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(p. 381) Alcohol Use Disorder 

(p. 381) Alcohol Use Disorder
(p. 381) Alcohol Use Disorder

Angela M. Haeny

, Cassandra L. Boness

, Yoanna E. McDowell

, and Kenneth J. Sher

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date: 19 October 2020

Although extremely heterogeneous across individuals, the general course of alcohol use disorders begins with increasing alcohol involvement during adolescence, peak involvement during late adolescence and early adulthood, and a gradual decrease during adulthood. Four prototypical courses of alcohol involvement have been identified: a non-user/stable low-user course, a chronic or high-user course, a “developmentally limited” course that declines over the lifespan, and a later-onset course that gradually increases over the lifespan. This chapter focuses on the assessment of alcohol use disorders in adults. It begins with a review of the nature of the disorders, which is followed by a review of clinical assessment instruments designed for the assessment purposes of (a) diagnosis, (b) case conceptualization and treatment planning, and (c) treatment monitoring and evaluation. Recommendations are included for instruments with the greatest scientific support and for assessing alcohol use disorders in a clinically sensitive manner.

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