PROBLEM DRINKING AND LIFE STRESS AMONG OLDER ADULTS

申请人摘要：这项研究的目的是描述 晚年饮酒问题的过程，并检查生活压力源和 社会资源、应对反应和治疗影响发展， 维持和缓解晚年酗酒和酗酒的问题。 为实现这一目的，正在开展两个项目。 第一个项目集中在一个社区样本--饮酒和 老年人饮酒不成问题。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子 饮酒和功能的相关方面，以及死亡率(B)追踪 老年问题饮酒的10年病程并确定饮酒率和 缓解和复发的预测指标；和(C)重点关注压力和 老年问题饮酒的应对过程。 第二个项目的重点是两组老年患者，他们已经 被诊断为酒精依赖或滥用并接受治疗。它的目标 与第一个项目类似：(A)审查相关因素和 老年酒精中毒1年和4年变化的预测因素及相关因素 功能方面和死亡率方面；(B)追踪以下10年的历程 并确定缓解率和预测因素 (C)重点关注压力的作用和应对过程 上了年纪的酗酒患者。

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.