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1. Liver fibrosis screening increases alcohol abstinence

Author

Avitabile, Emma, Gratacós-Ginès, Jordi, Pérez-Guasch, Martina, Belén Rubio, Ana, Herms, Queralt, Cervera, Marta, Nadal, Ruth, Carol, Marta, Fabrellas, Núria, Bruguera, Pol, Llorente, Ana, Ortega, Lluisa, Lligoña, Anna, Nuño, Laura, Freixa, Neus, Pons, María Teresa, Díaz, Alba, Bataller, Ramon, Ginès, Pere, López-Pelayo, Hugo, and Pose, Elisa

Published
2024
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2. Associations of hypomagnesemia in patients seeking a first treatment of alcohol use disorder

Author

Study, CohRTA, Center, Coordinating, Sanvisens, Arantza, Zuluaga, Paola, Fuster, Daniel, Hernández-Rubio, Anna, Farré, Magí, Papasseit, Esther, Pérez-Mañá, Clara, Poyatos, Lourdes, García-Marchena, Nuria, Abellí, Enric, Muga, Robert, Short, Antonio, Moranta, Catalina, Blanes, Rafael, Rubio, Gabriel, Sion, Ana, Miquel, Laia, Ortega, Lluisa, Bruguera, Pol, Caballeria, Elsa, Messeguer, Ana, Torrens, Marta, Fonseca, Francina, Ignacio Mestre-Pinto, Juan, Alías, María, Dinamarca, Fernando, Bolao, Ferran, Rodríguez de Fonseca, Fernando, Javier Pavón-Morón, Francisco, Araos, Pedro, Flores-López, María, Serrano, Antonia, Marcos, Miguel, Martín, Candelaria, Pérez-Hernández, Onán, Manzanares, Jorge, Illescas, Lucía, and Barbier-Torres, Lucía

Published
2023
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6. Beneficial effects of a screening programme for alcohol-related liver fibrosis with transient elastography in people with alcohol use disorder promoting alcohol abstinence

Author

Avitabile, Emma, primary, Evole, Helena Hernandéz, additional, Gratacos, Jordi, additional, Bruguera, Pol, additional, Ortega, Lluisa, additional, Lligoña, Anna, additional, Perez, Martina, additional, Rubio, Ana Belén, additional, Bataller, Ramon, additional, Ginès, Pere, additional, Lopez, Hugo, additional, and Pose, Elisa, additional

Published
2023
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10. Associations of hypomagnesemia in patients seeking a first treatment of alcohol use disorder

Author

Hernández-Rubio, Anna, primary, Sanvisens, Arantza, additional, Barbier-Torres, Lucía, additional, Blanes, Rafael, additional, Miquel, Laia, additional, Torrens, Marta, additional, Rubio, Gabriel, additional, Bolao, Ferran, additional, Zuluaga, Paola, additional, Fuster, Daniel, additional, Rodríguez de Fonseca, Fernando, additional, Farré, Magí, additional, Muga, Robert, additional, Study, CohRTA, additional, Center, Coordinating, additional, Hernández-Rubio, Anna, additional, Papasseit, Esther, additional, Pérez-Mañá, Clara, additional, Poyatos, Lourdes, additional, García-Marchena, Nuria, additional, Abellí, Enric, additional, Short, Antonio, additional, Moranta, Catalina, additional, Sion, Ana, additional, Ortega, Lluisa, additional, Bruguera, Pol, additional, Caballeria, Elsa, additional, Messeguer, Ana, additional, Fonseca, Francina, additional, Ignacio Mestre-Pinto, Juan, additional, Alías, María, additional, Dinamarca, Fernando, additional, Javier Pavón-Morón, Francisco, additional, Araos, Pedro, additional, Flores-López, María, additional, Serrano, Antonia, additional, Marcos, Miguel, additional, Martín, Candelaria, additional, Pérez-Hernández, Onán, additional, Manzanares, Jorge, additional, and Illescas, Lucía, additional

Published
2023
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18. Attentional Bias, Alcohol Craving, and Anxiety Implications of the Virtual Reality Cue-Exposure Therapy in Severe Alcohol Use Disorder: A Case Report

