Secondary prevention of hazardous alcohol consumption in psychiatric out-patients: a randomised controlled study

Soc Psychiatry Psychiatr Epidemiol. 2009 Dec;44(12):1013-21. doi: 10.1007/s00127-009-0023-7. Epub 2009 Mar 18.

Abstract

Background: Hazardous alcohol use is associated with an increased risk for development of a substance use disorder, leading to negative outcomes in psychiatric patients.

Aims: In order to investigate whether psychiatric outpatients' hazardous alcohol consumption could be reduced by way of a brief intervention by telephone.

Method: Non-psychotic psychiatric outpatients, n = 1,670, completed a self-rating form concerning alcohol habits (AUDIT). Participants with scores indicating risk consumption (n = 344) were randomised to intervention (immediate advice) or control (advice after 6 months).

Results: Hazardous alcohol habits occurred among 19% of the women and 24% of the men. In the intervention group, half of the patients reduced their alcohol consumption to non-hazardous levels at 6-month follow-up (ITT analysis). In women, 41.5% in the intervention group had no hazardous consumption at follow-up compared to 24.7% in the control group (P = 0.003), corresponding figure for men was 49.1 and 34.0%.

Conclusion: Brief intervention seems to be effective to reduce hazardous alcohol consumption in psychiatric outpatients.

Publication types

  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Alcohol Drinking / adverse effects
  • Alcohol Drinking / prevention & control*
  • Alcohol Drinking / psychology
  • Alcohol-Related Disorders / etiology
  • Alcohol-Related Disorders / prevention & control
  • Ambulatory Care*
  • Child
  • Counseling / methods*
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Mental Disorders / psychology
  • Mental Disorders / therapy*
  • Middle Aged
  • Motivation*
  • Remote Consultation / methods*
  • Risk Factors
  • Secondary Prevention / methods*
  • Substance-Related Disorders / etiology
  • Substance-Related Disorders / prevention & control*
  • Surveys and Questionnaires
  • Sweden / epidemiology
  • Telephone*
  • Treatment Outcome