Alcohol pp 11-22 | Cite as

Prevalence and Pattern of Use

  • Norman S. Miller
  • Mark S. Gold
Part of the Drugs of Abuse a Comprehensive Series for Clinicians book series (DOAC, volume 2)


Alcoholism is much more common than most people, including physicians, think. Most people are reluctant to consider that alcoholism is a common disorder because of the peculiar stigma that is attached to it and the tenacious denial attendant to those who have alcoholism and those who do not. Also, the tendency to assign alcoholism to another disorder makes the alcoholism disappear in definitions only to reappear in an atypical or perplexing diagnosis. The medical profession and the public are reluctant to accept that drinking alcohol carries with it significant risk to develop a degree of loss of control over its use. Loss of control leads to myriad adverse consequences that are stereotypical and predictable for alcoholism which make it possible for alcoholism to be diagnosed.


Capita Consumption Lifetime Prevalence Epidemiologic Catchment Area General Medical Practice Downward Drift 
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  1. 1.
    Robins LN, Heizer JE, Croughan J, Ratcliffe KS: The NIMH Diagnostic Interview Schedule: Its history, characteristics, and validity. Arch. Gen. Psychiatry 1981; 38:381–389.PubMedCrossRefGoogle Scholar
  2. 2.
    Robins LN, Heizer JE, Weissman M, Ovaschel H, Gruenberg E, Burke J, Regier DA: Lifetime prevalence of specific psychiatric disorders in three sites. Arch. Gen. Psychiatry 1984; 41:949–958.PubMedCrossRefGoogle Scholar
  3. 3.
    Johnston ID, O’Malley DM, Bachman JA: Use of Illicit Drugs by America’s High School Students: National Trends 1975-1984. DHHS Pub. No. (ADM) 85, 1394, Washington, DC, U.S. Government Printing Office, 1985.Google Scholar
  4. 4.
    Miller JD, et al.: National Survey on Drug Abuse: Main Findings. Rockville, MD, NIDA. 1985.Google Scholar
  5. 5.
    Robins LN, Heizer JE, Przybeck TR, Regiev DA: Alcoholism in the Community: A Report from the Epidemiologic Catchment Area. Alcoholism: Origins and Outcomes. Rose R, and Barrett J, eds. N.Y., Raven Press, 1988.Google Scholar
  6. 6.
    Bell RA, Schwab JJ, Lehman RL, Traven ND, Warheit GJ: An analysis of drinking patterns, social class and racial differences in depressive symptomatology. In Seixas, FA, ed.: Currents in Alcoholism. New York, Grune & Stratton, 1978.Google Scholar
  7. 7.
    Robins, LN: Alcohol abuse in Blacks and Whites as Indicated in the Epidemiological Catchment Area Program, pp. 63-75, in Danielle Spiegier, ed., Alcohol Use Among US. Ethnic Minorities. Proceedings of a Conference on the Epidemiology of Alcohol Use and Abuse Among Ethnic Minority Groups, September 1985. DHHS Publication No. (ADM) 89-1435. Printed 1989.Google Scholar
  8. 8.
    Polich JM, Armor DS, Braiker HB: The Course of Alcoholism. Santa Monica, CA. Rand.Google Scholar
  9. 9.
    Regier DA, Myers JK, Kramer M, Robins LN, Blazer DG, Hough RL, Eaton WW, Locke BZ: The NIMH Epidemiologic Catchment Area (ECA) Program: Historical context, major objectives and study population characteristics. Arch. Gen. Psychiatry 1984; 41:931–941.CrossRefGoogle Scholar
  10. 10.
    Myers JK, Weissman MM, Tischler GL, Holzer CE, Leaf PJ, Orvaschel H, Anthony JC, Boyd HJ, Burke JD, Kramer M, Stoltzman, R: Six-month prevalence of psychiatric disorders in three communities. Arch. Gen. Psychiatry, 1984; 41:959–967.PubMedCrossRefGoogle Scholar
  11. 11.
    Miller NS, Mirin SM: Multiple drug use in alcoholics: Practical and theoretical implications. Psychiatric Annals 19: 5 May, 1989.Google Scholar
  12. 12.
    Greenblatt M, Schuckit MA: Alcoholism Problems in Women and Children. New York, Grune & Stratton.Google Scholar
  13. 13.
    Winokur G, Clayton PJ: Family history studies, IV. Comparison of male and female alcoholics. Q J Stud. Alcohol 1968; 29:885–891.PubMedGoogle Scholar
  14. 14.
    Shapiro S, Skinner EA, Kessler LG, Van Korff M, German PS, Tischler GL, Leaf PJ, Benham L, Cottier L, Regier DA: Utilization of health and mental health services: Three epidemiologic catchment area sites. Arch. Gen. Psychiatry 1984; 41:971–989.PubMedCrossRefGoogle Scholar
  15. 15.
    Miller NS, Gold MS: Suggestions for changes in DSM-IIIR Criteria for substance use disorders. American Journal of Drug and Alcohol Abuse 1989; 15(2):223–230.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1991

Authors and Affiliations

  • Norman S. Miller
    • 1
  • Mark S. Gold
    • 2
    • 3
  1. 1.Cornell University Medical CollegeWhite PlainsUSA
  2. 2.Fair Oaks HospitalSummitUSA
  3. 3.Delray BeachUSA

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