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

Horton, L.; Duffy, T.; Hollins Martin, C. and Martin, Colin R. (2014) Comprehensive assessment of alcohol-related brain damage (ARBD): gap or chasm in the evidence? Journal of Psychiatric and Mental Health Nursing, 22 (1). pp. 3-14. ISSN 1351-0126

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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 which 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 2 of which could not be accessed. 25 papers were included in the review, including 6 neuroimaging studies, 17 neuropsychological studies and 2 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.

Item Type: Article
Members: Bucks New University
Depositing User: ULCC Admin
Date Deposited: 18 Feb 2016 15:44
Last Modified: 27 Feb 2017 14:19
URI: http://collections.crest.ac.uk/id/eprint/9543

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