Alcohol Problems: Long-Term Course in Late-Life

酒精问题：晚年的长期过程

• 批准号: 7089186
• 负责人: RUDOLF MOOS
• 金额: $ 29.32万
• 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 2011-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7089186
• 关键词: alcoholic beverage consumption; alcoholism /alcohol abuse; behavior prediction; behavioral /social science research tag; case history; clinical research; coping; disease /disorder proneness /risk; family structure /dynamics; gender difference; health behavior; health care service utilization; human middle age (35-64); human old age (65+); human subject; life cycle; longitudinal human study; mental health; pain; psychological aspect of aging; remission /regression; socioenvironment; stress; substance abuse epidemiology; substance abuse related behavior

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）：这项研究的目的是描述饮酒后期问题的长期过程，并研究健康和寻求帮助，生活环境和应对以及性别和家庭因素如何影响晚期生活饮酒。具体而言，我们建议将一项由NIAAA资助的10年后期饮酒的10年研究扩展到21年，以确定老年人的饮酒和饮酒的过程，因为他们从小（基线时55岁至65岁）到老年人（随访时为75至86年）。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年的晚期饮酒和问题饮酒的过程，并确定饮酒的高风险模式以及替代酒精消费指南的预测有效性。此外，我们将重点关注新的晚期饮酒问题和缓解的速度和预测因素，并考虑晚期饮酒问题和缓解的后果，包括稳定的降低问题者的功能和生活环境是否会随着时间的推移正常化，或者是否存在与先前饮酒问题有关的永久性“疤痕”。 （2）我们将检查与健康相关的因素，例如医疗状况，药物使用，疼痛，抑郁和自杀念头，与后期饮酒模式的波动有关。我们还将重点关注晚期生活以及寻求与酒精有关和个人问题的寻求帮助以及饮酒问题的自然恢复的历史。 （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历史因素，在晚期饮酒，饮酒问题以及缓解和复发的波动中。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。通过聚焦高危饮酒的程度，迟到的​​问题饮酒以及高龄成年人的复发，这项研究应帮助医疗保健提供者更容易地认识到其最古老的患者中饮酒问题的存在和潜力。通过洞悉成年人在这个生命阶段的原因，或者不寻求帮助饮酒问题的帮助，以及寻求帮助的饮酒结果的模式，这项研究可能有助于提供科学的基础，以促进为老年人开发更容易获得和有效的酒精预防计划。