Author

Ghiţă, Alexandra, primary, Hernández-Serrano, Olga, additional, Fernández-Ruiz, Jolanda, additional, Moreno, Manuel, additional, Monras, Miquel, additional, Ortega, Lluisa, additional, Mondon, Silvia, additional, Teixidor, Lidia, additional, Gual, Antoni, additional, Gacto-Sanchez, Mariano, additional, Porras-García, Bruno, additional, Ferrer-García, Marta, additional, and Gutiérrez-Maldonado, José, additional

Published
2021
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20. Craving and Anxiety Responses as Indicators of the Efficacy of Virtual Reality-Cue Exposure Therapy in Patients Diagnosed with Alcohol use Disorder

Author

Ghiţă, Alexandra, Hernández-Serrano, Olga, Ruiz, Jolanda F. (Fernandez Ruiz), Monras Arnau, Miquel, Ortega, Lluisa, Mondon, Silvia, Teixidor, Lidia, Gual, Antoni, Porras-García, Bruno, Ferrer, Marta (Ferrer García), and Gutiérrez Maldonado, José

Subjects
Ansietat, Tractament de l'alcoholisme, Realitat virtual, Teràpia cognitiva, Drug withdrawal symptoms, mental disorders, Síndrome d'abstinència, Teràpia d'exposició, Alcoholism treatment, Cognitive therapy, Anxiety, Exposure therapy, Virtual reality
Abstract

Introduction: Virtual Reality (VR) technology has shown promising results as an assessment and treatment instrument in substance use disorders, particularly in attempts to reduce craving. A common application of the VR technology in treatment is based on cue-exposure therapy (CET). Following from previous results, the present case series is part of a larger project aiming to test the efficacy of the Virtual Reality-Cue Exposure Therapy (VR-CET) versus Cognitive-Behavioral Therapy (CBT). Method: Eight patients between ages 40 and 55 (Mage = 49, SD = 5.54) from the Addictive Behaviors Unit at the Hospital Clinic of Barcelona participated in this study after providing written informed consent. Patients were randomly assigned to the VR-CET group (three patients) or the CBT group (five patients). The protocol of the clinical trial consisted of a pre-treatment session (the initial assessment session), six sessions of CBT or VR-CET, and a post-treatment session (post-assessment session). The VR-CET sessions consisted of exposure to alcohol-related cues and environments aiming to reduce anxiety and craving responses to alcohol-related stimuli. The CBT sessions consisted of classical standardized therapy for the treatment of addictions, as previously applied in other clinical trials. In the pre- and post-treatment sessions, patients completed several measures of alcohol craving and anxiety and visual analog scales (VAS) during VR exposure. Results: Our data indicated a significant reduction in both groups in all scores of craving and anxiety responses, as assessed by the different instruments. In addition, the VR-CET group obtained lower scores on anxiety and craving responses than the CBT group. Conclusions: In this ongoing project, the first phase of the clinical trial showed significant improvements in terms of craving and anxiety reduction in both groups, emphasizing that VR-CET can be as efficient as CBT. In addition, patients in the VR-CET group obtained slightly better scores than patients in the CBT group, suggesting the clinical potential of the VR technology in the treatment of substance use disorders. We propose that VR-based CET can be a useful complement to existing treatment methods for AUD patients.

Published
2019

21. Attentional bias assessment in patients with alcohol use disorder: an eye-tracking study

Author

Ghiţă, Alexandra, Porras-García, Bruno, Moreno, Manuel, Monras Arnau, Miquel, Ortega, Lluisa, Mondon, Silvia, Teixido, Lidia, Obach i Vidal, Amadeu, Gual, Antoni, Aznar Casanova, José Antonio, Ferrer, Marta (Ferrer García), Bertomeu Panisello, Paola, and Gutiérrez Maldonado, José

Subjects
Seguiment de la mirada, Alcoholism, Eye tracking, Alcoholisme, Medical technology, Tecnologia mèdica
Abstract

