Many trials of naltrexone have been carried out in alcohol-dependent patients. This paper is aimed to systematically review its benefits, adverse effects, and discontinuation of treatment. We assessed and extracted the data of double-blind, randomized controlled trials (RCTs) comparing...
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Naltrexone for the treatment of alcoholism: A meta-analysis of randomized controlled trials
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Brief physician advice for problem alcohol drinkers. A randomized controlled trial in community-based primary care practices
OBJECTIVE:
Project TrEAT (Trial for Early Alcohol Treatment) was designed to test the efficacy of brief physician advice in reducing alcohol use and health care utilization in problem drinkers.
DESIGN:
Randomized controlled clinical trial with 12-month follow-up.
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Brief physician and nurse practitioner-delivered counseling for high-risk drinking. Results at 12-month follow-up
BACKGROUND:
The objective of this study was to determine the effects of a brief primary care provider-delivered counseling intervention on the reduction of alcohol consumption by high-risk drinkers. The intervention was implemented as part of routine primary care medical practice.
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Adapting Screening, Brief Intervention, and Referral to Treatment for Alcohol and Drugs to Culturally Diverse Clinical Populations
OBJECTIVES:
To review the literature on the screening, brief intervention, and referral to treatment (SBIRT) approach to alcohol and drug use with racial and ethnic subgroups in the United States and to develop recommendations for culturally competent SBIRT practice.
METHODS:
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Primary care intervention to reduce alcohol misuse ranking its health impact and cost effectiveness
BACKGROUND:
The U.S. Preventive Services Task Force (USPSTF) has recommended screening and behavioral counseling interventions in primary care to reduce alcohol misuse. This study was designed to develop a standardized rating for the clinically preventable burden and cost effectiveness of...
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Helping Patients Who Drink Too Much: A Clinician's Guide
Why screen for heavy drinking?
- At-risk drinking and alcohol problems are common. About 3 in 10 U.S. adults drink at levels that elevate their risk for physical, mental health, and social problems. Of these heavy drinkers, about 1 in 4 currently has alcohol abuse or...
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A meta-analysis of alcohol consumption and the risk of 15 diseases
BACKGROUND:
To compare the strength of evidence provided by the epidemiological literature on the association between alcohol consumption and the risk of 14 major alcohol-related neoplasms and non-neoplastic diseases, plus injuries.
METHODS:
A search of the epidemiological...
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Diagnosis and Pharmacotherapy of Alcohol Use Disorder: A Review
IMPORTANCE:
Alcohol consumption is associated with 88 000 US deaths annually. Although routine screening for heavy alcohol use can identify patients with alcohol use disorder (AUD) and has been recommended, only 1 in 6 US adults report ever having been asked by a health professional about...
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Management of Posttraumatic Stress Disorder
Summary of the Clinical Problem
Individuals who have been personally or indirectly exposed to actual or threatened death, serious injury, or sexual violence have a wide range of psychological responses, from transient, nondebilitating reactions to symptoms that meet the Diagnostic and...
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Motivational Techniques and Skills for Health and Mental Health Coaching/Counseling
Guided Self-Change Healthy Lifestyles Program. The Guided Self-Change (GSC) Healthy Lifestyles outpatient program at Nova Southeastern University's (NSU) College of Psychology offers a unique short-term, evidence-based, non-12 step alternative treatment not available elsewhere...
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