Therapie alkoholbezogener Storungen im Alter: Ergebnisse der deutschen Stichprobe der randomisiert-kontrollierten ELDERLY-Studie

Translated title of the contribution: Treatment of alcohol use disorder in higher ages: Results of the German sample of the randomized-controlled ELDERLY study up to 12 months follow-up

Barbara Braun*, Silke Behrendt, Daniela Piontek, Ludwig Kraus, Gerhard Bühringer

*Corresponding author for this work

Research output: Contribution to journalJournal articleResearchpeer-review

Abstract

Aim: The demographic change implicates a higher number of older persons with alcohol related problems, for which therapeutic care is insufficient up to now. Within the international randomized-controlled ELDERLY study two versions of an outpatient psychotherapeutic treatment for persons aged 60 years or older having an alcohol use disorder according to DSM-5 (AUD) were tested in three countries. Methods: After baseline, the randomized treatment groups were reassessed after 1, 3, 6 and 12 months. Changes (time and group) regarding drinking quantity, number of abstinent days, number of days with binge drinking, and number of days with low-risk consumption as well as number of fulfilled criteria for AUD were evaluated. Complete case- and intention-to-treat analyses for the German subsample are presented (n=203). Results: Both treatment groups showed stably up to 12 months after baseline higher abstinence rates (18 %; t0: 4 %), rates of persons without any days of risky use (45 %, t0: 4 %) and without binge drinking days (68 %; t0: 15 %). Also, a reduction in drinking quantity (median of 27 g pure alcohol per drinking day; t0: 58 g) and number of fulfilled AUD criteria (median of 2; t0: 5) was observed. Conclusion: The improvements with regard to drinking behavior and symptoms of AUD remained steady despite the relatively short treatment duration. Motivational interventions, especially personalized feedback of drinking behavior, evoke changes in drinking behavior in older persons with alcohol related disorders. Therapeutic nihilism is misplaced; rather is it necessary to consider special needs of this target group to implement tailored help offers.

Original languageGerman
JournalSucht
Volume65
Issue number2
Pages (from-to)101-114
ISSN0939-5911
DOIs
Publication statusPublished - 28. Jun 2019

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Alcohols
Drinking Behavior
Drinking
Intention to Treat Analysis
Alcohol Drinking
Outpatients

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@article{ea12cbbac4804a5d8809e6aa4493a710,
title = "Therapie alkoholbezogener Storungen im Alter: Ergebnisse der deutschen Stichprobe der randomisiert-kontrollierten ELDERLY-Studie",
abstract = "Aim: The demographic change implicates a higher number of older persons with alcohol related problems, for which therapeutic care is insufficient up to now. Within the international randomized-controlled ELDERLY study two versions of an outpatient psychotherapeutic treatment for persons aged 60 years or older having an alcohol use disorder according to DSM-5 (AUD) were tested in three countries. Methods: After baseline, the randomized treatment groups were reassessed after 1, 3, 6 and 12 months. Changes (time and group) regarding drinking quantity, number of abstinent days, number of days with binge drinking, and number of days with low-risk consumption as well as number of fulfilled criteria for AUD were evaluated. Complete case- and intention-to-treat analyses for the German subsample are presented (n=203). Results: Both treatment groups showed stably up to 12 months after baseline higher abstinence rates (18 {\%}; t0: 4 {\%}), rates of persons without any days of risky use (45 {\%}, t0: 4 {\%}) and without binge drinking days (68 {\%}; t0: 15 {\%}). Also, a reduction in drinking quantity (median of 27 g pure alcohol per drinking day; t0: 58 g) and number of fulfilled AUD criteria (median of 2; t0: 5) was observed. Conclusion: The improvements with regard to drinking behavior and symptoms of AUD remained steady despite the relatively short treatment duration. Motivational interventions, especially personalized feedback of drinking behavior, evoke changes in drinking behavior in older persons with alcohol related disorders. Therapeutic nihilism is misplaced; rather is it necessary to consider special needs of this target group to implement tailored help offers.",
keywords = "alcohol use disorder, Older persons, outpatient treatment, psychotherapy",
author = "Barbara Braun and Silke Behrendt and Daniela Piontek and Ludwig Kraus and Gerhard B{\"u}hringer",
year = "2019",
month = "6",
day = "28",
doi = "10.1024/0939-5911/a000595",
language = "Tysk",
volume = "65",
pages = "101--114",
journal = "Sucht",
issn = "0939-5911",
publisher = "VerlagHans Huber AG",
number = "2",

}

Therapie alkoholbezogener Storungen im Alter : Ergebnisse der deutschen Stichprobe der randomisiert-kontrollierten ELDERLY-Studie. / Braun, Barbara; Behrendt, Silke; Piontek, Daniela; Kraus, Ludwig; Bühringer, Gerhard.