Introduction: Alcohol use disorder (AUD) represents a major general health concern with important consequences for individuals' psycho-social functioning. Many studies suggest that cognitive processes such as attentional bias (AB) are heavily involved in the phases of acquisition, maintenance and relapse precipitation in AUD. AB is described as an implicit selective attention when processing visual information in favor of desired cues, which may elicit craving for alcohol and facilitate drinking-related behaviors. In line with recent studies of the applications of human-computer interaction in the field of psychology, the current study aimed to assess attentional bias towards alcohol-related images using eye-tracking technology. Specifically, we explored the first gaze towards alcohol-related images versus neutral images in patients with short-term and long-term abstinence. Method: 24 outpatients (Mage = 53, SD = 11.65) from the Addictive Behavior Unit of the Hospital Clinic of Barcelona participated in the study. The inclusion criteria were diagnoses of AUD and normal or corrected-to-normal visual acuity. Participants were divided according to their abstinence period, with the cut-off point being set at four months. Fourteen patients had been abstinent for less than four months (M = 1, SD = 0.96), and 10 for longer than this period (M = 14, SD = 8.17). The self-reported abstinence period was supported by the results of urine analyses performed in all patients. Participants completed the Alcohol Use Disorder Identification Test (M = 19.75, SD = 9.34) and the Visual Attention Task (VAT). The VAT consisted of images related to alcohol consumption versus neutral images such as office objects. The EyeTribe eye-tracking technology was used to record eye movement activity during the VAT. Results: Our data indicated a statistically significant difference between patients with short-term and long-term abstinence regarding their first fixation towards alcohol-related and neutral images. Patients abstinent for less than four months had a tendency to look first at images related to alcohol consumption, whereas patients abstinent for more than four months were more likely to look first at neutral images, regardless of their AUDIT score. Conclusions: Patients with short-term abstinence had a greater AB than patients with long-term abstinence. The first gaze seems to be a sensitive parameter for differentiating between patients with low and high AB. The use of eye-tracking technology suggests that AB is important in clinical assessment and should be addressed in treatment as well as in relapse prevention. We consider that the eye- tracking technology is a promising instrument for assessing current addictive behavior.

Published
2019

24. Cue-Elicited Anxiety and Alcohol Craving as Indicators of the Validity of ALCO-VR Software: A Virtual Reality Study

Author

Ghiţă, Alexandra, primary, Hernández-Serrano, Olga, additional, Fernández-Ruiz, Yolanda, additional, Monras, Miquel, additional, Ortega, Lluisa, additional, Mondon, Silvia, additional, Teixidor, Lidia, additional, Gual, Antoni, additional, Porras-García, Bruno, additional, Ferrer-García, Marta, additional, and Gutiérrez-Maldonado, José, additional

Published
2019
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26. Identifying Triggers of Alcohol Craving to Develop Effective Virtual Environments for Cue Exposure Therapy

Author

Ghiţă, Alexandra, primary, Teixidor, Lidia, additional, Monras, Miquel, additional, Ortega, Lluisa, additional, Mondon, Silvia, additional, Gual, Antoni, additional, Paredes, Sofia Miranda, additional, Villares Urgell, Laura, additional, Porras-García, Bruno, additional, Ferrer-García, Marta, additional, and Gutiérrez-Maldonado, José, additional

Published
2019
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29. Effectiveness of a Specialized Brief Intervention for At‐risk Drinkers in an Emergency Department: Short‐term Results of a Randomized Controlled Trial

Author

Bruguera, Pol, primary, Barrio, Pablo, additional, Oliveras, Clara, additional, Braddick, Fleur, additional, Gavotti, Carolina, additional, Bruguera, Carla, additional, López‐Pelayo, Hugo, additional, Miquel, Laia, additional, Segura, Lídia, additional, Colom, Joan, additional, Ortega, Lluisa, additional, Vieta, Eduard, additional, and Gual, Antoni, additional

Published
2018
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33. Psychiatric Comorbidity in Treatment-Seeking Alcohol Dependence Patients With and Without ADHD.

