Hostname: page-component-586b7cd67f-g8jcs Total loading time: 0 Render date: 2024-11-28T13:00:32.431Z Has data issue: false hasContentIssue false

The prevalence of alcoholism in an Irish general hospital

Published online by Cambridge University Press:  13 June 2014

Ann Schofield*
Affiliation:
St. Stephen's Hospital, Sarsfieldscourt, Glanmire, Co. Cork., University College, Cork

Abstract

In an Irish general hospital 82 admissions were given the MAST questionnaire and 331 patients were given the CAGE questionnaire for alcoholism. Of those who were given the CAGE 67 scored 1.0 or more, (maximum socre: 4.0), and 36 scored 2.0 or more, denoting a prevalence of probable alcoholism in this population of 11%.

Of those scoring 3.0 or 4.0 on the CAGE, 38% of males and 100% of females claimed to have abstained from alcohol for at least one year and 54% and 100% respectively had a heavily drinking relative.

Twenty-three per cent of patients tested with the CAGE and MAST questionnaires claimed never to have drunk alcohol.

The number of patients diagnosed in the medical charts as having an alcohol problem was fewer than those detected by the CAGE questionnaire. It is suggested that the CAGE questionnaire may be a simple and efficient way of detecting excess alcohol consumption in a general hospital population.

Type
Original Papers
Copyright
Copyright © Cambridge University Press 19x91

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Murphy, HB. Alcoholism and schizophrenia in the Irish: a review. Transcultural Psychiatr Res 1975; 12: 116139.CrossRefGoogle Scholar
2.Clare, AW. Alcoholism and schizophrenia in Irishmen in London – a reassessment. Br J Addict 1974; 69: 207212.Google Scholar
3.O'Hare, A, Walsh, D. Activities of Irish psychiatric hospitals and units, 1983. Dublin: Medico-Social Research Board, 1986.Google Scholar
4.Walsh, D. Alcoholism in the Republic of Ireland. Br J Psychiatry 1969; 115: 1021–5.CrossRefGoogle ScholarPubMed
5.Kelleher, MJ. Reasons for the increase in Irish admission rates for alcoholic disorders. Br J Addict 1975; 70: 175178.Google ScholarPubMed
6.Owens, JM, Quinn, JT, Graham, J, Rao, JM. Drinking patterns in an Irish county. J Ir Med Assoc 1976; 69: 134139.Google Scholar
7.Meehan, JP, Weir, DG, Ward, K, Webb, MG. Alcoholism in a gastreoenterology outpatient clinic. Ir Med J 1982; 75: 336–7.Google Scholar
8.Corrigan, GV, Webb, MGT, Unwin, AR. Alcohol dependence among general medical inpatients. Br J Addict 1986; 81: 237246.CrossRefGoogle ScholarPubMed
9.Jarman, CMB, Kellett, JM. Alcoholism in the general hospital. Br Med J 1979; 2: 469472.CrossRefGoogle ScholarPubMed
10.McIntosh, ID. Alcohol-related disabilities in general hospital patients: a critical assessment of the evidence. Int J Addict 1982; 17: 609–39.CrossRefGoogle ScholarPubMed
11.Selzer, ML. The Michigan alcoholism screening test: the quest for a new diagnostic instrument. Am J Psychiatry 1971; 127: 8994.CrossRefGoogle ScholarPubMed
12.Ewing, JA. Detecting alcoholism. The CAGE questionnaire. JAMA 1984; 252: 1905–7.CrossRefGoogle ScholarPubMed
13.Mayfield, D, McLeod, G, Hall, P. The CAGE questionnaire: validation of a new alcoholism screening instrument. Am J Psychiatry 1974; 131: 1121–3.CrossRefGoogle ScholarPubMed
14.Schofield, A. The CAGE questionnaire and psychological health. Br J Addict 1988; 83: 761764.CrossRefGoogle ScholarPubMed
15.Schofield, A. The contribution of problem drinking to the level of psychiatric morbidity in the general hospital. Br J Psychiatry 1989, 155: 229232.CrossRefGoogle Scholar
16.Taylor, CL, Kilbane, P, Passmore, N, Davies, R. Prospective study of alcohol related admissions in an inner-city hospital. Lancet 1986; 2: 265–8.CrossRefGoogle Scholar
17.Nolan, JP. Alcohol as a factor in the illness of university service patients. Am J Med Sci 1965; 249: 135142.CrossRefGoogle ScholarPubMed
18.Bernadt, MW, Mumford, J, Taylor, C, Smith, B, Murray, RM. Comparison of questionnaire and laboratory tests in the detection of excessive drinking and alcoholism. Lancet 1982; 1: 325328.CrossRefGoogle ScholarPubMed
19.Lloyd, G, Chick, J, Crombie, E. Screening for problem drinkers among medical inpatients. Drug and Alcohol Dependence 1982; 10: 355359.CrossRefGoogle ScholarPubMed
20.Lynn, R, Hampson, S. Alcoholism and alcohol consumption in Ireland. J Ir Med Assoc 1970; 63: 3942.Google ScholarPubMed
21.Medico-Social Research Board. Annual report, 1970. Dublin: Medico-Social Research Board, 1970.Google Scholar
22.Mayou, R, Hawton, K. Psychiatric disorder in the general hospital. Br J Psychiatry 1986; 149: 172190.CrossRefGoogle ScholarPubMed
23.Sherin, KM, Piotrowski, ZH, Panek, SM, Doot, MC. Screening for alcoholism in the community hospital. J Family Practice 1982; 15: 10911095.Google ScholarPubMed
24.Cotton, NS. The familial incidence of alcoholism. J Stud Alcohol 1979; 40: 89116.CrossRefGoogle ScholarPubMed