drug problems shows that outside the addiction treatment clinic, remission is the norm and recovery common. After 14 years half the people at some time dependent on alcohol were in remission, a milestone reached for cannabis after six years, and for cocaine after just five.
Sullivan L.E., Tetrault J.M., Braithwaite R.S. et al.
American Journal on Addictions: 2011, 20, p. 343–356.
It works when the doctor does it, but what if the nurse or other primary care staff counsel risky drinking patients? It still works – maybe not as well, but perhaps more patients can be reached more cheaply.
Nordic Studies on Alcohol and Drugs: 2009, 26(6), p. 521–535.
According to a commentator, this "trenchant critique" of the evidence for school-based alcohol and drug prevention curricula is "unfortunately, largely on target". The focus is on methodological concerns which might undermine positive findings, and on whether these survive a programme's transplantation to real-world conditions.
[US] Great Lakes Addiction Technology Transfer Center, Philadelphia Department of Behavioral Health and Intellectual Disability Services and Northeast Addiction Technology Transfer Center, 2012.
Positive message of this compendious synthesis of hundreds of studies is that "Recovery is not an aberration achieved by a small and morally enlightened minority of addicted people. If there is a natural developmental momentum within the course of [these] problems, it is toward remission and recovery."
Agrawal N., Duhachek A.
Journal of Marketing Research: 2010, 47(2), p. 263–273.
US students already burdened by these emotions reacted to shame or guilt-inducing anti-drink ads by intending to and actually drinking more, the opposite of what was intended. This intriguing series of studies may reinforce the feeling that the ways anti-substance use ads can backfire are so various, the safest option is not to try them.
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