Rinsho Kensa Volume 56, Issue 13 (December 2012)

What is alcohol dependence?―Diagnosis and treatment Hideki Nakayama 1 , Susumu Higuchi 1 1National Hospital Organization Kurihama Medical and Addiction Center Keyword: アルコール依存症 , γ-GTP , 平均赤血球容積(MCV) , 認知行動療法(CBT) pp.1415-1420
Published Date 2012/12/15
DOI https://doi.org/10.11477/mf.1542103278
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Alcohol dependence is a disease that is characterized by a variety of problems, including physical, mental, and social problems, because of difficulty controlling alcohol consumption, and it is estimated that about 600000 people nationwide are alcohol-dependent in Japan. Medical history taken in regard to alcohol consumption, laboratory tests, including γ-GTP (γ-glutamyl transpeptidase) and MCV (mean corpuscular volume) measurements, screening tests, etc. are available as means of detecting alcohol dependence, but caution is required, because patients often deny such dependence despite scientific evidence. In Japan, combined treatment by means of classes for patients and their families, such as study meetings and family meetings, psycho-educational therapy, drinking history presentations, observation and participation in self-help groups, prescription of anti-alcoholic agents, individual and group psychotherapy, occupational and exercise therapy, etc., is performed in general medical institutions that specialize in the treatment of alcohol dependence, and it supports continued abstinence. Prevention of the development of alcohol dependence and recovery as a result of abstinence are possible, and prevention by cooperation between various institutions, including healthcare institutions, is important.

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56巻13号 (2012年12月)
電子版ISSN 1882-1367 印刷版ISSN 0485-1420 医学書院