Physical and Mental Health and Social Functioning in Older Alcohol-Dependent Inpatients: The Role of Age of Onset
Aims: Age of onset is an important criterion to distinguish subgroups of alcohol-dependent patients. This study investigated physical and mental health and social functioning of older inpatients with early (age
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| Veröffentlicht in: | European addiction research 2014-01, Vol.20 (5), p.226-232 |
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| container_title | European addiction research |
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| creator | van den Berg, Julia F. Hermes, Jolanda S.J. van den Brink, Wim Blanken, Peter Kist, Nicolien Kok, Rob M. |
| description | Aims: Age of onset is an important criterion to distinguish subgroups of alcohol-dependent patients. This study investigated physical and mental health and social functioning of older inpatients with early (age |
| doi_str_mv | 10.1159/000357322 |
| format | Article |
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This study investigated physical and mental health and social functioning of older inpatients with early (age <25), late (25-44), and very late (≥45) onset of alcohol dependence. Methods: In a specialized detoxification ward for older patients in The Hague, the Netherlands, 157 older alcohol-dependent inpatients (38% women, mean age 62.7 ± 6.5) were interviewed with the European version of the Addiction Severity Index. Results: As a group, older alcohol-dependent patients had substantial physical, mental and social problems, which were largely independent of the age of onset of alcohol dependence. Patients with early-onset alcohol dependence had more chronic medical problems and more suicidal thoughts than patients with late-onset alcohol dependence. The very-late-onset group did not significantly differ from the other two groups in any of the variables under study. Conclusions: Despite previous studies showing more favourable outcomes for the (very) late-onset compared to the early-onset alcohol-dependent group, their comorbid (mental) health and social problems are in many respects similar, and require careful assessment and treatment. This may be crucial for successful treatment and improving quality of life in these patients.</description><identifier>ISSN: 1022-6877</identifier><identifier>EISSN: 1421-9891</identifier><identifier>DOI: 10.1159/000357322</identifier><identifier>PMID: 24776814</identifier><language>eng</language><publisher>Basel, Switzerland: S. Karger AG</publisher><subject>Adolescent ; Adult ; Age Factors ; Age of Onset ; Aged ; Alcoholism ; Alcoholism - psychology ; Female ; Health Status ; Humans ; Inpatients ; Male ; Mental Health ; Middle Aged ; Older people ; Patients ; Quality of life ; Quality of Life - psychology ; Research Report ; Social Adjustment ; Substance abuse treatment ; Young Adult</subject><ispartof>European addiction research, 2014-01, Vol.20 (5), p.226-232</ispartof><rights>2014 S. Karger AG, Basel</rights><rights>2014 S. Karger AG, Basel.</rights><rights>Copyright S. Karger AG 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c384t-2a7ffca7394c7b6bf91bcd842f4516a0995972ff47a29de0dcb1064c4b4fc3343</citedby><cites>FETCH-LOGICAL-c384t-2a7ffca7394c7b6bf91bcd842f4516a0995972ff47a29de0dcb1064c4b4fc3343</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/26790945$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/26790945$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,776,780,799,2422,27903,27904,57995,58228</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24776814$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>van den Berg, Julia F.</creatorcontrib><creatorcontrib>Hermes, Jolanda S.J.</creatorcontrib><creatorcontrib>van den Brink, Wim</creatorcontrib><creatorcontrib>Blanken, Peter</creatorcontrib><creatorcontrib>Kist, Nicolien</creatorcontrib><creatorcontrib>Kok, Rob M.</creatorcontrib><title>Physical and Mental Health and Social Functioning in Older Alcohol-Dependent Inpatients: The Role of Age of Onset</title><title>European addiction research</title><addtitle>Eur Addict Res</addtitle><description>Aims: Age of onset is an important criterion to distinguish subgroups of alcohol-dependent patients. This study investigated physical and mental health and social functioning of older inpatients with early (age <25), late (25-44), and very late (≥45) onset of alcohol dependence. Methods: In a specialized detoxification ward for older patients in The Hague, the Netherlands, 157 older alcohol-dependent inpatients (38% women, mean age 62.7 ± 6.5) were interviewed with the European version of the Addiction Severity Index. Results: As a group, older alcohol-dependent patients had substantial physical, mental and social problems, which were largely independent of the age of onset of alcohol dependence. Patients with early-onset alcohol dependence had more chronic medical problems and more suicidal thoughts than patients with late-onset alcohol dependence. The very-late-onset group did not significantly differ from the other two groups in any of the variables under study. Conclusions: Despite previous studies showing more favourable outcomes for the (very) late-onset compared to the early-onset alcohol-dependent group, their comorbid (mental) health and social problems are in many respects similar, and require careful assessment and treatment. This may be crucial for successful treatment and improving quality of life in these patients.