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Alcohol Abuse: Screening and Diagnosis

Alcohol Abuse

Alcohol Abuse: Screening and Diagnosis

Background

  1. Over 60% of American adults drink alcohol
    • Moderate alcohol consumption can reduce the risk of heart disease
  2. 10% of Americans abuse alcohol
  3. Abuse leads to significant individual and social consequences
    • 40% of all traffic fatalities are alcohol-related
    • 3 of every 10 people in the US will at some point be involved in an alcohol-related crash
    • Up to one-third of ER trauma cases are alcohol-related
    • Two-thirds of drownings are alcohol-related
    • One-half of cirrhosis-related deaths are due to alcohol abuse
      • Alcohol use also related to cancers of mouth, esophagus, pharynx, larynx, breast
    • Associated with comorbid conditions including anxiety, antisocial personality, affective disorders
      • Women who abuse alcohol have a higher incidence of comorbid conditions, including binge-eating, panic disorders, and depression
      • Women are more likely than men to deny having drinking problems
    • Alcohol and nicotine dependence are frequently comorbid conditions
      • 80% of alcoholics smoke; 30% of smokers drink alcohol
      • See also tobacco abuse
  4. Alcohol is most common drug used by high school students
    • Over 10% of eighth graders consume 5 or more drinks at one sitting
    • 90% of teenagers admit to consuming alcohol by the time they are seniors in high school
      • 10-20% use cocaine; 40-50% use marijuana
    • Alcohol use involved in over 50% of crimes committed by college students
  5. Estimated cost to US related to alcohol abuse in 1998 = $185 billion
  6. Standard drink is 12 g alcohol, which is 12 oz beer, 5 oz wine, 1.5 oz 80-proof distilled liquor
  7. Significant impairment can be seen at blood alcohol levels of 50 mg/dL
  8. Alcohol withdrawal is not a necessary component of addiction

Definitions of Alcohol Abuse

  1. DSM-IV
    • Alcohol abuse: maladaptive pattern associated with one or more of the following
      • Failure to fulfill work, school, or social obligations
      • Recurrent substance use in physically hazardous situations
      • Recurrent legal problems related to substance use
      • Continued use despite alcohol-related social or interpersonal problems
    • Alcohol dependence: maladaptive pattern associated with three or more of the following
      • Tolerance
      • Withdrawal
      • Substance taken in larger quantity than intended
      • Persistent desire to cut down or control use
      • Time is spent obtaining, using, or recovering from the substance
      • Social, occupational, or recreational tasks sacrificed
      • Use continues despite physical and psychological problems
  2. National Institute on Alcohol Abuse and Alcoholism (NIAAA)
    • Moderate drinking: average number of drinks consumed daily that places an adult at low risk for alcohol problems
      • Men: < 3 drinks per day
      • Women: < 2 drinks per day
    • Heavy drinking: number of drinks that place the person at risk for adverse consequences
      • Men: > 14 drinks per week, or 4 drinks per occasion
      • Women: > 7 drinks per week, or 3 drinks per occasion

Pathophysiology

  1. Biochemical
    • Multiple systems affected
      • Antagonist to NMDA receptors
      • Agonist to GABA receptors
      • Affects serotonin and dopamine systems
      • May affect CRF
  2. Genetic
    • First-degree relatives of an alcoholic have a 3-4 times greater prevalence than general population
      • Two-fold higher in identical twins
      • Risk remains in children who are adopted by non-alcoholic parents
    • Decreased inherent response level to alcohol is genetically influenced
      • Need for higher levels of alcohol to cause an effect
    • May be related to increased dopamine release in response to alcohol
  3. Psychosocial
    • Learned responses to stressor situations can contribute to the development of alcohol dependency

Physical & Laboratory Findings

  1. Physical exam findings consistent with alcohol abuse
    • HTN, tremors, obstructive lung disease, unexplained tachycardia, hepatosplenomegaly and peripheral neuropathy, trauma, telangiectasias
    • A normal exam does not rule out alcohol abuse
  2. Laboratory findings consistent with alcohol abuse
    • Macrocytosis
    • Elevated LFTs (AST/ALT ratio greater than 2 is specific for alcohol-related liver disease)
    • CDT can identify chronic alcohol use
    • Normal labs do not rule out alcohol abuse

