Prevalance, risk factors, and treatments for substance abuse in older adults

Date

2006

Authors

Christensen, Helen
Low, Lee-Fay
Anstey, Kaarin

Journal Title

Journal ISSN

Volume Title

Publisher

Lippincott Williams & Wilkins

Abstract

PURPOSE OF REVIEW: This paper briefly outlines new research on the epidemiology of alcohol and drug use in the older population, describes mental and cognitive consequences of substance use and summarizes recent treatment trials for alcohol dependence. RECENT FINDINGS: Cross-sectional and longitudinal studies indicate that alcohol use is less prevalent in older groups, and it decreases over time. Comorbidity (alcohol and other drugs, alcohol with mental health disorders) is high. An inverse-U-shaped curve describes the association between alcohol consumption and cognitive impairment with increased impairment for abstainers and high users as compared with moderate users. Trials of alcohol use in the older population are rare, but they suggest that brief patient education may reduce drinking levels in primary care populations, and that, for some users, integrated primary care may be more useful than referral to specialist care. SUMMARY: The basis for higher risk in abstainers is not resolved. More randomized controlled trials are needed, which target alcohol use and dependence and also focus on comorbid disorders.

Description

Keywords

Keywords: acamprosate; barbituric acid derivative; benzodiazepine derivative; central stimulant agent; illicit drug; naltrexone; opiate; phencyclidine; sertraline; abstinence; age distribution; alcohol consumption; alcoholism; anxiety; behavior therapy; bipolar dis Alcohol; Prevalence; Risk factors treatments; Smoking

Citation

Source

Current Opinion In Psychiatry

Type

Journal article

Book Title

Entity type

Access Statement

License Rights

DOI

10.1097/01.yco.0000245743.60631.4a

Restricted until

2037-12-31