dependence on alcohol

 
   

Alcoholism is a disorder marked by a pathological pattern of alcohol use that causes serious impairment of social or occupational functioning.

Alcohol related disease is a significant problem in general hospitals.

  • in the UK, it is estimated that 24% of adults drink in a hazardous or harmful way (1)
  • hazardous and harmful drinking are commonly encountered among people attending hospital for reasons unrelated to alcohol; approximately 20% of patients admitted to hospital for illnesses unrelated to alcohol are drinking at potentially hazardous levels (1)

Griffith Edwards and Gross(1976) defined some simple markers of alcoholism. These are:

  • dependent drinkers have a narrow repertoire of alcohol consumption: alcohol is used to avoid withdrawal symptoms
  • drinking overtakes the individual's activities to the exclusion of everything else, leading to theft, begging and borrowing
  • withdrawal symptoms include trembling, fear, insomnia, nightmares, sweating and hallucinations.
  • tolerance develops so that the dependent drinker consumes quantities which might make non-drinkers unconscious
  • dependent drinkers know that they cannot control their alcohol use
  • there is a high tendency to relapse after abstinence

Alcohol withdrawal symptoms occur within 12 hours of the last drink.

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