Objectives: To identify excessive drinking in a Hampshire general practice and evaluate the usefulness of the screening tools employed. Although excessive alcohol consumption is common, only one in 10 heavy drinkers is known to their general practitioner. Early identification of such patients increases the likelihood that successful intervention will decrease their alcohol intake. Screening helps recognise excessive drinkers.

Method: Three hundred and one patients consulting their general practitioner for any reason were interviewed using a questionnaire comprising a drinking history, CAGE, and brief MAST (Michigan Alcohol Screening Test). The medical records of patients identified as drinking excessively were reviewed.

Results: Forty-eight (15.9%) patients were identified as drinking to excess. Only nine of them were known to the general practitioner. The most useful tests were the drinking history and CAGE, detecting 21 and 20 of the excessive drinkers respectively. No single test used in isolation performed adequately, but the combination of a drinking history, including enquiry about binge drinking, and the CAGE was the most productive.

Conclusion: Screening for excessive drinking by taking a simple drinking history and using the CAGE is cheap and easy to administer. Only about one in five of the patients identified in this study had information concerning excessive alcohol intake in their GP records.

The study was a cross-sectional questionnaire survey of 29 women with a recent experience of coping with excessive drinking in a male partner. A number of cognitive and environmental factors were studied to determine the extent to which they predicted coping style and psychological well-being in this group. Results of multiple regression analysis indicated that “engaged” coping (characterized by attempts to change the drinker) was best predicted by a single cognitive variable (self-demands). In contrast, “tolerant” coping was best predicted by a combination of participant’s beliefs about their ability to withdraw from the drinker and the degree of drink-related hardship experienced within the family. “Withdrawal” coping, characterized by avoidant and independent behaviours by the women, was best predicted by a combination of beliefs about the necessity of withdrawal and the duration of time the participants had been coping with the excessive drinking. Finally, psychological well-being was best predicted by a single environmental variable (the degree of hardship caused by the drinking). A number of significant correlations were found to exist between the predictor and criterion variables and are discussed. Limitations of the study and clinical implications of the findings are examined.