Alcohol Use Disorder in Older Adults

2022 ◽  
Vol 38 (1) ◽  
pp. 1-22
Author(s):  
Gabriela Fenollal-Maldonado ◽  
Derek Brown ◽  
Heidi Hoffman ◽  
Chanchal Kahlon ◽  
George Grossberg
Keyword(s):  
Older Adults ◽  
Alcohol Use ◽  
Alcohol Use Disorder

DSM-5 alcohol use disorder features among treatment-seeking older adults

2018 ◽  
Vol 64 (4) ◽  
pp. 185-196 ◽  
Author(s):  
Silke Behrendt ◽  
Barbara Braun ◽  
Randi Bilberg ◽  
Gerhard Bühringer ◽  
Michael Bogenschutz ◽  
...  
Keyword(s):  
Older Adults ◽  
Alcohol Use ◽  
Alcohol Use Disorder ◽  
The Elderly ◽  
Treatment Seeking ◽  
Controlled Clinical Trial ◽  
Dsm 5 ◽  
Wide Range ◽  
And Gender ◽  
International Multicenter

Abstract. Background: The number of older adults with alcohol use disorder (AUD) is expected to rise. Adapted treatments for this group are lacking and information on AUD features in treatment seeking older adults is scarce. The international multicenter randomized-controlled clinical trial “ELDERLY-Study” with few exclusion criteria was conducted to investigate two outpatient AUD-treatments for adults aged 60+ with DSM-5 AUD. Aims: To add to 1) basic methodological information on the ELDERLY-Study by providing information on AUD features in ELDERLY-participants taking into account country and gender, and 2) knowledge on AUD features in older adults seeking outpatient treatment. Methods: baseline data from the German and Danish ELDERLY-sites (n=544) were used. AUD diagnoses were obtained with the Mini International Neuropsychiatric Interview, alcohol use information with Form 90. Results: Lost control, desired control, mental/physical problem, and craving were the most prevalent (> 70 %) AUD-symptoms. 54.9 % reported severe DSM-5 AUD (moderate: 28.2 %, mild: 16.9 %). Mean daily alcohol use was 6.3 drinks at 12 grams ethanol each. 93.9 % reported binging. More intense alcohol use was associated with greater AUD-severity and male gender. Country effects showed for alcohol use and AUD-severity. Conclusion: European ELDERLY-participants presented typical dependence symptoms, a wide range of severity, and intense alcohol use. This may underline the clinical significance of AUD in treatment-seeking seniors.

Impact of comorbid mental disorders on outcomes of brief outpatient treatment for DSM-5 alcohol use disorder in older adults

2020 ◽  
Vol 119 ◽  
pp. 108143
Author(s):  
Silke Behrendt ◽  
Alexis Kuerbis ◽  
Randi Bilberg ◽  
Barbara Braun-Michl ◽  
Anna Mejldal ◽  
...  
Keyword(s):  
Older Adults ◽  
Alcohol Use ◽  
Mental Disorders ◽  
Outpatient Treatment ◽  
Alcohol Use Disorder ◽  
Dsm 5 ◽  
Comorbid Mental Disorders

Substance Use Disorders in the Elderly

2017 ◽  
Author(s):  
Michael Burgard ◽  
Robert Kohn
Keyword(s):  
Older Adults ◽  
Substance Use ◽  
Alcohol Use ◽  
Substance Use Disorders ◽  
Alcohol Use Disorder ◽  
Illicit Drugs ◽  
Nursing Home Residents ◽  
The Elderly ◽  
The United States ◽  
Driving Under The Influence

Substance use disorders in older adults remains lower than in younger adults; however, the prevalence is rising in the elderly population. In the United States, the lifetime prevalence of an alcohol use disorder among persons age 65 and older is 16.1%. Studies of Veteran’s Administration nursing home residents have found that 29% to 49% of those admitted have a lifetime diagnosis of alcohol use disorder. A sizable proportion of the elderly acknowledge driving under the influence. In 2013, 1.5% of the elderly had used illicit drugs. The number requiring treatment for substance abuse is expected to double by 2020. The populations with the fastest increase in opiate mortality are those age 55 and older, including those 65 and older. This chapter presents the epidemiology of substance use among older adults and discusses issues related to elders’ substance use, including use in nursing homes, impaired driving and arrests, use of non-prescription medications, screening for substance use, and treatment.

scholarly journals Age of Last Alcohol Use Disorder Relates to Processing Speed Among Older Adults Living with HIV

