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      Alcohol Hangover : Mechanisms and Mediators

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          Abstract

          Hangovers are a frequent, though unpleasant, experience among people who drink to intoxication. Despite the prevalence of hangovers, however, this condition is not well understood scientifically. Multiple possible contributors to the hangover state have been investigated, and researchers have produced evidence that alcohol can directly promote hangover symptoms through its effects on urine production, the gastrointestinal tract, blood sugar concentrations, sleep patterns, and biological rhythms. In addition, researchers postulate that effects related to alcohol’s absence after a drinking bout (i.e., withdrawal), alcohol metabolism, and other factors (e.g., biologically active, nonalcohol compounds in beverages; the use of other drugs; certain personality traits; and a family history of alcoholism) also may contribute to the hangover condition. Few of the treatments commonly described for hangover have undergone scientific evaluation.

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          Most cited references35

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          Assessment of alcohol withdrawal: the revised clinical institute withdrawal assessment for alcohol scale (CIWA-Ar).

          A shortened 10-item scale for clinical quantitation of the severity of the alcohol withdrawal syndrome has been developed. This scale offers an increase in efficiency while at the same time retaining clinical usefulness, validity and reliability. It can be incorporated into the usual clinical care of patients undergoing alcohol withdrawal and into clinical drug trials of alcohol withdrawal.
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            An 8-year follow-up of 450 sons of alcoholic and control subjects.

            Between 1978 and 1988, 453 sons (age range, 18-29 years) of alcoholic and control subject were evaluated for their level of reaction (LR) to alcohol. This article presents the results of the 8.2-year follow-up of 450 of these men. The three goals were (1) to attempt to replicate results of the follow-up of the first 223 subjects, (2) to evaluate the potential impact of the quantity and frequency of drinking at the time of the original study on the relationship between LR and alcoholic outcome (ALC), and, most importantly, (3) to test if the relationship between family history (FH) and ALC might be mediated by LR in a subset of the sample. Face-to-face structured follow-up interviews were carried out with the subjects and separately with an additional informant, and blood samples, as well as urine specimens, were obtained for determination of state markers of heavy drinking and drug toxicology screens. First, the rate of development of DSM-III-R abuse and dependence on alcohol was 14.1% and 28.6%, respectively, for family history positive (FHP) subjects, compared with 6.6% and 10.8%, respectively, for family history negative (FHN) men. Second, neither consideration of the quantity nor the frequency of drinking at the time of the original study, nor their combination, effectively diminished the relationships between LR and ALC. Third, among men who drank and demonstrated the 15% highest and lowest scores of LR at about the age of 20 years (ie, 30% of the relevant population), the correlation between FH and ALC was greatly reduced when LR was considered, but the correlation between LR and ALC was not greatly diminished when the impact of FH was evaluated. In this sample of moderately functional white men, the development of alcoholism occurred in relationship to an FH of alcoholism, but alcohol abuse or dependence was unrelated to prior psychiatric disorders. For this group, LR at the age of 20 years was associated with future alcoholism in a manner that was independent of the drinking practices at the time of the original study. At least among those men with clearly high and low LR scores, these data are consistent with the conclusion that LR might be a mediator of the alcoholism risk.
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              Medical disorders of alcoholism.

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                Author and article information

                Journal
                Alcohol Health Res World
                Alcohol Health Res World
                Alcohol Health and Research World
                National Institute on Alcohol Abuse and Alcoholism
                0090-838X
                1998
                : 22
                : 1
                : 54-60
                Affiliations
                Robert Swift, M.D., Ph.D., is associate professor in the Department of Psychiatry and Human Behavior at Brown University, Providence, Rhode Island, and associate chief of staff for research and education at Providence Veterans Affairs Medical Center. Dena Davidson, Ph.D., is assistant professor of psychiatry at Indiana University of Medicine, Indianapolis, Indiana
                Article
                arh-22-1-54
                6761819
                15706734
                6a7f84f8-4137-4079-add2-95c48f33474d
                Copyright @ 1998

                Unless otherwise noted in the text, all material appearing in this journal is in the public domain and may be reproduced without permission. Citation of the source is appreciated.

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                post aod intoxication state,symptom,urinalysis,gastrointestinal disorder,hypoglycemia,sleep disorder,circadian rhythm,ethanol metabolite,disorder of fluid or electrolyte or acid-base balance,nutrient intake,headache,vomiting,neurotransmitter receptors,congenors,multiple drug use,personality trait,family aodu (alcohol and other drug use) history,drug therapy,literature review

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