Alcohol Problems: Long-Term Course in Late-Life

酒精问题：晚年的长期过程

基本信息

批准号：
7390832
负责人：
RUDOLF MOOS
金额：
$ 30.92万
依托单位：
PALO ALTO VETERANS INSTIT FOR RESEARCH
依托单位国家：
美国
项目类别：
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/7390832
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

项目摘要

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.

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、生活环境和应对方式以及性别和家庭因素如何影响后期一生饮酒事业。具体来说，我们建议延长 NIAAA 资助的一项为期 10 年的晚年问题研究饮酒至 21 岁以确定老年人的饮酒过程和问题当他们从年轻的老年人（基线为 55 至 65 岁）到老年（基线为 75 至 86 岁）时饮酒后续）。在压力和应对模型的指导下，我们将重点关注四组问题：（1）我们将审查晚年饮酒和问题饮酒的 21 年历程，并确定高风险模式酒精消费和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，包括是否稳定缓解问题饮酒者的功能和生活环境随着时间的推移而恢复正常，或者是否存在永久性的“疤痕” 与之前的饮酒问题有关。 (2) 我们会检查与健康相关的因素，例如医疗情况与晚年波动相关的状况、药物使用、疼痛、抑郁和自杀意念饮酒模式。我们还将关注晚年以及与酒精相关的一生寻求帮助的历史和个人问题，以及饮酒问题的自然恢复。 (3)我们将考虑的作用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，在波动中晚年饮酒、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晚年酗酒问题的影响。通过关注范围这项研究针对高龄成年人的高危饮酒、迟发性饮酒问题和复发问题进行了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其中最年长的患者。通过深入了解此人生阶段的成年人寻求或不寻求帮助的原因对于饮酒问题以及预测更有利的饮酒结果的寻求帮助模式，研究可能有助于提供科学基础，以促进更容易获得和针对老年人的有效酒精预防计划。