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We sought to adapt to the Argentine context two scales that assess psychotherapeutic preferences: The Cooper-Norcross Preferences Inventory (C-NIP-v1.1) and the Questionnaire of Preferences and Experiences of Psychotherapy for the Patient (PEX-1). We administered both scales in a sample of N=600 people (non-probabilistic). We performed internal consistency, dimensional, and item level analyzes. The internal consistency coefficients were adequate for the total scale and, in general, for each dimension. The confirmatory factor analysis evidenced an adequate fit to the original structures. The performance of the items for the scale and its dimensions was acceptable with few exceptions. The psychometric properties of the C-NIP-v1.1 and the PEX-1 are suitable for their application in our context. [ABSTRACT FROM AUTHOR]

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This study aimed to identify alcohol use disorder (AUD) criteria that better characterized those who seek treatment and those who recover on their own. We gathered data from help-seeking (HS) patients in an alcohol unit and compared them with self-achieved remission (SAR) patients. The best criteria to predict HS were psychological problems due to use, physical problems due to use, repeated attempts or desire to stop using, and not being able to stop drinking. The best criteria to predict SAR were tolerance, craving, hazardous use, much time spent, larger/longer use than intended, and role impairment. We discuss the impact of these results in current efforts to improve the accuracy of AUD diagnosis. [ABSTRACT FROM AUTHOR]

Although Brief Intervention (BI) has proven to reduce alcohol consumption during pregnancy in high income countries, there is no evidence from the Southern Cone of America. Thus, we conducted a study to assess BI efficacy among Argentinean pregnant women. We collected data on pregnant women receiving prenatal care at the public health system in Mar del Plata, Argentina. Women with less than 26 weeks of gestation (n = 486) were randomized to brief advice (BA) or BI. Three months later they were re-assessed; women with more than 26 weeks of gestation constituted a screening only control group (SC) (n = 154). Self-reported quantity and frequency of alcohol consumption, frequency of binge drinking, and related problems after three months were used as outcomes. We performed generalized estimating equations and clinical significance analyses. Also, we obtained newborn health indicators from the city's health system database to use as objective outcomes. Women who did not participate in any of the three former conditions were randomly selected to constitute a non-screening control group (NSC) (n = 150). We compared objective outcomes among BI, BA, and NSC groups using the Wilcoxon rank test. In comparison with SC, BI and BA reduced alcohol consumption, without differences between the latter two. Newborns of women who received BI and BA had better health indicators compared with the NSC group. performing either a BI or BA reduces alcohol consumption among Argentinean pregnant women and might lead to healthier newborns. [ABSTRACT FROM AUTHOR]

Objective. To report the risk from alcohol, cannabis, and their combined use for non-fatal road traffic injuries for drivers, passengers, and pedestrians. Methods. Risk was estimated using the case-crossover method. Participants (N= 306) were injured patients from an emergency department in Mar del Plata, Argentina. Results. Alcohol use (OR= 6.78, CI 95% 3.75-12.25) as well as combined alcohol and cannabis use (OR= 7.05, CI 95% 1.16-42.73) significantly increased the risk of a road traffic injuries. Alcohol use increased the risk in both, women (OR= 8.87, CI 95% 2.69-29.21) and men (OR= 6.16, CI 95% 3.10-12.23); in those >30 years old (OR= 6.01, CI 95% 2.09-17.24) and those <30 years old (OR= 7.15, CI 95% 3.49-14.65). This last group also had an increased risk after combined alcohol and cannabis use (OR= 7.05, CI 95% 1.16-42.75). Both drivers (OR= 6.40, CI 95% 3.23-12.69) and passengers (OR= 13.83, CI 95% 2.87-66.42) had an increased risk after alcohol consumption. Conclusions. To our knowledge, these are the first estimates of the risk of having a road traffic injury after alcohol and cannabis consumption in one of the countries of the Southern Cone (Argentina, Chile, and Uruguay). These results highlight the urgent need to implement and enforce comprehensive alcohol control measures. Furthermore, given the global trend towards legalizing cannabis for recreational use, our results could also inform policymakers to enact or amend impaired driving laws. [ABSTRACT FROM AUTHOR]

