Many service members and veterans seeking treatment for alcohol problems have experienced the life-threatening stress of combat, many have post-traumatic stress disorder (PTSD), and many service members and veterans seeking treatment for PTSD have alcohol or other substance problems. Sensitivity to these issues can influence how a therapist relates to the patient and also has possible...
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During the first decade of the new millennium, remarkable advances in technology allowed investigators in all areas of biological research to collect massive amounts of genetic data at an unprecedented rate. The genomics revolution, which began with the sequencing of the human genome, was the basis for efforts such as the 1,000 Genomes Project (http://www.1000genomes.org/) that strive to compile a...
Effects of Alcohol on the Cardiovascular System in Women
Cardiovascular disease (CVD) is a leading cause of morbidity and mortality for women. This review summarizes the relationship between alcohol consumption and common CVDs in women and highlights potential differences from men. Except for risk of hypertension, no sex-related effects of alcohol consumption on the risk for coronary heart disease and stroke have been reported, and data on the sex...
Mobile Delivery of Treatment for Alcohol Use Disorders: A Review of the Literature
Several systems for treating alcohol-use disorders (AUDs) exist that operate on mobile phones. These systems are categorized into four groups: text-messaging monitoring and reminder systems, text-messaging intervention systems, comprehensive recovery management systems, and game-based systems. Text-messaging monitoring and reminder systems deliver reminders and prompt reporting of alcohol...
Background for Real-Time Monitoring and Intervention Related to Alcohol Use
Real-time assessment, known as ecological momentary assessment (EMA), and real-time intervention (ecological momentary intervention [EMI]) can significantly extend the reach and impact of interventions to help individuals reduce their drinking behavior. For EMA, the user provides information on the variable of interest (e.g., drinking or craving) via a mobile device. This data reporting can occur...
Introduction
Although the awareness of the negative impact of prenatal alcohol exposure (PAE) was already alluded to in ancient writings1 and the impact of ethanol embryopathy in animal models was studied as early as 1910,2 the conceptualization of a syndrome associated with PAE was not recognized within modern medicine until the mid-20th century.3,4 The syndrome or disorder was not uniformly...
Alcohol Misuse and Kidney Injury: Epidemiological Evidence and Potential Mechanisms
Chronic alcohol consumption is a well-known risk factor for tissue injury. The link between alcohol use disorder (AUD) and kidney injury is intriguing but controversial, and the molecular mechanisms by which alcohol may damage the kidneys are poorly understood. Epidemiological studies attempting to link AUD and kidney disease are, to date, inconclusive, and there is little experimental evidence...
Co-occurring post-traumatic stress disorder (PTSD) and alcohol use disorder (AUD) are costly and consequential public health problems that negatively affect the health and well-being of U.S. military service members and veterans. The disproportionate burden of comorbid PTSD and AUD among U.S. military service members and veterans may be due to unique factors associated with military service, such...
Drinking Across the Lifespan: Focus on Older Adults
In 2010, when the leading edge of the post–World War II “Baby Boom” reached age 65, the United States began a period of increased growth in its older adult population. By 2030, it is expected that there will be 72.1 million adults age 65 or older living in the United States, almost double the 2008 population. Those older adults will represent 19.3 percent of the U.S. population, compared with 12...
Recovery and Youth: An Integrative Review
Although rates of alcohol and other substance use disorders in adolescents have been estimated for decades, little is known about the prevalence, pathways, and predictors of remission and long-term recovery among adolescents. This article provides an integrative review of the literature on youth recovery. A final selection of 39 relevant articles was grouped into five sections: treatment outcomes...