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Advances in Substance Abuse Prevention and Treatment Interventions Among Racial, Ethnic, and Sexual Minority Populations

Substance abuse research among racial, ethnic, and sexual minority populations historically has lagged behind that conducted with majority samples. However, interesting and potentially important advances in prevention, brief interventions, and treatment have been made in the last few years, at least among some minority populations, such as American Indian youth. New prevention efforts have focused...

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...

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...

Epigenetic Control of Gene Expression in the Alcoholic Brain

Whether a specific gene is transcribed or repressed is determined by the specific status (i.e., conformational state) of the complex of chromosomal DNA and proteins (i.e., the chromatin) and by the recruitment of specific proteins (i.e., transcription factors) to regulatory sites on the DNA (Copeland et al. 2010). Chromatin states can change as a result of enzyme-mediated covalent modifications of...

Stress and Alcohol: Epidemiologic Evidence

Exposure to varying forms of stress is an integral life experience that can provoke a variety of reactions. In research on alcohol, drug, and psychiatric disorders, the term “stress” often is understood to indicate any experience denoting adversity (Dohrenwend 2000). Stress exposures consist of external stimuli that are threatening or harmful; elicit fear, anxiety, anger, excitement, and/or...

Drinking Over the Lifespan: Focus on Early Adolescents and Youth

In describing patterns of alcohol use among early adolescents (ages 12–14) and youth (ages 15–20), there is both good news and bad news. The good news is that research findings with U.S. national epidemiology data from long-term annual surveys of high-school students, such as the Monitoring the Future surveys, have indicated historical shifts toward overall decreases in levels of alcohol use...

Stress, Epigenetics, and Alcoholism

Alcoholism is a complex disorder characterized by compulsive alcohol seeking and consumption that also is impacted by related psychiatric states, such as anxiety (Koob 2003; Pandey 2003). Both environmental and genetic factors influence alcohol drinking patterns and may increase susceptibility to the development of alcohol addiction (Cloninger 1987; Crabbe 2002). The presence or development of...

Epigenetics—Beyond the Genome in Alcoholism

Alcohol is one of the most widely used addictive drugs, and continued use and abuse can lead to the development of tolerance and dependence (Koob 2003a; Tabakoff et al. 1986). Numerous studies have shown that both genetic and environmental risk factors play a role in the development of alcoholism (Ducci and Goldman 2008; Edenberg and Foroud 2006; Farris et al. 2010). Genetic studies in both humans...

Alcohol and Viral Hepatitis: Role of Lipid Rafts

Alcohol is the most used and abused psychoactive drug worldwide. Alcohol use and misuse, including alcohol use disorder, can have devastating effects and account for 5.9 percent of deaths and 5.1 percent of the global burden of disease and injury, thereby also imposing a significant social and economic burden on society (World Health Organization 2015). Moreover, treatments for alcohol abuse have...

Using Ecological Momentary Assessment (EMA) to Assess Situation-Level Predictors of Alcohol Use and Alcohol-Related Consequences

Ecological momentary assessment (EMA) has afforded several important advances in the field of alcohol research, including testing prominent models of alcohol abuse etiology in “high resolution.” Using high-tech methods for signaling and/or assessment, such as mobile electronic diaries, personal data assistants, and smartphones, EMA approaches potentially can improve understanding of precipitants...