Early detection and brief intervention for hazardous and harmful drinkers in primary health care in Italy: evaluation of the strategies, activities and experiences of the Istituto Superiore di Sanità (ISS)

Scafato, Emanuele; Ghirini, Silvia; Rossi, Aula; Galluzzo, Lucia; Martire, Sonia; Pasquale, Lucilla Di; Gandin, Claudia

doi:10.1186/1940-0640-7-s1-a30

Cited by 1 publication

(2 citation statements)

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“…Alcohol use disorder (AUD) is an insidious disorder, characterized by an often intermittently relapsing course. In Europe, AUD affects approximately 66.2 million people aged 15 and over, predominantly men, with Italy showing one of the lowest prevalences, both for men (1.7%) and women (1.0%) ( 1 ). As an individual relapses into drinking, they become more likely to develop a variety of additional somatic complications.…”

Section: Introductionmentioning

confidence: 99%

“…The framework outlined by Scafato ( 1 ) in the Report of the Italian National Institute of Health highlights the urgency of considering “harmful consumers” of alcohol as subjects “in need for treatment” pursuant to the DSM-5, clinically assimilating them to alcohol dependents. This perspective underlines the need for timely management and intervention in local services.…”

Section: Introductionmentioning

confidence: 99%

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Psychological dimensions in alcohol use disorder: comparing active drinkers and abstinent patients

Zizzi,

Berri,

Berri

et al. 2024

Front. Psychiatry

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BackgroundAlcohol use disorder (AUD) is a major public health concern due to its various physical, psychological, and social consequences. Despite regulatory differences, abstinence remains the primary treatment objective. Addressing the multifaceted nature of alcohol use disorder requires a comprehensive approach.Methods150 AUD patients (66%male) with a mean age of 54.10 ± 11.3 years were recruited for the study. Depression, impulsivity, alexithymia, and hopelessness were assessed to determine if there were significant differences in these dimensions between abstinent (N=72) and active drinkers (N=78).ResultsThe study found significant differences in the psychological dimensions scores, active drinkers exhibited higher levels of depression, impulsivity, alexithymia, and hopelessness compared to abstinent patients.ConclusionTreatment outcomes for patients with AUD vary between regulatory agencies, but abstinence remains the safest and most preferred objective in managing AUD. Prioritizing abstinence-oriented interventions is crucial for achieving long term recovery and minimizing relapse risk. These results emphasize the intricate relationship between AUD and mental health issues, highlighting the need for comprehensive interventions addressing both alcohol consumption and associated psychological distress. Promoting abstinence (or at least reducing alcohol consumption) not only preserves mental health but also prevents life-threatening consequences such as suicide.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%