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Introduction and Aims: Research on corporate behaviour can contribute to the understanding of the possible adverse impacts of alcohol‐industry corporate social responsibility (CSR) initiatives and their potential influence on policymaking. This study explores the association between alcohol‐industry CSR activities and selected country features in Latin America and the Caribbean. Design and Methods: Nine health experts evaluated 148 CSR activities using a standardised protocol; activities were classified into the categories risk management CSR (rmCSR), that is, to avoid/rectify externalities (n = 67), and strategic CSR, that is, to fulfill philanthropic responsibilities (n = 81). We evaluated the associations, separately, between the number of rmCSR and of strategic CSR actions in each country with threats from public health measures (specifically, the level of research into alcohol consumption and harms, the existence of an alcohol surveillance system and the number of governmental alcohol policy actions) and per capita alcohol consumption; we adjusted by economic indices (country income level and the gross domestic product) and population size. Results: Multivariate analyses showed that the higher the level of alcohol research within a country and its per capita consumption, the more likely rmSCR activities were to occur, independently of the country's economic development or population. Discussion and Conclusions: Results suggest rmSCR actions could be implemented as a way to preserve markets by counteracting scientific evidence about alcohol related harms. This evidence could serve as a starting point to future research, contributing to the understanding of alcohol industry behaviour and the advancement of effective public policies. [ABSTRACT FROM AUTHOR]

Evidence regarding the association between early drinking (ED) and later dependence is controversial. It has been alternately hypothesized that ED either plays a causal role in the development of dependence or that it is an early marker of increased psychosocial vulnerabilities. Despite a clear rationale for delaying youth consumption, it is important to discern this relationship. However, most epidemiological evidence comes from individual studies and high-income countries. If there is a causal link between ED and dependence, an association at the aggregate level would be expected. Furthermore, if the link is due to biological mechanisms, the association should be rather invariable regardless of the drinking context, while if the association is due to psychosocial factors, a wider variability is to be expected. We explored whether the association between ED and dependence varied across countries clustered by their shared contextual drinking characteristics. We used data from 169 countries from the Global Information System on Alcohol and Health of the World Health Organization: ED, alcohol dependence, heavy episodic drinking (HED), actual drinkers, and alcohol policy. To cluster countries by their shared drinking characteristics (prevalences of HED and actual drinkers, and alcohol policy), we used, sequentially, two multivariate data reduction techniques: a multiple correspondence analysis (MCA) and a hierarchic classification. To estimate the association between ED and alcohol dependence, beta regressions were performed, and then adjusted by country income-level and repeated by gender. The results indicated four country clusters: primarily abstainers (class 1), low drinking countries (class 2), high drinking countries (class 3), and very high drinking countries (class 4). Positive relationships between ED and alcohol dependence were found for all the countries in the world and for those in classes 1 and 2. No significant relationships were found for class 3 or class 4. These results were similar for males, but not for females, where no significant relationships were found after adjusting for income level. The association between ED and dependence varies according to the drinking context. Our findings either suggest that the ED–dependence association may be due to individual or environmental vulnerabilities that promote consumption outside cultural norms or that, if there is a causal link between ED and dependence, it is strongly moderated by psychosocial characteristics. [ABSTRACT FROM AUTHOR]

Alcohol drinking during pregnancy might lead to detrimental consequences to the mother and fetus, being Fetal Alcohol Syndrome (FAS) the most severe. In many Latin-American countries, there is a paucity of information about prenatal exposure to alcohol. Aim. To estimate alcohol drinking in pregnant women and describe it concerning sociodemographic characteristics. Method. Data were collected from a random sample of women attending the public health care system (N=852) in 2016. Alcohol drinking, including binge drinking (BD), was evaluated before and after pregnancy recognition. Descriptive and bivariate analyses were performed. Results. While pregnant, two out of ten women reported drinking. Moreover, 2% engaged in BD and 3% presented indicators of alcohol dependence. BD before pregnancy was related to drinking during pregnancy and frequency, quantity, and BD before pregnancy with BD during pregnancy. Conclusions. Alcohol consumption in pregnant women was higher than the estimated for most Latin- American countries, and of the considered characteristics, was almost exclusively related to consumption patterns before pregnancy. [ABSTRACT FROM AUTHOR]

