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Celebrating World Mental Health Day 2017 #WMHD2017

January 10, 2024

Guest post: Do different drinks make you different drunk? | Nicole Lee, Curtin University

January 10, 2024

[Some detail exploring the underpinnings of this brief blog post.]

by Nicole Lee, Curtin University

 Reports of a study linking different kinds of alcoholic drinks with different mood states were making the rounds recently. The research used 30,000 survey responses from the Global Drug Survey and found that people attached different emotions to different alcoholic drinks.

For instance, more respondents reported feeling aggressive when drinking spirits than when drinking wine.

We all have friends who swear they feel differently when drinking different types of alcohol. But can different drinks really influence your mood in different ways?

Alcohol is alcohol
Let’s cut to the chase. No matter what the drink, the active ingredient is the same: ethanol.

When you have a drink, ethanol enters the bloodstream through the stomach and small intestine and is then processed in the liver. The liver can process only a limited amount of alcohol at a time so any excess remains in the blood and travels to other organs, including your brain where mood is regulated.

The direct effects of alcohol are the same whether you drink wine, beer or spirits. There’s no evidence that different types of alcohol cause different mood states. People aren’t even very good at recognising their mood states when they have been drinking.

So where does the myth come from?

Grape expectations
Scientists have studied specific alcohol-related beliefs called “expectancies”. If you believe a particular type of drink makes you angry, sad or sexed up, then it is more likely to.

We develop expectancies from a number of sources, including our own and others’ experiences. If wine makes you relaxed, it’s probably because you usually sip it slowly in a calm and relaxed atmosphere. If tequila makes you crazy, maybe it’s because you usually drink it in shots, which is bound to be on a wild night out.

Or if you regularly saw your parents sitting around on a Sunday afternoon with their friends and a few beers, you might expect beer to make you more sociable. Kids as young as six have been found to have expectancies about alcohol, well before any experience of drinking.

We build conscious and unconscious associations between alcohol and our emotions every time we drink or see someone else drinking.

We could even be influenced by music and art. “Tequila makes me crazy” is a common belief, which also happens to be a line in a Kenny Chesney song, and Billy Joel’s Piano Man might reinforce the idea that gin makes you melancholy.

It’s the ‘how’ more than the ‘what’
Other chemicals, called congeners, can be produced in the process of making alcohol. Different drinks produce different congeners. Some argue these could have different effects on mood, but the only real effect of these chemicals is on the taste and smell of a beverage. They can also contribute to a cracker of a hangover.

But there is no evidence that these congeners produce specific mood or behavioural effects while you are drinking.

The critical factor in the physical and psychological effects you experience when drinking really comes down to how you drink rather than what you drink. Different drinks have different alcohol content and the more alcohol you ingest—and the faster you ingest it—the stronger the effects.

Spirits have a higher concentration of alcohol (40%) than beer (5%) or wine (12%) and are often downed quickly, either in shots or with a sweet mixer. This rapidly increases blood alcohol concentration, and therefore alcohol’s effects, including changes in mood.

The same goes for mixing drinks. You might have heard the saying “Beer before liquor, never been sicker; liquor before beer, you’re in the clear”, but again it’s the amount of alcohol that might get you into trouble rather than mixing different types.

Mixing a stimulant (like an energy drink) with alcohol can also mask how intoxicated you feel, allowing you to drink more.

You can reduce the risk of extreme mood changes by drinking slowly, eating food before and while you drink, and spacing alcoholic drinks with water, juice or soft drink. Stick to drinking within the Australian alcohol guidelines of no more than four standard drinks on a single occasion.

Party animals and bad eggs
Alcohol is a central nervous system depressant, which means it slows the brain’s functioning. Alcohol’s effects include reducing activity in the part of the brain that regulates thinking, reasoning and decision-making, known as the prefrontal cortex. Alcohol also decreases inhibitions and our ability to regulate emotions.

“In vino veritas” (in wine there is truth) is a saying that suggests that when drinking we are more likely to reveal our true selves. While that’s not completely accurate, the changes in mood when someone is drinking often reflect underlying personal styles that become less regulated with alcohol on board.

Studies of aggression and alcohol, for example, show that people who are normally irritable, cranky or low in empathy when they are not drinking are more likely to be aggressive when their inhibitions are lowered while drinking.

As with all drugs, the effect alcohol has on your mood is a combination of the alcohol itself, where you are drinking it and how you’re feeling at the time.

