Substance use disorders and psychiatric comorbidity in mid and later life: a review.
Substance use disorders and psychiatric comorbidity in mid and later life: a review.
复制标题
中晚年的药物使用障碍和精神共病：综述。
DOI：
10.1093/ije/dyt173
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发表时间：
2014
影响因子：
7.7
通讯作者：
Blazer,DanG
中科院分区：
文献类型：
--
作者：
Wu,Li-Tzy;Blazer,DanG
在全球范围内，65岁或以上的成年人将从2009年的5.16亿增加到2050年的15.3亿。由于物质的使用在早期的年龄，可能会继续到以后的生活中，与年龄相关的变化，在医疗条件，老年人的物质使用者是在物质相关的consequence.MethodsMEDLINE和PsychInfo数据库的风险进行了搜索，使用关键字：酒精使用障碍，药物使用障碍，药物滥用，物质使用障碍，处方药滥用，物质滥用。使用相关文章链接，筛选纳入的其他文章。该综述重点关注2005年至2013年期间发表的原始研究，以反映物质使用障碍的最新趋势。精神科合并症的研究也进行了审查，以告知治疗需要的老年人与物质使用disorder.ResultsAmong社区非制度化的成年人年龄在50岁以上，约60%的使用酒精，3%使用非法药物和1-2%使用非医疗处方药在过去的一年。在50岁以上的成年人中，大约5%的男性和1.4%的女性有过去一年的酒精使用障碍。在酒精使用者中，年龄在50-64岁之间的14名使用者中约有一人患有过去一年的酒精使用障碍，而年龄在65岁以上的30名老年使用者中有一人患有酒精使用障碍。在50岁以上的吸毒者中，大约10-12%有吸毒障碍。与抑郁症和焦虑症类似，物质使用障碍是老年人常见的精神疾病之一。接受美沙酮维持治疗的老年吸毒者表现出多种精神或医疗状况。非法和处方药的问题，在UnitedStates.ConclusionsSubstance的使用在晚年需要监测和研究，包括跟踪物质的使用在种族/民族人群和发展有效的护理模式，以解决共病的医疗和心理健康问题的治疗入院率有所增加。
BackgroundGlobally, adults aged 65 years or older will increase from 516 million in 2009 to an estimated 1.53 billion in 2050. Due to substance use at earlier ages that may continue into later life, and ageing-related changes in medical conditions, older substance users are at risk for substance-related consequences.MethodsMEDLINE and PsychInfo databases were searched using keywords: alcohol use disorder, drug use disorder, drug misuse, substance use disorder, prescription drug abuse, and substance abuse. Using the related-articles link, additional articles were screened for inclusion. This review focused on original studies published between 2005 and 2013 to reflect recent trends in substance use disorders. Studies on psychiatric comorbidity were also reviewed to inform treatment needs for older adults with a substance use disorder.ResultsAmong community non-institutionalized adults aged 50+ years, about 60% used alcohol, 3% used illicit drugs and 1–2% used nonmedical prescription drugs in the past year. Among adults aged 50+, about 5% of men and 1.4% of women had a past-year alcohol use disorder. Among alcohol users, about one in 14 users aged 50–64 had a past-year alcohol use disorder vs one in 30 elder users aged 65+. Among drug users aged 50+, approximately 10–12% had a drug use disorder. Similar to depressive and anxiety disorders, substance use disorders were among the common psychiatric disorders among older adults. Older drug users in methadone maintenance treatment exhibited multiple psychiatric or medical conditions. There have been increases in treatment admissions for illicit and prescription drug problems in the United States.ConclusionsSubstance use in late life requires surveillance and research, including tracking substance use in the racial/ethnic populations and developing effective care models to address comorbid medical and mental health problems.