Alcohol Problems: Long-Term Course in Late-Life

酒精问题：晚年的长期过程

• 批准号: 7218749
• 负责人: RUDOLF MOOS
• 金额: $ 7.67万
• 依托单位: STANFORD UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-04-10 至 2007-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7218749
• 关键词: Adult; Aged, 80 and over; Alcohol abuse; Alcohol consumption; Alcohols; Cicatrix; Communities; Condition; Data; Development; Disease remission; Elderly; Family; Feeling suicidal; Friends; Funding; Gender; Goals; Guidelines; Health; Health Personnel; Individual; Life; Medical; Mental Depression; Modeling; Outcome; Outcomes Research; Pain; Participant; Pattern; Pharmaceutical Preparations; Prevention program; Process; Prospective Studies; Purpose; Rate; Recording of previous events; Recovery; Recruitment Activity; Relapse; Research; Resources; Risk; Role; Sampling; Screening procedure; Social Environment; Spouses; Staging; Stress and Coping; Time; Translating; Variant; alcohol prevention; career; clinical application; cohort; coping; drinking; drinking behavior; family influence; follow-up; help-seeking behavior; high risk drinking; insight; life history; men; older patient; older women; problem drinker; social

DESCRIPTION (provided by applicant): The purpose of this research is to describe the long-term course of late-life problem drinking and to examine how health and help-seeking, life context and coping, and gender and family factors influence late- life drinking careers. Specifically, we propose to extend an NIAAA-funded 10-year study of late-life problem drinking to 21 years in order to determine the course of older adults' alcohol consumption and problem drinking as they move from being young-old (55 to 65 years at baseline) to being old-old (75 to 86 years at follow-up). Guided by a stress and coping model, we will focus on four sets of issues: (1) We will examine the 21-year course of late-life alcohol consumption and problem drinking and identify high-risk patterns of alcohol consumption and the predictive validity of alternative alcohol consumption guidelines. In addition, we will focus on the rates and predictors of new late-life drinking problems and of remission, and consider the consequences of late-life drinking problems and remission, including whether stably remitted problem drinkers' functioning and life contexts normalize over time or whether there is permanent "scarring" associated with prior drinking problems. (2) We will examine health-related factors, such as medical conditions, medication use, pain, and depression and suicidal ideation, in relation to fluctuations in late-life drinking patterns. We will also focus on late-life and the lifetime history of help-seeking for alcohol-related and personal problems, as well as natural recovery of drinking problems. (3) We will consider the role of social context and coping, including friends and social resources, and life history factors, in fluctuations in late-life alcohol consumption, drinking problems, and remission and relapse. Finally, (4) we will examine gender and current family influences on the course of late-life problem drinking. By spotlighting the extent of at-risk drinking, late-onset problem drinking, and relapse among adults of advanced age, this research should help health care providers more readily recognize the existence and potential for drinking problems among their oldest patients. By providing insight into reasons adults at this life stage do or do not seek help for drinking problems, and patterns of help-seeking predictive of more favorable drinking outcomes, the research may help to provide the scientific underpinnings to promote development of more accessible and effective alcohol prevention programs for older adults.

描述（由申请人提供）：本研究的目的是描述晚年问题饮酒的长期过程，并探讨健康与寻求帮助、生活环境与应对、性别和家庭因素如何影响晚年饮酒生涯。具体来说，我们建议将niaaa资助的一项为期10年的老年饮酒问题研究延长至21年，以确定老年人从年轻到老年（基线为55至65岁）到老年（随访时为75至86岁）期间饮酒和饮酒问题的过程。在压力和应对模型的指导下，我们将重点关注四组问题：(1)我们将研究21年的晚年饮酒和问题饮酒过程，并确定饮酒的高风险模式和替代饮酒指南的预测有效性。此外，我们将关注新的晚年饮酒问题和缓解的比率和预测因素，并考虑晚年饮酒问题和缓解的后果，包括稳定缓解的问题饮酒者的功能和生活环境是否随着时间的推移正常化，或者是否存在与先前饮酒问题相关的永久性“疤痕”。(2)我们将研究与晚年饮酒模式波动有关的健康相关因素，如医疗条件、药物使用、疼痛、抑郁和自杀念头。我们还将重点关注晚年和终生寻求酒精相关和个人问题的历史，以及饮酒问题的自然恢复。(3)我们将考虑社会环境和应对的作用，包括朋友和社会资源，以及生活史因素，在晚年饮酒波动，饮酒问题，缓解和复发。最后，(4)我们将研究性别和当前家庭对晚年问题饮酒过程的影响。通过关注高龄成年人中高危饮酒、迟发性问题饮酒和复发的程度，本研究应帮助卫生保健提供者更容易地认识到老年患者中饮酒问题的存在和潜在问题。通过深入了解成年人在这个生命阶段是否会寻求或不寻求酒精帮助的原因，以及寻求帮助的模式可以预测更有利的饮酒结果，该研究可能有助于为促进老年人更容易获得和有效的酒精预防项目的发展提供科学基础。