Author

Roncero, Carlos, Ortega, Lluisa, Pérez-Pazos, Jesús, Lligoña, Anna, Abad, Alfonso C., Gual, Antoni, Sorribes, Marta, Grau-López, Lara, Casas, Miquel, and Daigre, Constanza

Subjects
TREATMENT of attention-deficit hyperactivity disorder, ALCOHOL Dependence Scale, PERSONALITY disorder diagnosis, ANXIETY, DISEASE prevalence
Abstract

Objective: To estimate the prevalence of ADHD in adult patients treated for alcohol dependence and to analyze the characteristics of consumption and psychiatric comorbidity, in function of a possible ADHD in adulthood. Method: We administered the Adult ADHD Self-Report Scale (ASRS) to 726 alcohol-dependent patients. Clinical diagnosis, following Diagnostic and Statistical Manual of Mental Disorders (4th ed., text rev.; DSM-IV-TR) criteria was made in the first four weeks of treatment. A subsample of 297 patients was evaluated using Conners' Adult ADHD Diagnostic Interview for DSM-IV (CAADID-II) to test the psychometric properties of ASRS. Results: After analyzing the properties of the ASRS (sensitivity: 83.3%; specificity: 66.1%), the prevalence of ADHD, in the whole sample, was estimated to be 16.2%. Being younger, lifetime history of cocaine dependence and the presence of an affective, anxiety or personality disorder were associated with a possible ADHD. Conclusion: The estimated prevalence of ADHD in patients being treated for alcohol dependence is high, and the presence of a possible ADHD in adulthood is associated with an increase in psychiatric comorbidity. [ABSTRACT FROM AUTHOR]

Published
2019
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37. One Year Clinical Correlates of EtG Positive Urine Screening in Alcohol-Dependent Patients: A Survival Analysis.

Author

Mondon, Silvia, Teixidor, Lídia, Ortega, Lluisa, Barrio, Pablo, Gual, Antoni, and Vieta, Eduard

Subjects
DISEASE relapse, PEOPLE with alcoholism, REHABILITATION of people with alcoholism, BIOMARKERS, CONFIDENCE intervals, DRUG use testing, HOSPITAL care, REGRESSION analysis, SECONDARY analysis, TREATMENT programs, ACYCLIC acids
Abstract

Little evidence exists supporting the efficacy of regular alcohol urine screening (RAUS) in the management of alcohol dependence, despite recent improvements in urine biomarkers. In this study, we aimed at investigating 1 year, differential clinical correlates between a positive and a negative baseline urine ethyl glucuronide (EtG) screening.~Aims~Unassigned~Alcohol-dependent outpatients participating in a previous cross-sectional study where EtG and ethanol diagnostic performances were compared in a double blind design were included. After 1 year, the presence of relapse, the number of hospitalizations and whether patients had abandoned treatment or not were assessed from electronic medical records. A survival analysis was conducted to compare time to relapse between EtG negative and positive subjects. Regression models were performed to compare the mean number of days hospitalized between groups, the risk of being lost to follow-up and treatment expenses.~Methods~Unassigned~Of note, 152 patients (mean age 52, 67% males) were included. The mean time to relapse was of 163 days in EtG positive subjects, compared to 329 days in those with a negative result. In the Cox-regression model, only EtG positivity yielded significant results, with a hazard ratio of 5:3 (95% CI: 3.1-9.1). EtG positive was also the only significant predictor of a greater number of hospitalization days and treatment expenses. Younger age was the only variable predicting a greater risk of treatment abandonment.~Results~Unassigned~RAUS with sensible biomarkers could improve clinicians' ability to assess patients' relapse risk. Further prospective studies will have to determine if this can be translated into a better prevention capacity.~Conclusion~Unassigned~Positive urine screenings, when conducted with highly sensible alcohol biomarkers, significantly indicate a greater risk of relapse in alcohol-dependent patients and have the capacity to predict a greater risk of hospitalization and greater treatment expenses.~Short summary~Unassigned [ABSTRACT FROM AUTHOR]

Published
2017
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39. El Alcohol en Atención Primaria. Características diferenciales entre los pacientes dependientes del alcohol que han solicitado o no tratamiento.

Author

BARRIO, PABLO, MIQUEL, LAIA, MORENO-ESPAÑA, JOSE, MARTÍNEZ, ALICIA, ORTEGA, LLUISA, TEIXIDOR, LIDIA, MANTHEY, JAKOB, REHM, JÜRGEN, and GUAL, ANTONI

Abstract

Copyright of Adicciones is the property of Sociedad Cientifica Espanola de Estudios sobre el Alcohol and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2016

