Comparing daily drivers of problem drinking among older and younger adults: An electronic daily diary study using smartphones.
Comparing daily drivers of problem drinking among older and younger adults: An electronic daily diary study using smartphones.
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DOI：
10.1016/j.drugalcdep.2017.11.012
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发表时间：
2018-02-01
影响因子：
4.2
通讯作者：
Morgenstern J
中科院分区：
文献类型：
--
作者：
Kuerbis A;Treloar Padovano H;Shao S;Houser J;Muench FJ;Morgenstern J
到2030年，有药物使用问题的老年人的人数和比例预计将增加。虽然已经确定了晚年问题饮酒的风险因素，但仍然不清楚这些因素是否会导致老年问题饮酒者每天饮酒。本研究探讨了日常驾驶员的饮酒问题饮酒者，年龄，利用生态瞬时评估（EMA）。参与者（N=139），年龄20-73岁，在开始治疗前通过智能手机接受每日EMA在线调查。多水平模型测试了年龄对饮酒和焦点预测因素（情绪，孤独，无聊，压力，睡眠不佳，社会因素，酒精显着性，承诺和信心不酗酒）之间的人内和人与人之间的关系的调节作用。老年人报告说，当日常无聊程度较高时，他们的酒精消费量更大。年轻人饮酒过多与睡眠质量较差有关。更大的日常信心，日常承诺和日常酒精显着性并没有影响饮酒的老年人在同一程度上为年轻人。更大的人的水平的承诺预测减少饮酒等效跨年龄，但低的人的水平的承诺预测更大的饮酒老年人相比，他们的年轻同行。老年人可能有独特的日常饮酒驱动因素，这些因素在目前的研究和干预工作中尚未完全认识到。要满足这一人群日益增长的物质使用治疗需求，就需要确定老年人与年轻人相比饮酒的独特驱动因素，如无聊。
By 2030, numbers and proportions of older adults with substance-use problems are expected to increase. While risk factors for problem drinking in late life have been identified, it remains unknown whether these factors drive daily drinking among older problem drinkers. This study examined the daily drivers of drinking among problem drinkers, moderated by age, utilizing ecological momentary assessment (EMA). Participants (N=139), ages 20–73, received daily EMA online surveys completed via a smartphone prior to initiation of treatment. Multilevel modeling tested the moderating impact of age on within- and between-person relationships between drinking and focal predictors (mood, loneliness, boredom, stress, poor sleep, social factors, alcohol salience, commitment and confidence not to drink heavily). Older adults reported greater alcohol consumption when daily boredom levels were higher. Heavier drinking among younger adults was associated with poorer sleep quality. Greater daily confidence, daily commitment and daily alcohol salience did not impact drinking to the same extent for older adults as for younger adults. Greater person-level commitment predicted reduced drinking equivalently across age, but low person-level commitment predicted greater drinking among older adults compared to their younger counterparts. Older adults may have unique daily drivers of drinking that are not fully realized in current research and intervention efforts. Addressing the growing substance-use treatment needs among this population will require identifying the unique drivers of drinking among older adults, such as boredom, when compared to younger adults.
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影响因子：
5.7
作者：
DUPREE, LW;BROSKOWSKI, H;SCHONFELD, L
通讯作者：
SCHONFELD, L
影响因子：
3.4
作者：
Kuerbis, Alexis;Armeli, Stephen;Morgenstern, Jon
通讯作者：
Morgenstern, Jon
影响因子：
2.4
作者：
Hanson, Vicki L.
通讯作者：
Hanson, Vicki L.
影响因子：
6
作者：
Brennan, PL;Schutte, KK;Moos, RH
通讯作者：
Moos, RH
DOI：
10.1111/j.1532-5415.2000.tb04751.x
发表时间：
2000-07-01
影响因子：
6.3
作者：
Blow, FC;Walton, MA;Copeland, LA
通讯作者：
Copeland, LA