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Exploring the emergence of alcohol use disorder symptoms in the two years after onset of drinking: findings from the National Surveys on Drug Use and Health.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	McBride, Orla Cheng, Hui G.
Spatial Coverage	United States
Description	Author Affiliation: McBride O ( School of Psychology, University of Ulster, County Londonderry, Northern Ireland. o.mcbride@ulster.ac.uk)
Abstract	AIMS: This study investigates the occurrence of clinical features of alcohol dependence and socially maladaptive drinking during the first 24 months after the onset of alcohol use. DESIGN: Data for this study are from the nationally representative 2004-07 National Surveys on Drug Use and Health (NSDUH). SETTING: General population of the United States, aged 12 years and older. PARTICIPANTS: New-onset alcohol users (NOAUs) were drinkers who started to drink alcohol within 24 months of the NSDUH assessment and consumed alcohol during the last 12 months. MEASUREMENTS: The NSDUH assessed for clinical features of alcohol dependence and socially maladaptive drinking, consistent with the DSM-IV. FINDINGS: NOAUs frequently experienced problems relating to self-reported tolerance, spending a great deal of time recovering from the effects of alcohol and unsuccessful attempts at cutting down on drinking. The likelihood of experiencing the clinical features increased steadily in the first 9 months after use, but appeared to plateau or only gradually increase thereafter. Strong evidence emerged that the clinical features measured a single latent dimensional of 'alcohol use disorder' (AUD) in this sample. The majority of the clinical features were good indicators of the underlying AUD continuum in the 2 years after first drinking onset. CONCLUSIONS: There may be a period of time during the second year of alcohol use, when level of alcohol use disorder fluctuates rather than increases. Public health and safety efforts designed to target problematic alcohol use in the earliest stages of alcohol involvement could be useful in preventing the escalation of alcohol problems in this group of drinkers.
File Format	HTM / HTML
ISSN	09652140
Issue Number	3
Volume Number	106
e-ISSN	13600443
Journal	Addiction
Language	English
Publisher	Wiley-Blackwell
Publisher Date	2011-03-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Research Support, N.i.h., Extramural United States Psychology Humans Alcohol Drinking Discipline Addiction Epidemiology Health Behavior Disease Progression Socioeconomic Factors Journal Article Diagnostic And Statistical Manual Of Mental Disorders Young Adult Time Factors Etiology Epidemiologic Methods Adolescent Adult Alcohol-related Disorders Age Of Onset Child
Content Type	Text
Resource Type	Article
Subject	Psychiatry and Mental Health

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