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Brief alcohol intervention in a psychiatric outpatient setting: a randomized controlled study

BACKGROUND: Although brief alcohol intervention (BI) is widely studied, studies from psychiatric outpatient settings are rare. The aim of this study was to investigate the effects of two variants of BI in psychiatric outpatients. By using clinical psychiatric staff to perform the interventions, we s...

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Autores principales: Nehlin, Christina, Grönbladh, Leif, Fredriksson, Anders, Jansson, Lennart
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3507638/
https://www.ncbi.nlm.nih.gov/pubmed/23186026
http://dx.doi.org/10.1186/1940-0640-7-23
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author Nehlin, Christina
Grönbladh, Leif
Fredriksson, Anders
Jansson, Lennart
author_facet Nehlin, Christina
Grönbladh, Leif
Fredriksson, Anders
Jansson, Lennart
author_sort Nehlin, Christina
collection PubMed
description BACKGROUND: Although brief alcohol intervention (BI) is widely studied, studies from psychiatric outpatient settings are rare. The aim of this study was to investigate the effects of two variants of BI in psychiatric outpatients. By using clinical psychiatric staff to perform the interventions, we sought to collect information of the usefulness of BI in the clinical setting. METHODS: Psychiatric outpatients with Alcohol Use Disorders Identification Test (AUDIT) scores indicating hazardous or harmful drinking were invited to participate in the study. The outpatients were randomized to minimal (assessment, feedback, and an informational leaflet) or BI (personalized advice added). Measurements were performed at baseline and at six and 12 months after the intervention. The primary outcome was change in AUDIT score at the 12-month follow-up. RESULTS: In all, 150 patients were enrolled and received either a minimal intervention (n = 68) or BI (n = 82). At 12 months, there was a small reduction in AUDIT score in both groups, with no significant differences in outcome between groups. At 12-month follow-up, 21% of participants had improved from a hazardous AUDIT score level to a nonhazardous level, and 8% had improved from a harmful level to a hazardous level (8%). CONCLUSIONS: Brief alcohol interventions may result in a reduction of AUDIT score to a small extent in psychiatric patients with hazardous or harmful alcohol use. Results suggest that BI may be of some value in the psychiatric outpatient setting. Still, more profound forms of alcohol interventions with risky-drinking psychiatric patients need elaboration.
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spelling pubmed-35076382012-11-28 Brief alcohol intervention in a psychiatric outpatient setting: a randomized controlled study Nehlin, Christina Grönbladh, Leif Fredriksson, Anders Jansson, Lennart Addict Sci Clin Pract Research BACKGROUND: Although brief alcohol intervention (BI) is widely studied, studies from psychiatric outpatient settings are rare. The aim of this study was to investigate the effects of two variants of BI in psychiatric outpatients. By using clinical psychiatric staff to perform the interventions, we sought to collect information of the usefulness of BI in the clinical setting. METHODS: Psychiatric outpatients with Alcohol Use Disorders Identification Test (AUDIT) scores indicating hazardous or harmful drinking were invited to participate in the study. The outpatients were randomized to minimal (assessment, feedback, and an informational leaflet) or BI (personalized advice added). Measurements were performed at baseline and at six and 12 months after the intervention. The primary outcome was change in AUDIT score at the 12-month follow-up. RESULTS: In all, 150 patients were enrolled and received either a minimal intervention (n = 68) or BI (n = 82). At 12 months, there was a small reduction in AUDIT score in both groups, with no significant differences in outcome between groups. At 12-month follow-up, 21% of participants had improved from a hazardous AUDIT score level to a nonhazardous level, and 8% had improved from a harmful level to a hazardous level (8%). CONCLUSIONS: Brief alcohol interventions may result in a reduction of AUDIT score to a small extent in psychiatric patients with hazardous or harmful alcohol use. Results suggest that BI may be of some value in the psychiatric outpatient setting. Still, more profound forms of alcohol interventions with risky-drinking psychiatric patients need elaboration. BioMed Central 2012 2012-10-29 /pmc/articles/PMC3507638/ /pubmed/23186026 http://dx.doi.org/10.1186/1940-0640-7-23 Text en Copyright ©2012 Nehlin et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Nehlin, Christina
Grönbladh, Leif
Fredriksson, Anders
Jansson, Lennart
Brief alcohol intervention in a psychiatric outpatient setting: a randomized controlled study
title Brief alcohol intervention in a psychiatric outpatient setting: a randomized controlled study
title_full Brief alcohol intervention in a psychiatric outpatient setting: a randomized controlled study
title_fullStr Brief alcohol intervention in a psychiatric outpatient setting: a randomized controlled study
title_full_unstemmed Brief alcohol intervention in a psychiatric outpatient setting: a randomized controlled study
title_short Brief alcohol intervention in a psychiatric outpatient setting: a randomized controlled study
title_sort brief alcohol intervention in a psychiatric outpatient setting: a randomized controlled study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3507638/
https://www.ncbi.nlm.nih.gov/pubmed/23186026
http://dx.doi.org/10.1186/1940-0640-7-23
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