A narrative review on alcohol use in women: insight into the telescoping hypothesis from a biopsychosocial perspective
The American Journal of Drug and Alcohol Abuse,
Год журнала:
2025,
Номер
unknown, С. 1 - 17
Опубликована: Янв. 27, 2025
Background:
There
has
been
a
dramatic
rise
in
alcohol
consumption
and
use
disorder
(AUD)
among
women.
Recently,
the
field
made
substantial
progress
toward
better
understanding
sex
gender
differences
AUD.
This
research
suggested
accelerated
progression
to
AUD
associated
health
consequences
women,
phenomenon
referred
as
"telescoping."Objective:
To
examine
evidence
for
telescoping
hypothesis
from
biopsychosocial
perspective.Methods:
narrative
review
examined
integrated
on
biological,
psychological,
socio-environmental
factors
that
may
contribute
development
of
women.Results:
Biopsychosocial
revealed
sex-
gender-specific
risk
pathways
onset
progression.
Biological
render
females
more
vulnerable
alcohol-related
toxicity
across
various
biological
systems,
including
brain.
Notably,
are
consistently
observed
neural
circuitry
underlying
emotional
stress
regulation,
hypothesized
increase
an
internalizing
pathway
Psychological
indicates
women
experience
greater
negative
emotionality
likely
means
alleviate
emotions
compared
with
men.
Socio-environmental
factors,
such
familial
peer
isolation,
appear
interact
psychological
processes
way
increases
women.Conclusion:
appears
be
complex
interplay
through
pathway.
Developing
targeted
interventions
specifically
target
is
critical.
Язык: Английский
Sex Differences in Alcohol Use: Is It All About Hormones?
Endocrinology,
Год журнала:
2024,
Номер
165(9)
Опубликована: Июль 17, 2024
Risky
alcohol
use
and
disorders
(AUD)
are
a
rising
problem
in
women,
yet
major
disparity
our
understanding
of
what
drives
consumption
women
remains.
Historically
biomedical
research
has
focused
on
male
subjects;
however,
recent
increases
reporting
females,
have
highlighted
differences
between
the
sexes.
Here
we
review
current
literature
effect
gonadal
steroid
hormones
(estrogens,
androgens,
progestins),
neurosteriods,
neurobiological
factors
clinical
preclinical
studies
both
Further,
briefly
discuss
how
fundamental
sex
genetics,
metabolism,
neuroimmune,
stress
responses
may
influence
intake.
Comparing
sexes
could
aid
discovery
novel
therapeutics
to
treat
AUD,
implementation
treatment
options
women.
Язык: Английский
Naltrexone for Alcohol Use Disorder in Cirrhosis: Bridging the Gap in an Understudied Population
Journal of Clinical and Experimental Hepatology,
Год журнала:
2025,
Номер
15(2), С. 102509 - 102509
Опубликована: Янв. 24, 2025
Язык: Английский
EFFICACY OF MEDICATIONS FOR THE TREATMENT OF ALCOHOL USE DISORDER (AUD): A SYSTEMATIC REVIEW AND META-ANALYSIS CONSIDERING BASELINE AUD SEVERITY
Pharmacological Research,
Год журнала:
2024,
Номер
209, С. 107454 - 107454
Опубликована: Окт. 11, 2024
Baseline
severity
of
alcohol
use
disorder
(AUD)
is
an
influencing
factor
in
the
response
to
medications
recommended
for
treatment
AUD.
The
scarce
efficacy
AUD
partly
justifies
their
limited
uses.
We
were
interested
evaluating
approved
and
using
generic
inverse-variance,
analysis
facilitating
comparison
between
placebo
both
at
end
study
and,
concomitantly,
baseline
values
same
participants.
conducted
a
systematic
review
include
randomized
controlled
trials
(RCTs)
comparing
any
medication
providing,
treatment,
percent
heavy
drinking
days
(%HDD),
(%DD),
and/or
drinks
per
day
(DDD).
searched
PubMed,
Embase,
PMC,
three
CT
registers
from
inception
April
2023.
A
total
79
RCTs
(11,737
participants;
30
different
medications)
included:
47
(8465
participants)
used
medications,
32
(3272
other
medications.
At
baseline,
participants
consumed
on
average
approximately
12
DDD,
experienced
70
%
DD,
61
HDD.
Placebo
halved
or
reduced
these
third.
Compared
placebo,
further
outcomes
(moderate
high
certainty
evidence).
Other
DDD
without
modifying
outcomes.
increased
risk
developing
adverse
events
(high-certainty
Despite
large
effects,
our
results
support
benefits
providing
people
with
AUD,
helping
them
reduce
consumption.
Язык: Английский
Alcohol Withdrawal Alters the Inhibitory Landscape of the Prelimbic Cortex in an Interneuron- and Sex-specific Manner
bioRxiv (Cold Spring Harbor Laboratory),
Год журнала:
2024,
Номер
unknown
Опубликована: Ноя. 21, 2024
ABSTRACT
Alcohol
use
disorder
(AUD)
is
highly
prevalent
and
associated
with
substantial
morbidity
high
mortality
among
substance
disorders.
While
there
are
currently
three
FDA-approved
medications
for
treating
AUDs,
none
specifically
target
the
withdrawal/negative
affect
stage
of
AUD,
underscoring
need
to
understand
underlying
neurobiology
during
this
critical
addiction
cycle.
One
key
region
involved
in
alcohol
withdrawal
negative
prelimbic
cortex,
a
subregion
medial
prefrontal
cortex.
previous
studies
have
examined
alcohol-related
adaptations
cortical
principal
glutamatergic
neurons,
here
we
used
male
female
PV:Ai14,
SOM:Ai14
VIP:Ai14
mice
examine
synaptic
all
major
classes
cortex
interneurons
following
72
hour
from
continuous
access
two
bottle
choice
model
EtOH
drinking
mice.
We
found
that
increased
excitability
PV
males,
but
decreased
VIP
females.
Additionally,
reduced
GABA
release
onto
males
while
increasing
glutamate
In
SOM
interneurons,
had
no
effect
on
excitability,
males.
Together,
our
identified
sex-specific
withdrawal-induced
plasticity
different
types
could
provide
insight
into
cellular
substrates
affective
states
withdrawal.
Язык: Английский