Alcohol Problems: Long-Term Course in Late-Life

酒精问题：晚年的长期过程

• 批准号: 7469633
• 负责人: RUDOLF MOOS
• 金额: $ 22.7万
• 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/7469633
• 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饮酒后期问题的长期过程 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 - 饮酒事业。具体而言，我们建议扩展NIAAA资助的晚期问题的10年研究 饮酒至21年，以确定老年人的饮酒和问题的进程 当他们从小（基线时55岁至65岁）转变为老龄时喝酒（75至86岁 随访）。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 晚期饮酒和饮酒问题的21年课程，并确定高风险的模式 饮酒和替代饮酒指南的预测有效性。另外，我们 将关注新的晚期饮酒问题和缓解的费率和预测因素，并考虑 晚期饮酒问题和缓解的后果，包括是否稳定减轻问题 随着时间的流逝，饮酒者的功能和生活环境正常化，或者是否存在永久性的“疤痕” 与先前的饮酒问题有关。 （2）我们将检查与健康相关的因素，例如医疗 疾病，药物使用，疼痛和抑郁和自杀念头，与后期的波动有关 饮酒方式。我们还将重点关注晚期和寻求与酒精有关的帮助的终生历史 和个人问题，以及自然恢复饮酒问题。 （3）我们将考虑 社会背景和应对，包括朋友和社会资源以及生活历史因素，在波动中 晚期饮酒，饮酒问题以及缓解和复发。最后，（4）我们将检查 性别和当前家庭对饮酒后期问题的影响。通过聚焦 这项研究 应该帮助医疗保健提供者更容易地认识到饮酒问题的存在和潜力 在他们最大的患者中。通过洞悉成年人在这个生命阶段的原因或不寻求帮助 对于饮酒问题和寻求帮助的模式，可以预测更有利的饮酒结果， 研究可能有助于提供科学的基础，以促进更容易获得的发展 有效的老年人酒精预防计划。