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Alcohol consumption is the leading risk factor for morbi‐mortality in many Latin American Countries. However, epidemiologic studies are relatively scarce. Among factors such as limited research capacity, disciplinary traditions and an emphasis on psychopathology within the field of psychology, have been postulated to account for this. The aim of this article is to review epidemiologic research on alcohol in Spanish Speaking Latin American Countries, and to measure the contribution of psychology to the field. A systematic search was performed in English and Spanish using regional and international data bases. We identified 269 articles. Most focused on consumption patterns in youth, with samples from a single school and using a variety of measures. With the exception of multinational efforts like Emergency Room Collaborative Alcohol Analysis Project or those supported by World Health Organization/Pan American Health Organization, studies reviewed reflected little cross country collaboration. Mexico accounted for most of the productivity, while many countries had very few or no articles. Most research was performed by health science researchers with a small contribution from psychology, but which increased significantly over time. The results of this review provide a broad identification of patterns regarding epidemiologic research on alcohol, and demonstrate the need for national scientific policies to promote research on public health topics. [ABSTRACT FROM AUTHOR]

The prevalence of alcohol use disorders in university students is alarmingly high. Screening instruments are fundamental for both, epidemiological research and clinical practice. The aim of this article is to compare the performance of the most widely used screening instruments (AUDIT, AUDIT-C, TWEAK, RAPS-QF, and CAGE) in Argentinean university students. Screening tests, along with the Alcohol Section of the Composite International Diagnostic Interview that yields DSM 5 compatible diagnoses were administered to a probabilistic sample (N = 2,430) of university students from a national public university. The following characteristics were evaluated among others: optimal cut-off points, sensitivity, specificity, internal consistency, temporal stability, and item presence and discrimination capacity. The global appraisal of results suggests that the AUDIT and RAPS-QF would be preferable for evaluating AUD in this population. [ABSTRACT FROM AUTHOR]

According to the dual process model, the interaction between explicit (controlled) and implicit (automatic) cognitions would allow the understanding of irrational actions like addictive behaviors. This model has gained great popularity among addiction researchers, leading to an exponential growth in publications on implicit alcohol related cognition (IAC). Hence, the goal of this article is to identify trends in the study of IAC by means of a bibliometric and content analysis of the empirical studies published up to May, 2013. Throughout this paper, the studied topics of IAC were characterized, the most prolific countries, authors and journals were recognized, the most cited publications were detected and the most employed methods were identified. [ABSTRACT FROM AUTHOR]

Introduction. Although the Theory of Planned Behavior has successfully been applied to explain heavy episodic drinking, recent reviews have identified gaps in the literature like the role of gender and scarce research from non English speaking countries. Objective. We aim to broaden the evidence for the Theory of Planned Behavior by evaluating the capacity of the model to predict heavy episodic drinking in Argentinean female and male youth. Methods. Multiple linear and logistic regressions were performed. Results. Attitude was the main predictor of heavy episodic drinking intention; there were gender differences, among women perceived behavioral control and subjective norm were also predictors of heavy episodic drinking intentions. The intention was the main predictor of heavy episodic drinking for both genders, while perceived behavioral control was also a predictor among women. Conclusions. Theory of Planned Behavior allows us to better understand the motivational variables related to heavy episodic drinking intention and performance and thus, to design appropriate prevention interventions. [ABSTRACT FROM AUTHOR]

Background: Alcohol consumption and its related consequences are not equal for women and men, although related studies do not frequently include gender analysis. Objective: Our aim was to characterize differences in endorsement of ICD-10 and DSM 5 alcohol use disorder (AUD) criteria by gender in an Argentinean emergency department population. Methods: A probability sample of patients (N = 923) from the largest emergency department in the city of Mar del Plata, Argentina (44% were females, aged 16 to 86, M (SD) = 37.31(15.20) was collected. Using a structured questionnaire, diagnostic criteria for alcohol use disorders, alcohol consumption, and socio-demographic variables were obtained. Bivariate and multivariate analyses were used to assess differences in the endorsement of each diagnostic criterion by gender. Results: Women were less likely to endorse each of the criteria for each of the diagnostic schemes. Even after controlling alcohol consumption, socio-demographic variables, severity of alcohol use disorders and adjusting for multiple comparisons females had a lower probability than males of endorsing withdrawal and impaired control. Conclusions: gender differences in the endorsement of diagnostic criteria for both the DSM 5 and ICD-10 were found. Some differences in endorsement but not all, might be partially explained by alcohol consumption patterns and socio-demographic factors, and same remained after controlling severity of the AUD. Results also suggest a differential functioning of DSM 5 and ICD-10 AUD criteria for women and men. [ABSTRACT FROM AUTHOR]

