Alcohol Problems: Long-Term Course in Late-Life

酒精问题：晚年的长期过程

• 批准号: 7390832
• 负责人: RUDOLF MOOS
• 金额: $ 30.92万
• 依托单位: PALO ALTO VETERANS INSTIT FOR RESEARCH
• 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 2011-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7390832
• 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

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.

这项研究的目的是描述晚年饮酒问题的长期过程， 研究健康和寻求帮助，生活环境和应对，性别和家庭因素如何影响晚期- 生活饮酒具体来说，我们建议延长NIAAA资助的10年晚年问题研究 饮酒到21岁，以确定老年人的饮酒过程和问题 饮酒，因为他们从20岁（基线时55至65岁）到老年（基线时75至86岁） 后续行动）。在压力和应对模式的指导下，我们将重点讨论四组问题：（1）我们将研究 21年的晚年饮酒和问题饮酒过程，并确定高风险模式， 酒精消费和替代酒精消费指南的预测有效性。另外我们 将重点关注新的晚年饮酒问题和缓解的比率和预测因素，并考虑 晚年饮酒问题的后果和缓解，包括是否稳定缓解的问题 饮酒者的功能和生活环境随着时间的推移而正常化，或者是否有永久性的“疤痕” 与之前的酗酒问题有关(2)我们将研究与健康有关的因素，如医疗 与晚年波动有关的疾病、药物使用、疼痛、抑郁和自杀意念 饮酒模式我们还将关注晚年和一生中寻求酒精相关帮助的历史。 和个人问题，以及饮酒问题的自然恢复。(3)我们会考虑 社会背景和应对，包括朋友和社会资源，以及生活史因素，在波动中， 晚年饮酒，饮酒问题，缓解和复发。（4）我们将研究 性别和当前家庭对晚年饮酒问题的影响。通过突出 这项研究发现， 应该帮助卫生保健提供者更容易认识到饮酒问题的存在和潜在性 他们最老的病人。通过提供对这个生命阶段的成年人寻求或不寻求帮助的原因的洞察力 对于饮酒问题，以及寻求帮助的模式预测更有利的饮酒结果， 研究可能有助于提供科学基础，促进发展更容易获得和 为老年人提供有效的酒精预防计划。