42. Proceedings of the 13th annual conference of INEBRIA

Author

Watson, Rod, Morris, James, Isitt, John, Barrio, Pablo, Ortega, Lluisa, Gual, Antoni, Conner, Kenneth, Stecker, Tracy, Maisto, Stephen, Paroz, Sophie, Graap, Caroline, Grazioli, Véronique, Daeppen, Jean-Bernard, Collins, Susan, Bertholet, Nicolas, McNeely, Jennifer, Kushnir, Vlad, Cunningham, John, Crombie, Iain, Cunningham, Kathryn, Irvine, Linda, Williams, Brian, Sniehotta, Falko, Norrie, John, Melson, Ambrose, Jones, Claire, Briggs, Andrew, Rice, Peter, Achison, Marcus, McKenzie, Andrew, Dimova, Elena, Slane, Peter, Grazioli, Véronique, Collins, Susan, Paroz, Sophie, Graap, Caroline, Daeppen, Jean-Bernard, Baggio, Stéphanie, Dupuis, Marc, Studer, Joseph, Gmel, Gerhard, Magill, Molly, Grazioli, Véronique, Tait, Robert, Teoh, Lucinda, Kelty, Erin, Geelhoed, Elizabeth, Mountain, David, Hulse, Gary, Renko, Elina, Mitchell, Shannon, Lounsbury, David, Li, Zhi, Schwartz, Robert, Gryczynski, Jan, Kirk, Arethusa, Oros, Marla, Hosler, Colleen, Dusek, Kristi, Brown, Barry, Finnell, Deborah, Holloway, Aisha, Wu, Li-Tzy, Subramaniam, Geetha, Sharma, Gaurav, Wallhed Finn, Sara, Andreasson, Sven, Dvorak, Robert, Kramer, Matthew, Stevenson, Brittany, Sargent, Emily, Kilwein, Tess, Harris, Sion, Sherritt, Lon, Copelas, Sarah, Knight, John, Mdege, Noreen, McCambridge, Jim, Bischof, Gallus, Bischof, Anja, Freyer-Adam, Jennis, Rumpf, Hans-Juergen, Fitzgerald, Niamh, Schölin, Lisa, Toner, Paul, Böhnke, Jan, Veach, Laura, Currin, Olivia, Dongre, Leigh, Miller, Preston, White, Elizabeth, Williams, Emily, Lapham, Gwen, Bobb, Jennifer, Rubinsky, Anna, Catz, Sheryl, Shortreed, Susan, Bensley, Kara, Bradley, Katharine, Milward, Joanna, Deluca, Paolo, Khadjesari, Zarnie, Watson, Rod, Fincham-Campbell, Stephanie, Drummond, Colin, Angus, Kathryn, Bauld, Linda, Baumann, Sophie, Haberecht, Katja, Schnuerer, Inga, Meyer, Christian, Rumpf, Hans-Jürgen, John, Ulrich, Gaertner, Beate, Barrault-Couchouron, Marion, Béracochéa, Marion, Allafort, Vincent, Barthélémy, Valérie, Bonnefoi, Hervé, Bussières, Emmanuel, Garguil, Véronique, Auriacombe, Marc, Saint-Jacques, Marianne, Dorval, Michel, M’Bailara, Katia, Segura-Garcia, Lidia, Ibañez-Martinez, Nuria, Mendive-Arbeloa, Juan, Anoro-Perminger, Manel, Diaz-Gallego, Pako, Piñar-Mateos, Mª, Colom-Farran, Joan, Deligianni, Marianthi, Yersin, Bertrand, Adam, Angeline, Weisner, Constance, Chi, Felicia, Lu, Wendy, Sterling, Stacy, Kraemer, Kevin, McGinnis, Kathleen, Fiellin, David, Skanderson, Melissa, Gordon, Adam, Robbins, Jonathan, Zickmund, Susan, Korthuis, P., Edelman, E., Hansen, Nathan, Cutter, Christopher, Dziura, James, Fiellin, Lynn, O’Connor, Patrick, Maisto, Stephen, Bedimo, Roger, Gilbert, Cynthia, Marconi, Vincent, Rimland, David, Rodriguez-Barradas, Maria, Simberkoff, Michael, Justice, Amy, Bryant, Kendall, Berman, Anne, Shorter, Gillian, Bray, Jeremy, Barbosa, Carolina, Johansson, Magnus, Hester, Reid, Campbell, William, Souza Formigoni, Maria, Andrade, André, Sartes, Laisa, Sundström, Christopher, Eék, Niels, Kraepelien, Martin, Kaldo, Viktor, Fahlke, Claudia, Hernandez, Lynn, Becker, Sara, Jones, Richard, Graves, Hannah, Spirito, Anthony, Diestelkamp, Silke, Wartberg, Lutz, Arnaud, Nicolas, Thomasius, Rainer, Gaume, Jacques, Grazioli, Véronique, Fortini, Cristiana, Malan, Zelra, Mash, Bob, Everett-Murphy, Katherine, Grazioli, Véronique, Studer, Joseph, Mohler-Kuo, M., Bertholet, Nicolas, Gmel, Gerhard, Doi, Lawrence, Cheyne, Helen, Jepson, Ruth, Luna, Vanesa, Echeverria, Leticia, Morales, Silvia, Barroso, Teresa, Abreu, Ângela, Aguiar, Cosma, Stewart, Duncan, Abreu, Angela, Brites, Riany, Jomar, Rafael, Marinho, Gerson, Parreira, Pedro, Seale, J., Johnson, J., Henry, Dena, Chalmers, Sharon, Payne, Freida, Tuck, Linda, Morris, Akula, Gonçalves, Cátia, Besser, Bettina, Casajuana, Cristina, López-Pelayo, Hugo, Balcells, María, Teixidó, Lídia, Miquel, Laia, Colom, Joan, Hepner, Kimberly, Hoggatt, Katherine., Bogart, Andy, Paddock, Susan., Hardoon, Sarah, Petersen, Irene, Hamilton, Fiona, Nazareth, Irwin, White, Ian, Marston, Louise, Wallace, Paul, Godfrey, Christine, Murray, Elizabeth, Sovinová, Hana, and Csémy, Ladislav

