老年人的物质使用障碍。

Substance Use Disorders in the Elderly.

机构信息

Department of Psychiatry, Creighton University Education Building, 7710 Mercy Road, Suite 601, Omaha, NE 68124, USA; Department of Psychiatry, Yale School of Medicine, 333 Cedar Street, New Haven, CT 06510, USA.

Behavioral Health Advisory Group, 259 Nassau Street, Suite2 #386, Princeton, NJ 08542, USA.

出版信息

Psychiatr Clin North Am. 2022 Dec;45(4):707-716. doi: 10.1016/j.psc.2022.07.005. Epub 2022 Oct 14.

DOI:10.1016/j.psc.2022.07.005

PMID:36396274

Abstract

The population of elderly in the United States with substance use disorders (SUDs) is growing appreciably. SUDs among the elderly are often associated with poor outcomes and are frequently underdiagnosed. The current diagnostic criteria are less sensitive in identifying SUDs among the elderly. Routine screening with validated screening tools may improve the diagnosis of SUDs among the elderly. There is a dearth of data from controlled studies on SUDs among the elderly and the use of pharmacologic agents for treatment, although data indicate that older adults with SUDs respond well to treatments that are specifically designed for this age group.

摘要

美国患有物质使用障碍（SUD）的老年人口数量正在显著增长。老年人中的 SUD 通常与不良后果相关，且经常被漏诊。目前的诊断标准在识别老年人中的 SUD 方面不够敏感。使用经过验证的筛查工具进行常规筛查可能会提高老年人 SUD 的诊断率。尽管数据表明，患有 SUD 的老年人对专门为该年龄组设计的治疗方法反应良好，但针对老年人 SUD 以及药物治疗的对照研究数据仍然匮乏。