Predictors of Alcohol Misuse and Abuse in Older Women

Stevenson, Joanne; Masters, Joan A.

doi:10.1111/j.1547-5069.2005.00057.x

Cited by 13 publications

(9 citation statements)

References 35 publications

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“…In women older than age 60, using alcohol to sleep and shorter sleep onset latency each are associated with greater risk for alcohol misuse. 42 However, moderate alcohol use is associated with fewer insomnia symptoms in women, but not in men, older than age 65. 43 In a study of healthy men and women, selfreported insomnia symptoms at baseline were associated with greater odds of heavy drinking at a 5-year follow-up.…”

Section: Self-reported Sleep Behaviormentioning

confidence: 99%

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Sleep and Alcohol Use in Women

Inkelis

Hasler

Baker

2020

ARCR

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Sleep disturbance is common among individuals with alcohol use disorder (AUD). Insomnia not only is a pathway toward alcohol consumption but also is related to increased risk of relapse, psychosocial impairment, decreased quality of life, and suicidal ideation in individuals with AUD. Few studies examining sleep disturbance and alcohol use have explored how this relationship differs between men and women. Historically, studies of AUD have included few, if any, women in their samples. However, women are increasingly consuming alcohol at an earlier age and at higher rates, and the effect of alcohol on women's mental and physical health is expected to rise. This narrative review consolidates findings from studies that have reported the effects of acute and chronic alcohol use on sleep among women. Additional research is needed to investigate sex differences in this area. Such research should consider the modifying effects of age, lifetime alcohol use, and psychiatric co-occurrence, as well as the effectiveness of combined interventions for AUD and sleep disturbance.

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Section: Self-reported Sleep Behaviormentioning

confidence: 99%

Section: Alcohol and Sleepmentioning

confidence: 99%

Sleep and Alcohol Use in Women

Inkelis

Hasler

Baker

2020

ARCR

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“…With a much lower cutoff score, the T-ACE was found to be a valid predictor in older women. Stevenson and Masters (2007) compared the T-ACE, a variety of biomarkers, and behavioral and physical measures to determine the best predictor of the quantity and frequency of alcohol use in female drinkers ( n = 72) and abstainers ( n = 63) with a mean age of 70 years. They found that any score greater than zero on the T-ACE was the best predictor of alcohol use quantity and frequency.…”

Section: Resultsmentioning

confidence: 99%

Nursing Knowledge About Alcohol Use and Alcohol Problems in Women: A Review of the Literature

Corte

Rongmuang

Stein

2010

J Am Psychiatr Nurses Assoc

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In this article, the authors review the nursing empirical literature on alcohol and women's health published over the past 5 years (2005-2010). A total of 36 data-based articles authored by nurse investigators met eligibility criteria and were included in this review. Most were single studies by individual nurse investigators; few studies reflected ongoing programs of research related to alcohol and women's health. Studies were categorized into four main groups, including (a) determinants of alcohol use and alcohol problems; (b) patterns of use, assessment of alcohol use, and comorbidity; (c) consequences of alcohol use; and (d) the effects of treatment or specific interventions and the contributions of nursing research to the knowledge base of each group are summarized. The authors then propose a research agenda for nursing that addresses the most pressing issues related to alcohol use and alcohol problems in women.

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“…These questions were considered standard at the time and were based on the NSDUH questionnaire. Health Cheq also collected the standard Cut down, Annoyed, Guilty, and Eye-opener (CAGE) questionnaire for alcohol if male 26 or the Tolerance, Annoyance, Cut down, and Eye-opener (TACE) questionnaire if female, 27 as well as the CAGE Adapted to Include Drugs (CAGE-AID) for all illicit drugs. 28 Research assistants then screened patients in person using two prescription drug misuse screening instruments: a) prescription medication CAGE (RxCAGE), a four-item screener, using CAGE alcohol use disorder items modified to focus on prescription drugs 26 and b) Prescription Opioid Misuse Index (POMI-e), expanded from the original focus on prescription opioid misuse to include all prescription drugs.…”

Section: Methodsmentioning

confidence: 99%

Screening for Psychotherapeutic Medication Misuse in Primary Care Patients: Comparing Two Instruments

et al. 2019

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Introduction: Prescription psychotherapeutic medication misuse is a growing problem in the United States, but no method exists to routinely screen for this in primary care. Our study sought to (a) describe the prevalence of prescription psychotherapeutic medication misuse in primary care and the characteristics of patients who misuse and (b) compare two screening instruments modified to identify prescription medication misuse in primary care. Methods: Primary care patients from underserved, urban clinics within a health system completed anonymous computer-directed health screens that included standard questions about prescription medication misuse. They were also administered the four-item Cut down, Annoyed, Guilty and Eye-opener questionnaire modified to focus on prescription medications (RxCAGE) and a six-item Prescription Opioid Misuse Index (POMI-e) expanded to include other prescription medications. Results: Of 2,339 respondents, 15.3% were positive for at least two items on the RxCAGE and 18.6% were positive for at least two items on the POMI-e. Using our computer-directed health screen as a comparison, POMI-e had a higher area under the curve (0.63). A positive POMI-e was associated with being male, white and unemployed, having depression and anxiety, and current use of illicit substances, current smoking and alcohol misuse. Conclusions: Rates of prescription medication misuse were substantial with both RxCAGE and POMI-e showing promise as screening instruments. Future studies are needed to test prescription medication misuse screening tools in broader populations and pilot interventions for those screening positive.

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Predictors of Alcohol Misuse and Abuse in Older Women

Cited by 13 publications

References 35 publications

Sleep and Alcohol Use in Women

Sleep and Alcohol Use in Women

Nursing Knowledge About Alcohol Use and Alcohol Problems in Women: A Review of the Literature

Screening for Psychotherapeutic Medication Misuse in Primary Care Patients: Comparing Two Instruments

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