title: [Diagnosis of alcoholism in repeatedly intoxicated motorists. A study of 100 evaluations].
abstract: A total of 100 persons who had been repeatedly convicted of drunken driving were submitted to assessment by a medical expert. A series of uniform criteria were used to determine whether they suffered from alcoholism. The following methods of investigation were used: 1. a conversation relating to drinking habits, psychosocial background and sociological circumstances; 2. the MALT (Munich alcoholism test); 3. physical examination; 4. laboratory tests. Using these methods it was possible to distribute those examined into one of the following groups (according to WHO and Jellinek): non-alcoholics (10%), problem drinkers (49%) and addicted drinkers (41%). These three large groups presented a typical picture in respect of age, occupational group, blood alcohol concentration/journey, MALT index, pathological findings at physical examination and abnormally raised laboratory values. In particular, the triad of MCV, gamma-GT and macrocytosis played an important role in aiding the recognition of alcoholism or alcohol dependence. The additional presence of a raised value for SGPT further supported the diagnosis. In 37% of cases, regular alcoholic intake began during basic military service and in 28% at the place of work (mostly on building sites). In both of these groups it would appear important to institute appropriate preventive measures.
mesh_terms: D000435:Alcoholic Intoxication / Q000175:diagnosis*; D000437:Alcoholism / Q000097:blood / Q000175:diagnosis; D001334:Automobile Driving; D005104:Expert Testimony; D005260:Female; D005860:Germany, West; D006801:Humans; D008297:Male; D011581:Psychological Tests; D011795:Surveys and Questionnaires
vernacular_title: Die Diagnose des Alkoholismus bei mehrfach angetrunkenen Motorfahrzeuglenkern. Eine Untersuchung anhand von 100 Gutachten.