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Detection of Alcoholism in Hospitalized Children and Their Families

Detection of Alcoholism in Hospitalized Children and Their Families Abstract • The study sought to measure provider recognition of family alcohol-related problems among hospitalized children and to identify characteristics distinguishing "positive" families. The study sample (N = 147) was drawn from admissions to the general pediatric medical service of a metropolitan teaching hospital. Positivity was assessed through parent and patient interviews that included standard alcohol abuse screening instruments. Provider recognition was assessed through record review and physician interview. Of the 22 families screened positive, only one was so identified by the child's attending or resident physician. Positive and "negative" families were similar in most respects, although parents in positive families were more likely to report stress and sleeping problems and adolescents were more likely to report being troubled by a parent's drinking. The similarity of positive and negative families and the low pediatrician recognition rate suggest that alcohol problems are likely to go unnoticed without a conscious screening effort. (AJDC. 1991;145:613-617) References 1. Williams GD, Grant BF, Harford TC, Noble J. Population projections using DSM-III criteria: alcohol abuse and dependence, 1990-2000 . Alcohol Health Res World . 1989;13:366-370. 2. Russell M, Henderson C, Blume SB. Children of Alcoholics: A Review of the Literature . New York, NY: Children of Alcoholics Foundation; 1984. 3. Macdonald DI, Blume SB. Children of alcoholics . AJDC . 1986;140:750-754. 4. Harrigan JA. Children of alcoholics . Am Fam Physician . 1987;35:139-144. 5. Reich W, Early F, Powell J. A comparison of the home and social environments of children of alcoholic and non-alcoholic parents . Br J Addict . 1988;83:831-839.Crossref 6. Johnston LD, O'Malley PM, Bachman JG. Drug Use, Drinking and Smoking: National Survey Results from High School, College, and Young Adult Populations, 1975-1988 . Washington, DC: National Institute on Drug Abuse; 1989. US Dept of Health and Human Services publication (ADM) 89-1638. 7. Schonberg SK, ed. Substance Abuse: A Guide for Health Professionals . Elk Grove Village, Ill: American Academy of Pediatrics; 1988. 8. Baumrind D, Moselle KA. A developmental perspective on adolescent drug abuse . Adv Alcohol Subst Abuse . 1985;4:41-66.Crossref 9. Adger H, McDonald EM, DeAngelis C. Substance abuse education in pediatrics . Pediatrics . 1990;86:555-560. 10. Moore RD, Bone LR, Geller G, Mamon JA, Stokes EJ, Levine DM. Prevalence, detection and treatment of alcoholism in hospitalized patients . JAMA . 1989;261:403-407.Crossref 11. Achenbach TM, Edelbrock C. Manual for the Child Behavior: A Checklist and Revised Child Behavior Profile . Burlington, Vt: Department of Psychology, University of Vermont; 1983. 12. Selzer M. The Michigan Alcoholism Screening Test: the quest for a new diagnostic instrument . Am J Psychiatry . 1971;127:1653-1658. 13. Pokorny AD, Miller BA, Kaplan HB. The Brief MAST: a shortened version of the Michigan Alcoholism Screening Test . Am J Psychiatry . 1972;129:342-345. 14. Ewing J, Mayfield D. CAGE . Am J Psychiatry . 1974;131:1121-1122. 15. Davis LJ, Morse RM. Patient-spouse agreement in the drinking behaviors of alcoholics . Mayo Clin Proc . 1987;62:689-694.Crossref 16. Mayer J, Filstead WJ. The adolescent alcohol involvement scale: an instrument for measuring adolescents' use and misuse of alcohol . J Stud Alcohol . 1979;40:291-299. 17. Petchers MK, Singer MI. Perceived-benefit-of-drinking scale: approach to screening for adolescent alcohol abuse . Pediatrics . 1987;110:977-981.Crossref 18. Biek JE. Screening test for identifying adolescents adversely affected by a parental drinking problem . J Adolesc Health Care . 1981;2:107-113.Crossref 19. Niven RG. Alcoholism—a problem in perspective . JAMA . 1984;252:1912-1914.Crossref 20. Adger H, McDonald EM, Duggan AK. Evaluation of a pediatric substance abuse curriculum. Presented at the annual meeting of the Association for Medical Education and Research in Substance Abuse; November 8, 1989; Washington, DC. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Detection of Alcoholism in Hospitalized Children and Their Families

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References (24)

