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/ Alcool et dépendance

La dépendance à l’alcool La triade de l’addiction à l’alcool La prise en charge thérapeutique de l’alcoolodépendance S’orienter en cas de troubles liés à l’alcool

L’ alcool ou alcool éthylique est une substance psychoactive issue de la fermentation ou de la distillation de fruits ou de grains riches en sucres. À ce titre, l’alcool est capable de modifier le comportement, les humeurs et les perceptions de ses utilisateurs.

De plus, l’ alcool est un produit psychoactif dont l’utilisation chronique (sur une longue période) peut entraîner une dépendance, on parlera alors d’ alcoolodépendance ou d’ éthylisme chronique .

La dépendance à l’alcool

L’ alcoolodépendance est définie comme une addiction à l’ alcool , c’est-à-dire le besoin, l’envie compulsive, la nécessité pour une personne de boire de l’alcool associés à l’incapacité pour le sujet d’assurer ses tâches quotidiennes. Cependant, tous les consommateurs d’ alcool ne sont pas dépendants à cette substance. On discerne plusieurs usages allant de l’usage simple à la dépendance. Pour chacun de ces usages, il existe une approche de prévention afin d’éviter que le consommateur ne rentre dans une phase d’ alcoolodépendance .

Le non-usage ou abstinence est défini comme l’absence de consommation d’ alcool . Il peut être de deux types :

L’usage simple ou usage à faible risque se définit par une consommation à la fois sans événement indésirable pour la santé et inférieure aux seuils recommandés en France. L’unité de mesure permettant de définir des seuils de risque est le verre standard . Il correspond à une quantité d ’alcool pur de 10 grammes, soit approximativement 10 cl de vin, 25 cl de bière ou 3 cl d’alcool à 40 % vol. En France, les seuils retenus sont :

verre standard ’alcool verres standards

À savoir ! Les seuils recommandés sont facilement mémorisables par la règle du 2-3-4-0 ! Correspondant à pas plus 2 verres pour les femmes, 3 pour les hommes, 4 ponctuellement et 0 pour un jour sans consommation.

C’est auprès de cette population usagère simple, représentant la majorité des Français, que sont mises en place des mesures de prévention afin que les personnes ne rentrent pas dans un mésusage de l’ alcool . On peut notamment citer les campagnes de publicités télévisuelles sur l’alcool et le travail ainsi que les campagnes de prévention routière. Les établissements de santé publique cherchent par ce type de prévention à alerter les consommateurs simples d’ alcool sur les dangers et les conséquences négatives d’une éventuelle surconsommation .

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