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Different Methods of Early Identification of Risky Drinking: A Review of Clinical Signs
University of Gothenburg.
Linköping University, Department of Medical and Health Sciences, Division of Preventive and Social Medicine and Public Health Science. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Local Health Care Services in Central Östergötland, Department of Acute Health Care. Östergötlands Läns Landsting, Local Health Care Services in the West of Östergötland, Department of Medical Specialist.
University of Gothenburg.
2011 (English)In: ALCOHOL AND ALCOHOLISM, ISSN 0735-0414, Vol. 46, no 3, 283-291 p.Article, review/survey (Refereed) Published
Abstract [en]

Aims: To review the literature on detection of risky drinking to compare early identification based on everyday clinical encounters with systematic screening. We also reviewed specific clinical signs that have been suggested to be used as indicators of risky drinking. Methods: A literature review was performed in PubMed and CINAHL of articles up to November 2010. Results: Systematic screening and semi-systematic methods in various forms detected more risky drinkers than non-systematic identification during clinical encounter, but there was a lack of studies comparing the various means of identifying risky drinking. It may be too early to completely rule out the possibility of using non-systematic methods as an effective strategy to identify risky drinking. The earliest signs of risky drinking suggested in the literature are psychological distress and social problems. Conclusion: From a public health perspective, there is a lack of evidence that non-systematic or semi-systematic methods can substitute systematic screening in terms of numbers of risky drinkers detected. If early signs are going to be used to identify risky drinkers, or those to be screened for risky drinking, more focus should be on psychological and social signs because they appear earlier than somatic signs.

Place, publisher, year, edition, pages
Oxford University Press , 2011. Vol. 46, no 3, 283-291 p.
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Medical and Health Sciences
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URN: urn:nbn:se:liu:diva-68185DOI: 10.1093/alcalc/agr021ISI: 000289837300011OAI: oai:DiVA.org:liu-68185DiVA: diva2:416828
Note
This is a pre-copy-editing, author-produced PDF of an article accepted for publication in ALCOHOL AND ALCOHOLISM following peer review. The definitive publisher-authenticated version Hanna K Reinholdz, Preben Bendtsen and Fredrik Spak, Different Methods of Early Identification of Risky Drinking: A Review of Clinical Signs, 2011, ALCOHOL AND ALCOHOLISM, (46), 3, 283-291. is available online at: http://dx.doi.org/10.1093/alcalc/agr021 Copyright: Oxford University Press http://www.oxfordjournals.org/Available from: 2011-05-13 Created: 2011-05-13 Last updated: 2012-04-03

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