A significant percentage of people with an alcohol-use disorder (AUD) recover on their own and differ substantially from those who do not. Those who do not seek assistance for AUD include a high proportion of university students. The aim of this study was to describe, in a cohort of Argentinean university students, the differences among drinkers who had never had an alcohol-related problem, those who recovered from an AUD on their own (natural recovery), and those who currently had an AUD. Participants were 1170 randomly selected students from the National University of Mar del Plata. They were assessed regarding the quantity and frequency of alcohol consumption, AUD severity, and sociodemographic variables. Descriptive and multivariate analyses (logistic regressions) were performed. Differences were found primarily in alcohol consumption variables, gender, and age. Natural recovery and current AUD groups drank higher quantities of alcohol and did so more frequently compared with drinkers who had never met any AUD criteria. Students with a current AUD drank higher quantities than did those who were in natural recovery. Students who recovered naturally had less severe AUDs, but many still had an alcohol-related problem. The implications of self-promoted changes in drinking behaviors are discussed. [ABSTRACT FROM AUTHOR]

Since its emergence in the 70s, the Dual Process Model (DPM) has gained wide popularity in different fields of psychology, including the study of addictions. According to this model, there are two cognitive systems: one explicit, conscious and controllable; and another implicit, automatic and linked to intuition and affection. The DPM has been used to understand mechanisms underlying alcohol related behaviors, and quickly an exponential growth of research using implicit measures to evaluate alcohol related cognitions occurred. While these methods share some basic features, they differ in important aspects such as validity evidence available, administration procedures, etc. Therefore, in this paper we provide a comprehensive overview of the different ways to evaluate implicit alcohol related cognitions. We hope this review will be useful not only for researchers but also for professionals working in the clinical area with alcohol- related problems. [ABSTRACT FROM AUTHOR]

Copyright of Cadernos de Saude Publica is the property of Escola Nacional de Saude Publica Sergio Arouca and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

We estimated the prevalence of episodes of alcoholinduced amnesia without loss of consciousness - blackouts-, and identified predictors in university students in Argentina and Spain. We used a self-administered structured and anonymous questionnaire that assessed socio-demographic variables, life-time, annual and monthly prevalence of blackouts, alcohol drinking habits, alcohol use disorders, and use of other substances. The adequacy of the predictors was estimated through logistic regressions. Participants were 472 Argentinean (18 to 52 years, 81% female) and 320 Spanish students (18 to 54 years, 83% female), the annual prevalence of episodes of anterograde amnesia was 28 % (IC 95% [24-32) and 47 % (IC 95% [41-53]) respectively. Despite differences in other predictors between students from both countries, in both the probability seemed to be greater among those who binge drink (p>.01, OR=2.02 Argentinean, p>.01, OR=5.27 Spanish) or have an alcohol use disorder (p>.01, OR=3.36 Argentinean, p>.01, OR=6.28 Spanish). Probability of having a monthly blackout increased with life-time prevalence (p>.01, OR=20.71 Argentineans, p>.01, OR=23.33 Spanish). Further research and strategies are needed to reduce drinking and this and other alcohol-related consequences in similar populations. [ABSTRACT FROM AUTHOR]

Copyright of Investigaciones ANDINA is the property of Fundacion Universitaria del Area Andina and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

