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Does Reducing Drinking in Patients with Unhealthy Alcohol Use Improve Pain Interference, Use of Other Substances, and Psychiatric Symptoms?

Background We aimed to investigate the impact of reducing drinking in patients with unhealthy alcohol use on improvement of chronic pain interference, substance use, and psychiatric symptoms. Methods We analyzed longitudinal data from 2003 to 2015 in the Veterans Aging Cohort Study, a prospective, m...

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Published in:Alcoholism, clinical and experimental research clinical and experimental research, 2020-11, Vol.44 (11), p.2257-2265
Main Authors: Caniglia, Ellen C., Stevens, Elizabeth R., Khan, Maria, Young, Kailyn E., Ban, Kaoon, Marshall, Brandon D.L., Chichetto, Natalie E., Gaither, Julie R., Crystal, Stephen, Edelman, Eva Jennifer, Fiellin, David A., Gordon, Adam J., Bryant, Kendall J., Tate, Janet, Justice, Amy C., Braithwaite, Ronald Scott
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Language:English
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Summary:Background We aimed to investigate the impact of reducing drinking in patients with unhealthy alcohol use on improvement of chronic pain interference, substance use, and psychiatric symptoms. Methods We analyzed longitudinal data from 2003 to 2015 in the Veterans Aging Cohort Study, a prospective, multisite observational study of US veterans, by emulating a hypothetical randomized trial (a target trial). Alcohol use was assessed using the Alcohol Use Disorders Identification Test (AUDIT) questionnaire, and outcome conditions were assessed via validated survey items. Individuals were followed from the first time their AUDIT score was ≥ 8 (baseline), a threshold consistent with unhealthy alcohol use. We compared individuals who reduced drinking (AUDIT 
ISSN:0145-6008
1530-0277
DOI:10.1111/acer.14455