DSM-5 alcohol use disorder features among treatment-seeking older adults

Research output: Contribution to journalJournal articleResearchpeer-review

Abstract

Background: The number of older adults with alcohol use disorder (AUD) is expected to rise. Adapted treatments for this group are lacking and information on AUD features in treatment seeking older adults is scarce. The international multicenter randomized-controlled clinical trial “ELDERLY-Study” with few exclusion criteria was conducted to investigate two outpatient AUD-treatments for adults aged 60+ with DSM-5 AUD. Aims: To add to 1) basic methodological information on the ELDERLY-Study by providing information on AUD features in ELDERLY-participants taking into account country and gender, and 2) knowledge on AUD features in older adults seeking outpatient treatment. Methods: baseline data from the German and Danish ELDERLY-sites (n=544) were used. AUD diagnoses were obtained with the Mini International Neuropsychiatric Interview, alcohol use information with Form 90. Results: Lost control, desired control, mental/physical problem, and craving were the most prevalent (> 70 %) AUD-symptoms. 54.9 % reported severe DSM-5 AUD (moderate: 28.2 %, mild: 16.9 %). Mean daily alcohol use was 6.3 drinks at 12 grams ethanol each. 93.9 % reported binging. More intense alcohol use was associated with greater AUD-severity and male gender. Country effects showed for alcohol use and AUD-severity. Conclusion: European ELDERLY-participants presented typical dependence symptoms, a wide range of severity, and intense alcohol use. This may underline the clinical significance of AUD in treatment-seeking seniors.

Original languageEnglish
JournalSucht
Volume64
Issue number4
Pages (from-to)185–196
ISSN0939-5911
DOIs
Publication statusPublished - 1. Jan 2018

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Alcohols
Outpatients
Ethanol
Randomized Controlled Trials
Interviews

Keywords

  • Drinking pattern
  • Elderly
  • Senior
  • Symptom
  • Treatment

Cite this

@article{1b9d38fc31fc433fa505a418e4c74f12,
title = "DSM-5 alcohol use disorder features among treatment-seeking older adults",
abstract = "Background: The number of older adults with alcohol use disorder (AUD) is expected to rise. Adapted treatments for this group are lacking and information on AUD features in treatment seeking older adults is scarce. The international multicenter randomized-controlled clinical trial “ELDERLY-Study” with few exclusion criteria was conducted to investigate two outpatient AUD-treatments for adults aged 60+ with DSM-5 AUD. Aims: To add to 1) basic methodological information on the ELDERLY-Study by providing information on AUD features in ELDERLY-participants taking into account country and gender, and 2) knowledge on AUD features in older adults seeking outpatient treatment. Methods: baseline data from the German and Danish ELDERLY-sites (n=544) were used. AUD diagnoses were obtained with the Mini International Neuropsychiatric Interview, alcohol use information with Form 90. Results: Lost control, desired control, mental/physical problem, and craving were the most prevalent (> 70 {\%}) AUD-symptoms. 54.9 {\%} reported severe DSM-5 AUD (moderate: 28.2 {\%}, mild: 16.9 {\%}). Mean daily alcohol use was 6.3 drinks at 12 grams ethanol each. 93.9 {\%} reported binging. More intense alcohol use was associated with greater AUD-severity and male gender. Country effects showed for alcohol use and AUD-severity. Conclusion: European ELDERLY-participants presented typical dependence symptoms, a wide range of severity, and intense alcohol use. This may underline the clinical significance of AUD in treatment-seeking seniors.",
keywords = "alkoholbehandling {\ae}ldre, Drinking pattern, Elderly, Senior, Symptom, Treatment",
author = "Silke Behrendt and Barbara Braun and Bilberg, {Randi Marie} and Gerhard B{\"u}hringer and Bogenschutz, {Michael P} and Nielsen, {Anette S{\o}gaard} and Anna Mejldal and Kjeld Andersen",
year = "2018",
month = "1",
day = "1",
doi = "10.1024/0939-5911/a000550",
language = "English",
volume = "64",
pages = "185–196",
journal = "Sucht",
issn = "0939-5911",
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}

DSM-5 alcohol use disorder features among treatment-seeking older adults. / Behrendt, Silke; Braun, Barbara; Bilberg, Randi Marie; Bühringer, Gerhard; Bogenschutz, Michael P; Nielsen, Anette Søgaard; Mejldal, Anna ; Andersen, Kjeld.