Publisher
American Medical Association
Copyright
Copyright © 1991 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1991.02160060031015
Publisher site
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Abstract

Abstract • The study sought to measure provider recognition of family alcohol-related problems among hospitalized children and to identify characteristics distinguishing "positive" families. The study sample (N = 147) was drawn from admissions to the general pediatric medical service of a metropolitan teaching hospital. Positivity was assessed through parent and patient interviews that included standard alcohol abuse screening instruments. Provider recognition was assessed through record review and physician interview. Of the 22 families screened positive, only one was so identified by the child's attending or resident physician. Positive and "negative" families were similar in most respects, although parents in positive families were more likely to report stress and sleeping problems and adolescents were more likely to report being troubled by a parent's drinking. The similarity of positive and negative families and the low pediatrician recognition rate suggest that alcohol problems are likely to go unnoticed without a conscious screening effort. (AJDC. 1991;145:613-617) References 1. Williams GD, Grant BF, Harford TC, Noble J. Population projections using DSM-III criteria: alcohol abuse and dependence, 1990-2000 . Alcohol Health Res World . 1989;13:366-370. 2. Russell M, Henderson C, Blume SB. Children of Alcoholics: A Review of the Literature . New York, NY: Children of Alcoholics Foundation; 1984. 3. Macdonald DI, Blume SB. Children of alcoholics . AJDC . 1986;140:750-754. 4. Harrigan JA. Children of alcoholics . Am Fam Physician . 1987;35:139-144. 5. Reich W, Early F, Powell J. A comparison of the home and social environments of children of alcoholic and non-alcoholic parents . Br J Addict . 1988;83:831-839.Crossref 6. Johnston LD, O'Malley PM, Bachman JG. Drug Use, Drinking and Smoking: National Survey Results from High School, College, and Young Adult Populations, 1975-1988 . Washington, DC: National Institute on Drug Abuse; 1989. US Dept of Health and Human Services publication (ADM) 89-1638. 7. Schonberg SK, ed. Substance Abuse: A Guide for Health Professionals . Elk Grove Village, Ill: American Academy of Pediatrics; 1988. 8. Baumrind D, Moselle KA. A developmental perspective on adolescent drug abuse . Adv Alcohol Subst Abuse . 1985;4:41-66.Crossref 9. Adger H, McDonald EM, DeAngelis C. Substance abuse education in pediatrics . Pediatrics . 1990;86:555-560. 10. Moore RD, Bone LR, Geller G, Mamon JA, Stokes EJ, Levine DM. Prevalence, detection and treatment of alcoholism in hospitalized patients . JAMA . 1989;261:403-407.Crossref 11. Achenbach TM, Edelbrock C. Manual for the Child Behavior: A Checklist and Revised Child Behavior Profile . Burlington, Vt: Department of Psychology, University of Vermont; 1983. 12. Selzer M. The Michigan Alcoholism Screening Test: the quest for a new diagnostic instrument . Am J Psychiatry . 1971;127:1653-1658. 13. Pokorny AD, Miller BA, Kaplan HB. The Brief MAST: a shortened version of the Michigan Alcoholism Screening Test . Am J Psychiatry . 1972;129:342-345. 14. Ewing J, Mayfield D. CAGE . Am J Psychiatry . 1974;131:1121-1122. 15. Davis LJ, Morse RM. Patient-spouse agreement in the drinking behaviors of alcoholics . Mayo Clin Proc . 1987;62:689-694.Crossref 16. Mayer J, Filstead WJ. The adolescent alcohol involvement scale: an instrument for measuring adolescents' use and misuse of alcohol . J Stud Alcohol . 1979;40:291-299. 17. Petchers MK, Singer MI. Perceived-benefit-of-drinking scale: approach to screening for adolescent alcohol abuse . Pediatrics . 1987;110:977-981.Crossref 18. Biek JE. Screening test for identifying adolescents adversely affected by a parental drinking problem . J Adolesc Health Care . 1981;2:107-113.Crossref 19. Niven RG. Alcoholism—a problem in perspective . JAMA . 1984;252:1912-1914.Crossref 20. Adger H, McDonald EM, Duggan AK. Evaluation of a pediatric substance abuse curriculum. Presented at the annual meeting of the Association for Medical Education and Research in Substance Abuse; November 8, 1989; Washington, DC.

Journal

American Journal of Diseases of Children – American Medical Association

Published: Jun 1, 1991

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