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Alcohol Problems: Long-Term Course in Late-Life

酒精问题：晚年的长期过程

基本信息

批准号：
7799687
负责人：
RUDOLF MOOS
金额：
$ 24.84万
依托单位：
PALO ALTO VETERANS INSTIT FOR RESEARCH
依托单位国家：
美国
项目类别：
财政年份：
2006
资助国家：
美国
起止时间：
2006-04-10 至 2012-03-31
项目状态：
已结题

项目摘要

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老年问题饮酒的长期过程，并考察健康和求助、生活环境和应对方式以及性别和家庭因素对晚年的影响。终生饮酒生涯。具体地说，我们建议延长由NIAAA资助的一项为期10年的老年问题研究饮酒至21岁以确定老年人的饮酒过程和问题饮酒，因为他们从年轻(基线为55岁至65岁)到老年(75岁至86岁) 跟进)。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，并确定高危模式酒精消费和替代酒精消费指南的预测有效性。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的后果和缓解，包括是否稳定缓解问题饮酒者的功能和生活环境会随着时间的推移而正常化，或者是否存在永久性的“疤痕” 与既往的饮酒问题有关。(2)我们会研究与健康有关的因素，例如医疗条件、用药、疼痛、抑郁和自杀意念与晚年生活波动的关系饮酒模式。我们还将重点关注与酒精相关的晚年生活和终生求助史和个人问题，以及酗酒问题的自然恢复。(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#年的波动晚年饮酒，酗酒问题，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。通过突出显示这项研究表明，高龄成年人的高风险饮酒、迟发性问题饮酒和复发。应该帮助卫生保健提供者更容易地认识到饮酒问题的存在和潜在在他们最年长的病人中。通过洞察成年人在这个生命阶段寻求帮助或不寻求帮助的原因对于饮酒问题，以及预测更有利的饮酒结果的求助模式，研究可能有助于提供科学基础，以促进更容易获得和为老年人提供有效的酒精预防计划。