Screening for Problem Drinking in Older Primary Care Patients

Adams, Wendy L.; Barry, Kristen L.; Fleming, Michael F.

doi:10.1001/jama.1996.03540240042028

Cited by 186 publications

(125 citation statements)

References 36 publications

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“…Alcohol abuse (CAGE positive) Adams et al (1996) 9% men, 3% women 5065 subjects (60 years and over; 44% male) in primary care completed a quantity±frequency questionnaire and the CAGE.…”

Section: Summary Of Review Articlesmentioning

confidence: 99%

Alcohol problems in old age: a review of recent epidemiological research

Johnson

2000

Int. J. Geriat. Psychiatry

113

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“…Alcohol abuse (CAGE positive) Adams et al (1996) 9% men, 3% women 5065 subjects (60 years and over; 44% male) in primary care completed a quantity±frequency questionnaire and the CAGE.…”

Section: Summary Of Review Articlesmentioning

confidence: 99%

Alcohol problems in old age: a review of recent epidemiological research

Johnson

2000

Int. J. Geriat. Psychiatry

113

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“…Adams et al found that in a population of 5000, aged 60 years or more, the CAGE failed to identify more than half of the harmful or dependent alcohol users. 49 The CAGE is also limited in its focus upon lifetime alcohol use rather than current alcohol consumption. The G-MAST with a cut-off point of 5 was found to have sensitivity of 70% and specificity of 80% in a population aged 65 years or more.…”

Section: Diagnosing Aud In Older Peoplementioning

confidence: 99%

Alcohol use disorders in older people

Coulton

2009

Rev. Clin. Gerontol.

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The number of people aged 65 years or more is increasing worldwide. Alcohol use disorders (AUD) are a common condition in the older population, and this combined with the changing age demographic in the population means that AUD in this population is a significant public health concern. AUD has a major impact upon the physical, psychological and social health of the older population. There is evidence that older people do benefit from interventions to reduce alcohol consumption as much as, if not more than, younger populations. There is evidence that AUD in the older population often goes undetected and the potential for beneficial behavioural health change is not realized.

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“…The concern for alcohol use is highlighted by the literature demonstrating that not only are alcohol misuse and abuse common in this population, but also that problem drinking likely affects a larger proportion of the elderly population than previously thought [7]. Prevalence estimates of problem drinking in older adults derived from community surveys have ranged from 1% to 15%, and much higher rates (15% to 58%) have been estimated among older adults presenting in health care settings [4][5][6]. In 2002, more than 616,000 adults aged 55 and older reported alcohol dependence in the past year (DSM-IV definition): 1.8% of those aged 55 to 59, 1.5% of those aged 60 to 64, and 0.5% of those aged 65 or older [8].…”

Section: Alcohol Problems In Later Adulthoodmentioning

confidence: 99%

“…Approximately 5% of elderly individuals living in the community meet research criteria for major depression; moreover, 15% to 20% of older adults have significant depressive symptoms [1][2][3]. Misuse and abuse of alcohol also are significant health problems among older adults, among those living in the community, and among health care-seeking populations [4][5][6]. The combination of depression and problems related to alcohol consumption significantly increases the potential for poor mental and physical health outcomes.…”

Section: Introductionmentioning

confidence: 99%

Late-life depression and alcoholism

Blow

Serras²,

Barry³

2007

Curr Psychiatry Rep

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The relationship between alcohol use and later-life depression is complex. At-risk and problem drinking elevates the risk of depressive symptoms. The co-occurrence of alcohol use disorders and depression increases the potential for poor mental and physical health outcomes in older adults. Many older adults who are experiencing problems related to alcohol use do not meet alcohol abuse/dependence criteria. Depressive symptoms among older adults often are overlooked or misdiagnosed. The role of at-risk and problem alcohol use in depressive symptoms and vice versa may be underestimated. After a review of the literature, clinical recommendations for addressing late-life alcohol misuse and depression are presented.

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Screening for Problem Drinking in Older Primary Care Patients

Cited by 186 publications

References 36 publications

Alcohol problems in old age: a review of recent epidemiological research

Alcohol problems in old age: a review of recent epidemiological research

Alcohol use disorders in older people

Late-life depression and alcoholism

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