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  • 1. Braun, Barbara
    et al.
    Behrendt, Silke
    Piontek, Daniela
    Kraus, Ludwig
    Stockholm University, Faculty of Social Sciences, Department of Public Health Sciences. IFT Institut für Therapieforschung, Germany; Eötvös-Loránd-Universität, Germany.
    Bühringer, Gerhard
    Therapie alkoholbezogener Störungen im Alter: Ergebnisse der deutschen Stichprobe der randomisiert-kontrollierten ELDERLY-Studie bis zum 12-Monats-Follow-up2019In: SUCHT, ISSN 0939-5911, E-ISSN 1664-2856, Vol. 65, no 2, p. 101-114Article in journal (Refereed)
    Abstract [en]

    Treatment of alcohol use disorder in higher ages: Results of the German sample of the randomized-controlled ELDERLY study up to 12 months follow-up

    Aim: The demographic change implicates a higher number of older persons with alcohol related problems, for which therapeutic care is insufficient up to now. Within the international randomized-controlled ELDERLY study two versions of an outpatient psychotherapeutic treatment for persons aged 60 years or older having an alcohol use disorder according to DSM-5 (AUD) were tested in three countries. Methods: After baseline, the randomized treatment groups were reassessed after 1, 3, 6 and 12 months. Changes (time and group) regarding drinking quantity, number of abstinent days, number of days with binge drinking, and number of days with low-risk consumption as well as number of fulfilled criteria for AUD were evaluated. Complete case- and intention-to-treat analyses for the German subsample are presented (n=203). Results: Both treatment groups showed stably up to 12 months after baseline higher abstinence rates (18 %; t0: 4 %), rates of persons without any days of risky use (45 %, t0: 4 %) and without binge drinking days (68 %; t0: 15 %). Also, a reduction in drinking quantity (median of 27 g pure alcohol per drinking day; t0: 58 g) and number of fulfilled AUD criteria (median of 2; t0: 5) was observed. Conclusion: The improvements with regard to drinking behavior and symptoms of AUD remained steady despite the relatively short treatment duration. Motivational interventions, especially personalized feedback of drinking behavior, evoke changes in drinking behavior in older persons with alcohol related disorders. Therapeutic nihilism is misplaced; rather is it necessary to consider special needs of this target group to implement tailored help offers.

  • 2. Gomes de Matos, Elena
    et al.
    Atzendorf, Josefine
    Kraus, Ludwig
    Stockholm University, Faculty of Social Sciences, Centre for Social Research on Alcohol and Drugs (SoRAD). IFT Institut für Therapieforschung, Germany.
    Piontek, Daniela
    Substanzkonsum in der Allgemeinbevölkerung in Deutschland. Ergebnisse des Epidemiologischen Suchtsurveys 20152016In: SUCHT, ISSN 0939-5911, E-ISSN 1664-2856, Vol. 62, no 5, p. 271-281Article in journal (Refereed)
    Abstract [en]

    Aims: We assess the extent of substance use among the adult general population in Germany. Method: Data come from the 2015 Epidemiological Survey of Substance Abuse, a national survey conducted among the resident population aged 18 to 64 years. With a response rate of 52.2 %, the sample size was n = 9,204. Participants were asked about their use of alcohol, tobacco, pharmaceuticals, and illicit drugs. Results: Of all respondents, 28.7 % had used tobacco products in the past 30 days, and 72.8 % had drunk alcohol. Indications of clinically relevant use within 12 months prior to the survey were found for 28.3 % of men and 9.6 % of women. Regarding illicit drugs, the 12-month prevalence was 6.1 % for cannabis and at most 1 % for all other substances. Analgesics were the class of pharmaceuticals with the highest prevalence of use (47.1 %), but the lowest prevalence of daily use among consumers of a given pharmaceutical (8.6 %). Conclusions: Results demonstrate that the use of psychoactive substances is still highly prevalent in the general population. Prevalence of use as well as indications for clinically problematic use were highest for licit substances that are highly available. Potentially clinically relevant illicit drug use affects considerably fewer individuals. However, because they comprise a specific risk population, it should be ensured that they are reached by appropriate prevention measures.

