Atkinson R M, Tolson R L, Turner J A
Chemical Addictions Rehabilitation Section, Veterans Affairs Medical Center, Portland, Oregon 97201.
Alcohol Clin Exp Res. 1990 Aug;14(4):574-9. doi: 10.1111/j.1530-0277.1990.tb01203.x.
Age at onset of problem drinking was studied in 132 older men (age 60 years and older) admitted to a VA geriatric alcoholism outpatient treatment program. Demographics, alcohol history, self reported psychological status, special treatment, and treatment compliance variables were tested for association with onset age. Late onset (defined as onset of the first alcohol problem at or after age 60) was not uncommon, occurring in 15% of the sample (29% of patients age 65 or older). Compared to earlier onset cases, late onset alcohol problems were milder and more circumscribed, and were associated with less family alcoholism and greater psychological stability. Late onset patients were also more compliant with outpatient treatment requirements; however, treatment program variables were better predictors of compliance than onset age.
对132名入住退伍军人事务部老年酒精中毒门诊治疗项目的老年男性（60岁及以上）进行了问题饮酒起始年龄的研究。对人口统计学、饮酒史、自我报告的心理状态、特殊治疗及治疗依从性变量进行了测试，以确定其与起始年龄的关联。晚发性（定义为60岁及以后首次出现酒精问题）并不罕见，在样本中占15%（65岁及以上患者中占29%）。与早发性病例相比，晚发性酒精问题较轻且范围较窄，与家族性酒精中毒较少及心理稳定性较高有关。晚发性患者对门诊治疗要求的依从性也更高；然而，治疗项目变量比起始年龄更能预测依从性。
