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alcoolisme

Alcoholisme, or alcoholism, is a disorder defined by an unhealthy pattern of alcohol use that leads to harm or impairment. In contemporary terms this is referred to as Alcohol Use Disorder (AUD), a spectrum condition rather than a single illness. The DSM-5 describes AUD as meeting at least two of eleven criteria within a 12-month period. Criteria include cravings, unsuccessful efforts to cut down, spending excessive time drinking, continuing despite problems, neglecting duties, using in physically dangerous situations, tolerance, withdrawal, and giving up other activities. Severity is mild (2–3 criteria), moderate (4–5), or severe (6+).

Causes and risk factors include genetic predisposition, family history of alcohol problems, early exposure to alcohol,

Health effects of long-term heavy drinking are extensive. They include liver diseases (steatosis, hepatitis, cirrhosis), pancreatitis,

Treatment approaches vary by severity and individual need. They commonly involve professional assessment, medical detoxification if

Public health strategies emphasize screening in primary care, brief interventions, education, and policies that reduce availability

co-occurring
mental
health
conditions,
social
and
cultural
norms,
and
stressful
life
events.
Environmental
factors
such
as
availability
and
pricing
also
influence
risk.
various
cancers,
cardiovascular
problems,
neurological
and
nutritional
issues,
and
mood
or
anxiety
disorders.
Withdrawal
can
be
dangerous
and
sometimes
life-threatening,
requiring
medical
supervision.
dependence
is
present,
and
evidence-based
therapies
such
as
pharmacological
options
(naltrexone,
acamprosate,
disulfiram)
and
behavioral
therapies
(cognitive-behavioral
therapy,
motivational
interviewing).
Mutual-help
groups
and
family
involvement
can
support
recovery,
alongside
ongoing
aftercare
and
relapse
prevention.
and
increase
the
cost
of
alcohol
to
lower
AUD
incidence.