Rodriguez Carlos A, Schonfeld Lawrence, King-Kallimanis Bellinda, Gum Amber M
Carlos A. Rodriguez. BA. is a graduate student studying clinical aging in the Clinical Science program of the Department of Psychology at the University of Southern California in Los Angeles. Bellinda King-Kallimanis is biostatistician at the Department of Aging and Mental Health Disparities. Louis de la Parte Florida Mental Health Institute. University of South Florida and a PhD candidate in the Department of Medical Psychology at the Academic Medical Center. University of Amsterdam. Dr. Lawrence Schonfeld is professor and chair of the Department of Aging and Mental Health Disparities. Louis de la Parte Florida Mental Health Institute. University of South Florida. Amber Gum is assistant professor in the Department of Aging and Mental Health Disparities. Louis de la Parte Florida Mental Health Institute. University of South Florida.
Best Pract Ment Health. 2010 Jan;6(1):90-102.
Previous research has suggested that older adults who misuse alcohol frequently report depressive symptoms as an antecedent to drinking. The objective of the present study was to investigate the extent to which higher levels of depressive symptoms were associated with elders' problem drinking by examining screening data from a three-year pilot program known as the Florida BRITE Project. BRITE (BRief Intervention and Treatment for Elders) is a multisite program offering brief interventions for community-based older adults screening positive for alcohol or medication misuse. Depressive symptoms were assessed using the Short Geriatric Depression Scale: alcohol use was assessed with the first three questions from the Alcohol Use Disorders Identification Test and the Short-Michigan Alcoholism Screening Test-Geriatric version. Multivariate logistic regression revealed that older adults with higher levels of depressive symptoms were at greater risk for screening positive for alcohol problems, particularly among the "young-old" adults. The results not only suggest the importance of screening for both depressive symptoms and alcohol misuse in an older population, but also indicate that older adults are not a homogeneous group.
先前的研究表明，经常滥用酒精的老年人常常将抑郁症状视为饮酒的先兆。本研究的目的是通过检查一项为期三年的试点项目（即佛罗里达BRITE项目）的筛查数据，调查较高水平的抑郁症状与老年人饮酒问题之间的关联程度。BRITE（老年人简短干预与治疗）是一个多地点项目，为社区中酒精或药物滥用筛查呈阳性的老年人提供简短干预。使用简短老年抑郁量表评估抑郁症状；使用酒精使用障碍识别测试的前三个问题以及密歇根酒精ism筛查测试老年版评估酒精使用情况。多变量逻辑回归显示，抑郁症状水平较高的老年人酒精问题筛查呈阳性的风险更大，尤其是在“年轻老人”群体中。研究结果不仅表明在老年人群中筛查抑郁症状和酒精滥用的重要性，还表明老年人并非一个同质群体。
