Alcohol use disorders in elderly people: fact or fiction?

Dar, Karim

doi:10.1192/apt.12.3.173

Cited by 94 publications

(85 citation statements)

References 54 publications

(52 reference statements)

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“…In favor of this last explanation is the fact that settings with services specialized in substance dependence had the highest rates of identification 25 . Changes in the metabolism of alcohol observed in the elderly, in addition to the prevalence of hazardous drinking, could justify including specific screening strategies as part of the usual routines of health care staff 26 .…”

Section: Discussionmentioning

confidence: 99%

Alcohol use and falls among the elderly in Metropolitan São Paulo, Brazil

et al. 2009

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The objectives of this study are to identify the pattern of alcohol use among the elderly and to analyze its association with falls. A populationbased survey was conducted in a sample of Metropolitan São Paulo, Brazil, using IntroductionRecently, the number of people aged over 60 has markedly increased in many parts of the world, particularly in low-and middle-income countries 1 . In Brazil, it is estimated that by the year 2050 almost 20% of the population will be over 65 years of age 2 , with a significant impact on financing the national health system 3 .Although alcohol consumption is usually lower among the elderly when compared to younger subjects, its negative consequences can be higher, due to age-related physiological changes. The elderly have increased body fat and a reduction of the body non-fat mass and water, as well as a decrease in hepatic metabolism 4 . As a consequence, alcohol blood levels increase and the elderly start to undergo adverse consequences of alcohol ingestion even without increasing consumption 4 . Another important problem is related to the fact that a considerable proportion of the elderly population is under some form of medication with potential interactions with alcohol. Paskulin & Viana 5 studied elderly people in Porto Alegre, Rio Grande do Sul State, Brazil, and observed that only 23% of the sample did not use any medication. The differences between young adults and the elderly are so marked that it has been suggested that the latter should drink no more than only one drink per day, if there are no absolute contraindications due to the presence of some disease or use of medication 6 . In spi-ARTIGO ARTICLE

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Section: Discussionmentioning

confidence: 99%

Alcohol use and falls among the elderly in Metropolitan São Paulo, Brazil

et al. 2009

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“…Thus, the MAST-G became an important ally of health professionals, when one intended to obtain a broader view of the biopsychosocial life of the elderly; since it could provide a better quality of care, as well as providing insight for counseling, treatment and rehabilitation (12)(13) .…”

Section: Introductionmentioning

confidence: 99%

Use of alcohol in the elderly: transcultural validation of the Michigan Alcoholism Screening Test – Geriatric Version (MAST-G)

Kano

Santos

Pillon

2014

Rev. esc. enferm. USP

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Objective: To evaluate the internal consistency of the version of the Michigan Alcoholism Screening Test – Geriatric Version (MAST-G) instrument, translated and adapted for Brazil. Method: This was a descriptive, cross-sectional study. Data were collected through a demographic questionnaire, the ICD-10 and the MAST-G, following the steps of translation and cultural adaptation. One hundred eleven elderly in the city of São Carlos, SP, Brazil were interviewed. Results: The mean age of those interviewed was 70 years, with 45% men and 55% women, with the mean education of three years; 92% resided with family; 48% of the subjects consumed alcoholic beverages. The MAST-G presented a good level of reliability, with Cronbach’s α = 0.7873, and good levels of sensitivity and specificity with a cutoff score of five positive responses. Conclusion: The Brazilian version of the MAST-G presented internal consistency values similar to the original English version,showing it to be adequate for use in the national context.

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“…In two open-label studies, Brown and colleagues reported that the addition of lamotrigine improved mood -depression and mania -and reduced cocaine craving and use (Brown et al, 2003, 2006.…”

Section: Bipolar Disordermentioning

confidence: 99%

“…Of the 100,098 clients in contact with structured treatment services for a primary alcohol problem in 2008/9, 12,719 (13%) were over 55 years of age (National Treatment Agency and the Department of Health, 2010a). For a summary of the patterns of alcohol use, alcohol-related health problems and assessment and screening in the elderly see Dar (2006). NICE summarises the complexities of treating alcohol use disorders in older adults (NICE, 2011a).…”

Section: Alcoholmentioning

confidence: 99%

BAP updated guidelines: evidence-based guidelines for the pharmacological management of substance abuse, harmful use, addiction and comorbidity: recommendations from BAP

Welch²,

et al. 2012

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The British Association for Psychopharmacology guidelines for the treatment of substance abuse, harmful use, addiction and comorbidity with psychiatric disorders primarily focus on their pharmacological management. They are based explicitly on the available evidence and presented as recommendations to aid clinical decision making for practitioners alongside a detailed review of the evidence. A consensus meeting, involving experts in the treatment of these disorders, reviewed key areas and considered the strength of the evidence and clinical implications. The guidelines were drawn up after feedback from participants. The guidelines primarily cover the pharmacological management of withdrawal, short-and long-term substitution, maintenance of abstinence and prevention of complications, where appropriate, for substance abuse or harmful use or addiction as well management in pregnancy, comorbidity with psychiatric disorders and in younger and older people. KeywordsSubstance misuse, addiction, guidelines, pharmacotherapy, comorbidity 1 Imperial College London, CNWL NHS Foundation Trust, London, UK 2 Gether NHS Foundation Trust, Gloucester, UK 3 Pennine Care NHS Foundation Trust, Ashton-under-Lyne, UKOther invited participants at the consensus meeting who contributed to the discussion and commented on the guidelines were Drummond C, Farrell M, Gilvarry E, Strang J. John, a user representative, read and commented on the written guidelines. Prof W van den Brink reviewed the written guidelines.

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Alcohol use disorders in elderly people: fact or fiction?

Cited by 94 publications

References 54 publications

Alcohol use and falls among the elderly in Metropolitan São Paulo, Brazil

Alcohol use and falls among the elderly in Metropolitan São Paulo, Brazil

Use of alcohol in the elderly: transcultural validation of the Michigan Alcoholism Screening Test – Geriatric Version (MAST-G)

BAP updated guidelines: evidence-based guidelines for the pharmacological management of substance abuse, harmful use, addiction and comorbidity: recommendations from BAP

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