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Age of Onset</subject><subject>Aged</subject><subject>Alcoholism</subject><subject>Alcoholism - psychology</subject><subject>Female</subject><subject>Health Status</subject><subject>Humans</subject><subject>Inpatients</subject><subject>Male</subject><subject>Mental Health</subject><subject>Middle Aged</subject><subject>Older people</subject><subject>Patients</subject><subject>Quality of life</subject><subject>Quality of Life - psychology</subject><subject>Research Report</subject><subject>Social Adjustment</subject><subject>Substance abuse treatment</subject><subject>Young Adult</subject><issn>1022-6877</issn><issn>1421-9891</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkElPwzAQhS0EomwH7oAicYFDwFvs-FiVpUggEIs4Ro5j05TUDnZy4N9jaGklxGmeZr55M3oA7CN4hlAmziGEJOME4zWwhShGqcgFWo8aYpyynPMB2A5hCmGEOd8EA0w5ZzmiW-D1YfIZaiWbRNoqudO2i3KsZdNNfjpPTtWxc9Vb1dXO1vYtqW1y31TaJ8NGuYlr0gvdalvF1eTGtrKrowq7YMPIJui9Rd0BL1eXz6Nxent_fTMa3qaK5LRLseTGKMmJoIqXrDQClarKKTY0Q0xCIeLH2BjKJRaVhpUqEWRU0ZIaRQglO-Bk7tt699Hr0BWzOijdNNJq14cCZYxAhiDPInr8B5263tv4XYEYFAhmhLNInc4p5V0IXpui9fVM-s8CweI77WKZdmSPFo59OdPVkvyNd3XyXfo37ZfA5fBxblG0lYnUwb_U8srhfDwNnVtNMeMCCpqRL97Alu4</recordid><startdate>20140101</startdate><enddate>20140101</enddate><creator>van den Berg, Julia F.</creator><creator>Hermes, Jolanda S.J.</creator><creator>van den Brink, Wim</creator><creator>Blanken, Peter</creator><creator>Kist, Nicolien</creator><creator>Kok, Rob M.</creator><general>S. Karger AG</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K7.</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>20140101</creationdate><title>Physical and Mental Health and Social Functioning in Older Alcohol-Dependent Inpatients</title><author>van den Berg, Julia F. ; Hermes, Jolanda S.J. ; van den Brink, Wim ; Blanken, Peter ; Kist, Nicolien ; Kok, Rob M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c384t-2a7ffca7394c7b6bf91bcd842f4516a0995972ff47a29de0dcb1064c4b4fc3343</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Age of Onset</topic><topic>Aged</topic><topic>Alcoholism</topic><topic>Alcoholism - psychology</topic><topic>Female</topic><topic>Health Status</topic><topic>Humans</topic><topic>Inpatients</topic><topic>Male</topic><topic>Mental Health</topic><topic>Middle Aged</topic><topic>Older people</topic><topic>Patients</topic><topic>Quality of life</topic><topic>Quality of Life - psychology</topic><topic>Research Report</topic><topic>Social Adjustment</topic><topic>Substance abuse treatment</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>van den Berg, Julia F.</creatorcontrib><creatorcontrib>Hermes, Jolanda S.J.</creatorcontrib><creatorcontrib>van den Brink, Wim</creatorcontrib><creatorcontrib>Blanken, Peter</creatorcontrib><creatorcontrib>Kist, Nicolien</creatorcontrib><creatorcontrib>Kok, Rob M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Criminal Justice (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>European addiction research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>van den Berg, Julia F.</au><au>Hermes, Jolanda S.J.</au><au>van den Brink, Wim</au><au>Blanken, Peter</au><au>Kist, Nicolien</au><au>Kok, Rob M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Physical and Mental Health and Social Functioning in Older Alcohol-Dependent Inpatients: The Role of Age of Onset</atitle><jtitle>European addiction research</jtitle><addtitle>Eur Addict Res</addtitle><date>2014-01-01</date><risdate>2014</risdate><volume>20</volume><issue>5</issue><spage>226</spage><epage>232</epage><pages>226-232</pages><issn>1022-6877</issn><eissn>1421-9891</eissn><abstract>Aims: Age of onset is an important criterion to distinguish subgroups of alcohol-dependent patients. This study investigated physical and mental health and social functioning of older inpatients with early (age <25), late (25-44), and very late (≥45) onset of alcohol dependence. Methods: In a specialized detoxification ward for older patients in The Hague, the Netherlands, 157 older alcohol-dependent inpatients (38% women, mean age 62.7 ± 6.5) were interviewed with the European version of the Addiction Severity Index. Results: As a group, older alcohol-dependent patients had substantial physical, mental and social problems, which were largely independent of the age of onset of alcohol dependence. Patients with early-onset alcohol dependence had more chronic medical problems and more suicidal thoughts than patients with late-onset alcohol dependence. The very-late-onset group did not significantly differ from the other two groups in any of the variables under study. Conclusions: Despite previous studies showing more favourable outcomes for the (very) late-onset compared to the early-onset alcohol-dependent group, their comorbid (mental) health and social problems are in many respects similar, and require careful assessment and treatment. This may be crucial for successful treatment and improving quality of life in these patients.</abstract><cop>Basel, Switzerland</cop><pub>S. Karger AG</pub><pmid>24776814</pmid><doi>10.1159/000357322</doi><tpages>7</tpages></addata></record> |
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| source | MEDLINE; Jstor Complete Legacy; Karger Journals |
| subjects | Adolescent Adult Age Factors Age of Onset Aged Alcoholism Alcoholism - psychology Female Health Status Humans Inpatients Male Mental Health Middle Aged Older people Patients Quality of life Quality of Life - psychology Research Report Social Adjustment Substance abuse treatment Young Adult |
| title | Physical and Mental Health and Social Functioning in Older Alcohol-Dependent Inpatients: The Role of Age of Onset |
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