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Alcohol use disorders
Ctr Addict and Mental Hlth, Canada; Univ Toronto, Canada.
Linköping University, Department of Clinical and Experimental Medicine, Center for Social and Affective Neuroscience. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in Central Östergötland, Psykiatriska kliniken inkl beroendekliniken.
Corp Nuevos Rumbos, Colombia.
Ctr Addict and Mental Hlth, Canada.
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2019 (English)In: The Lancet, ISSN 0140-6736, E-ISSN 1474-547X, Vol. 394, no 10200, p. 781-792Article, review/survey (Refereed) Published
Abstract [en]

Alcohol use disorders consist of disorders characterised by compulsive heavy alcohol use and loss of control over alcohol intake. Alcohol use disorders are some of the most prevalent mental disorders globally, especially in high-income and upper-middle-income countries; and are associated with high mortality and burden of disease, mainly due to medical consequences, such as liver cirrhosis or injury. Despite their high prevalence, alcohol use disorders are undertreated partly because of the high stigma associated with them, but also because of insufficient systematic screening in primary health care, although effective and cost-effective psychosocial and pharmacological interventions do exist. Primary health care should be responsible for most treatment, with routine screening for alcohol use, and the provision of a staggered treatment response, from brief advice to pharmacological treatment. Clinical interventions for these disorders should be embedded in a supportive environment, which can be bolstered by the creation of alcohol control policies aimed at reducing the overall level of consumption.

Place, publisher, year, edition, pages
ELSEVIER SCIENCE INC , 2019. Vol. 394, no 10200, p. 781-792
National Category
Psychiatry
Identifiers
URN: urn:nbn:se:liu:diva-160413DOI: 10.1016/S0140-6736(19)31775-1ISI: 000483011400031OAI: oai:DiVA.org:liu-160413DiVA, id: diva2:1353536
Note

Funding Agencies|Swedish Research Council [2013-07434]; Canadian Institutes of Health Research, Institute of Neurosciences, Mental Health and Addiction (Canadian Research Initiative in Substance Misuse [CRISM]); Canadian Institutes of Health Research, Institute of Neurosciences, Mental Health and Addiction (Ontario Node grant) [SMN-13950]

Available from: 2019-09-23 Created: 2019-09-23 Last updated: 2019-09-23

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