AbstractBackground: Personalized Normative Feedback (PNF) aims to modify misperceptions about peer consumption that influence one’s drinking. PNF is usually a component in Brief Interventions delivered to university students. Despite this, whether PNF contributes to improving the effect of brief interventions is unclear. Objectives: This randomized controlled trial aimed to determine the role of PNF as an active ingredient in a face-to-face motivational brief intervention. Results: Participants were students from an Argentinian university (n=806; M=20.14; SD=3.17; 63.2% women) who presented at least one binge drinking episode in the last 12 months. Students were randomly assigned to 1) a Brief Intervention, 2) a Brief Intervention with PNF, or 3) an evaluation-only control group. The follow-up was three months later. After controlling sex and age, General Linear Models showed that both the brief intervention and the brief intervention with PNF reduced the quantity and frequency of alcohol consumption, binge drinking, and alcohol problems compared to the control condition. No differences were found between the brief intervention and the brief intervention with PNF. Also, treating eight students with brief intervention and 10 with brief intervention with PNF was necessary to benefit one student. Conclusions: In conclusion, this study demonstrates that brief intervention reduces alcohol consumption among Latin American university students and that PNF might not be an active ingredient of its effectiveness in this population. However, PNF could benefit students with specific characteristics, like those who overestimate their peers’ drinking, highlighting the need to study moderators of effectiveness further. [ABSTRACT FROM AUTHOR]

Codependency (COD) is a pattern of dysfunctional interpersonal bonding characterized by excessive attention to others´ needs and behaviors, neglecting oneself. It is often confused with emotional dependency (ED) and dependent personality disorder (DPD). In order to contribute to the debate regarding COD as an independent phenomenon, this study evaluates the relationship between these constructs. For this purpose, the Argentine Codependence Scale, the Emotional Dependence Questionnaire and the dependent subscale of the Millon Multiaxial Clinical Inventory were applied to a sample of 261 participants. COD was more strongly related to ED than to DPD. Although the results indicate some overlap between these concepts, this overlap does not seem to be so high as to suggest that COD is equivalent to ED or DPD. [ABSTRACT FROM AUTHOR]

Background  Considering the physical, mental and behavioral problems related to fetal alcohol exposure, prenatal clinical guides suggest a brief evaluation of alcohol consumption during pregnancy to detect alcohol intake and to adjust interventions, if required. Even if any alcohol use should be considered risky during pregnancy, identifying women with alcohol use disorders is important because they could need a more specific intervention than simple advice to abstain. Most screening tests have been developed and validated in male populations and focused on the long-term consequences of heavy alcohol use, so they might be inappropriate to assess consumption in pregnant women. Objective  To analyze the internal reliability and validity of the alcohol screening instruments Alcohol Use Disorders Identification Test (AUDIT), Alcohol Use Disorders Identification Test - Consumption (AUDIT-C), Tolerance, Worried, Eye-Opener, Amnesia and Cut-Down (TWEAK), Rapid Alcohol Problems Screen - Quantity Frequency (RAPS-QF) and Tolerance, Annoyed, Cut-Down and Eye-Opener (T-ACE) to identify alcohol use disorders in pregnant women. Methods  A total of 641 puerperal women were personally interviewed during the 48 hours after delivery. The receiver operating characteristics (ROC) curves and the sensitivity and specificity of each instrument using different cut-off points were analyzed. Results  All instruments showed areas under the ROC curves above 0.80. Larger areas were found for the TWEAK and the AUDIT. The TWEAK, the T-ACE and the AUDIT-C showed higher sensitivity, while the AUDIT and the RAPS-QF showed higher specificity. Reliability (internal consistency) was low for all instruments, improving when optimal cut-off points were used, especially for the AUDIT, the AUDIT-C and the RAPS-QF. Conclusions  In other cultural contexts, studies have concluded that T-ACE and TWEAK are the best instruments to assess pregnant women. In contrast, our results evidenced the low reliability of those instruments and a better performance of the AUDIT in this population., Competing Interests: Disclosure The authors report no conflicts of interest in this work., (Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil.)

Different survey modalities have been developed to assess alcohol consumption and related problems. Research that compares data quality between survey modalities is scarce in Latin America. The aim of this study was to assess data quality in three survey modalities on alcohol consumption: self-administered online, self-administered hard-copy, and face-to-face interviews. Data were obtained from three probabilistic samples of students (n = 60 each) from the National University of Mar del Plata, Argentina, using the same questionnaire. Data quality was measured for each modality by overall response rate, item response rate, and accuracy. Data accuracy was evaluated as the percentage of self-reported binge drinking, positive results on AUDIT, and internal consistency of AUDIT for each modality. The overall and item response rates were lower in the online modality and similar between the other two. No differences were found between modalities in the accuracy of responses.