Factors affecting outpatient treatment compliance of older male problem drinkers.

Atkinson, Roland; Tolson, R L; Turner, John A.

doi:10.15288/jsa.1993.54.102

Cited by 47 publications

(21 citation statements)

References 25 publications

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“…Published studies of "older" patient groups have employed different age cutoffs ranging from 45 to 65 yr (Atkinson, 1995). The 55-yr age cutoff lies at the midpoint of this range, and is consistent with several other studies of alcohol and aging (Atkinson et al, 1993;Gomberg, 1995;Kofoed et al, 1987;Moos et al, 1994).…”

Section: Methods Subjectssupporting

confidence: 89%

Effects of age and alcoholism on sleep: a controlled study.

Brower

Hall

2001

J. Stud. Alcohol

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Objective-Sleep problems are common, costly, and potentially fatal in older adults. Sleep problems are also commonly associated with alcoholism. Yet, few studies have examined the combined effects of alcoholism and aging on sleep. The purpose of this study was to investigate the main and interactive effects of diagnostic group and age group on sleep.Method-Male and female alcohol-dependent patients (N=139) and non-alcoholic controls (N=87) completed full-montage polysomnography, structured psychiatric diagnostic interviews, validated rating scales, and alcohol histories at the University of Michigan between 1989 and 1996. The sample was divided for analytic purposes into older (55+ yr) and younger (<55 yr) subgroups.Results-After controlling for gender, race, body mass index, and psychiatric-related sleep symptoms, alcoholics and older adults had significantly decreased total sleep time and increased stage 1 sleep percentage, respiratory distress, and periodic limb movements. Older adults also had decreased delta sleep percentage and shorter rapid eye movement (REM) sleep latencies. Significant interactions were found between alcoholism and age group for stage 1 sleep percentage, sleepdisordered breathing, and periodic limb movements with older alcoholics having the most disturbances. Older alcoholics also had the highest mean values for sleep latency and the lowest mean values for sleep efficiency and delta sleep percentage when compared to the other three groups.Conclusions-Older alcoholics have increased sleep disturbances when compared to younger alcoholics and non-alcoholics of both age groups. Care providers should screen for sleep problems among older adults with alcohol problems.

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Section: Methods Subjectssupporting

confidence: 89%

Effects of age and alcoholism on sleep: a controlled study.

Brower

Hall

2001

J. Stud. Alcohol

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“…Older persons with alcohol disorders were significantly more likely to complete treatment than younger patients (Schuckit 1977;Wiens et al, 1982-83). Atkinson et al (1993) also found that the proportion of older male alcoholics who completed treatment was twice that of younger men. Despite generally better compliance rates, two studies have shown that programming which addressed problems and concerns specific to older adults in treatment groups separate from younger adults (age-specific programming) improved treatment completion and resulted in higher rates of attendance at group meetings (Atkinson, 1995;Kofoed et al, 1987).…”

Section: Treatment Compliancementioning

confidence: 87%

Treatment of Older Women With Alcohol Problems: Meeting the Challenge for a Special Population

Blow

2000

Alcoholism Clin & Exp Res

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As a larger proportion of the U.S. population reaches late life, there are new challenges to providing quality health care services for this group. Record numbers of adults over 60 are seeking health care for acute and chronic conditions. Older women represent the largest single group of health care users in this country. Twelve percent of older women regularly drink in excess of recommended guidelines (no more than one drink per day or seven drinks per week) and can be considered at-risk drinkers. Problems related to alcohol use and misuse can seriously affect many of the health concerns common among older women, including chronic illnesses and depression. Older women have specific risks and vulnerabilities to alcohol use, which include a swifter progression to alcohol-related illness. However, women in later life who have alcohol problems are underscreened and underdiagnosed, have significant barriers in accessing health care, and respond differentially to standard specialized treatment protocols. To date, research on these topics has been limited. Furthermore, there is a paucity of research focused on treatment outcomes for elderly adults with alcohol problems, with almost no emphasis on women. This paper presents the state of knowledge about alcohol health services for older women and provides recommendations for necessary future health services research on this vulnerable population.

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“…Noting that the sample size limits statistical power, we drew from the conceptual framework upon which the original studies were designed (i.e., that individual, treatment and extra-treatment factors influence outcome). The specific variables selected have been associated in the literature with better outcome (female gender, greater age, longer length of stay in treatment, greater number of AA meetings attended in the 30 days prior to follow-up; Weisner et al, 2003) and treatment adherence (later initiation of heavy drinking; Atkinson et al, 1993). We included the number of days between baseline and followup interview as a control variable because length of time to follow-up differed between the two studies.…”

Section: Methodsmentioning

confidence: 99%