Prevention and treatment of alcohol problems : research opportunities : report of a study

Prevention and treatment of alcohol problems research opportunities : report of a study

Detalles Bibliográficos
Autor principal: Institute of Medicine (U.S.).
Autores Corporativos: Institute of Medicine (U.S.). Division of Mental Health and Behavioral Medicine (-), Institute of Medicine (U.S.). Committee to Identify Research Opportunities in the Prevention and Treatment of Alcohol-Related Problems, National Institute on Alcohol Abuse and Alcoholism (U.S.)
Formato: Libro electrónico
Idioma:Inglés
Publicado: Washington, D.C. : National Academy Press 1990.
Edición:1st ed
Colección:IOM publication ; 89-013.
Materias:
Alcoholism > Treatment > Research.
Alcoholism > Prevention > Research.
Ver en Biblioteca Universitat Ramon Llull:https://discovery.url.edu/permalink/34CSUC_URL/1im36ta/alma991009820308606719
Tabla de Contenidos:
  • Prevention and Treatment of Alcohol Problems: Research Opportunities
  • Copyright
  • PREFACE
  • REFERENCES
  • Contents
  • SUMMARY
  • RESEARCH OPPORTUNITIES IN THE PREVENTION OF ALCOHOL PROBLEMS: A PUBLIC HEALTH PERSPECTIVE
  • The Epidemiology of Alcohol-Related Problems
  • Individual-Environment Interactions: Focus on the Individual
  • The Life-Course Developmental Perspective
  • Social Learning Models
  • Genetic Determinants of Risk
  • Individual-Environment Interactions: Focus on the Environment
  • Community Approaches and Perspectives from Other Health Fields
  • Methodological Issues in Alcohol Prevention Research: Conclusions and Recommendations
  • RESEARCH OPPORTUNITIES IN THE TREATMENT OF ALCOHOL PROBLEMS
  • Historical Factors in Treatment Research
  • Conceptual and Technical Advances in Assessment
  • Effectiveness of Treatment Modalities: Studies of Process and Outcome
  • Early Identification and Treatment
  • Patient-Treatment Matching and Outcome Improvement in Alcohol Rehabilitation
  • Advances in the Treatment of Other Psychoactive Substance-Use Disorders: Implications for Alcohol Treatment Research
  • Health Consequences of Alcohol Abuse
  • Treatment Costs, Benefits, and Cost Offsets: Public Policy Considerations
  • FUNDING MECHANISMS AND THE NECESSARY INFRASTRUCTURE FOR TREATMENT AND PREVENTION RESEARCH
  • Supporting the Scientific Infrastructure for Prevention Research
  • Supporting the Scientific Infrastructure for Treatment Research
  • I RESEARCH OPPORTUNITIES IN THE PREVENTION OF ALCOHOL-RELATED PROBLEMS
  • References
  • 1 A Public Health Perspective on the Prevention of Alcohol Problems
  • A PUBLIC HEALTH MODEL OF ALCOHOL-RELATED PROBLEMS
  • PREVENTION RESEARCH FROM A PUBLIC HEALTH PERSPECTIVE
  • A SYSTEMS APPROACH
  • References
  • 2 Epidemiology of Alcohol-Related Problems
  • INJURIES.
