Alcohol Use Disorders, Consumption Patterns, and Health-Related Quality of Life of Primary Care Patients

Volk, Robert J.; Cantor, Scott B.; Steinbauer, Jeffrey R.; Cass, Alvah R.

doi:10.1097/00000374-199708000-00019

Cited by 48 publications

(71 citation statements)

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“…This may be the case in the COMBINE Study because, at baseline, most individuals were drinking frequently (on average, 75% of the days) but were distinguished by the high levels of consumption, which reached an average of 12.5 DDD. Volk et al (1997) similarly found, in a sample of primary care patients, that heavy episodic drinkers and those who had frequent heavy drinking reported lower scores on the SF-36 mental health and role functioning domains. They also found that those diagnosed with alcohol dependence reported lower quality-of-life scores, but this was not the case for those diagnosed with alcohol abuse.…”

Section: Correlations Between Drinking and Secondary Variables By Timmentioning

confidence: 78%

“…In general, alcohol-dependent patients have lower quality-of-life scores as compared with the norms of the general population (Daeppen et al, 1998;Morgan et al, 2003) and with other medical patients (Foster et al, 1997;Volk et al, 1997). In addition, higher severity of alcohol dependence is predictive of lower quality of life for alcoholics at the beginning of treatment (Morgan et al, 2004).…”

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confidence: 99%

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Alcohol Treatment Effects on Secondary Nondrinking Outcomes and Quality of Life: The COMBINE Study

LoCastro

Youngblood

Cisler

et al. 2009

J. Stud. Alcohol Drugs

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ABSTRACT. Objective:To evaluate the full range of alcohol treatment effectiveness, it is important to assess secondary nondrinking outcome dimensions in addition to primary alcohol consumption outcomes. Method: We used a large sample (n = 1,226) of alcoholdependent participants entering the National Institute on Alcohol Abuse and Alcoholism-sponsored COMBINE (Combining Medications and Behavioral Interventions) Study, a multisite clinical trial of pharmacological (naltrexone [ReVia] and acamprosate [Campral]) and behavioral interventions, to examine the effects of specifi c treatment combinations on nondrinking functional outcomes. We assessed the outcomes at baseline and at the end of 16 weeks of alcohol treatment and again at the 26-week and/or 52-week postrandomization follow-ups. Results: (1) Drinking and secondary outcomes were signifi cantly related, especially at the follow-up periods. A higher percentage of heavy drinking days, more drinks per drinking day, and lower percentage of days abstinent were associated with lower quality-of-life measures. (2) All nondrinking outcomes showed improvement at the end of 16 weeks of treatment and most maintained improvement over the 26-week and 52-week followups. Only two measures returned to pretreatment levels at 52 weeks: percentage of days paid for work and physical health. Improvements of nondrinking outcomes remained even after adjusting for posttreatment heavy drinking status. (3) Although nondrinking outcomes showed overall improvement, specifi c pharmacological and behavioral treatment combinations were not differentially effective on specifi c secondary outcomes. Conclusions: In the current study, changes that resulted from treatment were multidimensional, and improvements in nondrinking outcomes refl ected the overall signifi cant improvement in drinking but they were not differentiated between treatment combination groups. Findings from this study support the importance of including secondary nondrinking outcomes in clinical alcohol-treatment trials. (J. Stud. Alcohol Drugs 70: [186][187][188][189][190][191][192][193][194][195][196] 2009)

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Section: Correlations Between Drinking and Secondary Variables By Timmentioning

confidence: 78%

mentioning

confidence: 99%

Alcohol Treatment Effects on Secondary Nondrinking Outcomes and Quality of Life: The COMBINE Study

LoCastro

Youngblood

Cisler

et al. 2009

J. Stud. Alcohol Drugs

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“…Payá et al (2002), em estudo com indivíduos do sexo masculino dependentes de álcool, observaram uma qualidade de vida mediana, considerando-se as médias e os valores preconizados para o melhor padrão de qualidade de vida. Volk et al (1997) também constataram que pacientes dependentes do álcool apresentam piores escores de qualidade de vida. Já Wilson, Parsons e Wakefield (1999), conduziram um estudo sobre o tabaco, o qual demonstrou prejuízos em todas as dimensões do SF-36 entre os tabagistas moderados e graves.…”

Section: Discussionunclassified

Qualidade de vida e independência funcional de usuários de drogas atendidos em um Centro de Atenção Psicossocial Álcool e Drogas (CAPSad)

