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Susceptibility to Alcohol

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1. Peoples’ susceptibility to alcohol, mood and how it affects the client.

Effects of alcohol on mood

In a study conducted by Nurnberger (2002), a direct relationship exists between consumption of alcohol and mood . Alcoholic intoxification commonly produces a “high” with attendant giddiness and lowering of inhibitions. Conversely, hangovers and acute withdrawal typically produce dysphoria with elements of anxiety and depression mixed with physical malaise. Furthermore, alcoholism and depression can coexist and their susceptibility can run in families (Merikangas and Gelernter 1990).
In addition , other studies carried out by Merikangas et al 1994 patients often use alcohol as a form of self medication for an affective disorder. In other words, depression may develop as a result of alcoholism; in this case alcoholism is the primary disorder and depression is considered an organic mood disorder (ie mood disorder with a physiological cause).

Conversely, is was argued in other studies that there was no unequivocal effect on mood. ( Tilburg and Vingerhoets 2001). While come studies found that drinking was associated with inducing positive feelings of pleasure or reduction in negative feelings like uncertainty and tension ( ref 3,4) others have reported reported an increase in negative emotions (ref 5,6) or no direct effects on the mood at all ( ref 7,8) .

Perkins at al (7) observed that alcohol intake decreased self- report

Heavy alcohol use or alcohol misuse and major depressive disorder or depressive symptoms commonly co-occur in late life (Grant and Harford, 1995; Friedmann et al., 1999; Graham and Schmidt, 1999; Merrick et al., 2008; Sacco et al., 2009). A few studies also report a relationship between alcohol misuse and major depression or depressive symptoms in older adults of both genders (Grant, 1997; Brennan et al., 2001; St. John et al., 2009). In general, depressive symptoms are more prevalent among older women than older men (see Blazer, 2003, 2009). On the other hand, epidemiologic studies find that older women are more likely to abstain from alcohol use and generally to drink less than older men when they do drink (Moore et al., 2006; Lang et al., 2007; Merrick et al., 2008).
Given these gender differences in the prevalence rates of depressive symptoms and alcohol use patterns, gender differences in the relationship between depressive symptoms and alcohol use require further examination. Previous studies that include people of all ages point to the possibility of gender difference in the relationship.
In a study based on the Epidemiologic Catchment Area Survey, baseline depressive symptom severity was significantly positively associated with the risk of

developing alcohol dependence in women but only marginally so in men; and baseline alcoholic symptom severity was significantly positively associated with greater odds of developing major depression in women than in men after a year of follow-up (Gilman and
Abraham, 2001; see also Kessler et al., 1997 for similar findings on gender differences from the National Comorbidity Survey). In another study of adults of all age groups, depressed men, regardless of age, were more likely than depressed women to transit to problem drinking (Crum et al., 2001). Crum et al. also found a general decreased likelihood of transitioning to higher-level drinking across most cut points of an alcohol consumption scale among depressed women as compared to women who were not depressed (p. 770).
In previous studies, alcohol consumption has been examined in terms of both the frequency of drinking and the quantity of drinks consumed per drinking occasion. The findings suggest that frequency and quantity may not be equally significantly associated with depressive symptoms. Graham and Schmidt (1998, 1999) found that frequency of drinking was not associated with older adults’ (aged 65þ) depressive symptoms, but that amount was, although gender similarities/differences were not specified. With respect to the relationship between the amount of alcohol consumption, on the one hand, and physical and mental health, on the other, previous studies tended to present a linear pattern, with low-to-moderate drinking (e.g., 1–2 drinks per day) associated with better health indicators for both genders and heavy drinking associated with worse health indicators; this pattern was more prevalent among men than among women (Friedmann et al., 1999; Blow et al., 2000; Wang et al., 2002; Mukamel et al., 2003; Byles et al., 2006; Moore et al., 2006; Lang et al., 2007).

References
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