Schonfeld L, Dupree L W
Department of Aging & Mental Health, Florida Mental Health Institute, University of South Florida, Tampa 33612.
J Stud Alcohol. 1991 Nov;52(6):587-92. doi: 10.15288/jsa.1991.52.587.
The present study compared antecedents to recent drinking for two groups of elderly alcohol abusers admitted for treatment. Twenty-three early-onset alcohol abusers were matched with 23 late-onset alcohol abusers according to age and sex. Depression, loneliness and lack of social support were the most frequently reported antecedents to preadmission drinking behavior for both groups. However, early-onset subjects were more likely to have changed residence, were intoxicated more often and experienced more severe levels of depression and anxiety. Late-onset subjects had greater life satisfaction and motivation for treatment, but were rated by collaterals as having more severe alcohol problems. Early-onset subjects were more likely to drop out of treatment. Treatment implications for age-related commonalities are discussed.
本研究比较了两组因酗酒而入院治疗的老年酗酒者近期饮酒的诱发因素。根据年龄和性别，23名早发性酗酒者与23名晚发性酗酒者进行了匹配。抑郁、孤独和缺乏社会支持是两组入院前饮酒行为最常报告的诱发因素。然而，早发性受试者更有可能搬过家，更频繁地醉酒，经历更严重的抑郁和焦虑水平。晚发性受试者有更高的生活满意度和治疗动机，但被旁证评为有更严重的酒精问题。早发性受试者更有可能退出治疗。文中讨论了与年龄相关的共性对治疗的启示。