So does alcohol make you crazy, mean or sad? If it does, you were probably a bit that way inclined already, and if you believe it enough it may just come true. ■

Nicole Lee, Professor at the National Drug Research Institute, Curtin University.

This article was originally published on The Conversation.

Cognition decline again linked to drinking alcohol above low level

January 10, 2024

Drinking more than a small amount of alcohol can cause cognitive decline in middle and old age a new study has confirmed.

The decline increases with the amount of alcohol we drink above a low threshold and rises with age. The UK guidelines suggest no more than 14 units (140ml) of alcohol a week.

The new study, however, caused a stir because it found the negative effects begin above 9 units a week, five units below the current guidelines.

Professor David Spiegelhalter, a statistician and communicator at Cambridge University says a graph in the study simply confirms 14 units a week, or 16g a day, is where decline is least (see chart). 

“It’s not as straightforward as looking at the graph,” says Professor Simon Moore, one of the study’s authors, who says its lower threshold comes from the calculation involved in fitting the curve to the data.

The debate was fueled by Sun newspaper coverage of the study which came under a headline saying a pint a day might increase our risk of dementia. It seems to be correct:

A daily pint of 5% lager comes to a total of 16 units of alcohol a week, above both the official low-risk limit as well as the lower one suggested by the new study. ■

Be wary of “persistent hangovers” this Christmas

January 10, 2024

Feeling crummy more than a day after an alcohol session this Christmas should give us pause for thought.

The alcohol response of our brains changes depending on our alcohol exposure over the past few hours and days and, less obviously, that over the last few months and years.

In our student days and early twenties, for instance, many of us might drink enough to move our brains into the outer regions of dependency, where our neurons misbehave.

No klaxon accompanies this shift so we may never know it happened. And our recovery from it can happen without us knowing too, with our drinking levels falling as our circumstances change.

But we can also inch into dependency at any time if we drink heavily for long enough, perhaps triggered by friends, a trauma or Christmas. We can unwittingly inch out of dependence again too. But we can’t rely on it.

So how do we know where we stand? It is not easy. If we drink less than the UK guidelines of 14 units (140ml) of alcohol a week for months, there is little chance of a problem. If not, we can’t be so sure.

We can look for clues, however: If we binge-drink, the classic pattern of the enthusiastic “social drinker” in northern Europe and North America, then our recovery after a heavy one is a good place to look.

Overlong aftermath
Having routine hangovers means we are not looking after our brains very well and could eventually face difficulties. But discomfort within the first 24 hours is a normal reaction to an alcohol overdose.

But feeling meh more than 24 hours after an alcohol session is something else. We might think it is a “prolonged [or delayed] hangover”, but it is not an overdose rebound, but a reaction to absence.

We have, in other words, some degree of withdrawal. We might sweat, have headaches, feel grumpy, tense, forgetful or nauseous. If we have anything more than the mildest discomfort we should go and see our doctor.

“Two-dayers”, as this phenomenon is sometimes dismissed, are potentially a sign we are flirting with alcohol dependency. Nobody wants to find this out, but the sooner we do, the easier it will be to reverse.

Avoiding heavy alcohol use for three months to a year is typically enough to be rid of it. Making this change on purpose is not always easy, but we can get help from our doctors and online and offline support.

If we stick to it we can reasonably expect clearer thinking, better memory, improved and more stable mood and better sleep. And, on a more practical level, we can substantially cut costs and so improve our finances.

Looking out for “persistent hangovers” or “two-dayers” can enable to look past unhelpful folk wisdom and misinformation to identify a potential problem, a crucial step in improving our long-term wellbeing. ■

 

Tesco to up focus on no-low alcohol wine

January 10, 2024

A Tesco spokesman told db the team were currently “knuckling down the details” and that it “was looking at different options and the best way to present it”, although she was not able to confirm exactly how it would merchandise products in store or the timing of the roll-out, although this was expected to be decided “in the next few weeks”.

Source: www.thedrinksbusiness.com/2017/03/tesco-to-ups-focus-on-no-low-alcohol-wine/

New: Alcohol Companion LinkedIn discussion group

January 10, 2024

There is an exciting new, moderated discussion forum for people interested in the findings of alcohol science, drawing on and feeding into the research for the book Alcohol Companion. It will focus on helping in the understanding of broad findings and solutions, rather than specific cases. Professionals and non-professionals in the field are welcome to join in. To become a member, please click here or on the graphic below. ■

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