PESQUISA DE ALCOOL NA FAMILIA

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  • 8/14/2019 PESQUISA DE ALCOOL NA FAMILIA

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    PESQUISA DE ALCOOL NA FAMILIA

    CELSO DE CASTRO

    Methods Mol Biol. 2003;233:555-70. Related Articles,

    Alcohol addiction.

    Olive MF, Ron D.

    There is increasing evidence for a role of individual protein kinase C (PKC) isozymes in the pathology of

    various diseases of the brain (1). For example, it was recently demonstrated that a mutation in PKCgamma

    results in Parkinson's disease-like symptoms in rats (2). There is also evidence that alterations in theexpression of PKC isoforms may influence alcohol consumption and the behavioral responses to alcohol

    and other drugs of abuse (3-7). However, the paucity of pharmacological ligands that selectively modulate

    the activity of individual PKC isozymes has compelled scientists to turn to genetic methods, such as viralgene delivery, antisense oligonucleotide, and targeted gene-deletion techniques to ascertain the function of

    individual PKC isoforms in vivo. Alcohol (ethyl alcohol, or ethanol) has been shown to alter the function

    and activity of numerous types of voltage- and ligand-gated ion channels in the central nervous system.

    However, it is increasingly apparent that ethanol also affects multiple intracellular signaling pathways. Ofthese, signaling by the PKC family of enzymes has received considerable attention. In vitro studies have

    shown that acute alcohol exposure can directly inhibit or enhance PKC activity and alter the subcellular

    distribution of individual PKC isozymes, whereas chronic exposure to ethanol generally leads to an up-regulation of PKC expression and/or function (8,9). In this chapter, we discuss several methodologies for

    determining ethanol consumption patterns and the behavioral effects of ethanol that are suitable for use in

    PKC isoform "knockout" mice. First, we discuss two separate methods of determining voluntary ethanol

    intake. We then discuss several behavioral assays for the determination of the acute effects of ethanol onmotor behavior.

    PMID: 12840534 [PubMed - in process]

    Related Articles, Links

    Sources of distress among women in treatment with their alcoholic

    partners.

    Kahler CW, McCrady BS, Epstein EE.

    Center for Alcohol and Addiction Studies, Brown University, Box G-BH, 02912,

    Providence, RI, USA

    We examined sources of psychological and relationship distress among 90

    nonalcoholic women with alcoholic male partners seeking outpatient, conjoint

    alcohol treatment. Results indicated that greater psychological distress among thesewomen was most strongly associated with lower satisfaction with the marital

    http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=12840534http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=12840534http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=12810147http://www.ncbi.nlm.nih.gov/entrez/utils/fref.fcgi?http://linkinghub.elsevier.com/retrieve/pii/S0740547203000333http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=12840534http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=12810147
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    relationship, presence of domestic violence, lower frequency of male partner's

    drinking, lower perceived social support from family, and more frequent attempts to

    cope with the partner's drinking. Controlling for psychological distress, greatermarital satisfaction was associated most strongly with greater attempts to reinforce

    positively the partner's abstinence and with less effort to detach from the partner's

    drinking. Severity of partner's alcohol problems was unexpectedly associated withgreater marital satisfaction in multiple regression analyses, though not in bivariate

    analyses. Results highlight the close connection between psychological and

    relationship distress and potential relations between alcohol-related copingbehaviors and both psychological and relationship distress.

    PMID: 12810147 [PubMed - in process]Marital Fam Ther. 2003 Jan;29(1):121-46. Related Articles, Links

    Alcohol abuse.

    O'Farrell TJ, Fals-Stewart W.

    Harvard Families and Addiction Program, Harvard Medical School Department of

    Psychiatry at the VA Boston Healthcare System, VAMC-116B1, 940 Belmont St.,

    Brockton, Massachusetts 02301, USA. [email protected]

    We reviewed 38 controlled studies of marital and family therapy (MFT) in

    alcoholism treatment. We conclude that, when the alcoholic is unwilling to seekhelp, MFT is effective in helping the family cope better and motivating alcoholics to

    enter treatment. Specifically, (a) Al-Anon facilitation and referral help family

    members cope better; (b) Community Reinforcement and Family Training promotes

    treatment entry; and (c) the popular Johnson intervention apparently does noteffectively promote treatment entry. Once the alcoholic enters treatment. MFT,

    particularly behavioral couples therapy (BCT), is clearly more effective than

    individual treatment at increasing abstinence and improving relationshipfunctioning. BCT also reduces social costs, domestic violence, and emotional

    problems of the couple's children. Future studies need to specifically evaluate: MFT

    with women and with minority patients, mechanisms and processes of change, andtransportability of evidence-based MFT approaches to clinical practice settings.

    Publication Types:

    Review

    Review, Academic

    PMID: 12616803 [PubMed - indexed for MEDLINE]

    http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=12616803http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=12616803