  • 3. Gomes de Matos, Elena
    et al.
    Kraus, Ludwig
    Stockholm University, Faculty of Social Sciences, Centre for Social Research on Alcohol and Drugs (SoRAD).
    Pabst, Alexander
    Piontek, Daniela
    Problembewusstsein und Inanspruchnahme von Hilfe bei substanzbezogenen Problemen2013In: SUCHT, ISSN 0939-5911, E-ISSN 1664-2856, Vol. 59, no 6, p. 355-366Article in journal (Refereed)
    Abstract [en]

    Aims: It was aimed to estimate 12-months prevalences of i) perception of substance-related problems among alcohol, illicit drugs and prescription drug users; ii) use of several formal and informal sources of care by individuals perceiving substance-related problems; and iii) use of professional help among individuals with a substance use disorder. Factors associated with help-seeking were assessed. Methods: Data come from the 2012 Epidemiological Survey of Substance Abuse (ESA; n = 9084; 18 to 64 years; response rate 53.6 %). DSM-IV diagnoses were assessed using the M-CIDI. Regression analyses were used to assess predictors of help-seeking. Results: Between 6 % (alcohol) and 19 % (illicit drugs) of substance users reported having experienced substance related problems. Of those, 14 % (alcohol), 33 % (illicit drugs) and 59 % (prescription drugs) sought help. With the exception of income, socio-demographic variables were not associated with help-seeking. Conclusions: Results show a clear under-treatment in individuals with substance related problems. Help-seeking seems to be mainly influenced by the severity of the substance-related disorder.

  • 4. Gomes de Matos, Elena
    et al.
    Kraus, Ludwig
    Stockholm University, Faculty of Social Sciences, Centre for Social Research on Alcohol and Drugs (SoRAD). IFT Institut für Therapieforschung, Germany.
    Pabst, Alexander
    Piontek, Daniela
    Trends im Substanzkonsum Jugendlicher: gibt es regionale Unterschiede?2014In: SUCHT, ISSN 0939-5911, E-ISSN 1664-2856, Vol. 60, no 3, p. 163-172Article in journal (Refereed)
    Abstract [en]

    Aims: To examine differences between German federal states regarding adolescent consumption of alcohol, tobacco and cannabis and its time trends. Method: Data of 23,997 adolescents came from three waves (2003; 2007; 2011) of the European School Survey Project on Alcohol and Other Drugs (ESPAD) in Bavaria, Berlin, Brandenburg, Mecklenburg-Western Pomerania and Thuringia. Descriptive and regression analyses were applied. Results: Across the five federal states and three substances, consumption declined over time. For cannabis use this trend is just observed until 2007. Adolescents in Berlin show the lowest level of alcohol use and the highest level of cannabis use. Tobacco use is highest in Brandenburg and Mecklenburg-Western Pomerania and declined most strongly in Thuringia. Conclusions: Despite some differences in the federal states’ consumption patterns, most notably in Berlin, trends are very similar. Altogether, the observed consumption indicators, which on European level are high to moderate, show a declining trend.

  • 5.
    Kraus, Ludwig
    et al.
    Stockholm University, Faculty of Social Sciences, Centre for Social Research on Alcohol and Drugs (SoRAD).
    Hannemann, Tessa-Virginia
    Piontek, Daniela
    Awolin, Mareike
    Effects of community-based prevention on alcohol consumption in adolescents2013In: SUCHT, ISSN 0939-5911, E-ISSN 1664-2856, Vol. 59, no 5, p. 269-277Article in journal (Refereed)
    Abstract [en]

    Aims: The present paper aims at evaluating the effectiveness of the community-based substance use prevention program “Wegschauen ist keine Lösung”. Methods: Communities of the district of Karlsruhe were divided into a group with high (HIG) and low (LIG) program implementation fidelity. In 2011, a school survey was conducted among 892 adolescents in grades 9 and 10 of regular schools in the district of Karlsruhe. The Bavarian sample of the 2011 European School Survey Project on Alcohol and other Drugs (ESPAD) was used as external comparison group (n=1635). Results: Only few differences were found between HIG and LIG with regard to alcohol consumption and negative consequences. Compared to the external ESPAD comparison group, students in Karlsruhe showed lower 30-day prevalence of alcohol use (66.0 vs. 80.5 %), lower consumption quantity (17.17 vs. 34.91 grams of ethanol per drinking day) and lower frequency of use (0.75 vs. 1.21 days within the last week). Conclusions: Considering restrictions of the limited study design there are indications of possible positive effects of the project “Wegschauen ist keine Lösung”. However, for methodological sound evaluations of community-based prevention programs pre-post studies with clearly defined control conditions are needed.

