Aging and alcohol use disorders: diagnostic issues in the elderly.
Aging and alcohol use disorders: diagnostic issues in the elderly.
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DOI：
10.1017/s1041610290000308
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发表时间：
1990-01-01
影响因子：
7
通讯作者：
Atkinson, R M
中科院分区：
文献类型：
--
作者：
Atkinson, R M
老年人的酒精使用和使用障碍往往被临床医生和学者隐藏和忽视。由此产生的关于老年人酗酒问题的错误信息可以在《精神疾病诊断和统计手册》第三版修订本等基础著作中找到。然而，一个广泛的文献性质的老年酒精问题最近已经发展。本文回顾了文献，评论了目前在北美几个中心的研究，并提供了一些新的信息，从作者的研究超过300名老年男性酗酒者。许多调查结果仍有待推广和进一步核实。然而，若干连贯的信息似乎得到了充分的证实：（a）老年人酗酒问题构成了一个中等比例的公共卫生问题，特别是在男子中;（B）大多数迹象表明，下一代老年妇女和男子酗酒问题会增加;（c）许多老年酗酒病例发病较晚;（d）许多老年病例没有得到适当的识别;以及（e）目前酒精使用障碍的筛查和诊断方法缺乏对老年人的充分验证。
Alcohol use and use disorders in older people tend to be hidden and ignored by clinicians and scholars. Resulting misinformation about elderly alcohol problems can be found in such fundamental works as the Diagnostic and Statistical Manual of Mental Disorders, third edition, revised. Yet, an extensive literature about the nature of geriatric alcohol problems has developed recently. This article reviews that literature, comments on current research at several North American centers, and offers some new information from the author's study of more than 300 older male alcoholics. Many findings remain to be replicated and further verified. Nonetheless, several coherent strands of information seem to be well substantiated: (a) problem drinking in the elderly constitutes a public health problem of moderate proportion, especially in men; (b) most signs predict increasing problem drinking in coming generations of elderly women and men; (c) many cases of geriatric alcoholism have late onset; (d) many geriatric cases are not properly identified; and (e) present screening and diagnostic methods for alcohol use disorders lack adequate validation for older persons.