Treatment of Problem Alcohol Use in Women of Childbearing Age: Results of a Brief Intervention Trial

Studies suggest that 14% of women age 18 to 40 drink alcohol above recommended limits. Of special concern is the increasing use of alcohol by women during pregnancy. This article reports 48 month follow-up data from a subanalysis of a trial for early alcohol treatment (Project TrEAT) focused on women of childbearing age. Methods : Project TrEAT was conducted in the offices of 64 primary care, community-based physicians from 10 Wisconsin counties. Of 5979 female patients ages 18 to 40 who were screened for problem drinking, 205 were randomized into an experimental group ( n = 103) or control group ( n = 102). The intervention consisted of two 15 min, physician-delivered counseling visits that included advice, education, and contracting by using a scripted workbook. A total of 174 subjects (85%) completed the 48 month follow-up procedures. Results : No significant differences were found between the experimental and control groups at baseline for alcohol use, age, socioeconomic status, smoking, depression or anxiety, conduct disorder, lifetime drug use, or health care utilization. The trial found a significant treatment effect in reducing both 7 day alcohol use ( p = 0.0039) and binge drinking episodes ( p = 0.0021) over the 48 month follow-up period. Women in the experimental group who became pregnant during the follow-up period had the most dramatic decreases in alcohol use. A logistic regression model based on a 20% or greater reduction in drinking found an odds ratio of 1.93 (confidence interval 1.07–3.46) in the sample exposed to physician intervention. Age, smoking, depression, conduct disorder, antisocial personality disorder, and illicit drug use did not reduce drinking significantly. No significant differences were found in health care utilization and health status between groups. Conclusions : This trial provides the first direct evidence that brief intervention is associated with sustained reductions in alcohol consumption by women of childbearing age. The results have enormous implications for the U.S. health care system.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/66074/1/j.1530-0277.2000.tb04570.x.pd

Mental Contrasting With Implementation Intentions Reduces Drinking When Drinking Is Hazardous: An Online Self-Regulation Intervention

Introduction. Drinking alcohol has detrimental health consequences, and effective interventions to reduce hazardous drinking are needed. The self-regulation intervention of Mental Contrasting with Implementation Intentions (MCII) promotes behavior change across a variety of health behaviors. In this study, we tested if online delivery of MCII reduced hazardous drinking in people who were worried about their drinking. Method. Participants (N = 200, female = 107) were recruited online. They were randomized to learn MCII or solve simple math problems (control). Results. Immediately after the intervention, participants in the MCII condition (vs. control) reported an increased commitment to reduce drinking. After 1 month, they reported having taken action measured by the Readiness to Change drinking scale. When drinking was hazardous (Alcohol Use Disorders Identification Test ≥ 8, n = 85), participants in the MCII condition indicated a decreased number of drinking days, exp(β) = 0.47, CI (confidence interval) [−1.322, −.207], p = .02, and drinks per week, exp(β) = 0.57, CI [0.94, 5.514], p = .007, compared with the control condition. Discussion. These findings demonstrate that a brief, self-guided online intervention (Mdn = 28 minutes) can reduce drinking in people who worry about their drinking. Our findings show a higher impact in people at risk for hazardous drinking. Conclusion. MCII is scalable as an online intervention. Future studies should test the cost-effectiveness of the intervention in real-world settings

Children\u27s Hedonic Responses to the Odors of Alcoholic Beverages: A Window to Emotions

The present study of 145 children and their mothers aimed to determine whether children\u27s responses to the odors of alcoholic beverages were related to their mothers\u27 reasons for drinking. Mothers completed a series of questionnaires to describe the emotional context in which they drink and whether they use alcohol to “escape” by changing their state of mind and reducing feelings of dysphoria. Children participated in two age-appropriate tasks that focused on the most salient psychological attribute of an odor, its perceived hedonic valence. To this aim, we determined children\u27s liking, reaction times, and identification of individual odors including beer and whiskey in Task 1, and their preference for beer relative to odors that differed in hedonic valence in Task 2. The type of task and behavioral measure revealed different aspects of children\u27s responses, to alcohol odors. In Task 1, verbally identifying an odor was a more difficult task than deciding whether they liked the odor. Although there were few group differences in liking for individual odors, children of Escape drinkers took significantly longer to determine whether they liked the odors. In Task 2, children of Escape drinkers preferred beer less often, particularly when it was compared with less pleasant odors. They preferred coffee to beer odors and, if their mothers did not smoke cigarettes, preferred the odors of cigarette smoke and pyridine to beer. These children experienced the odor of alcohol more frequently and in the context of mood disturbed mothers who felt guilty and worried about their drinking. Whether children who associate the odor of alcohol with such emotional contexts display a trajectory toward or against using alcohol to escape remains unknown

Fat Albert & the Cosby Kids: Buzzy's Rebound

Graphic pamphlet about a young basketball player's exposure to alcohol and the ensuing problems caused by it as Fat Albert and the Cosby Kids try to help him

Development of cost simulation study of alcoholism insurance benefit packages : executive summary.

"May 1983."Bibliography: p. 38-39.Mode of access: Internet

Directory of treatment resources, Michigan.

Mode of access: Internet

Medicare coverage for the treatment of alcoholism : excerpts.

"Excerpts from DHEW's September, 1978 report to Congress required by P.L. 95-210 on The Advantages and disadvantages of extending medicare coverage to Mental Health, Alcohol, and Drug Abuse Centers"--P. [2] of cover.Includes bibliographical references.Mode of access: Internet

Women's occupational alcoholism demonstration project : final report.

"The executive summaries from three final reports."Includes bibliographical references.Mode of access: Internet

Research on the prevention of alcohol abuse in the older population.

"February 1990."Shipping list no.: 90-143-P.Repr. from: Catalog of federal domestic assistance, no. 13.273.Caption title.Includes bibliographical references (p. 18-22).Mode of access: Internet