Published
2016
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44. Remediation therapy in patients with alcohol use disorders and neurocognitive disorders: A Pilot Study

Author

Frías Torres, Cindy, Moreno España, José, Ortega, Lluisa, Barrio Giménez, Pablo, Gual, Antoni, Teixidó López, Lídia, and Universitat de Barcelona

Subjects
Alcoholism, Rehabilitació, Cognition disorders, Alcoholisme, Rehabilitation, Trastorns de la cognició
Abstract

Many alcohol-dependent patients suffer from cognitive impairment of variable severity, manifested by alterations in retrograde and anterograde memory, visuospatial processing, cognitive abilities and attention, some of which are reversible. In this context, cognitive remediation therapies could significantly improve patients' performance; therefore, these are considered a valuable alternative. The aim of this study was to implement cognitive remediation therapy in patients with alcohol dependence and cognitive impairment and evaluate its viability and effectiveness. The participants were sixteen abstinent, alcohol-dependent patients (mean age of 59 years, 63% males) from the Addictive Behaviours Unit of a tertiary hospital. Over 6 months, a nurse led 1-hour weekly sessions (24 sessions in total) during which exercises for improving functional, social and cognitive performance were completed. Patients were assessed at baseline, at the end of the study and 6 months later, using the Mini-Mental State Examination (MMSE) and the Memory Alteration Test (M@T). Their respective scores were 26.4 (SD 3.16), 29 (SD 1.67) and 27 (SD 3.1) for the MMSE and 38.7 (SD 6.81), 45.7 (SD 5.6) and 41.1 (SD 7.86) for the M@T. Changes were assessed with both Friedman and Wilcoxon signed-rank tests, with mostly statistically significant differences (p < 0.05). Assistance and satisfaction were high. Therefore, the therapy was viable, widely accepted and effective.

46. [Detection and prevalence of alcohol use disorders in primary health care in Catalonia].

