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Alcohol misuse costs the United Kingdom's National Health Service £3 billion per year. The cost to employers is 6.4 billion pounds sterling per year. These figures do not include the crime and social problems associated with alcohol misuse. The number of women regularly drinking alcohol has almost caught up with men. [104]
Alcohol and Alcoholism is a bimonthly peer-reviewed medical journal covering alcoholism and other health effects of alcohol. It was established in 1963 as the Bulletin on Alcoholism , with H.D. Chalke as the founding editor. [ 1 ]
In the 1983 edition of his book, Vaillant required four positive answers to questions on his Problem Drinking Scale (PDS) to indicate alcohol abuse. To diagnose full-blown alcoholism—i.e. alcohol dependence—he used DSM III, which requires either physical tolerance or physiological withdrawal. [14]
The risk of alcohol dependence begins at low levels of drinking and increases directly with both the volume of alcohol consumed and a pattern of drinking larger amounts on an occasion, to the point of intoxication, which is sometimes called binge drinking. Binge drinking is the most common pattern of alcoholism.
The reaction is the result of an accumulation of acetaldehyde, a metabolic byproduct of the catabolic metabolism of alcohol, and is caused by an aldehyde dehydrogenase 2 deficiency. [ 4 ] This syndrome has been associated with lower than average rates of alcoholism, possibly due to its association with adverse effects after drinking alcohol. [ 5 ]
The modern disease theory of alcoholism states that problem drinking is sometimes caused by a disease of the brain, characterized by altered brain structure and function. Today, alcohol use disorder (AUD) is used as a more scientific and suitable approach to alcohol dependence and alcohol -related problems.
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[4] This often "takes the focus off the parental alcohol problem", and the child can be the "scapegoat" under the myth that his/her behavior fuels the parent's drinking or using. [6] However, this child draws attention from outsiders, which may contribute to the recognition of the family alcohol problem by outsiders. [6]