Alcohol Addiction: One Entity or Different Entities? A DSM-4-Based Attempt Toward a Geographicization of Alcohol Addiction and Abuse

Author:

Allamani Allaman1ORCID,Voller Fabio1,Bravi Stefano1,Pepe Pasquale1,Biffino Marco2,Buscema Paolo Massimo34,Maurelli Guido4,Massini Giulia4,Einstein S5,Manthey Jakob678,Rehm Jürgen9101112ORCID

Affiliation:

1. Agenzia Regionale di Sanita’ Toscana, Firenze 50141, Italy

2. Epidemiologia, ASL Toscana Centro, Firenze 50135, Italy

3. Department of Mathematical and Statistical Sciences, University of Colorado, Denver, CO 80204, USA

4. Semeion Research Centre of Sciences of Communication, Rome 00128, Italy

5. Institute for the Study of Substance Use and Misuse; Middle Eastern Summer Institute on Drug Use; Founding Editor, Substance Use & Misuse, 9380140, Israel

6. Institute of Clinical Psychology and Psychotherapy and Center of Clinical Epidemiology and Longitudinal Studies (CELOS), Technische Universität Dresden, Dresden 01187, Germany

7. Centre for Interdisciplinary Addiction Research, UKE Hamburg-Eppendorf, Hamburg 20246, Germany

8. Department of Psychiatry, Medical Faculty, University of Leipzig, Leipzig 04103, Germany

9. Centre for Addiction and Mental Health, Toronto, ON M5S 2S1, Canada

10. Dalla Lana School of Public Health, University of Toronto, Toronto, ON M5T 3M7, Canada

11. Institute of Medical Science, Faculty of Medicine, University of Toronto, Toronto, ON M5S 1A8, Canada

12. Department of Psychiatry, University of Toronto, Toronto, ON M5T 1R8, Canada

Abstract

Abstract Aim To examine whether in Europe perceptions of ‘alcoholism’ differ in a discrete manner according to geographical area. Method Secondary analysis of a data set from a European project carried out in 2013–2014 among 1767 patients treated in alcohol addiction units of nine countries/regions across Europe. The experience of all 11 DSM-4 criteria used for diagnosing ‘alcohol dependence’ and ‘alcohol abuse’ were assessed in patient interviews. The analysis was performed through Multiple Correspondence Analysis. Results The symptoms of ‘alcohol dependence’ and ‘alcohol abuse’, posited by DSM-IV, were distributed according to three discrete geographical patterns: a macro-area mainly centered on drinking beer and spirit, a culture traditionally oriented toward wine and a mixed intermediate alcoholic beverage situation. Conclusion These patterns of perception seem to parallel the diverse drinking cultures of Europe.

Publisher

Oxford University Press (OUP)

Subject

General Medicine

Reference62 articles.

1. Spirituality, religion, substance abuse, and interventions;Allamani;Subst Use Misuse,2013

2. Drinking patterns in 12 European countries: unplanned contextual factors and planned alcohol control policy measures;Allamani;Subst Use Misuse,2014

3. Italy between drinking culture and control policies for alcoholic beverages;Allamani;Subst Use Misuse,2014

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