Abstract
Although interest in substance abuse in psychiatric patients has received increasing attention, there is scant study of hazardous and harmful drinking patterns in Arab/Islamic societies where socio-cultural patterning imposes total abstinence on drinking. However recent globalization has eroded such prescription. An aim of this study is to examine the severity of harmful and hazardous drinking in Oman. From Omani nationals seeking psychiatric consultation, an assessment of alcohol dependence or hazardous or harmful drinking was elicited using the World Health Organization’s assessment measure, the Alcohol Use Disorders Identification Test (AUDIT). Clinical interviews were also conducted to ascertain the severity of alcohol dependence. The results from this convenience sample of patients suggest the presence of hazardous and harmful alcohol consumption among non-psychotic attendees seeking psychiatric consultation. The clinical interview revealed that 49 patients of the consenting patients (n = 56) have persistent and clinically significant alcohol intoxication. Fifty patients scored in the pathological range of indices of harmful and hazardous alcohol consumption. There was no relationship between the socio-demographic variables and indices of AUDIT. The result is discussed in terms of the speculated increase in harmful and hazardous drinking among Omanis and the inherent limitation of undertaking a study where the topic of interest is socio-culturally abhorred.
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Adewuya, A. O. (2005). Validation of the Alcohol Use Disorders Identification Test (AUDIT) as a screening tool for alcohol-related problems among Nigerian university students. Alcohol and Alcoholism, 40, 575–577.
Al-Adawi, S., Dorvlo, A. S., Burke, D. T., Moosa, S., & Al-Bahlani, S. (2002). A survey of anorexia nervosa using the Arabic version of the EAT-26 and “gold standard” interviews among Omani adolescents. Eating and Weight Disorders, 7, 304–311.
Al-Ansari, E. A., & Negrete, J. C. (1990). Screening for alcoholism among alcohol users in a traditional Arab Muslim society. Acta Psychiatrica Scandinavica, 81, 284–288.
AlBar, M. A. (1997). The problem of alcohol and its solution in Islam. Jeddah: Saudi Publishing & Distributing House.
Alford, D. (2004). Alcohol, drug dependence late in life. Age-associated changes can mask the problem, but the odds of recovery are good. Health News, 10, 6–7.
Al-Sinawi, H., & Al-Adawi, S. (2006). Psychiatry in the Sultanate of Oman. International Psychiatry, 3, 14–16.
American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (4th edn.). American Psychiatric Association, Washington DC.
Amir, T. (1994). Personality study of alcohol, heroin, and polydrug abusers in an Arabian Gulf population. Psychological Report, 74, 515–520.
Assanangkornchai, S., Pinkaew, P., & Apakupakul, N. (2003). Prevalence of hazardous-harmful drinking in a southern Thai community. Drug and Alcohol Review, 22, 287–293.
Babor, T. F., & Grant, M. (1989). From clinical research to secondary prevention: International collaboration in the development of the Alcohol Use Disorders Identification Test (AUDIT). Alcohol Health and Research World, 13, 371–374.
Bilal, A. M., Kristof, J., Shaltout, A., & El-Islam, M. F. (1987). Treatment of alcoholism in Kuwait: A prospective follow-up study. Drug and Alcohol Dependence, 19, 131–144.
Brook, D. W., Brook, J. S., Zhang, C., Cohen, P., & Whiteman, M. (2002). Drug use and the risk of major depressive disorder, alcohol dependence, and substance use disorders. Archives of General Psychiatry, 59, 1039–1044.
Cantor-Graae, E., Nordstrom, L. G., & McNeil, T. F. (2001). Substance abuse in schizophrenia: A review of the literature and a study of correlates in Sweden. Schizophrenia Research, 48, 69–82.
Carey, K. B., Carey, M. P., & Chandra, P. S. (2003). Psychometric evaluation of the alcohol use disorders identification test and short drug abuse screening test with psychiatric patients in India. Journal of Clinical Psychiatry, 64, 767–774.
Colville, J. (2004). Poems of wine and revelry: The Khamriyyat of Abu Nuwas. New York: Kegan Paul.
Conigrave, K. M., Saunders, J. B., & Reznik, R. B. (1995). Predictive capacity of the AUDIT questionnaire for alcohol-related harm. Addiction, 90, 1479–1485.
Dawson, D. A., Grant, B. F., Stinson, F. S., & Chou, P. S. (2005). Psychopathology associated with drinking and alcohol use disorders in the college and general adult populations. Drug and Alcohol Dependence, 14(77), 139–150.
Dotinga, A., van den Eijnden, R. J., Bosveld, W., & Garretsen, H. F. (2004). Methodological problems related to alcohol research among Turks and Moroccans living in the Netherlands: findings from semi-structured interviews. Ethnicity & Health, 9, 139–151.