  • 6.
    Kraus, Ludwig
    et al.
    Stockholm University, Faculty of Social Sciences, Centre for Social Research on Alcohol and Drugs (SoRAD).
    Piontek, Daniela
    Repräsentative Bevölkerungsbefragungen zum Substanzkonsum sind alternativlos. [There are no alternatives to general population surveys on substance use]2016In: SUCHT, ISSN 0939-5911, E-ISSN 1664-2856, Vol. 62, no 5, p. 257-258Article in journal (Other academic)
  • 7.
    Kraus, Ludwig
    et al.
    Stockholm University, Faculty of Social Sciences, Centre for Social Research on Alcohol and Drugs (SoRAD). IFT Institut für Therapieforschung, Deutschland.
    Piontek, Daniela
    Wie evidenz-basiert kann kommunale Suchtprävention sein? [Is there an Evidence Base for Community Prevention?]2013In: SUCHT, ISSN 0939-5911, E-ISSN 1664-2856, Vol. 59, no 5, p. 247-248Article in journal (Other academic)
  • 8.
    Kraus, Ludwig
    et al.
    Stockholm University, Faculty of Social Sciences, Centre for Social Research on Alcohol and Drugs (SoRAD). IFT Institut für Therapieforschung, Germany.
    Piontek, Daniela
    Atzendorf, Josefine
    Gomes de Matos, Elena
    Zeitliche Entwicklungen im Substanzkonsum in der deutschen Allgemeinbevölkerung: Ein Rückblick auf zwei Dekaden2016In: SUCHT, ISSN 0939-5911, E-ISSN 1664-2856, Vol. 62, no 5, p. 283-294Article in journal (Refereed)
    Abstract [en]

    Aims: The study analyzes trends in the (clinically relevant) use of tobacco, alcohol, cannabis, other illegal drugs as well as pharmaceuticals. Methods: Data from eight waves of the Epidemiological Survey of Substance Abuse (ESA) from the years 1995 to 2015 were used. The data were collected using self-administered questionnaires, telephone interviews, or online questionnaires. A consistent analysis of trends is possible for the age range 18 to 59 years. Results: Tobacco consumption significantly declined over the past 20 years. Alcohol data showed declining consumption in males and stable consumption in females. The prevalence of episodic heavy drinking increased in females since the year 2009. Compared to the year 2012, cannabis consumption increased in both sexes. Weekly use of analgesics also increased, whereas weekly use of sedatives/hypnotics decreased. Indicators of clinically relevant use remained constant for cannabis, declined for tobacco and increased for pharmaceuticals. With regard to alcohol, males showed stable and females increased rates of clinically relevant use. Conclusions: Prevention and intervention measures need to be intensified especially with regard to the legal substances tobacco and alcohol. Trend analyses identified women as a particularly vulnerable subgroup because of an increasing prevalence of clinically relevant use of alcohol and pharmaceuticals.

  • 9.
    Kraus, Ludwig
    et al.
    Stockholm University, Faculty of Social Sciences, Centre for Social Research on Alcohol and Drugs (SoRAD).
    Piontek, Daniela
    Pabst, Alexander
    Gomes de Matos, Elena
    Studiendesign und Methodik des Epidemiologischen Suchtsurveys 20122013In: SUCHT, ISSN 0939-5911, E-ISSN 1664-2856, Vol. 59, no 6, p. 309-320Article in journal (Refereed)
    Abstract [en]

    Aims: The paper gives an overview on design and sample selection, measures, realization and analyses of the 2012 Epidemiological Survey of Substance Abuse (ESA). Methods: A disproportional sample was drawn from population registers using a two-stage probability design oversampling younger birth cohorts. Different modes of administration were used (paper-and-pencil questionnaire, telephone interview, online questionnaire). Results: A total of 9 084 individuals aged 18 to 64 years participated in the survey (response rate 53.6 %). The redressement weight had an effectiveness of 67.6 %. Non-responders showed a lower prevalence of alcohol and cannabis use, but a higher prevalence of episodic heavy drinking and hypnotics use as well as a higher tobacco use quantity. Respondents in the telephone and internet mode had a lower rate of substance use than those in the paper-and-pencil mode. Conclusions: Contrary to the general trend of decreasing response rates, the ESA achieves increasing response rates over the past years due to the application of a mixed mode design. Selectivity effects are possible because of the exclusion of specific population subgroups and non-response effects.

