managing binge drinking in college...
TRANSCRIPT
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Managing Binge Drinking in College Students
Paola Pedrelli, Ph.D. Director Dual Diagnoses Studies
Depression Clinical Research Program Massachusetts General Hospital
Boston, MA
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Disclosures
Neither I nor my spouse/partner has a relevant financial relationship with a commercial interest
to disclose.
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This Lecture Reviews:
• Definition and scope of the problem
• Managing binge drinking
• Future directions
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This Lecture Reviews:
• Definition and scope of the problem
• Managing binge drinking
• Future directions
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Alcohol in Young Adults
Alcohol is prevalent among young adults • Heavy alcohol use peaks age 21-24
5
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Binge Drinking is Prevalent
6
Binge drinking Men: >5 drinks Women: >4 drinks
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Binge Drinking is Common
43%
22%
13%
05
101520253035404550
Any HED > 3 X > 5X
Past month prevalence of binge drinking
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Myths About HED
• Everyone drinks heavily in college
• Drinking heavily on weekends is OK
• Students will grow out of it
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Personal Costs of Binge Drinking
In college students
• ~600,000 injuries
• ~700,000 assault
• ~97,000 victim sexual assault
• ~1800 deaths
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Societal Costs of Binge Drinking
• Youth alcohol misuse costs $53 billion year
• $19 billion from traffic crashes
• $29 billion from violent crime
• Among <21 age: costs $27 Billion per year
• 25% from premature death
• 61% from lost productivity
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Comorbidity is the Norm
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This Lecture Reviews:
• Definition and scope of the problem
• Managing binge drinking
• Future directions
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Screening
• Throughout school
• College counseling centers
• Primary care
• Emergency care
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Screening Tools 1 NIAAA Task Force:
• Frequency of any alcohol use
• Typical number of drinks
• Frequency of heavy drinking
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Screening Tool 2 Alcohol Use Disorders Identification Test (AUDIT-C)
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Feedback: • Quantity/Frequency of Drinking • Caloric Intake • Amount Consumed, Peak BAC • Cost of alcohol spent • Norm Comparisons • Amount and % of Income Spent on Alcohol • Tolerance Level • Negative Consequences of Alcohol Use • Genetic Risk Score Explanation, advice, local referral information
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BASICS
Personalized feedback
• Normative feedback
• Estimate BAC
• Gender specific effect of alcohol
• Personalized feedback on alcohol-related problems
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Motivational Interviewing
• Therapy ~ partnership • Patient-centered • Directive method communication • Elicit own motivation to change • Explores ambivalence re change • Guide pt towards change
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Summary
• Binge drinking associated with personal and societal problems
• Screenings at different levels is critical
• Several strategies are available
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Future Directions
• Increase screenings
• Disseminate evidence-based approaches
• Develop more online treatments
• Use of app for monitoring/treatment
Psychopharmacology Friday, September 28 – Sunday, September 30, 2012
The Westin Copley Place
MGH Substance Use Disorders Conference Sunday – Tuesday, February 14–16, 2016
Disney’s Grand Floridian Resort & Spa MGHCME.ORG
Massachusetts General Hospital Department of Psychiatry
Presents
Substance Use Disorders: A Comprehensive Review and Update
SUNDAY-TUESDAY, FEBRUARY 14-16, 2016 DISNEY’S GRAND FLORIDIAN RESORT & SPA
LAKE BUENA VISTA, FL