Treatment compliance of older alcoholics: an elder-specific approach is superior to "mainstreaming".

Kofoed, Lial; Tolson, R L; Atkinson, Roland; Toth, Robert; Turner, John A.

doi:10.15288/jsa.1987.48.47

Cited by 124 publications

(38 citation statements)

References 8 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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“…The older adult programs revealed better outcomes in terms of abstinence (Kashner et al, 1992;Kofoed et al, 1987) and treatment completion (Kofoed et al, 1987) than did the mixed age programs. In spite of this, it must be noted that older adults are able to derive benefits from participation in mixed age treatment programs.…”

Section: Treatment Summarymentioning

confidence: 84%

“…A retrospective, non-randomized study conducted by Kofoed et al (1987) compared a sample of 24 older alcoholics treated in traditional mixed-age outpatient groups with a sample of 25 older alcoholics treated in older adult peer groups. The traditional groups, which usually contained one to two older adults in each group of six to 10 people, emphasized expression of feelings and resulted in frequent peer and staff confrontation.…”

Section: Review Of Empirical Studiesmentioning

confidence: 99%

“…In sum, older adults with alcohol abuse disorders appear to do best when treated with a cognitive-behavioral approach (Rice, Longabaugh, Beattie, & Noel, 1993) and have better treatment compliance and outcome when treated in an older adult-specific program (Kashner et al, 1992;Kofoed et al, 1987). Further, evidence suggests that older substance abuse patients have better outcomes when treated in a more supportive, less confrontational treatment environment (Kashner et al, 1992).…”

Section: Treatment Summarymentioning

confidence: 99%

See 1 more Smart Citation

Chapter 9; Substance Abuse

Cummings

Bride

Cassie

et al. 2008

Journal of Gerontological Social Work

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Alcohol abuse poses special risks for increased morbidity and mortality among older adults, contributing to the heightened use of medical resources and the related increase in medical costs. Although the prevalance of alcohol use disorders in the older adults is generally less than that found in younger groups, it is expected to increase with the aging of the "baby-boom" generation. In spite of this, little attention has focused on developing, and evaluating the efficacy of, treatment programs for older adults with alcohol related disorders. This article discusses the availability of effective treatment strategies for older alcohol abusers and reviews the epidemiological and outcomes research literatures related to alcohol abuse and older adults. The few empirical studies that examine outcomes associated with the treatment of older substance abusers reveal positive outcomes, especially when "age-specific," cognitive-behavioral, and less confrontational treatment approaches are employed.

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“…Kofoed et al 74 compared two groups of older veterans with similar drinking and treatment histories. The experimental group consisted of 25 patients admitted to a one-year programme of weekly, group treatment for older alcohol abusers emphasizing 'socialization and support, with a slower pace and less confrontation than in groups for younger patients'.…”

Section: Age-specific Treatmentmentioning

confidence: 99%