Stress, alcohol misuse and
depression form a unique triad in primary care. Individually they are very
common, but it is the interactions between them that are particularly
challenging for clinicians. Stress contributes to excessive drinking, as well as
susceptibility to depression; depression increases vulnerability to stress;
alcohol is used to self medicate for depressive symptoms and anxiety, and to
relieve stress, but excess alcohol accentuates the stress response and increases
the risk of developing clinical depression. It is a vicious cycle that needs to
be recognized and treated together, but the reality is that it is often
not. Most patients feel unprepared to manage stress, and many clinicians feel
unprepared to assist them. Few clinicians use a validated screening tool for
alcohol use, and as many as half of depressed patients are not identified, even
though brief screening tools are available. Time is a major factor in addressing
the issues of stress, alcohol and depression in a coordinated fashion. An
efficient approach is needed.
Stress, Alcohol and Depression Time Tool developed by the American College of
Preventive Medicine is an innovative educational tool designed to assist the
clinician in a brief consult on these issues. It provides a guide to screening
and counseling from a lifestyle perspective to address the root causes of
stress, depression and alcohol misuse. The tool includes a practical approach
for a clinical visit, along with a robust clinical reference document
delineating the epidemiology, clinical evidence, guidelines and recommendations,
along with additional tools and resources and a patient handout.
educational activity is intended for nurse practitioners.
After completing this program,
participants should be able to:
for alcohol use disorders and depression
a strategy for controlling the response to stress
alcohol use patterns that increase health risks
the relationships between stress, alcohol and depression
- Understand the importance of
assessing suicide risk in depressed patients
why a healthy lifestyle is the foundation for problems with either stress,
alcohol or depression
This continuing nursing education
(CNE) activity was approved by the American Association of Occupational Health
Nurses (AAOHN), an accredited approver by the American Nurses Credentialing
Center’s Commission on Accreditation
The American College of Preventive Medicine designates this
educational activity for a maximum of 1.0 credit.
The estimated time to complete this activity is 1.0
To earn CNE credit for this
- Read the CNE information on this
- Read the Time Tool and Clinical
- Complete the CNE post-test exam
with a score of at least 70%.
- Complete the CNE
- Your CNE certificate will be sent
to you via email.
September 2010 through August
2012. Original release date: September 2010
These materials have been
reviewed by the following nurse practitioner(s) to ensure the continued
scientific accuracy and medical relevance of information presented and its
independence from commercial bias.
In the interest of providing
an educational experience free of commercial bias the American College of
Preventive Medicine was responsible for decisions regarding educational content
and allocation of funds. All individuals involved in the planning, development,
and delivery of educational activities are required to sign a conflict of
interest statement in which they disclose any relevant financial interests or
other affiliations with industry or other associations which may have direct and
substantial interest in the subject matter of the CNE activity. Such disclosure
allows program participants to better evaluate the objectivity of the
information presented in the program.
Mattson, Medical Writer, has disclosed no financial relationships.
Brumwell, RN, has disclosed no financial relationships.
Edwards, ACPM staff, has disclosed no financial relationships.
ACKNOWLEDGEMENT OF SUPPORT
Time Tools series has been funded through an unrestricted educational grant
provided by MDVIP.
you have questions regarding this CNE activity, please contact Jennifer Edwards
CLICK FOR STRESS, ALCOHOL AND
FOR CNE EXAM AND EVALUATION
CLICK FOR STRESS, ALCOHOL AND DEPRESSION
American College of Preventive Medicine. All Rights Reserved.