2019 ◽  
Vol 54 (2) ◽  
pp. 139-147 ◽  
Author(s):  
Emily W Paolillo ◽  
Sarah M Inkelis ◽  
Anne Heaton ◽  
Rowan Saloner ◽  
Raeanne C Moore ◽  
...  
Keyword(s):  
Older Adults ◽  
Alcohol Use ◽  
Processing Speed ◽  
Alcohol Use Disorder ◽  
Living With Hiv

scholarly journals Evaluation and Management of Alcohol use Disorder among Older Adults

2021 ◽  
Author(s):  
Pallavi Joshi ◽  
Karen T Duong ◽  
Louis A. Trevisan ◽  
Kirsten M. Wilkins
Keyword(s):  
Older Adults ◽  
Alcohol Use ◽  
Alcohol Use Disorder

Older adults’ perceptions of their own and their romantic partners’ age-related communication and their associations with aging well, depressive symptoms, and alcohol use disorder symptoms

2019 ◽  
Vol 37 (4) ◽  
pp. 1172-1192 ◽  
Author(s):  
Quinten S. Bernhold ◽  
Jessica Gasiorek
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Alcohol Use ◽  
Successful Aging ◽  
Alcohol Use Disorder ◽  
Romantic Partners ◽  
Age Related ◽  
Aging Well ◽  
Indirect Association ◽  
Perceptions Of Aging

Guided by the communicative ecology model of successful aging (CEMSA), this study examined how older adults’ and their romantic partners’ age-related communication indirectly predicts older adults’ perceptions of aging well, depressive symptoms, and alcohol use disorder (AUD) symptoms, via aging efficacy. Older adults were profiled as engaged, bantering, and disengaged agers. Romantic partners were profiled as engaged, bantering–high health, disengaged, and gloomy agers. Bantering older adults, disengaged older adults, and older adults with disengaged partners reported lower perceptions of aging well and more depressive symptoms, via lower aging efficacy (relative to engaged older adults and older adults with engaged partners). Also relative to engaged older adults, disengaged older adults reported more AUD symptoms, via lower aging efficacy. The indirect association involving AUD symptoms suggests that the CEMSA’s boundary conditions might be expanded to include more objective variants of successful aging. Results also suggest the merit of future family studies on how age-related communication might predict successful aging.

scholarly journals The role of standardized instruments in identifying older adults with alcohol problems

2016 ◽  
Vol 29 (2) ◽  
pp. 351-352 ◽  
Author(s):  
Jürgen Rehm ◽  
Jakob Manthey
Keyword(s):  
Older Adults ◽  
Alcohol Use ◽  
Laboratory Tests ◽  
Alcohol Use Disorder ◽  
Alcohol Problems ◽  
Standardized Assessment ◽  
Related Factors ◽  
Comprehensive Review ◽  
Age Related

Taylor et al. (2014) raise an important issue concerning the detection of alcohol problems in older adults. The authors identify a number of age-related factors playing a role in the detection of alcohol problems, such as stigma, the concept of alcohol use disorder diagnoses and their standardized assessment, and drinking levels. They list a comprehensive review of tools for assessing alcohol problems among older adults, including laboratory tests, questionnaires, and interviews.

scholarly journals How do family pressure, health and ambivalence factor into entering alcohol treatment? Experiences of people aged 60 and older with alcohol use disorder

2017 ◽  
Vol 34 (1) ◽  
pp. 28-42 ◽  
Author(s):  
Jakob Emiliussen ◽  
Kjeld Andersen ◽  
Anette S. Nielsen
Keyword(s):  
Older Adults ◽  
Alcohol Use ◽  
Interpretative Phenomenological Analysis ◽  
Alcohol Use Disorder ◽  
Preventive Measures ◽  
Late Onset ◽  
Phenomenological Analysis ◽  
Alcohol Problems ◽  
Secondary Findings ◽  
Health Concerns

Aim: This qualitative study is concerned with the motivations that lead older adults to enter treatment for alcohol problems. There is a need to expand our understanding of the unique characteristics and problems of this population to be able to devise specialised and effective treatments and preventive measures. Method: We conducted an analysis of secondary findings from interview data collected in a qualitative interpretative phenomenological analysis (IPA) study. Our participants were 12 elderly people aged 60 years or more who had experienced late-onset alcohol use disorder. Transcription, categorisation, collapsing and analysis were conducted rigorously in accordance with the IPA standards. Findings: Family can function as a pressure structure in terms of fostering motivation for treatment. Participants were to a certain extent ambivalent about treatment, which led them to devaluing treatment and its effects. Our results are on par with comparable results from other studies. Conclusion: Older adults who experience very-late-onset of alcohol use disorder experience familial pressure and health concerns which lead them to enter treatment. Our participants seemed ambivalent about treatment and its necessity, which seems to lead to a devaluation of therapy.

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