  • Methodological Problems in Studying Alcohol-Related Injuries
  • Vehicular Injuries
  • Falls
  • Drownings
  • Fires and Burns
  • CRIME
  • SUICIDE
  • CHILD ABUSE
  • SEXUALLY TRANSMITTED DISEASES
  • EARLY SEXUAL ACTIVITY AND ADOLESCENT PREGNANCY
  • FETAL ALCOHOL SYNDROME AND FETAL ALCOHOL EFFECTS
  • References
  • 3 Individual-Environment Interactions: Focus on the Individual
  • LIFE-COURSE DEVELOPMENT, VULNERABILITY, AND PREVENTION RESEARCH
  • The Developmental Approach: Rationale and Definitions
  • The Life-Course Events Approach
  • Social Fields
  • Risk Factors: Intraindividual and Environmental Domains
  • Individual-Environment Interaction
  • The Prospective Study: Characteristics and Advantages
  • Findings from Prospective Risk-Factor Research
  • Limitations in Existing Prospective Research
  • Research on Preventive Trials: Implications from Prospective Research
  • Importance of Longitudinal Data Bases
  • SOCIAL LEARNING MODELS
  • Implications of Social Learning Theory for Research on Prevention
  • The Coping Skills Training Approach
  • Self-Management Techniques
  • Cognitive Restructuring
  • Motivation and Readiness to Change Behavior
  • Life-Style Change
  • GENETIC DETERMINANTS OF RISK
  • CONCLUSION
  • References
  • 4 Individual Environment Interactions: Focus on the Environment
  • ENVIRONMENTAL CONTROLS ON THE AVAILABILITY OF ALCOHOLIC BEVERAGES
  • Studies That Measure the Effect of Multiple Influences on Consumption
  • Studies That Measure the Effects of Specific Factors upon Consumption Alcohol Prices and Taxation
  • Minimum Age of Purchase
  • Zoning and Conditional-Use Permits
  • ENVIRONMENTAL INFLUENCES ON INDIVIDUAL DRINKING BEHAVIOR
  • The Normative Environment and the Mass Media
  • Public Information Campaigns
  • Commercial Alcohol Advertising
  • Fictional Media Content
  • The Legal Environment
  • Alcohol-Impaired Driving.
  • Dram Shop or Server Liability
  • Context and Setting as Environmental Influences
  • Server Intervention
  • Drinking Establishments
  • The Workplace as a Drinking Setting
  • FACTORS THAT AFFECT THE RISK OR SEVERITY OF THE NEGATIVE CONSEQUENCES OF DRINKING
  • References
  • 5 Community Approaches and Perspectives from Other Health Fields
  • LIMITATIONS OF ALCOHOL PREVENTION RESEARCH
  • COMMUNITY-BASED CARDIOVASCULAR DISEASE PREVENTION STUDIES
  • Lessons from the Three-Community-Study and the Five-City Project
  • Results from Other Comprehensive CVD Prevention Programs
  • RESULTS FROM PRIMARY PREVENTION PROGRAMS IN OTHER HEALTH FIELDS
  • Promoting Seat Belt Use
  • Cancer Prevention through Mass Media Advertising
  • Smoking Prevention and Cessation
  • Preventing Adolescent Pregnancy through School-Based Clinics
  • SUMMARY OF LESSONS LEARNED FROM OTHER FIELDS
  • IMPLICATIONS FOR ALCOHOL PROBLEM PREVENTION
  • References
  • 6 Methodological Issues in Alcohol Prevention Research: Conclusions and Recommendations
  • RESEARCH DESIGN FOR FUTURE ALCOHOL PREVENTION RESEARCH PROGRAMS
  • The Importance of Theory
  • Need for Both Laboratory and Field Prevention Research
  • The Practical Significance of Prevention Research
  • DIRECTION AND DESIGN OF FUTURE ALCOHOL PREVENTION RESEARCH PROGRAMS: CONCLUSIONS AND RECOMMENDATIONS
  • References
  • II RESEARCH OPPORTUNITIES IN THE TREATMENT OF ALCOHOL-RELATED PROBLEMS
  • Introduction
  • 7 The Social and Historical Context of Alcohol Treatment Research
  • FEDERAL INVOLVEMENT IN ALCOHOL TREATMENT
  • EMERGING TRENDS IN TREATMENT SERVICES
  • DEMOGRAPHY, EPIDEMIOLOGY, AND THE DELIVERY OF TREATMENT SERVICES
  • POPULAR TRENDS IN TREATMENT AND REFERRAL
  • POLICY-ORIENTED SERVICES RESEARCH
  • References
  • 8 Issues of Assessment, Methodology, and Research Design
  • RECENT DEVELOPMENTS IN CONCEPTUALIZATION.
