PROBLEM DRINKING AND LIFE STRESS AMONG OLDER ADULTS

申请人摘要：本研究的目的是描述 晚年饮酒问题的过程，并研究如何生活压力， 社会资源，应对反应和治疗影响发展， 维持和缓解晚年饮酒和酒精中毒问题。 为实现这一目标，正在开展两个项目。 第一个项目的重点是一个社区样本的问题饮酒， 不喝酒的老年人 其主要目标是：（a）审查 老年问题1年和4年变化的相关因素和预测因素 饮酒和功能的相关方面，并在死亡率（B）跟踪 10-一年的晚年饮酒问题，并确定率， 缓解和复发的预测因素;以及（c）关注压力的作用， 应对晚年酗酒问题的过程 第二个项目的重点是两组老年患者， 被诊断为酒精依赖或滥用并接受治疗。 其目标 与第一个项目类似：（a）检查相关因素， 晚年酗酒及相关疾病1年和4年变化的预测因素 功能方面，以及死亡率;（B）跟踪10年的过程， 老年酒精中毒，并确定缓解率和预测因素， （c）重点关注压力和应对过程在预防和治疗复发中的作用， 老年酗酒患者

APPLICANT'S ABSTRACT: The purpose of this research is to describe the course of late-life problem drinking, and to examine how life stressors and social resources, coping responses, and treatment influence the development, maintenance, and remission of late-life problem drinking and alcoholism. Two projects are being conducted to fulfill this purpose. The first project focuses on a community sample of problem-drinking and nonproblem drinking older adults. Its main objectives are to: (a) examine the correlates and predictors of 1- and 4-year changes in late-life problem drinking and related aspects of functioning, and in mortality (b) trace the 10-year course of late-life problem drinking and identify the rates and predictors of remission and relapse; and (c) focus on the role of stress and coping processes in late-life problem drinking. The second project focuses on two cohorts of older patients who have been diagnosed with and treated for alcohol dependence or abuse. Its objectives parallel those of the first project: (a) examine the correlates and predictors of 1- and 4-year changes in late-life alcoholism and related aspects of functioning, and in mortality; (b) trace the 10-year course of late-life alcoholism and identify the rates and predictors of remission and relapse; and (c) focus on the role of stress and coping processes among older alcoholic patients.