Dwairy, M. (1997). Addressing the repressed needs of the Arabic client. Cultural Diversity and Mental Health, 3, 1–12.
Eapen, V., Jakka, M. E., & Abou-Saleh, M. T. (2003). Children with psychiatric disorders: The A1 Ain Community Psychiatric Survey. Canadian Journal of Psychiatry, 48, 402–407.
Edwards, G. (2003). Alcohol: The World’s Favorite Drug. St. Martin’s Griffin, St. Martin Edition.
Farrell, S., Manning, W. G., & Finch, M. D. (2003). Alcohol dependence and the price of alcoholic beverages. Journal of Health Economics, 22, 117–147.
Gache, P., Michaud, P., Landry, U., Accietto, C., Arfaoui, S., Wenger, O., et al. (2005). The Alcohol Use Disorders Identification Test (AUDIT) as a screening tool for excessive drinking in primary care: reliability and validity of a French version. Alcoholism, Clinical and Experimental Research, 29, 2001–2007.
Hafeiz, H. B. (1995). Socio-demographic correlates and pattern of drug abuse in Eastern Saudi Arabia. Drug and Alcohol Dependence, 38, 255–259.
Hasin, D. S., Goodwin, R. D., Stinson, F. S., & Grant, B. F. (2005). Epidemiology of major depressive disorder: Results from the National Epidemiologic Survey on Alcoholism and Related Conditions. Archives of General Psychiatry, 62, 1097–1106.
Hiro, H., & Shima, S. (1996). Availability of the Alcohol Use Disorders Identification Test (AUDIT) for a complete health examination in Japan. Nihon Arukoru Yakubutsu Igakkai Zasshi, 31, 437–450.
Hollander, E., Buchalter, A. J., & DeCaria, C. M. (2000). Pathological gambling. Psychiatric Clinics of North America, 23, 629–642.
Karam, E. G., Maalouf, W. E., & Ghandour, L. A. (2004). Alcohol use among university students in Lebanon: prevalence, trends and covariates. The IDRAC University Substance Use Monitoring Study (1991 and 1999). Drug and Alcohol Dependence, 76, 273–286.
Kelly, T. M., Donovan, J. E., Chung, T., Cook, R. L., & Delbridge, T. R. (2004). Alcohol use disorders among emergency department-treated older adolescents: A new brief screen (RUFT-Cut) using the AUDIT, CAGE, CRAFFT, and RAPS-QF. Alcoholism: Clinical and Experimental Research, 28, 746–753.
Koronfel, A. A. (2002). Suicide in Dubai, United Arab Emirates. Journal of Clinical Forensic Medicine, 9, 5–11.
Landheim, A. S., Bakken, K., & Vaglum, P. (2006). What characterizes substance abusers who commit suicide attempts? Factors related to Axis I disorders and patterns of substance use disorders. A study of treatment-seeking substance abusers in Norway. European Addiction Research, 12, 102–108.
Leonardson, G. R., Kemper, E., Ness, F. K., Koplin, B. A., Daniels, M. C., & Leonardson, G. A. (2005). Validity and reliability of the audit and CAGE-AID in Northern Plains American Indians. Psychological Report, 97, 161–166.
Lima, C. T., Freire, A. C., Silva, A. P., Teixeira, R. M., Farrell, M., & Prince, M. (2005). Concurrent and construct validity of the audit in an urban Brazilian sample. Alcohol and Alcoholism, 40, 584–589.
Looney, R. E. (1990). Reducing dependence through investment in human capital: An assessment of Oman’s development strategy. Socio-Economic Planning Sciences, 24, 65–75.
Maghazaji, H. I., & Zaidan, Z. A. (1982). Alcoholism in Iraq. British Journal of Psychiatry, 140, 325–326.
Mandelbaum, D. G. (1965). Alcohol and culture. Current Anthropology, 6, 281–288.
Marsiglia, F. F., Kulis, S., Hecht, M. L., & Sills, S. (2004). Ethnicity and ethnic identity as predictors of drug norms and drug use among preadolescents in the US Southwest. Substance Use & Misuse, 39, 1061–1094.
Mendoza-Sassi, R. A., & Beria, J. U. (2003). Prevalence of alcohol use disorders and associated factors: A population-based study using AUDIT in southern Brazil. Addiction, 98, 799–804.
Nicolini, B., & Watson, P. J. (2004). Makran, Oman, and Zanzibar: Three-terminal cultural corridor in the Western Indian Ocean, 1799–1856 (Islam in Africa, V. 3). London, UK: Brill.
Ochs, P. J., & Ochs, P. (1999). Maverick guide to Oman (2nd ed). London, UK: Pelican.
