Abstract:
BACKGROUND:Although the hepatitis C virus (HCV) alone increases the risk of cirrhosis, alcohol use is thought to act synergistically with HCV to significantly hasten the development of fibrosis. OBJECTIVE:The authors assessed the impact of brief medical counseling or integrated-care approaches to lessen or eliminate alcohol use in these vulnerable patients. METHOD:This retrospective study describes the effect of brief alcohol treatment delivered in a hepatitis clinic on drinking outcomes and antiviral treatment eligibility: 47 heavy-drinking chronic hepatitis C patients received a brief intervention performed by medical clinicians, with follow-up by a psychiatric nurse-specialist. RESULTS:At the last follow-up, 62% of patients reported >50% drinking reduction; these included 36% who achieved abstinence. Only 6% of patients were excluded from antiviral therapy. DISCUSSION:Brief treatment addressing heavy drinking delivered by hepatitis clinicians with psychiatric-specialist follow-up was associated with abstinence or a significant reduction in alcohol consumption in over 50% of patients.
journal_name
Psychosomaticsjournal_title
Psychosomaticsauthors
Dieperink E,Ho SB,Heit S,Durfee JM,Thuras P,Willenbring MLdoi
10.1176/appi.psy.51.2.149subject
Has Abstractpub_date
2010-03-01 00:00:00pages
149-56issue
2eissn
0033-3182issn
1545-7206pii
51/2/149journal_volume
51pub_type
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