  • 10. Loy, Johanna K.
    et al.
    Grüne, Bettina
    Braun, Barbara
    Samuelsson, Eva
    Stockholm University, Faculty of Social Sciences, Department of Public Health Sciences. Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Kraus, Ludwig
    Stockholm University, Faculty of Social Sciences, Department of Public Health Sciences. IFT Institut für Therapieforschung, Germany; Eötvös-Loránd-Universität, Hungary.
    Help-seeking behaviour of problem gamblers: a narrative review2018In: SUCHT, ISSN 0939-5911, E-ISSN 1664-2856, Vol. 64, no 5-6, p. 259-272Article in journal (Refereed)
    Abstract [en]

    Background: There is evidence for low rates of help-seeking among problem gamblers. Identifying reasons for and barriers to seeking help is essential for improving help supply and gamblers’ treatment utilisation. The present study examines treatment utilisation of problem or pathological gamblers and reviews the evidence related to motives for and barriers to seeking help. Methods: The databases Medline, PsycInfo, and PubMed were searched for English-, Swedish- and German-language studies published between 2000 and 2017. Furthermore relevant references of included studies were analysed. Results: After exclusion of non-relevant publications 34 journal articles and seven reports covering the prevalence of help-seeking among gamblers or self-reported reasons for/barriers to help-seeking were maintained. The proportion of problem gamblers seeking help was less than 10 % in most studies. Problem severity was found positively associated with treatment attendance. Financial issues, negative emotions and crises were identified as main motives for seeking treatment. Main barriers to seeking treatment were shame, problem denial and lack of treatment availability. The results were similar across the examined studies. Conclusion: Low rates of treatment utilisation by problem gamblers strongly indicate that treatment providers and the society should strive to eliminate structural barriers that hinder gamblers to seek help. To better match problem gamblers´ needs, low-threshold early intervention, increasing knowledge of treatment options and efforts to reduce stigmatisation are important strategies to enhance access to help offers.

  • 11. Pabst, Alexander
    et al.
    Kraus, Ludwig
    Stockholm University, Faculty of Social Sciences, Centre for Social Research on Alcohol and Drugs (SoRAD).
    Gomes de Matos, Elena
    Piontek, Daniela
    Substanzkonsum und substanzbezogene Störungen in Deutschland im Jahr 20122013In: SUCHT, ISSN 0939-5911, E-ISSN 1664-2856, Vol. 59, no 6, p. 321-331Article in journal (Refereed)
    Abstract [en]

    Aims: To examine prevalences, patterns and disorders associated with the use of alcohol, tobacco, illegal drugs and prescription drugs. Methods: The sample of the 2012 Epidemiological Survey of Substance Abuse (ESA) was randomly drawn from population registers and consisted of 9 084 individuals aged 18 to 64 years. A mixed-mode design including questionnaires, telephone and Internet interviews was applied. The response rate was 53.6 %. Results: Based on the past 30 days 57.3 % of respondents reported low-risk alcohol consumption whereas 14.2 % reported risky consumption. Overall, 30.2 % reported having smoked within this period. The 12-months prevalence of illegal substance use was 4.5 % for cannabis, 0.8 % for cocaine and 0.7 % for amphetamines. Analgesics were the most prevalent prescription drugs used within the past 12 months (61.9 %). Rates of DSM-IV substance dependence were estimated at 3.4 % for alcohol, 10.8 % for tobacco, 0.5 % for cannabis, 0.2 % for cocaine, 0.1 % for amphetamines and 3.4 % for analgesics. Conclusions: The high prevalence of substance use disorders associated with alcohol and tobacco emphasize the urgency of implementing effective prevention measures. Disorders associated with prescription drugs should be given more attention.

