Stress, Hypothalamic-pituitary-adrenal (HPA) Dysfunction, and Relapse in Alcoholism
Alcohol DependenceThis proposal is part of the INIA Stress Consortium. This study will explore the contributions of lifetime trauma, recent stress, and alcohol use on stress-hormone axis disruption in treatment seeking, one-month abstinent, alcohol-dependent subjects assess the combined contributions of stress-hormone axis disruption and episodic stress on the risk of prospective drinking following treatment determine the role of neurosteroids in alcohol use.
Reliability and Validity of the MINI International Neuropsychiatric Interview for Children and Adolescents...
Major DepressionMania12 moreThe primary aims of this study are to assess: The inter-rater and test-retest reliability of the MINI-KID The validity of the standard MINI-KID interview in relation to the parent rated pencil/paper version (MINI-KID-P) and th longer clinician rated "Schedule for Affective Disorders and Schizophrenia for School Aged Children-Present and Lifetime Version (K-SADS-PL) and "expert opinion" (when available). Secondary aims will include evaluating the concordance between: The Children's Global Assessment Scale (a required part of the K-SADS) with the clinician-rated Sheehan Disability Scale (to be administered with the MINI-KID) as a measure of illness severity.
Study of the Links Between Suicidal Intentionality and Acute Alcoholism
SuicideAttemptedThere is a strong link between the alcohol consumption and the suicidal risk. Indeed there is an increase of the risk of suicide in case of chronic or acute alcohol consumption. However why the alcohol consumption increase the suicidal risk is unknown. The hypothesis of this study is that the alcohol consumption induced disinhibition and facilitates the suicide attempt without premeditation
Study of Structural Imaging
Chemically-Induced DisordersSubstance-Related Disorders3 moreBackground: The way alcohol affects brain structure has been widely studied. But the way it affects all parts of the brain is still unknown. Researchers want to use magnetic resonance imaging (MRI) scans to study brain structure and function. They hope this will help them better understand changes that happen in brain regions during treatment of alcohol use disorders. Objectives: To study changes in the brain by using MRI in people with and without alcohol use disorders. To study how brain changes affect gait, balance, cognitive ability, and behavior. To see how the brain recovers when alcohol use stops. Eligibility: People with alcohol dependence who are currently hospitalized in a particular unit at NIH. Healthy volunteers 30 60 years old without an alcohol use disorder. Design: Participants will be screened under a separate protocol. Participants will give a urine sample for a drug test and pregnancy test at each study visit. They will also have to pass a breath alcohol test. At the first visit, participants will have an MRI. The scanner is a metal cylinder in a strong magnetic field. Participants will lie on a table that slides in and out of the cylinder. They will do behavior and memory tasks outside the scanner. They will have gait and balance tested. They will have to stand on both legs, stand on just one leg, and walk in a straight line. They will perform each task with eyes open, then with eyes closed. They will have tests of memory, thinking, and problem solving. Some participants will have a second visit. They will have another MRI and repeat some of the behavior and memory tasks.
Emergency Department (ED) Triage of Alcohol Abuse
Alcoholic IntoxicationRetrospective study of adult patients (> 16 y) admitted to Geneva University Hospitals with alcohol abuse. Triage criteria will be reviewed. Patients characteristics and patient flow in the ED will be described.
Binge Drinking Among Youngs is a Risk Factor for Alcohol Use Disorders
Binge DrinkingThe purpose of this study was to assess drinking habits and patterns of alcohol consumption, smoking habits, use of illicit drugs and the prevalence of binge drinking and alcohol use disorders among Italian young students. Furthermore to investigate the correlation between binge drinking and alcohol use disorders.
Biomarkers for the Detection of Heavy Alcohol Use in Patients With and Without Liver Disease
Alcohol AbuseLiver DiseaseThe investigators will test the validity of biomarkers for the detection of heavy alcohol use in patients with and without liver disease.
Consequences of At-risk Alcohol Consumption in ICU Patients
Alcohol AbuseAlcoholismAt-risk drinking is known to cause a high incidence of alcohol withdrawal syndrome which has a high impact on morbidity and mortality.
Clinical-Genetic Variation in GABA/Alcohol Sensitivity
AlcoholismThe purpose of the study is to better understand how genetic factors influence individual sensitivity to alcohol.
Simultaneous Measurement of Electroencephalography (EEG) and Functional Magnetic Resonance Imaging...
AlcoholismInvestigation of inpatients with alcoholism after detoxification with simultaneous Electroencephalography (EEG) and functional Magnetic Resonance Imaging (fMRI).