Screening & Diagnosis

  1. Screening and behavioral counseling recommended (Go to USPSTF)
    • Physicians do not routinely screen for alcohol abuse
    • Frequently fail to make appropriate referrals
    • Screening and behavioral counseling by clinicians is recommended in adults (Go to USPSTF)
  2. Adolescents and adults
  3. College students (NIAAA): screen all on National Alcohol Screening Day
  4. Pregnant women (AAP/ACOG): counsel all on effects of alcohol on pregnancy
  5. Key elements in screening process
    • Determine whether
      • Patient has no control over his/her use of alcohol
      • Tolerance or addiction is present
      • Adverse consequences of excessive drinking have occurred
  6. Simple process for primary care physicians
    • Ask all patients about past and current alcohol use and family history of alcohol-related problems
    • Obtain detailed history of frequency and quantity of alcohol use
    • Use a standard screening questionnaire
    • Ask specific question based on answers to above (ie, other substances used, evidence of medical or psychiatric disease, violence or other behavioral disorders)
  7. Screening questionnaires (Go to Evidence-Based Inquiry)
    • CAGE-AID questionnaire (Open Calc)
      • Modified version of CAGE used for alcohol abuse (AID = adapted to include drugs)
      • C = Have you ever tried to cut down on your alcohol or drug use?
      • A = Do you get annoyed when people comment about your drinking or drug use?
      • G = Do you feel guilty about things you have done while drinking or using drugs?
      • E = Do you need an eye-opener to get started in the morning?
    • AUDIT-C (Open Calc)
      • Three questions quantifying amount of alcohol consumed
      • 4 points or more identify 86% of patients with active alcohol abuse (specificity = 72%)
        • How often did you have a drink containing alcohol in the past year? (never = 0 points, monthly = 1, 2-4 times per mth = 2, 2-3 times per week = 3, 4 or more times per week = 4)
        • How many drinks did you have on a typical day when you were drinking in the past year? (0-2 drinks = 0, 3-4 drinks = 1, 5-6 drinks = 2, 7-9 drinks = 3, > 10 drinks = 4)
        • How often did you have 6 or more drinks on one occasion in the past year? (never = 0, less than monthly = 1, monthly = 2, weekly = 3, daily = 4)
    • Other questionnaires
      • TWEAK (Open Calc)
      • Full AUDIT (Open Calc)
      • T-ACE
        • Specifically for identification of risk of drinking during pregnancy
      • Alcohol, Smoking and Substance Involvement Screening Test (ASSIST)
        • An 8-item, self-administered conjoint screen developed by the World Health Organization
        • Stratifies patients according to the severity of drug use and specific drugs of abuse, and detects current and lifetime drug use
      • Car, Relax, Alone, Forget, Friends, Trouble (CRAFFT) (Open Calc)
        • A 6-item, yes-or-no, self-administered questionnaire
        • Developed for use among adolescents and young adults (aged 12–26 years) in primary care settings
      • Single Question Screen (SQS)
        • A 1-item, yes-or-no instrument asking the question: “How many times in the past year have you used an illegal drug or used a prescription medication for nonmedical reasons?
      • Severity of Alcohol Dependence Questionnaire (SADQ)
        • Self-administered
        • 20-item questionnaire
        • Developed by the Addiction Research Unit at the Maudesley Hospital to measure severity of dependence on alcohol
      • Brief Michigan Alcoholism Test (Open Calc)

Nursing Considerations

  1. Obtain detailed history of current frequency and quantity of alcohol use
  2. Use a standard screening questionnaire
  3. Assess patient's past and family history of alcohol-related problems
  4. Know signs/symptoms of alcohol abuse including
    • Drinking alone or in secret
    • Being unable to limit amount of alcohol drank
    • Not remembering conversations or commitments, sometimes referred to as "blacking out"
    • Making a ritual of having drinks before, with or after dinner and becoming annoyed when this ritual is disturbed or questioned
    • Losing interest in activities and hobbies that used to bring pleasure
    • Feeling a need or compulsion to drink
    • Irritability when usual drinking time nears, especially if alcohol isn't available
    • Keeping alcohol in unlikely places at home, work or in car
    • Gulping drinks, ordering doubles, becoming intoxicated intentionally to feel good or drinking to feel "normal"
    • Having legal problems or problems with relationships, employment or finances
    • Building a tolerance to alcohol so you need an increasing number of drinks to feel alcohol's effects
    • Experiencing physical withdrawal symptoms if patient does not drink such as
      • Nausea
      • Sweating
      • Shaking
  5. Assist with making arrangements for behavioral counseling

Evidence-Based Practice

  1. What screening tools effectively identify drug use?

References

  1. Isaacson JH, Butler R, Zacharek M, Tzelepis A. Screening with the Alcohol use Disorders Identification Test (AUDIT) in an inner-city population. Journal of general internal medicine. 1994;9(10):550-553.
  2. Cherpitel CJ. Screening for alcohol problems in the U.S. general population: a comparison of the CAGE and TWEAK by gender, ethnicity, and services utilization. Journal of studies on alcohol. 1999;60(5):705-711.
  3. Cook RL, Chung T, Kelly TM, Clark DB. Alcohol screening in young persons attending a sexually transmitted disease clinic. Comparison of AUDIT, CRAFFT, and CAGE instruments. Journal of general internal medicine. 2005;20(1):1-6.
  4. Bohn MJ, Babor TF, Kranzler HR. The Alcohol Use Disorders Identification Test (AUDIT): validation of a screening instrument for use in medical settings. Journal of studies on alcohol. 1995;56(4):423-432.
  5. Screening For Alcohol Use and Alcohol Related Problems. NIH, National Institute on Alcohol Abuse and Alcoholism. Website http://pubs.niaaa.nih.gov/publications/aa65/AA65.htm.
  6. The Assist screening test and feedback card. World Health Organization. WHO website http://www.who.int/substance_abuse/activities/assist_test/en/

Contributor(s)

  1. Hernandez, James, DO
  2. Ausi, Michael, MD, MPH

Updated/Reviewed: February 2024