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Assessment of drinking patterns in general practice.

S M Wiseman, S N McCarthy, M C Mitcheson

The Journal of the Royal College of General Practitioners

|September 1, 1986

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Simple questions about alcohol quantity and frequency are effective for identifying potential drinking problems in patients. Further detailed investigations are recommended for those exceeding 20 units weekly.

Area of Science:

General Practice
Alcohol Use Assessment

Background:

Assessing patient drinking patterns is crucial in general practice.
Identifying effective screening methods is essential for early intervention.

Purpose of the Study:

To evaluate the utility of specific questions and investigations for assessing patient drinking habits.
To determine the most efficient methods for identifying at-risk individuals in a primary care setting.

Main Methods:

A 10-month study in a north London general practice involving 855 patients.
Utilized questionnaires on alcohol quantity/frequency and the CAGE questionnaire.
Included alcolmeter breath tests and biochemical markers (gamma glutamyl transpeptidase, mean corpuscular volume) in a subset of patients.

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Main Results:

Questions about alcohol quantity and frequency, administered within two minutes, effectively raise suspicion of drinking problems.
The CAGE questionnaire and alcolmeter provided additional data for habit determination.
Biochemical tests were performed on patients identified as high-risk drinkers.

Conclusions:

Brief questions regarding alcohol consumption quantity and frequency are sufficient initial screening tools in general practice.
High-volume drinkers (over 20 units weekly) warrant further, more detailed investigation.
This approach allows for efficient identification and subsequent management of alcohol-related issues.