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Childhood Trauma, Posttraumatic Stress Disorder, and Alcohol Dependence
Children exposed to severe adversity early in life are at increased risk of subsequently developing mental health problems, including alcohol dependence. In general, the onset of trauma precedes the onset of alcohol dependence. Although it is impossible to establish a direct causal relationship, this temporal relationship suggests a robust and positive relationship between exposure to early-life...
Stress and the HPA Axis: Role of Glucocorticoids in Alcohol Dependence
Stress, generally defined as any stimulus that disrupts the body’s internal balance (i.e., physiological homeostasis), has long been suggested to be an important correlate of uncontrolled alcohol consumption or relapse to drinking following a period of abstinence. Large epidemiological studies have reported that a variety of stressors are associated with increased alcohol consumption and binge...
Alcohol and Stress in the Military
Problematic alcohol use within the United States military has been linked to substantial financial and productivity losses. Data from 2006 revealed that excessive alcohol consumption cost the U.S. military $1.12 billion per year (Harwood et al. 2009). Regarding medical expenditures, studies have found that excessive alcohol use by military members results in an annual cost of $425 million...
Resilience to Meet the Challenge of Addiction: Psychobiology and Clinical Considerations
Evidence from different disciplines suggests that acute and chronic stress–related mechanisms play an important role in both the development and the chronic, relapsing nature of addiction (Baumeister 2003; Baumeister et al. 1994; Brady and Sinha 2005). Stress is defined as the physiological and psychological process resulting from a challenge to homeostasis by any real or perceived demand on the...
Genes Encoding Enzymes Involved in Ethanol Metabolism
The duration and extent of the body’s exposure to beverage alcohol (i.e., ethanol) is the primary determinant of ethanol’s pleiotropic effects on human health (Edenberg 2007). The time course of its concentration and the concentration of its byproducts in the tissues and the circulation, and, consequently, its effects, are determined mainly by the rate of ethanol’s processing (i.e., metabolism) in...
The Impact of Gene–Environment Interaction on Alcohol Use Disorders
This article explores interactions between genetic and environmental effects on alcohol use disorders (AUDs). Two contrasting ideas define what it means to have genes and environment interact. The first approach—the one that this article will focus on—is a statistical perspective. This approach is based on statistical models in which genetic and environmental factors are sometimes measured...
Alcohol Dependence and Genes Encoding α2 and γ1 GABAA Receptor Subunits
Even though the consequences of alcohol dependence (AD) clearly are devastating and obvious to observers, the molecular mechanisms involved in the development of the disease are far from clear and understood. The search for these mechanisms is made even more difficult by the vast number of genes, proteins, and pathways in the human body that potentially could be involved, and by the obvious...
Pamela Wernett, Ph.D., P.M.P.
Editor in Chief and Contracting Officer’s Representative
Pamela joined ARCR in 2018 as an Associate Editor and advanced to Editor in Chief for the journal in 2021. She has managed the journal contract with IQ Solutions as the Contracting Officer’s Representative since 2020. Pamela also serves as a Senior Health Science Policy Analyst within NIAAA’s...
