Alcohol use in the elderly

Alcohol ◽  
2013 ◽  
pp. 161-168 ◽  
Author(s):  
Jennifer G. Plebani ◽  
David W. Oslin ◽  
Adam B. Lipson
Keyword(s):  
Alcohol Use ◽  
The Elderly

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.

Relationship between alcohol use disorder and cognition in the elderly

2016 ◽  
Vol 26 ◽  
pp. S675
Author(s):  
D. Kim ◽  
K.J. Jang ◽  
C.H. Hong ◽  
J.S. Noh ◽  
S.J. Son
Keyword(s):  
Alcohol Use ◽  
Alcohol Use Disorder ◽  
The Elderly

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.

Alcohol Use and Abuse, Life Crisis Events, and the Elderly

1982 ◽  
Vol 4 (3) ◽  
pp. 378-408 ◽  
Author(s):  
Edgar F. Borgatta ◽  
Rhonda J.V. Montgomery ◽  
Marie L. Borgatta
Keyword(s):  
Alcohol Use ◽  
The Elderly ◽  
Life Crisis ◽  
Crisis Events ◽  
Alcohol Use And Abuse

scholarly journals The Validity of the Alcohol-Use-Disorder-Identification-Test and a Novel Proxy Test in the Assessment of Alcohol Consumption in the Cognitively Impaired Elderly

2018 ◽  
Vol 2 (1) ◽  
Keyword(s):  
Cognitive Impairment ◽  
Alcohol Use ◽  
Alcohol Use Disorder ◽  
Alcohol Intake ◽  
Elderly Population ◽  
Screening Tool ◽  
Alcohol Misuse ◽  
The Elderly ◽  
Identification Test ◽  
Disorder Identification

Aims: Alcohol is consumed excessively by almost a quarter of the population. A report by highlighted underdiagnosis of alcohol misuse in the elderly [1]. There is a lack of research focusing on assessment of alcohol use and its impact in older people. This study aimed to assess the validity of the Alcohol-Use-Disorder-Identification-Test (AUDIT) in an elderly population with cognitive impairment and to establish the validity of a novel adaption of the AUDIT used as a proxy measure. Methods: Opportunistic observational study examining the assessment of alcohol consumption in an elderly population with mild cognitive impairment or mild dementia. The study aimed to evaluate the self-report AUDIT versus a “proxy” AUDIT compared to a plasma Carbohydrate-deficientTransferrin (CDT) level. Findings: Scores were comparable between the “proxy” AUDIT and the AUDIT. Neither measure of alcohol intake correlated significantly with CDT levels. There was no association between alcohol intake and cognition or quality of life ratings. Conclusions: We suggest the AUDIT could be a useful screening tool in detecting alcohol misuse in the elderly with cognitive impairment. The “proxy” AUDIT was also found to be a valid screening tool, however further work is needed to confirm these findings.

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.

Elderly-study – treatment for alcohol problems among 60+

2016 ◽  
Vol 33 (S1) ◽  
pp. S291-S292
Author(s):  
K. Andersen ◽  
M. Bogenschutz ◽  
G. Bühringer ◽  
S. Behrendt ◽  
B. Braun ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Alcohol Use Disorder ◽  
Randomized Study ◽  
Alcohol Use Disorders ◽  
The Elderly ◽  
Alcohol Problems ◽  
Motivational Enhancement Therapy ◽  
Therapy Program ◽  
Community Reinforcement Approach ◽  
Competing Interest

IntroductionThe western societies have a rapidly aging population and an increasing number of elderly with alcohol use disorders.ObjectiveThe purpose of the elderly study is to develop and test an outpatient behavior therapy program for people with an alcohol use disorders.Aim of this abstractTo investigate the association between ages, gender, drinking pattern and psychology distress.MethodThe study is a randomized study expected to enroll and treat 1000 participants aged 60+ years before April 2017; 200 in USA; 400 in Germany and 400 in Denmark. To be included in the study the participants have to fulfil the DSM-5 criteria for alcohol use disorder. All participants are examined at baseline, and at four follow up interviews. After the baseline interview all participants are randomized to Motivational Enhancement Therapy (MET); or MET followed by 8 weeks of counseling based on the Community Reinforcement Approach (CRA) with a module added to address problems relevants to elderly people.ResultsThe presentation will include baseline characteristics of the Danish participants including demographics, expectations to treatment, history of drinking in the last 90 days before baseline and their psychological distress. We have now enrolled 259 participants in the Danish database. We expect to present results from 320 patients.ConclusionThe data will present information about the profile of 60+ years’ individuals seeking treatment for alcohol use disorder, and thereby provide knowledge about which characteristics that may be important when planning treatment for this age group.Disclosure of interestThe authors have not supplied their declaration of competing interest.

545 HEAVY ALCOHOL USE IN THE ELDERLY IS ASSOCIATED WITH HEPATIC STEATOSIS BUT ONLY RESULTS IN SIGNIFICANT FIBROSIS IN A MINORITY OF SUBJECTS

2013 ◽  
Vol 58 ◽  
pp. S223
Author(s):  
J.G. Reijnders ◽  
J.N. Schouten ◽  
E.M. Koehler ◽  
B.E. Hansen ◽  
A. Hofman ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Hepatic Steatosis ◽  
The Elderly ◽  
Heavy Alcohol ◽  
Significant Fibrosis ◽  
Heavy Alcohol Use

scholarly journals Patterns of alcohol use in an elderly sample enrolled in the Family Health Strategy program in the city of Porto Alegre, Brazil

2016 ◽  
Vol 21 (1) ◽  
pp. 27-35 ◽  
Author(s):  
Bruno Luiz Guidolin ◽  
Irênio Gomes da Silva Filho ◽  
Eduardo Lopes Nogueira ◽  
Francisco Pascoal Ribeiro Junior ◽  
Alfredo Cataldo Neto
Keyword(s):  
Alcohol Use ◽  
Family Health ◽  
Prevalence Ratio ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Porto Alegre ◽  
Cross Sectional ◽  
Family Health Strategy ◽  
History Of ◽  
The City

Abstract This article aims to determine the pattern of alcohol use in the elderly and its associations with sociodemographic characteristics in an elderly sample of patients from the city of Porto Alegre, Rio Grande do Sul, Brazil. A cross-sectional study was conducted involving 557 seniors, aged 60 years or more, through application of the Mini International Neuropsychiatric Interview and a global assessment questionnaire for the elderly. The majority of the 557 senior citizens did not complete elementary school (58.3%), were white (65.1%), married (37.6%), had no caregiver (62.2%), were catholic (65.5%) and practicing their religion (68.6%), were retired (67.7%), and had a personal income of up to one minimum salary (56.1%). The study revealed 67 (12%) elderly people with a history of alcoholism, of which 17 (3.1%) had a diagnosis of current alcoholism, 50 (9%) had a history of alcohol dependence in the past and 16 (2.9%) had a current alcohol abuse problem. Men had a prevalence ratio of 11.6 times for a history of alcoholism in comparison to women. The results confirm that alcoholism is frequent in the population of Brazilian elderly, drawing attention to some socio-demographic characteristics that can make a difference in the early diagnosis of alcoholism.

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