The Prognostic Role of DSM-5 Alcohol Use Disorder Severity and Age of Onset in Treatment Outcome Among Adults Aged 60

Publikation: Beitrag in FachzeitschriftForschungsartikelBeigetragenBegutachtung

Beitragende

  • S. Behrendt - , Professur für Suchtforschung (Autor:in)
  • A. Kuerbis - , City University of New York (Autor:in)
  • A. Mejldal - , University of Southern Denmark (Autor:in)
  • B. Braun-Michl - , Institut für Therapieforschung (Autor:in)
  • R. Bilberg - (Autor:in)
  • G. Bühringer - , Seniorprofessor für Suchtforschung (Autor:in)
  • M. Bogenschutz - , The Child Study Center at NYU Langone Medical Center, University of New Mexico (Autor:in)
  • A. S. Nielsen - , University of Southern Denmark (Autor:in)
  • K. Andersen - , University of Southern Denmark (Autor:in)

Abstract

AIMS: To investigate among older adults with DSM-5 alcohol use disorder (AUD) the relevance of (1) baseline DSM-5 AUD severity, (2) age of DSM-5 AUD onset, and (3) the interactions of DSM-5 AUD severity*treatment condition and age of DSM-5 AUD onset*treatment condition for the prediction of AUD treatment outcomes. METHODS: The international multicenter RCT "ELDERLY-Study" compared outpatient motivational enhancement therapy (4 sessions) with outpatient motivational enhancement therapy followed by community reinforcement approach for seniors (8 sessions) in adults aged 60+ with DSM-5 AUD. Baseline and 1-, 3-, and 6-month follow-up data from the German and Danish ELDERLY-sites (n = 544) were used (6-month participation rate: 75.9. DSM-5 AUD diagnoses were obtained using the Mini International Neuropsychiatric Interview and alcohol use using Form 90. Associations between DSM-5 AUD severity and age of onset and AUD treatment outcomes were investigated using multiple logistic regression and generalized linear models. RESULTS: The sample was diverse in AUD severity (severe: 54.9 moderate: 28.2 mild: 16.9 and age of onset (median: 50 years; 12-78 years). Overall, with few exceptions, neither AUD severity, nor age of onset, nor their respective interactions with treatment condition significantly predicted drinking outcomes at the different follow-ups (P ≥ 0.05). CONCLUSIONS: No indication was found for the need to tailor treatment content according to DSM-5 AUD severity and earlier onset in older adults.

Details

OriginalspracheEnglisch
Seiten (von - bis)303-309
Seitenumfang6
Fachzeitschrift Journal of addiction medicine : JAM
Jahrgang16
Ausgabenummer3
PublikationsstatusVeröffentlicht - 1 Juli 2021
Peer-Review-StatusJa

Externe IDs

Scopus 85134083403