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.

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.

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.

Content Analysis of Health Concerns among Housing First Residents with a History of Alcohol Use Disorder

2021 ◽  
Vol 32 (1) ◽  
pp. 463-486
Author(s):  
Jessica L. Mackelprang ◽  
Seema L. Clifasefi ◽  
Véronique S. Grazioli ◽  
Susan E. Collins
Keyword(s):  
Content Analysis ◽  
Alcohol Use ◽  
Alcohol Use Disorder ◽  
Housing First ◽  
Health Concerns ◽  
History Of

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 Characterization of Service Use for Alcohol Problems Across Generations and Sex in Adults With Alcohol Use Disorder

2020 ◽  
Vol 44 (3) ◽  
pp. 746-757 ◽  
Author(s):  
Jessica L. Bourdon ◽  
Rebecca Tillman ◽  
Meredith W. Francis ◽  
Danielle M. Dick ◽  
Mallory Stephenson ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Alcohol Use Disorder ◽  
Service Use ◽  
Alcohol Problems

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

scholarly journals Interpretative Phenomenological Analysis of the Lived Experiences of Older Adults Regarding Their Functional Activities in Ghana

2020 ◽  
Vol 11 ◽  
pp. 215013272093111 ◽  
Author(s):  
Kofi Awuviry-Newton ◽  
Meredith Tavener ◽  
Kylie Wales ◽  
Julie Byles
Keyword(s):  
Older Adults ◽  
Interpretative Phenomenological Analysis ◽  
Methodological Approach ◽  
Developed Countries ◽  
Phenomenological Analysis ◽  
Interview Data ◽  
Health Needs ◽  
World Health ◽  
International Classification Of Functioning ◽  
Functional Activities

Introduction: Research on disability largely draws on epidemiological data, often conducted in more developed countries. To date, there is little research related to older adults in Ghana, Africa. The purpose of this study was to strengthen understanding of how older adults in Ghana perform functional activities, referenced against the World Health Organization’s International Classification of Functioning, Disability and Health (WHO-ICF) framework. Methods: Interpretative phenomenological analysis (IPA) of semistructured interview data was employed as the methodological approach. Using purposive criterion sampling, 8 older adults admitted to Komfo Anokye Teaching Hospital in Ghana, presenting with any identified health condition and/or frailty were recruited. Results: Analysis of interview data identified 5 interrelated themes: (1) feeling anxious, (2) feeling restricted, (3) understanding and admitting difficulty, (4) striving to be healthy and being productive, and (5) managing functional difficulty. These concerns were classified and related to the WHO-ICF, particularly the contextual factors. Discussion: This study examined in detail experiences of older adults performing functional activities. Our study highlights the relevance of the WHO-ICF framework for understanding the health needs of older adults, emphasizing the functional, social, and environmental factors influencing the functional status of older adults. The findings offer unique insight into the health needs of older adults, drawing attention to the implications for policy and care.

scholarly journals Alcohol craving and the dimensionality of alcohol disorders

2010 ◽  
Vol 41 (3) ◽  
pp. 629-640 ◽  
Author(s):  
K. M. Keyes ◽  
R. F. Krueger ◽  
B. F. Grant ◽  
D. S. Hasin
Keyword(s):  
Alcohol Use ◽  
Alcohol Dependence ◽  
Latent Variable ◽  
Alcohol Use Disorder ◽  
Alcohol Problems ◽  
Continuous Measure ◽  
Alcohol Disorders ◽  
Alcohol Craving ◽  
Epidemiologic Survey ◽  
Dsm Iv

BackgroundICD-10 includes a craving criterion for alcohol dependence while DSM-IV does not. Little is known about whether craving fits with or improves the DSM-IV criteria set for alcohol-use disorders.MethodData were derived from current drinkers (n=18 352) in the 1991–1992 National Longitudinal Alcohol Epidemiologic Survey (NLAES), a nationally representative survey of US adults >17 years of age. The Alcohol Use Disorder and Associated Disabilities Interview Schedule was used to assess the eleven DSM-IV dependence and abuse criteria, and alcohol craving. Exploratory factor, item response theory, and regression analyses were used to evaluate the psychometric properties and concurrent validity of DSM-based alcohol disorder criteria with the addition of alcohol craving.ResultsThe past 12-month prevalence of craving was 1.3%. Craving formed part of a unidimensional latent variable that included existing DSM-IV criteria. Craving demonstrated high severity on the alcohol-use disorder continuum, resulting in an improved dimensional model with greater discriminatory ability compared with current DSM-IV criteria. Correlates of the diagnosis did not change with the addition of craving, and past 12-month craving was associated with prior alcohol dependence, depression, and earlier age of alcohol disorder onset among those with current DSM-IV alcohol dependence.ConclusionsThe addition of craving to the existing DSM-IV criteria yields a continuous measure that better differentiates individuals with and without alcohol problems along the alcohol-use disorder continuum. Few individuals are newly diagnosed with alcohol dependence given the addition of craving, indicating construct validity but redundancy with existing criteria.

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.

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