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）：本研究的目的是描述晚年饮酒问题的长期过程，并研究健康和寻求帮助、生活背景和应对方式以及性别和家庭因素如何影响晚年饮酒职业。具体来说，我们建议将 NIAAA 资助的一项针对晚年饮酒问题的 10 年研究延长至 21 年，以确定老年人从年轻时（55 岁到 65 岁）的饮酒和饮酒问题的过程。基线岁）到高龄（随访时75至86岁）。在压力和应对模型的指导下，我们将重点关注四组问题：（1）我们将研究晚年饮酒和问题饮酒的 21 年历程，并确定饮酒的高风险模式和预测有效性替代酒精消费指南。此外，我们将重点关注新的晚年饮酒问题和缓解的发生率和预测因素，并考虑晚年饮酒问题和缓解的后果，包括稳定缓解的问题饮酒者的功能和生活环境是否随着时间的推移而正常化或恢复正常。是否存在与先前饮酒问题相关的永久性“疤痕”。 (2) 我们将检查与晚年饮酒模式波动相关的健康相关因素，例如医疗状况、药物使用、疼痛、抑郁和自杀意念。我们还将关注晚年和一生中因酒精相关问题和个人问题寻求帮助的历史，以及饮酒问题的自然恢复。 (3) 我们将考虑社会背景和应对方式，包括朋友和社会资源以及生活史因素，在晚年饮酒、饮酒问题、缓解和复发的波动中的作用。最后，（4）我们将研究性别和当前家庭对晚年酗酒问题的影响。通过关注高龄成年人中高风险饮酒、迟发性问题饮酒和复发的程度，这项研究应该可以帮助医疗保健提供者更容易地认识到老年患者中饮酒问题的存在和潜力。通过深入了解这个生命阶段的成年人因饮酒问题而寻求或不寻求帮助的原因，以及预测更有利的饮酒结果的寻求帮助模式，该研究可能有助于提供科学基础，以促进开发更容易获得和更有效的方法。老年人酒精预防计划。