O’Hare, T., Sherrer, M. V., LaButti, A., & Emrick, K. (2004). Validating the alcohol use disorders identification test with persons who have a serious mental illness. Research on Social Work Practice, 14, 36–42.
Oman: Economy (2001). Politics and government. Business Intelligence Report: Oman, 1, 1–38.
Pal, H. R., Jena, R., & Yadav, D. (2004). Validation of the Alcohol Use Disorders Identification Test (AUDIT) in urban community outreach and de-addiction center samples in north India. Journal of Studies on Alcohol, 65, 794–800.
Palgrave, W. G. (1864). Observations made in Central, Eastern, and Southern Arabia during a journey through that Country in 1862 and 1863. Journal of the Royal Geographical Society of London, 34, 111–154.
Peterson, J. E. (2004). Oman: Three and a half decades of change and development. Middle East Policy, 11, 125–137.
Petry, N. M. (2006). Should the scope of addictive behaviors be broadened to include pathological gambling? Addiction, 101(Suppl 1), 152–160.
Philpot, M., Pearson, N., Petratou, V., Dayanandan, R., Silverman, M., & Marshall, J. (2003). Screening for problem drinking in older people referred to a mental health service: A comparison of CAGE and AUDIT. Aging & Mental Health, 7, 171–175.
Reid, M. C., Tinetti, M. E., O’Connor, P. G., Kosten, T. R., & Concato, J. (2003). Measuring alcohol consumption among older adults: A comparison of available methods. American Journal on Addictions, 12, 211–219.
Rissel, C., McLellan, L., & Bauman, A. (2000). Social factors associated with ethnic differences in alcohol and marijuana use by Vietnamese-, Arabic- and English-speaking youths in Sydney, Australia. Journal of Paediatrics and Child Health, 36, 145–152.
Room, R., Babor, T., & Rehm, J. (2005). Alcohol and public health. Lancet, 365, 519–530.
Selin, K. H. (2003). Test–retest reliability of the Alcohol Use Disorder Identification Test in a general population sample. Alcoholism: Clinical and Experimental Research, 27, 1428–1435.
Shields, A. L., Guttmannova, K., & Caruso, J. C. (2004). An examination of the factor structure of the Alcohol Use Disorders Identification Test in two high-risk samples. Substance Use & Misuse, 39, 1161–1182.
Sloan, F. A., Reilly, B. A., & Schenzler, C. (1994). Effects of prices, civil and criminal sanctions, and law enforcement on alcohol-related mortality. Journal of Studies on Alcohol, 55, 454–465.
Svikis, D. S., & Reid-Quinones, K. (2003). Screening and prevention of alcohol and drug use disorders in women. Obstetrics and Gynecology Clinics of North America, 30, 447–468.
Thomas, S. E., Randall, C. L., & Carrigan, M. H. (2003). Drinking to cope in socially anxious individuals: A controlled study. Alcoholism, Clinical and Experimental Research, 27, 1937–1943.
Volk, R. J., Steinbauer, J. R., Cantor, S. B., & Holzer, C. E. 3rd. (1997). The Alcohol Use Disorders Identification Test (AUDIT) as a screen for at-risk drinking in primary care patients of different racial/ethnic backgrounds. Addiction, 92, 197–206.
Wallace, J. M. Jr, Bachman, J. G., O’Malley, P. M., Johnston, L. D., Schulenberg, J. E., & Cooper, S. M. (2002). Tobacco, alcohol, and illicit drug use: racial and ethnic differences among U.S. high school seniors, 1976–2000. Public Health Report, 117(Suppl 1), S67–S75.
Walter, H., Dvorak, A., Gutierrez, K., Zitterl, W., & Lesch, O. M. (2005). Gender differences: Does alcohol affect females more than males? Neuropsychopharmacology, 7, 78–82.
Weiss, S., Sawa, G. H., Abdeen, Z., & Yanai, J. (1999). Substance abuse studies and prevention efforts among Arabs in the 1990s in Israel, Jordan and the Palestinian authority—A literature review. Addiction, 94, 177–198.
Wellsted, J. R. (1838). Travels in Arabia. London, UK: J. Murray.
Younis, Y. O., & Saad, A. G. (1995). A profile of alcohol and drug misusers in an Arab community. Addiction, 90, 1683–1684.
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Zaidan, Z.A.J., Dorvlo, A.S.S., Viernes, N. et al. Hazardous and Harmful Alcohol Consumption Among Non-Psychotic Psychiatric Clinic Attendees in Oman. Int J Ment Health Addiction 5, 3–15 (2007). https://doi.org/10.1007/s11469-006-9046-4
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DOI: https://doi.org/10.1007/s11469-006-9046-4