  • ADVANCES IN ASSESSMENT TECHNOLOGY
  • Diagnosis
  • Differential Assessment
  • Research on the Reliability and Validity of Assessments
  • Research on Verbal Report Methods
  • Use of Biological Markers
  • Automation of Data Collection
  • ASSESSMENT OF TREATMENT PROCESS, QUALITY, AND OUTCOME
  • Treatment Variables
  • Outcome Variables
  • GROWING SOPHISTICATION IN METHODOLOGICAL APPROACHES
  • Experimental Approaches
  • Quasi-Experimental Approaches
  • Aggregate-Level Descriptive Studies
  • References
  • 9 Treatment Modalities: Process and Outcome
  • OUTCOME RESEARCH ON SPECIFIC TREATMENT APPROACHES
  • Pharmacotherapies
  • Antidipsotropics
  • Effect-Altering Medications
  • Psychotropics
  • Aversion Therapies
  • Psychotherapy and Counseling
  • Didactic Approaches
  • Mutual Help Groups
  • Behavioral Self-Control Training
  • Conjoint Therapies
  • Broad-Spectrum Treatment Strategies
  • Relapse Prevention
  • RESEARCH ON TRADITIONAL TREATMENT PROGRAMS
  • RESEARCH ON THE INTENSITY AND DURATION OF TREATMENT
  • RESEARCH ON AFTERCARE
  • TREATMENT PROCESS RESEARCH
  • Mechanisms of Treatment Efficacy
  • Therapist Variables
  • Motivation
  • Compliance
  • Mandated Treatment
  • CONCLUSIONS
  • Does Treatment Work?
  • Specific Conclusions
  • References
  • 10 Early Identification and Treatment
  • CONTROLLED TRIALS AND PROGRAM EVALUATIONS
  • BRIEF INTERVENTIONS AND TREATMENT RESEARCH
  • RESEARCH ON INTERVENTIONS WITH PREGNANT WOMEN
  • RESEARCH ON NONABSTINENCE OUTCOMES AND GOALS
  • SCREENING, RECRUITMENT, AND IMPLEMENTATION
  • Screening
  • Recruitment
  • Implementation
  • References
  • 11 Patient-Treatment Matching and Outcome Improvement in Alcohol Rehabilitation
  • ADVANCES IN PATIENT-TREATMENT MATCHING RESEARCH, 1978-1988
  • Advances in Research Methodology
  • Advances in Patient Measurement
  • ADVANCES IN TREATMENT MEASUREMENT.
  • RESEARCH ON PATIENT-TREATMENT MATCHING: PERSPECTIVES AND OPPORTUNITIES
  • Matching before Treatment Starts: Special Populations and Self-Selection
  • Matching at the Initiation of Treatment: Levels of Treatment Intensity
  • Matching during the Treatment Process: Role of Treatment Components
  • Matching following the Rehabilitation Intervention: Role of the Posttreatment Environment
  • PATIENT-TREATMENT MATCHING: SOME CONCLUSIONS AND RESEARCH RECOMMENDATIONS
  • References
  • 12 Advances in the Treatment of Other Psychoactive Substance-Use Disorders: Implications for Research on Treatment of…
  • SMOKING
  • Treatment Process Research
  • Processes and Stages of Change
  • Cognitive Predictors of Smoking Cessation
  • Antecedents to Relapse and Coping Skills
  • Social Support
  • Motivational Factors
  • Treatment Studies on Smoking Cessation
  • Unique and Programmatic Approaches to Smoking Cessation
  • Physician Counseling
  • Special Populations
  • OTHER DRUG DEPENDENCIES
  • Use of Psychotherapy in the Treatment of Drug-Dependent Patients
  • Conditioned Factors in Substance Abuse Treatment
  • Psychopharmacological Treatments for Drug Dependence
  • Medications That Treat the Associated Psychiatric Symptoms of Drug-Dependent Individuals
  • CONCLUSIONS
  • References
  • 13 Health Consequences of Alcohol Abuse: Opportunities for Treatment Research
  • INTOXICATION
  • ALCOHOL WITHDRAWAL
  • Pharmacotherapies for Alcohol Withdrawal
  • Nonpharmacological Detoxification
  • Withdrawal Scale
  • Treatment Settings
  • Special Patient Populations
  • Treatment of Seizures
  • Treatment of Delirium Tremens
  • Engagement in Follow-up Treatment
  • Detoxification of Alcoholics Addicted to Other Substances
  • Alcoholic Hallucinosis and Paranoia
  • Treatment of Post withdrawal Symptoms
  • Insomnia in Alcoholics
  • Effects of Alcohol on Sleep
  • Sleep during Acute Alcohol Withdrawal.
  • Improvement with Abstinence.

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