title: Multidisciplinary View of Alcohol Use Disorder: From a Psychiatric Illness to a Major Liver Disease.
abstract: Alcohol use disorder is a significant health problem being a cause of increased morbidity and mortality worldwide. Alcohol-related illness has a relevant economic impact on the society and a negative influence on the life of patients and their family members. Psychosocial support might be useful in the management of people affected by alcohol use disorder since psychiatric and pharmaceutical approaches show some limits. In fact, many drugs are accessible for the treatment of alcohol disorder, but only Baclofen is functional as an anti-craving drug in patients with advanced liver disease. The alcohol-related liver damage represents the most frequent cause of advanced liver disease in Europe, and it is the main cause of death among adults with high alcohol consumption. The multidisciplinary action of clinical-psychologists, psychiatrics and hepatologists, is essential in the management of patients with alcohol liver disease especially in the case of liver transplantation. In general, the multidisciplinary approach is necessary in prevention, in framing patients and in the treatment. More resources should be used in prevention and research with the main aim of decreasing the harmful alcohol consumption.
authors.affiliation: Department of Gastroenterology, Azienda Ospedaliero-Universitaria &amp; University of Modena and Reggio Emilia, Modena 41124, Italy. stefano.gitto@studio.unibo.it.
authors.forename: Stefano
authors.initials: S
authors.lastname: Gitto
authors.affiliation: Department of Psychology, University of Bologna, Bologna 40138, Italy. lucia.golfieri@gmail.com.
authors.forename: Lucia
authors.initials: L
authors.lastname: Golfieri
authors.affiliation: Department of Internal Medicine, SS Annunziata Hospital, Cento, Ferrara 44011, Italy. f.caputo@ausl.fe.it.|"G. Fontana" Centre for the Study and Multidisciplinary Treatment of Alcohol Addiction, Department of Clinical Medicine, University of Bologna, Bologna 40138, Italy. f.caputo@ausl.fe.it.
authors.forename: Fabio
authors.initials: F
authors.lastname: Caputo
authors.affiliation: Department of Psychology, University of Bologna, Bologna 40138, Italy. silvana.grandi@unibo.it.
authors.forename: Silvana
authors.initials: S
authors.lastname: Grandi
authors.affiliation: Department of Medical and Surgical Sciences, University of Bologna and Azienda Ospedaliero-Universitaria di Bologna, Policlinico Sant'Orsola Malpighi, Via Massarenti 9, Bologna 40138, Italy. pietro.andreone@unibo.it.
authors.forename: Pietro
authors.initials: P
authors.lastname: Andreone
mesh_terms: D019973:Alcohol-Related Disorders / Q000523:psychology*; D000438:Alcohols / Q000009:adverse effects; D001418:Baclofen / Q000627:therapeutic use; D005060:Europe / Q000453:epidemiology; D006801:Humans; D008107:Liver Diseases / Q000188:drug therapy / Q000453:epidemiology / Q000209:etiology* / Q000523:psychology
chemical_list: D000438:Alcohols; D001418:Baclofen
keywords: alcohol liver disease; alcohol use disorder; liver transplantation