  • 12. Pfeiffer-Gerschel, Tim
    et al.
    Schneider, Franziska
    Dammer, Esther
    Braun, Barbara
    Kraus, Ludwig
    Stockholm University, Faculty of Social Sciences, Department of Public Health Sciences, Centre for Social Research on Alcohol and Drugs (SoRAD). IFT Institut für Therapieforschung, Germany; Eötvös-Loránd-Universität, Hungary.
    Methamphetaminkonsum in Deutschland: Verbreitung und Problemlage2019In: SUCHT, ISSN 0939-5911, E-ISSN 1664-2856, Vol. 65, no 4, p. 241-249Article in journal (Refereed)
    Abstract [de]

    Zusammenfassung. Zielsetzung: Um ein möglichst umfassendes und differenziertes Bild der Verbreitung von Methamphetamin (MA) in Deutschland zu zeichnen, wird im vorliegenden Beitrag mittels verschiedener Datenquellen ein überblick zur Verbreitung des Konsums von MA sowie einschlägiger Straftaten in Deutschland und Europa gegeben. Ergänzend werden Angaben zur Beratungs-/Behandlungsnachfrage in Deutschland gemacht. Methodik: Es werden verfügbare aktuelle Daten zur Konsumverbreitung, Beschlagnahmungen und Straftaten sowie von repräsentativen nationalen und regionalen Bevölkerungsstudien, Abwasseranalysen, Strafverfolgung sowie Suchtberatung und -behandlung berichtet. Ergebnisse: Insgesamt zeigt sich mit Prävalenzraten von 0,6 % (Lebenszeit) und 0,2 % (letzte 12 Monate), dass der Konsum von MA in der erwachsenen Allgemeinbevölkerung eine eher untergeordnete Rolle spielt. Es finden sich in mehreren Datenquellen regionale Unterschiede, die darauf schließen lassen, dass die Verbreitung von MA in Sachsen, Thüringen und Bayern deutlich höher ist als in anderen Regionen Deutschlands. Schlussfolgerungen: Konsum und Problemlage von MA weisen regionale Schwerpunkte insbesondere in den Grenzregionen zur Tschechischen Republik auf. Aufgrund der hohen Belastung in den betroffenen Regionen wurden in den letzten Jahren zahlreiche Interventionen initiiert, die von spezifischen Programmen zur Frühintervention bis zu strukturierten Behandlungsprogrammen reichen. Die Verbesserung der Situation in betroffenen Regionen bedarf weiterer aktiver Unterstützung durch politische und soziale Maßnahmen.

  • 13. Piontek, Daniela
    et al.
    Hannemann, Tessa-Virginia
    Kraus, Ludwig
    Stockholm University, Faculty of Social Sciences, Centre for Social Research on Alcohol and Drugs (SoRAD).
    Implementation of community-based alcohol prevention in Karlsruhe, Germany2013In: SUCHT, ISSN 0939-5911, E-ISSN 1664-2856, Vol. 59, no 5, p. 261-268Article in journal (Refereed)
    Abstract [en]

    Aims: The present paper aims at examining the implementation fidelity of a community-based substance use prevention program in the district of Karlsruhe (Germany). Methods: Based on an inventory assessing the formal implementation of preventive activities, communities were divided into two groups with high and low implementation fidelity, respectively. A school survey was conducted to assess the visibility, knowledge and participation in the intervention in grades 9 and 10. The sample size was 892 (response rate 21.7 %). Results: Each study group was composed of 16 communities. The major focus of the prevention activities was on the components „structure“, „communication/public relation“ and „youth protection“. More students in the group with high implementation fidelity had seen the intervention slogan (58.4 % vs. 44.6 %) and knew at least one program activity (47.8 % vs. 35.8 %). Only a minority of students had direct contact to the intervention in the past year with no differences between the two groups. Conclusions: The intervention focuses on networking and the establishment of decision-making. Differences between communities with high and low implementation fidelity vanish when adolescents are asked for program exposure. Overall program reach can be considered low.

  • 14. Piontek, Daniela
    et al.
    Kraus, Ludwig
    Stockholm University, Faculty of Social Sciences, Centre for Social Research on Alcohol and Drugs (SoRAD). IFT Institut für Therapieforschung, Germany.
    Gomes de Matos, Elena
    Atzendorf, Josefine
    Der Epidemiologische Suchtsurvey 2015: Studiendesign und Methodik2016In: SUCHT, ISSN 0939-5911, E-ISSN 1664-2856, Vol. 62, no 5, p. 259-269Article in journal (Refereed)
    Abstract [en]

    Aims: The paper gives an overview on methods and study design of the 2015 Epidemiological Survey of Substance Abuse (ESA). Methods: The sampling frame of the ESA included German-speaking individuals living in private households aged 18 to 64 years. A sample was drawn from population registers using a two-stage probability design oversampling younger birth cohorts. The survey was realized using paper-and-pencil questionnaires, telephone interviews, and online questionnaires. Results: A total of 9204 individuals participated in the survey, resulting in a response rate of 52.2 %. Using redressement weights, the sample could be adjusted to the distribution of the general population according to federal state, size of the community, sex, year of birth, and school education. Survey nonrespondents showed more problematic consumption patterns than respondents. Individuals in the paper-and-pencil mode reported higher rates of substance use compared to those in the telephone and online mode. Conclusions: By using different modes of administration and weighting procedures, representativeness of the 2015 ESA data on (clinically relevant) consumption of legal and illegal substances and pharmaceuticals is ensured.

