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Introduction

It is estimated that nearly 14.6 million Americans currently meet the diagnostic criteria for alcohol use disorder (AUD)¹ included in the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5),² and approximately 88,000 die from alcohol-related causes in the United States each year.³ An older term, “alcohol dependence,” is equivalent to the DSM-5 criteria for AUD...

Sleep disturbance is common among individuals with alcohol use disorder (AUD). Insomnia not only is a pathway toward alcohol consumption but also is related to increased risk of relapse, psychosocial impairment, decreased quality of life, and suicidal ideation in individuals with AUD. Few studies examining sleep disturbance and alcohol use have explored how this relationship differs between men...

Alcoholism is a complex disorder arising from a combination of genetic and environmental factors. The Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM–IV) (American Psychiatric Association 1994) requires that three of seven criteria be present during a 12-month period for a diagnosis of alcohol dependence. These criteria are tolerance, withdrawal symptoms, loss of control...

Introduction

Abundant cross-sectional data indicate that alcohol use and related problems are accompanied by disruptions to sleep and circadian rhythms.¹ Alcohol's negative impacts on sleep are well established, especially in adults, and a smaller body of literature also reports alcohol's disruption of circadian rhythms.^2-4 Growing evidence supports sleep and circadian factors as influencing...

In the 13 years since Alcohol Research & Health (now titled Alcohol Research: Current Reviews) first visited the topic of “Alcohol and Stress” (see Vol. 23, No. 4, 1999), there has been a sustained flow of new information in the field prompting us to publish this updated edition. Indeed, one could argue that this second look at the topic is long overdue. An entirely new lexicon of terms¹ has been...

Although alcohol dependence affects 4 percent of the adult population and is the third leading cause of preventable death in the United States (Substance Abuse and Mental Health Services Administration 2009), fewer than 15 percent of people with alcoholism receive treatment (Hasin et al. 2007). The Diagnostic and Statistical Manual of Mental Disorders–Fourth Edition Text Revision (DSM–IV–TR) ...

The current article provides a brief summary of biopsychosocial gender differences in alcohol use disorder (AUD), then reviews existing literature on gender differences in treatment access, retention, outcomes, and longer-term recovery. Among psychotherapies for AUD, there is support for the efficacy of providing female-specific treatment, and for female-only treatment settings but only when...

Introduction

Adolescence is marked by significant social, emotional, cognitive, and physical changes, as individuals transition from childhood to adulthood. Although the exact definition of adolescence tends to vary, recent findings regarding adolescent development and growth include individuals between the ages of 10 and 24.¹ Consistent with this defined age range, the human brain continues to...

Adaptation in the face of physical or psychological adversity is required for the survival, health, and well-being of all organisms. Adverse events, often denoted as “stressors,” initiate a diverse physiological response from multiple sources, including activation of the hypothalamic–pituitary–adrenal (HPA) axis.¹ The HPA axis is responsible for the glucocorticoid component of the stress response...

Epigenetic modifications are emerging as important dynamic mechanisms contributing to both transient and sustained changes in gene expression. In some cases, epigenetic changes even can be inherited, although the mechanism for this remains elusive. Several types of epigenetic modifications have been studied in recent years. For example, several laboratories have actively examined modifications, of...