Alcohol – The Other Epidemic in a Pandemic

Presented by:
William Greene, MD
Associate Professor
UF Health/Florida Recovery Center
Department of Psychiatry

University of Florida

Faculty Disclosure:

Dr Greene has disclosed that he has no relevant financial relationship(s). No one else in a position to control content has any financial relationships to disclose.

Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/. All relevant financial relationships have been mitigated.

Release Date: April 25, 2022
Expiration Date:  April 24, 2025

Target Audience: All physicians

Learning Objectives:

As a result of participation in this activity, participants should be able to:

  1. Summarize the current epidemiologic trends associated with alcohol in the United States.
  2. Illustrate key concepts in the pathophysiology of alcohol use disorder.
  3. Differentiate the various medications used in the management of alcohol disorders.
  4. Review the latest recommendations on acute alcohol withdrawal management.

Requirements for successful completion: Certificates are awarded upon successful completion (80% proficiency) of the post-test.

Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Credit: The University of Florida College of Medicine designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Resource(s) for further study:

  1.  Americans are using alcohol to cope with pandemic stress: Nearly 1 in 5 report “heavy drinking.” USA Today. Grace Hauck. Published Sept. 22, 2021.
  2. Women Now Drink as Much as Men – and Are Prone to Sickness Sooner. Kaiser Health News. June 9, 2021.
  3. Rising alcohol use among older adults. Dawn Sugarman, PhD, and Shelly Greenfield, MD, MPH. September 24, 2021.
  4. Experts fear pandemic drinking habits could lead to a rise in fetal alcohol spectrum disorder. Global News. Su-Ling Goh. September 14, 2021.
  5. America Has a Drinking Problem. The Atlantic. Kate Julian. July/August 2021 Issue.
  6. https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/alcohol-facts-and-statistics
  7. Grant BF, Goldstein RB, Saha TD, et al. Epidemiology of DSM-5 Alcohol Use Disorder: Results From the National Epidemiologic Survey on Alcohol and Related Conditions III. JAMA Psychiatry. 2015;72(8):757-766. Doi:10.1001/jamapsychiatry.2015.0584
  8. White AM, Slater ME, Ng G, Hingson R, Breslow R. Trends in Alcohol-Related Emergency Department Visits in the United States: Results from the Nationwide Emergency Department Sample, 2006 to 2014. Alcohol Clin Exp Res. 2018;42(2):352-359. Doi: 10.1111/acer.13559
  9. SAMHSA in Brief. Substance Use and Suicide – A Nexus Requiring a Public Health Approach. 2016.
  10. Estimated U.S. alcoholic beverage consumption, 1790-1860. Journal of Studies on Alcohol (1976) Rorabaugh WJ.
  11. https://pubs.niaaa.nih.gov/publications/surveillance-covid-19/COVSALES.htm
  12. Using Death Certificates to Explore Changes in Alcohol-Related Mortality in the United States, 1999 to 2017. Alcohol Clin Exp, Jan 2020, White et al.
  13. Associations of Substance Use with Behavioral Adherence to Centers for Disease Control and Prevention Guidelines for COVID-19 Mitigation: A Survey Study. JMIR, April 2021, Monning et al.
  14. Alcohol Consumption in Response to the COVID-19 Pandemic in the United States. J Addict Med, 2021 Jul, Barbosa et al.
  15. Working at home and alcohol use. Addictive Behaviors Reports 14(2021). Nielsen, et al.
  16. Increased risk for COVID-19 breakthrough infection in fully vaccinated patients with substance use disorders in the United States between December 2020 and August 2021. World Psychiatry, 2021, Lindsey Wang, QuanQiu Wang, Pamela B. Davis, Nora D. Volkow, Rong Xu.
  17. Harel M., Perini I., Kampe R., Alyagon U., Shalev H., Besser I., Sommer W.H., Heilig M. & Zangen A., Repetitive transcranial magnetic stimulation in alcohol dependence: A randomized, double-blind, sham-controlled proof-of-concept trial targeting medical prefrontal and anterior cingulate cortex. Biological Psychiatry (2022), doi: https://doi.org/10.1016/j.biopsych.2021.11.020.
  18. The ASAM Clinical Practice Guideline on Alcohol Withdrawal Management 2020.
  19. The American Psychiatric Association Practice Guideline for the Pharmacological Treatment of Patients With Alcohol Use Disorder 2018.

If you have any questions please feel free to contact Nancy Boyd at (352) 594-4298 or at nancy.boyd@ufl.edu