  • 15. Piontek, Daniela
    et al.
    Kraus, Ludwig
    Stockholm University, Faculty of Social Sciences, Centre for Social Research on Alcohol and Drugs (SoRAD).
    Gomes de Matos, Elena
    Pabst, Alexander
    Komorbide Substanzstörungen in der erwachsenen Allgemeinbevölkerung2013In: SUCHT, ISSN 0939-5911, E-ISSN 1664-2856, Vol. 59, no 6, p. 347-354Article in journal (Refereed)
    Abstract [en]

    Aims: It is aimed to assess homotypic comorbidity of substance use disorders in a representative sample of the adult general population in Germany. Methods: Data from the 2012 Epidemiological Survey of Substance Abuse are used. Based on a two-stage probability sampling, a total of n = 9 084 individuals participated (net response rate 53.6 %). Substance use disorders according to DSM-IV for alcohol, tobacco, cannabis, cocaine, amphetamines, analgesics, hypnotics and tranquilizers were assessed using the Munich Composite International Diagnostic Interview (M-CIDI). Results: Multiple diagnoses (abuse and/or dependence) were prevalent in 6.6 % of the sample. The percentage of comorbid substance use disorders was highest among those with a diagnosis related to cannabis, hypnotics and cocaine. Risk factors for at least one and more than one substance use disorders were male gender, younger age, lower educational level, being single or divorced and non-German citizenship. Conclusions: A relevant proportion of the general population in Germany is affected by more than one clinical diagnosis related to substance use. Further epidemiological research is necessary to describe this population of high risk.

  • 16. Rehm, J.
    et al.
    Room, Robin
    Stockholm University, Faculty of Social Sciences, Centre for Social Research on Alcohol and Drugs (SoRAD).
    Graham, K.
    Frick, U.
    Trinkmenge, Trinkmuster und ihre Beziehung zu Morbidität und Mortalität2003In: SUCHT, ISSN 0939-5911, E-ISSN 1664-2856, Vol. 49, no 2, p. 87-94Article in journal (Refereed)
    Abstract [en]

    Objective: Estimation of alcohol-related disease impairment.

    Methods: Literature analysis, statistical modeling.

    Results: Alcohol consumption has an impact on more than 60 different ICD disease categories. Both, average volume of consumption and patterns of drinking affect these diseases. Conceptually, patterns of drinking can be seen as moderating the relationship between average volume of consumption and outcomes in cardio-vascular disease, accidents and injuries. Worldwide in the year 2000, 3.2% of the total mortality and 4.0% of the total disease-related impairments (as measured in DALYs) could be attributed to alcohol.

    Conclusions: Alcohol-policy prevention measures should take into account both drinking and average consumption.

  • 17. Schomerus, Georg
    et al.
    Bauch, Alexandra
    Elger, Bernice
    Evans-Lacko, Sara
    Frischknecht, Ulrich
    Klingemann, Harald
    Kraus, Ludwig
    Stockholm University, Faculty of Social Sciences, Centre for Social Research on Alcohol and Drugs (SoRAD). IFT Institut für Therapieforschung, Germany.
    Kostrzewa, Regina
    Rheinländer, Jakob
    Rummel, Christina
    Schneider, Wiebke
    Speerforck, Sven
    Stolzenburg, Susanne
    Sylvester, Elke
    Tremmel, Michael
    Vogt, Irmgard
    Williamson, Laura
    Heberlein, Annemarie
    Rumpf, Hans-Jürgen
    Das Stigma von Suchterkrankungen verstehen und überwinden2017In: SUCHT, ISSN 0939-5911, E-ISSN 1664-2856, Vol. 63, no 5, p. 253-259Article in journal (Refereed)
    Abstract [en]

    Stigma does harm to individuals with substance use disorders (SUD), and it increases the burden of SUDs. It presents a barrier to help seeking, results in lower treatment quality and increases social and health related consequences of SUDs. This applies to both the individual, societal and economic consequences of substance use. Moreover, stigmatizing persons with addictions is an ethical problem, since it discriminates against a certain group and infringes on their human dignity.

