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A chat about drinking

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Times Staff Writer

EVEN five minutes of straight talk from a physician can reduce alcohol-related injuries and accidents among problem drinking patients, a new study reports.

In the review of 21 separate clinical trials, researchers at Newcastle University in England and Philadelphia College of Osteopathic Medicine found that brief interventions by a physician reduced alcohol consumption by an average of four drinks a week. The review appears in the current issue of the Cochrane Library, a journal published by an international organization that evaluates healthcare research.

The effect of a physician’s counsel was strongest for problem drinkers who did not appear to be alcohol-dependent. “But more severely dependent drinkers, especially those not yet aware of the medical impact of their drinking, will also benefit,” said Fred Rotgers, a psychologist at Philadelphia College.

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The study should motivate more physicians to tackle the often delicate discussion of problematic alcohol consumption with patients and have greater confidence that their input can make a difference, says Dr. Benjamin Ansell, director of UCLA’s Comprehensive Health Program.

Fearing “patient push-back,” physicians often shy away from the alcohol consumption conversation, Ansell says. “Doctors are often averse to confrontation,” says Ansell. “You run a fine line between getting information and trying not to offend.”

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melissa.healy@latimes.com

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