The Conversation - Insidious rise of alcohol use disorder

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As the world has been consumed by the opioid epidemic over the past two decades, an arguably comparable but more insidious health crisis has been unfolding – that of the rise in rates of binge drinking and alcohol use disorder, the formal term for what many people know as alcoholism.

About 20% of U.S. adults report binge drinking at least once a week, and research increasingly shows that women suffer some of the most harmful effects of excessive alcohol use. The COVID-19 pandemic made this trend far worse, with days of heavy drinking among women increasing by more than 40%.

Researchers’ understanding of the biology underlying alcohol addiction has evolved significantly since the time of English singer Amy Winehouse’s death from alcohol toxicity in 2011, writes Nikki Crowley, a neurobiologist from Penn State University. A new biopic of Winehouse’s life is out in U.S. theaters this week.

Crowley explains how brain signals shift with repeated cycles of heavy alcohol use over time and why studies suggest that some of these changes may be occurring in the brain before other people recognize behavior changes. “This could mean that the neurobiological underpinnings of addiction may take root well before an individual or their loved ones suspect a problem with alcohol.”

On a separate note, on Thursday I’ll be hosting a free webinar for our readers with psychiatrist Lawson Wulsin to discuss his new book, Toxic Stress: How Stress Is Making Us Ill and What We Can Do About It, a topic he wrote about for us recently. If you have a question about toxic stress, please reply to this email and we will try to include it. I hope to see you there.

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Amanda Mascarelli

Senior Health and Medicine Editor

Since Amy Winehouse’s death in 2011, professionals have learned a great deal more about alcohol use disorder. Kevin Mazur/WireImage via Getty Images

Binge drinking is a growing public health crisis − a neurobiologist explains how research on alcohol use disorder has shifted

Nikki Crowley, Penn State

Singer Amy Winehouse died from alcohol toxicity in 2011, the same year that the American Society of Addiction Medicine publicly recognized addiction as a brain disorder.

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