Early Versus Late Onset Alcohol Use Disorder Among Alcohol Dependent Women in Treatment

2014 ◽  
Author(s):  
Alexander A. Puhalla ◽  
Elizabeth E. Epstein ◽  
Ayorkor Gaba ◽  
Barbara S. McCrady ◽  
David Eddie
Keyword(s):  
Alcohol Use ◽  
Alcohol Use Disorder ◽  
Late Onset ◽  
Alcohol Dependent

scholarly journals Occurrence of Alcohol Dependence, Pattern of Alcohol Use, and Psychiatric Comorbidity in a Tertiary Care Centre in Upper Assam, India

2021 ◽  
Vol 8 (21) ◽  
pp. 1674-1678
Author(s):  
Kamala Deka ◽  
Manju Partha Baruah ◽  
Dipjyoti Bora
Keyword(s):  
Alcohol Use ◽  
Alcohol Use Disorder ◽  
Psychiatric Comorbidity ◽  
Tertiary Care ◽  
Occupancy Rate ◽  
Care Centre ◽  
Bed Occupancy ◽  
Tertiary Care Centre ◽  
Co Morbidity ◽  
Alcohol Dependent

BACKGROUND There has been an increased rate of diagnosis of alcohol dependent syndrome (ADS) observed in our psychiatry clinic constituting a major portion of them into inpatients care. Evaluation of psychiatric complaints in patients with alcohol dependant syndrome is challenging at times. Depression has been found to be a common psychological association seen in them. Suicidality and other selfharming behaviour as a co morbidity are also not uncommon. There is dearth of information available on occurrence of alcohol dependent syndrome in psychiatry attendees and pattern of alcohol use especially from this part of north-eastern region of Assam. We wanted to assess the occurrence and pattern of alcohol use disorder amongst patients attending psychiatry unit of a tertiary care centre in upper Assam, estimate its bed occupancy rate, and determine psychiatric comorbidity among them. METHODS A hospital based cross sectional study was conducted among 104 consecutive subjects attending Psychiatry department of Jorhat Medical College, Assam. After thorough examination and informed written consent subjects were administered with alcohol use disorder identification test (AUDIT) and MINI plus. Semi structured socio demographic Proforma was used to collect information on demographic data and different variables. As it was a descriptive study, data collected were organized in frequency tables and analysed using percentage. RESULTS In present study, prevalence of alcohol dependent syndrome in psychiatry set up was 12.68 % and bed occupancy rate of ADS was 13 %. Majority were between the age 28 and 47 years, males, Hindus, married, belonged to nuclear family and hailed from upper lower social class followed by lower middle class. Approximately 18 % of cases had psychiatric co morbidity and majority of them had depression and suicidality. CONCLUSIONS A major number of alcohol dependant patients attended psychiatry OPD and occupied almost half of the beds as inpatients of a tertiary care hospital. Mood disorder was the commonest comorbid condition in these patients. Though the results cannot be generalized, it may definitely reflect the magnitude of alcohol use in this region. Hence forth a psychiatry unit like ours warrant a full-fledged department for treatment of ADS and alcohol related problems and some policy to work for its prevention. KEYWORDS ADS, Occurrence, Bed Occupancy, Psychiatric Co-Morbidity

scholarly journals What do elderly problem drinkers aim for? Choice of goal for treatment among elderly treatment-seeking alcohol-dependent patients

2019 ◽  
Vol 36 (6) ◽  
pp. 511-521 ◽  
Author(s):  
Jakob Emiliussen ◽  
Kjeld Andersen ◽  
Anette Søgaard Nielsen ◽  
Barbara Braun ◽  
Randi Bilberg
Keyword(s):  
Alcohol Use ◽  
Alcohol Use Disorder ◽  
Late Onset ◽  
Age At Onset ◽  
The Elderly ◽  
Treatment Goal ◽  
Treatment Goals ◽  
Logistics Regression ◽  
Choice Of Treatment ◽  
General Individuals

