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CC July 2018 Alcohol Use Disorder (AUD)

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echoecho's version from 2018-08-28 05:22

Section

Question Answer
In May 2013, the American Psychiatric Association released the 5th edition of the DSM-5 and placed the previous dx of alcohol dependence and alcohol abuse under a single diagnosis of what?alcohol use disorder (AUD)
The diagnosis of AUD is made if a person fulfills ____ out of 11 criteria; severity of AUD is determined by the number of criteria met ___ to ____, mild ___to ___, moderate; > ____ severe?2; 2-3; 4-5; > 6
*** List the criteria for AUD?1) symptoms and behaviors (drinking more or longer than intended)
***Is the amount of alcohol consumed a diagnostic criteria?no
Assessment of the amount of alcohol may help to guide what?the discussion of the health risks associated with excessive alcohol intake
The National Institute on Alcohol Abuse and Alcoholism (NIAAA) defines moderate drinking as ____ drinks for men or ____ drinks for women on a given day, and a maximum of ____ drinks/week for men and ___ drinks/week for women?2;1; 14; 7
Moderate drinking for adults > 65 y.o. is defined by?the same limits as for women
List other forms of excessive drinking?1) alcohol use by anyone < 21 years of age 2) by a pregnant woman 3) binge drinking (> 4 drinks for women and > 5 drinks for men on 1 occasion (2-3 hours)
It is estimated that ____ in 6 Americans is a binge drinker?1
Binge drinkers do so ____ times per month, on average?4
What is considered a "drink"?1) Beer (5% alcohol) = 12 oz 2) malt liquor (7% alcohol) = 8 oz 3) Wine (12% alcohol) = 5 oz 4) distilled spirits or liquor (40% alcohol, 80 proof) = 1.5 oz
In the US, it is estimated that _____ million people have AUD (6.2% or 15.1 million) adults > 18 years of age and 623,000 adolescents (12-17 years of age)?16
What is the lifetime prevalence of AUD is estimated at ______ % with half of these individuals meeting criteria for severe disorder?29.1
What % of individuals seen in primary care or hospital settings have AUD?10-20%
Fewer than ___% of individuals with AUD receive any type of formal treatment (excluding mutual self-help groups)?10
An estimated $_____billion is spent annually on AUD and its sequelae?$223.5
Excessive alcohol use is associated w/ injuries and risky behaviors as well as other health-related problems, list these?1) cancer (increased risk men and women for mouth, throat, esophagus, liver and colon cancer; increased breast cancer in women) 2) reproductive health (increased risk of risky sexual behavior like sexual assault, unprotected sex, multiple partners. Men - interferes with testosterone production) 3) pregnancy-related (increased risk of miscarriage, stillbirth, preterm delivery. Fetal alcohol spectrum disorder in infants. Increased risk of sudden infant death (SIDS) - particularly associated w/ binge drinking in the first trimester 4) liver-related (alcohol-related liver disease and cirrhosis (risk higher in women). Heart damage (women at higher risk)
*** The USPSTF recommends that clinicians screen adults _____ years and older for alcohol misuse and provide persons engaged in risky or hazardous drinking w/ brief counseling interventions to reduce alcohol misuse?18
*** SUMMARY = AUD (alcohol use disorder) replaces what 2 older terms in the DSM-5?1) alcohol dependence 2) alcohol abuse
*** SUMMARY = The criteria for AUD are what?symptoms and behaviors
*** SUMMARY = None of the criteria specify the ______ of alcohol consumed?amount
*** SUMMARY = Excessive alcohol consumption includes what?1) drinking if < 21 years of age 2) drinking while pregnant 3) binge drinking and > 4 drinks/day with a maximum of 14 drinks/week for men and 3 drinks/day with a maximum of 7 /week for women 4) those over 65 y.o
*** SUMMARY = Excessive alcohol consumption increases the risk of what?risky behavior, accidents and health-related problems.
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