Comprehensive assessment of alcohol-related brain damage (ARBD): gap or chasm in the evidence?: Comprehensive assessment of ARBD

Horton, L.; Duffy, T.; Hollins Martin, C.; Martin, C. R.

Abstract

Alcohol-related brain damage (ARBD) is primarily caused by chronic alcohol misuse and thiamine deficiency, and results in a broad range of impairments. Despite the increasing incidence of ARBD in the UK in recent decades, it is currently underdiagnosed, managed inappropriately and treated inadequately. Moreover, information about assessments for individuals with ARBD is currently absent from clinical guidelines and policy documents. The aim of this paper was to review the evidence relating to the neurological, neuropsychological, psychosocial, physical and nutritional assessment of individuals with ARBD to identify appropriate assessment tools that could be used to measure and monitor the impact of ARBD over time. A systematic online database search revealed a total of 160 separate references, 133 of which were rejected and two of which could not be accessed. Twenty-five papers were included in the review, including six neuroimaging studies, 17 neuropsychological studies and two studies using psychosocial methods of assessment. A lack of evidence for nutritional and physical assessment of individuals with ARBD was found. The review findings are inconclusive; most instruments currently used in ARBD research have not specifically been validated for use within an ARBD context. Further research is required to identify comprehensive methods of ARBD assessment.

Citation

Horton, L., Duffy, T., Hollins Martin, C., & Martin, C. R. (2015). Comprehensive assessment of alcohol-related brain damage (ARBD): gap or chasm in the evidence?: Comprehensive assessment of ARBD. Journal of Psychiatric and Mental Health Nursing, 22(1), 3-14. https://doi.org/10.1111/jpm.12156

• Journal Article Type: Article
• Acceptance Date: Mar 29, 2014
• Online Publication Date: May 21, 2014
• Publication Date: 2015-02
• Deposit Date: Mar 24, 2016
• Publicly Available Date: Mar 24, 2016
• Print ISSN: 1351-0126
• Electronic ISSN: 1365-2850
• Publisher: Wiley
• Peer Reviewed: Peer Reviewed
• Volume: 22
• Issue: 1
• Pages: 3-14
• DOI: https://doi.org/10.1111/jpm.12156
• Keywords: Phychiatric Mental Health
• Public URL: http://researchrepository.napier.ac.uk/id/eprint/9757
• Publisher URL: http://dx.doi.org/10.1111/jpm.12156
• Contract Date: Mar 24, 2016