    Dealing with substance use disorders without stigma is possible. Eliminating the stigma of SUDs means finding better ways to deal with SUDs and to make these ways available to everyone. Instead of devaluing, marginalizing and disciplining persons with SUD, empowerment and appreciation need to be at the core of dealing with SUD in prevention, treatment and every day life.

  • 18. Schulte, Bernd
    et al.
    Lindemann, Christina
    Buchholz, Angela
    Rosahl, Anke
    Härter, Martin
    Kraus, Ludwig
    Stockholm University, Faculty of Social Sciences, Department of Public Health Sciences. IFT Institut für Therapieforschung, Germany; Eötvös-Loránd-Universität, Hungary.
    Kiefer, Falk
    Frischknecht, Ulrich
    Hoffmann, Sabine
    Wensing, Michel
    C'Donnell, Amy
    Manthey, Jakob
    Rehm, Jürgen
    Schäfer, Ingo
    Verthein, Uwe
    Reimer, Jens
    Tailored interventions to support the implementation of the German national guideline on screening, diagnosis and treatment of alcohol- related disorders: a project protocol2019In: SUCHT, ISSN 0939-5911, E-ISSN 1664-2856, Vol. 65, no 6, p. 373-381Article in journal (Refereed)
    Abstract [en]

    Background: The German Guideline on Screening, Diagnosis and Treatment of Alcohol Use Disorders aims to increase the uptake of evidence-based interventions for the early identification, diagnosis, prevention and treatment of alcohol-related disorders in relevant healthcare settings. To date, dissemination has not been accompanied by a guideline implementation strategy. The aim of this study is to develop tailored guideline implementation strategies and to field-test these in relevant medical and psycho-social settings in the city of Bremen, Germany. Methods: The study will conduct an impact and needs assessment of healthcare provision for alcohol use orders in Bremen, drawing on a range of secondary and primary data to: evaluate existing healthcare services; model the potential impact of improved care on public health outcomes; and identify potential barriers and facilitators to implementing evidence-based guidelines. Community advisory boards will be established for the selection of single-component or multi-faceted guideline implementation strategies. The tailoring approach considers guideline, provider and organizational factors shaping implementation. In field tests quality outcome indicators of the delivery of evidence-based interventions will be evaluated accompanied by a process evaluation to examine patient, provider and organizational factors. Outlook: This project will support the translation of guideline recommendations for the identification, prevention and treatment of AUD in routine practice and therefore contributes to the reduction of alcohol-related burden in Germany. The project is running since October 2017 and will provide its main outcomes by end of 2020. Project results will be published in scientific journals and presented at national and international conferences.

  • 19. Wurdak, Mara
    et al.
    Ihle, Katharina
    Stürmer, Marco
    Dirnberger, Isabella
    Fischer, Uwe C.
    Funk, Tatjana
    Kraus, Ludwig
    Stockholm University, Faculty of Social Sciences, Centre for Social Research on Alcohol and Drugs (SoRAD).
    Wolstein, Jörg
    Indikatoren für das Ausmaß jugendlichen Rauschtrinkens in Bayern2013In: SUCHT, ISSN 0939-5911, E-ISSN 1664-2856, Vol. 59, no 4, p. 225-233Article in journal (Refereed)
    Abstract [en]

    Aims: To research whether the rising number of hospital treatments of alcohol intoxication is an indicator of an increase in risky alcohol consumption among adolescents. Methods: This was investigated within the framework of two secondary analyses (examination of crimes committed and accidents caused under the influence of alcohol among 10 – 20-year-old adolescents, as well as the alcohol blood concentration (BAC) of adolescents treated in hospital, n = 1 020) and a field study (population survey, n = 285). Results: The number of hospital treatments was positively correlated with crimes, but not with accidents under the influence of alcohol. In a city with a high prevalence of hospital treatments related to alcohol intoxication, more people would primarily call an ambulance as compared to a city with a low prevalence. The average BAC continuously declined within a two-year-period. Conclusions: The number of hospital treatments and criminal offenses committed under the influence of alcohol is indicative of an increase in risky alcohol consumption. However, the number of hospital treatments is associated with a higher sensitivity of the population and is not supported by the number of accidents under the influence of alcohol.

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