In: Sucht, Vol. 65, No. 2, 28.06.2019, p. 101-114.

Research output: Contribution to journalJournal articleResearchpeer-review

TY - JOUR

T1 - Therapie alkoholbezogener Storungen im Alter

T2 - Ergebnisse der deutschen Stichprobe der randomisiert-kontrollierten ELDERLY-Studie

AU - Braun, Barbara

AU - Behrendt, Silke

AU - Piontek, Daniela

AU - Kraus, Ludwig

AU - Bühringer, Gerhard

PY - 2019/6/28

Y1 - 2019/6/28

N2 - Aim: The demographic change implicates a higher number of older persons with alcohol related problems, for which therapeutic care is insufficient up to now. Within the international randomized-controlled ELDERLY study two versions of an outpatient psychotherapeutic treatment for persons aged 60 years or older having an alcohol use disorder according to DSM-5 (AUD) were tested in three countries. Methods: After baseline, the randomized treatment groups were reassessed after 1, 3, 6 and 12 months. Changes (time and group) regarding drinking quantity, number of abstinent days, number of days with binge drinking, and number of days with low-risk consumption as well as number of fulfilled criteria for AUD were evaluated. Complete case- and intention-to-treat analyses for the German subsample are presented (n=203). Results: Both treatment groups showed stably up to 12 months after baseline higher abstinence rates (18 %; t0: 4 %), rates of persons without any days of risky use (45 %, t0: 4 %) and without binge drinking days (68 %; t0: 15 %). Also, a reduction in drinking quantity (median of 27 g pure alcohol per drinking day; t0: 58 g) and number of fulfilled AUD criteria (median of 2; t0: 5) was observed. Conclusion: The improvements with regard to drinking behavior and symptoms of AUD remained steady despite the relatively short treatment duration. Motivational interventions, especially personalized feedback of drinking behavior, evoke changes in drinking behavior in older persons with alcohol related disorders. Therapeutic nihilism is misplaced; rather is it necessary to consider special needs of this target group to implement tailored help offers.

AB - Aim: The demographic change implicates a higher number of older persons with alcohol related problems, for which therapeutic care is insufficient up to now. Within the international randomized-controlled ELDERLY study two versions of an outpatient psychotherapeutic treatment for persons aged 60 years or older having an alcohol use disorder according to DSM-5 (AUD) were tested in three countries. Methods: After baseline, the randomized treatment groups were reassessed after 1, 3, 6 and 12 months. Changes (time and group) regarding drinking quantity, number of abstinent days, number of days with binge drinking, and number of days with low-risk consumption as well as number of fulfilled criteria for AUD were evaluated. Complete case- and intention-to-treat analyses for the German subsample are presented (n=203). Results: Both treatment groups showed stably up to 12 months after baseline higher abstinence rates (18 %; t0: 4 %), rates of persons without any days of risky use (45 %, t0: 4 %) and without binge drinking days (68 %; t0: 15 %). Also, a reduction in drinking quantity (median of 27 g pure alcohol per drinking day; t0: 58 g) and number of fulfilled AUD criteria (median of 2; t0: 5) was observed. Conclusion: The improvements with regard to drinking behavior and symptoms of AUD remained steady despite the relatively short treatment duration. Motivational interventions, especially personalized feedback of drinking behavior, evoke changes in drinking behavior in older persons with alcohol related disorders. Therapeutic nihilism is misplaced; rather is it necessary to consider special needs of this target group to implement tailored help offers.

KW - alcohol use disorder

KW - Older persons

KW - outpatient treatment

KW - psychotherapy

U2 - 10.1024/0939-5911/a000595

DO - 10.1024/0939-5911/a000595

M3 - Tidsskriftartikel

AN - SCOPUS:85068403074

VL - 65

SP - 101

EP - 114

JO - Sucht

JF - Sucht

SN - 0939-5911

IS - 2

ER -