In: Sucht, Vol. 64, No. 4, 01.01.2018, p. 185–196 .

Research output: Contribution to journalJournal articleResearchpeer-review

TY - JOUR

T1 - DSM-5 alcohol use disorder features among treatment-seeking older adults

AU - Behrendt, Silke

AU - Braun, Barbara

AU - Bilberg, Randi Marie

AU - Bühringer, Gerhard

AU - Bogenschutz, Michael P

AU - Nielsen, Anette Søgaard

AU - Mejldal, Anna

AU - Andersen, Kjeld

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Background: The number of older adults with alcohol use disorder (AUD) is expected to rise. Adapted treatments for this group are lacking and information on AUD features in treatment seeking older adults is scarce. The international multicenter randomized-controlled clinical trial “ELDERLY-Study” with few exclusion criteria was conducted to investigate two outpatient AUD-treatments for adults aged 60+ with DSM-5 AUD. Aims: To add to 1) basic methodological information on the ELDERLY-Study by providing information on AUD features in ELDERLY-participants taking into account country and gender, and 2) knowledge on AUD features in older adults seeking outpatient treatment. Methods: baseline data from the German and Danish ELDERLY-sites (n=544) were used. AUD diagnoses were obtained with the Mini International Neuropsychiatric Interview, alcohol use information with Form 90. Results: Lost control, desired control, mental/physical problem, and craving were the most prevalent (> 70 %) AUD-symptoms. 54.9 % reported severe DSM-5 AUD (moderate: 28.2 %, mild: 16.9 %). Mean daily alcohol use was 6.3 drinks at 12 grams ethanol each. 93.9 % reported binging. More intense alcohol use was associated with greater AUD-severity and male gender. Country effects showed for alcohol use and AUD-severity. Conclusion: European ELDERLY-participants presented typical dependence symptoms, a wide range of severity, and intense alcohol use. This may underline the clinical significance of AUD in treatment-seeking seniors.

AB - Background: The number of older adults with alcohol use disorder (AUD) is expected to rise. Adapted treatments for this group are lacking and information on AUD features in treatment seeking older adults is scarce. The international multicenter randomized-controlled clinical trial “ELDERLY-Study” with few exclusion criteria was conducted to investigate two outpatient AUD-treatments for adults aged 60+ with DSM-5 AUD. Aims: To add to 1) basic methodological information on the ELDERLY-Study by providing information on AUD features in ELDERLY-participants taking into account country and gender, and 2) knowledge on AUD features in older adults seeking outpatient treatment. Methods: baseline data from the German and Danish ELDERLY-sites (n=544) were used. AUD diagnoses were obtained with the Mini International Neuropsychiatric Interview, alcohol use information with Form 90. Results: Lost control, desired control, mental/physical problem, and craving were the most prevalent (> 70 %) AUD-symptoms. 54.9 % reported severe DSM-5 AUD (moderate: 28.2 %, mild: 16.9 %). Mean daily alcohol use was 6.3 drinks at 12 grams ethanol each. 93.9 % reported binging. More intense alcohol use was associated with greater AUD-severity and male gender. Country effects showed for alcohol use and AUD-severity. Conclusion: European ELDERLY-participants presented typical dependence symptoms, a wide range of severity, and intense alcohol use. This may underline the clinical significance of AUD in treatment-seeking seniors.

KW - alkoholbehandling ældre

KW - Drinking pattern

KW - Elderly

KW - Senior

KW - Symptom

KW - Treatment

U2 - 10.1024/0939-5911/a000550

DO - 10.1024/0939-5911/a000550

M3 - Journal article

VL - 64

SP - 185

EP - 196

JO - Sucht

JF - Sucht

SN - 0939-5911

IS - 4

ER -