Objective: The patient’s free choice of treatment goals for alcohol use disorder (AUD) is predictive for treatment outcome. Presently there is limited knowledge of whether the age at onset of AUD influences the choice of goal for treatment. The present study investigates whether there are differences in choice of treatment goal between patients with very late onset alcohol use disorder (VLO AUD ≥ 60 years) and those having early or mid-age onset of AUD (EMO AUD < 60 years). Method: Participants were 341 persons, voluntarily enrolled in the Elderly Study, who were seeking treatment for AUD in outpatient centres for alcohol treatment in Denmark. Data regarding thoughts about abstinence, alcohol use in the last 90 days, motivation for treatment and psychiatric diagnosis were collected via questionnaires. A logistics regression was used to analyse the data. Results: 32.1% of the participants with VLO AUD chose temporary abstinence goals, compared to 18.2% of the patients with earlier-onset AUD ( p = 0.024). Further, 10.7% of participants with VLO AUD chose total abstinence goals compared to 31.3% of participants with early or mid-age onset AUD ( p = 0.002). Conclusion: There are significant differences in choice of goal between participants with very late onset AUD and early or mid-age onset AUD. Individuals with very late onset alcohol use disorder tend to choose temporary abstinence over any other treatment goal whereas, in general, individuals with early onset alcohol use disorder choose permanent abstinence over other treatment goals.

scholarly journals Familial association of abstinent remission from alcohol use disorder in first-degree relatives of alcohol-dependent treatment-seeking probands

Addiction ◽  
2017 ◽  
Vol 112 (11) ◽  
pp. 1909-1917 ◽  
Author(s):  
Vivia V. McCutcheon ◽  
Marc A. Schuckit ◽  
John R. Kramer ◽  
Grace Chan ◽  
Howard J. Edenberg ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Alcohol Use Disorder ◽  
Treatment Seeking ◽  
First Degree Relatives ◽  
Familial Association ◽  
Alcohol Dependent

Treatment-Emergent Psychosis With Disulfiram in a Patient With Late-Onset Alcohol Use Disorder and No Contributory Factors

2016 ◽  
Vol 36 (5) ◽  
pp. 535-537 ◽  
Author(s):  
Jaiganesh Selvapandian Thamizh ◽  
Vikas Menon ◽  
Nivedhitha Selvakumar ◽  
Ravi Philip Rajkumar
Keyword(s):  
Alcohol Use ◽  
Alcohol Use Disorder ◽  
Late Onset ◽  
Contributory Factors

scholarly journals Identifying Risk Factors for Late-Onset (50+) Alcohol Use Disorder and Heavy Drinking: A Systematic Review

2017 ◽  
Vol 52 (12) ◽  
pp. 1575-1588 ◽  
Author(s):  
Jakob Emiliussen ◽  
Anette Søgaard Nielsen ◽  
Kjeld Andersen
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Alcohol Use ◽  
Alcohol Use Disorder ◽  
Late Onset ◽  
Heavy Drinking

scholarly journals “Fixing” Mother’s who Drink: Family Narratives on Secrecy, Shame and Silence

2015 ◽  
Vol 7 (1) ◽  
pp. 28-33 ◽  
Author(s):  
Liezille Jacobs ◽  
Julian Jacobs
Keyword(s):  
Alcohol Use ◽  
Lived Experience ◽  
Support Group ◽  
Alcohol Use Disorder ◽  
Alcohol Use Disorders ◽  
Alcoholic Anonymous ◽  
Complex State ◽  
Family Narratives ◽  
The Family ◽  
Alcohol Dependent

Background: In South Africa, there is a paucity of qualitative studies giving a voice to mothers who drink, which could inform interventions to assist families to heal from repetitive alcohol use disorders. Methods: This qualitative study explored the discursive accounts of 10 mothers who are members of Alcoholic Anonymous in the context of their complex state of being-in-the-world with others (like husbands and children). The aims of this study were to explore why mothers drank excessively and to unpack their families’ responses to their drinking. Results: First-person narratives with mothers’ about their lived experience with alcohol use disorder illustrate the main themes, which emanated from these discussions. The discourses on secrecy, shame and silence related to the mother’s lived-experience with alcohol’s occurrence in the family. This paper recommends that families who always stand over and against an alcohol dependent past should consider attending free support group meetings for loved ones of Alcoholics. A popular family support group for families affected by alcohol dependency is known as Al-anon.

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.

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.

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