Oliveira

Mascarenhas²,

Melo³

2015

R. bras. Qual. Vida

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RESUMOOBJETIVO: Avaliar a qualidade de vida e independência funcional de usuários de drogas em tratamento em um Centro de Atenção Psicossocial Álcool e Drogas (CAPSad). MÉTODOS: Estudo transversal, com 21 sujeitos, de ambos os sexos, que atenderam aos critérios: idade igual ou superior a 18 anos; cadastrados e acompanhados pelo CAPSad; comparecer nos dias em que as entrevistas foram realizadas; apresentar-se capaz de se expressar oralmente; concordar em participar do estudo assinando o Termo de Consentimento Livre e Esclarecido (TCLE). A coleta de dados foi realizada através da aplicação de um questionário composto por três blocos de informações: entrevista compreendendo as variáveis sociodemográficas, informações gerais sobre a saúde e o consumo de drogas, aplicação do questionário de qualidade de vida -SF-36 e a Escala de Medida de Independência Funcional (MIF). Os dados foram analisados mediante abordagem descritiva, com uso de frequências absolutas e relativas, médias e desvio-padrão, a partir do programa Statistical Package for Social Sciences (SPSS versão 15.0). RESULTADOS: Da amostra, 95,2% (n=20) eram do sexo masculino, com média de idade de 44,6 (±10,1) anos. Constatou-se que o álcool era a substância mais consumida, com 73,7% (n=14) dependentes. Quanto à frequência de droga consumida semanalmente, verificou-se que o álcool era a substância consumida por mais dias da semana, com 81,8% (n=9) da amostra fazendo uso três dias ou mais por semana. Na análise dos diferentes domínios do SF-36, o maior comprometimento ocorreu nos domínios aspectos físicos, com média de 36,9 (± 41,5) e aspectos emocionais com média de 42,9 (± 43,6). Em relação aos aspectos da MIF avaliados no estudo, os resultados revelaram que 95,2% (n=20) eram independentes funcionalmente. CONCLUSÕES: O consumo de álcool, tabaco e outras drogas altera negativamente a qualidade de vida da amostra pesquisada, já a independência funcional manteve-se preservada. PALAVRAS-CHAVE:Qualidade de vida. Alcoolismo. Tabagismo.

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“…However, it is possible to quote studies by Volk, Steinbauer, and Cass (1997) and Daeppen, Krieg, Burnand, and Yersin (1998), in which it has been confirmed that dependent persons are characterized by a significantly lower life quality as compared to the general population and to persons suffering from other chronic diseases. Also an analysis of publications from the years 1993-2004, made by Donovan, Mattson, Cisler, Longabaugh, and Zweben (2005), indicates a clearly lowered level of life quality in the alcohol-addicted persons.…”

Section: Discussionmentioning

confidence: 99%

Alcohol craving in relation to coping with stress and satisfaction with life in the addicted

Gąsior¹,

Biedrzycka²,

Chodkiewicz³

et al. 2015

Health Psychology Report

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Background The present study aimed at finding any relation between alcohol craving and strategies of coping with stress and satisfaction with life in the addicted. Until now, studies have shown that generalized deficits in coping with stress, and the dominance of avoidance strategies, are significantly related to the increase of the risk of addiction and the course of this disease. This relation, which could link strategies of coping with stress and quality of life with experiencing alcohol craving, has only been explained to a small extent. Also, the role of gender in explaining these relations is ambiguous. Participants and procedure The study was conducted in a group of 550 addicted subjects in out-patient or in-patient treatment (396 men and 114 women). In the present study the following instruments were used: the Craving Typology Questionnaire by Marinotti et al., the Yale-Brown Obsessive-Compulsive Drinking Scale by Modell et al., the Mini-Cope by Carver et al., SADD by Reistrick et al., and the Satisfaction with Life Scale by Diener et al. Statistical correlational analysis and structural equations were applied, namely partial least squares path modelling (PLS-PM). Results There are two types of links between craving and strategies of coping with stress among the addicted. The first dominating type is pointing at casual link between ineffective strategies of coping with stress and craving. The other weaker type indicates the diminishing influence of effective strategies of coping with stress on alcohol craving. Life satisfaction lowers alcohol craving. Conclusions Effective strategies of reacting to stress, together with life satisfaction, protect against increase of alcohol craving. Severity of dependence is an important factor which moderates the influence of strategies of coping with stress on alcohol craving.

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Alcohol Use Disorders, Consumption Patterns, and Health-Related Quality of Life of Primary Care Patients

Cited by 48 publications

References 0 publications

Alcohol Treatment Effects on Secondary Nondrinking Outcomes and Quality of Life: The COMBINE Study

Alcohol Treatment Effects on Secondary Nondrinking Outcomes and Quality of Life: The COMBINE Study

Qualidade de vida e independência funcional de usuários de drogas atendidos em um Centro de Atenção Psicossocial Álcool e Drogas (CAPSad)

Alcohol craving in relation to coping with stress and satisfaction with life in the addicted

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