Author

Miquel L, Barrio P, Moreno-España J, Ortega L, Manthey J, Rehm J, and Gual A

Subjects
Adult, Aged, Cross-Sectional Studies, Female, General Practitioners, Humans, Male, Middle Aged, Prevalence, Spain epidemiology, Surveys and Questionnaires, Young Adult, Alcohol-Related Disorders epidemiology, Primary Health Care
Abstract

Aim: To describe the detection by general practitioners (GP) of alcohol use disorders (AUD) and alcohol dependence, and their prevalence in primary health settings., Design: Cross-sectional study., Settings: Twenty Catalan primary health care centres (Spain)., Participants and Measurements: Twenty three randomly selected GP were surveyed about alcohol and other diseases of their patients. A total of 1,372 patient interviews were collected. Patients and GPs were asked about AUD and other mental and health conditions. The Composite International Diagnostic Interview (CIDI) as the gold standard was used, as well as other structured interviews (K10 screening and World Health Organization Disability Assessment Schedule 2.0)., Results: The CIDI diagnosed 9.6% of the total sample with an AUD, and 4.8% diagnosed by GPs. CIDI could detect more AUD in young adults, while GPs diagnosed more AUD and alcohol dependence in elderly people, who also had more health conditions. GPs recognised AUD in 28.8% of patients diagnosed with CIDI, but 42.4% of patients diagnosed by GPs were not detected with CIDI. Taking both into consideration, the gold standard and the GP clinical impression, 11.7% of patients had an AUD and 8.6% an AD., Conclusions: GP recognise AUD better in the elderly with worst health conditions than CIDI. AUD and alcohol dependence prevalence is high in primary health care centres., (Copyright © 2015 Elsevier España, S.L.U. All rights reserved.)

Published
2016
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47. [Alcoholic patients hospitalized in a psychiatry unit: mortality at 14 years].

Author

Monrás M and Ortega L

Subjects
Adolescent, Adult, Aged, Alcoholism complications, Alcoholism therapy, Female, Follow-Up Studies, Hospitalization, Humans, Longitudinal Studies, Male, Mental Disorders complications, Middle Aged, Multivariate Analysis, Time Factors, Young Adult, Alcoholism mortality
Abstract

Introduction: Alcoholic patients show a high mortality rate. We know about the increased mortality of outpatients following specialized treatment for alcohol abuse and inpatients with organic diseases related to alcohol, but it is not clear whether alcoholics with a comorbid psychiatric profile also die prematurely., Objective: To investigate clinical characteristics, therapeutic evolution, survival, and factors that can better predict mortality., Materials: 14-year longitudinal monitoring of 91 patients hospitalized in 1993 for detoxification in a psychiatric unit and who subsequently received outpatient treatment., Results: Patients show a high prevalence of psychiatric disorders (40.6%) and multiple periods of previous treatment (78%). After 14 years the mortality rate was 34.1%. Deceased patients more often presented cognitive decline and were more often on pensions. They were also taking more antidepressants, had less family support and were more likely to have relapsed into alcohol use., Discussion: Many of the factors that predict higher mortality are age-related. In younger patients, the presence of neuropsychological deterioration symptoms may indicate a premature organic disorder and probably greater risk of treatment failure, poor physical care and traumatic physical and mental situations, all of which would also increase the likelihood of premature mortality.

Published
2011

48. [Two year follow-up of inpatients with alcohol-related diseases].

Author

Monras M, Ortega L, Mondon S, Balcells M, and Gual A

Subjects
Adult, Alcoholism mortality, Female, Follow-Up Studies, Hospitalization, Humans, Male, Middle Aged, Patient Acceptance of Health Care statistics & numerical data, Spain epidemiology, Survival Analysis, Treatment Outcome, Alcoholism therapy
Abstract

Background and Objective: Our objective was to study the outcome and compliance of both medical and alcoholism treatment in alcoholics discharged from a general hospital., Patients and Method: This was a 2 years prospective follow up study of a cohort of 100 inpatients referred to the Alcohol Unit during the first semester of 1998., Results: After 2 years, 9 patients had died and 14 had been referred to other hospitals. 15% of patients refused medical treatment from the beginning and alcoholism treatment was initially refused by 31% of alcoholics. At 2 years of follow up, compliance rates were 46% for medical treatment and 10% for alcoholism treatment. All patients under treatment for alcoholism were also good compliers of medical treatment. Survival analysis for alcoholism treatment at 2 years was 19%, with higher rates in patients with psychosocial problems and previous alcohol consultations. The probability of being alive was 89%., Conclusions: Few alcoholics are detected. Most of them display high levels of severity and poor prognosis, with high mortality rates. Compliance with follow up treatment is low. There is a clear correlation between compliance of alcoholism and medical treatment.

Published
2004
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