Alcohol Dependence, Treatment Seeking, and Treatment Preferences Among Elderly: A Qualitative Study.

Journal of addictions nursing Pub Date : 2024-01-01 Epub Date: 2024-02-15 DOI:10.1097/JAN.0000000000000564
Maria Jirwe, Sven Andreasson, Sara Wallhed Finn
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Abstract

Introduction: In Sweden, alcohol consumption has increased among people aged 65 years and older. Among older adults, 2.7% of men and 1.6% of women fulfill criteria for alcohol dependence. The large majority do not seek treatment. Little is known about treatment seeking among older adults with alcohol dependence.

Aim: The aim of this study was to describe elderly's views on alcohol dependence, treatment seeking, and treatment preferences. Possible gender differences will also be explored.

Methods: Between December 2017 and March 2018, two focus group interviews and 10 individual interviews were conducted, using semistructured interviews. In total, 13 elderly participated. Data were analyzed using the framework approach.

Results: Two themes and five subthemes were identified: (a) "regret and feelings of shame when losing control" consisting of two subthemes, namely, (1) loss of control over your alcohol consumption and (2) regret and feelings of shame, and (b) "taking back control over your life" consisting of three subthemes, namely, (1) becoming aware that you have problematic alcohol use, (2) to seek help for alcohol dependence, and (3) views on treatment options and treatment settings.

Conclusions: Increased alcohol use was attributed to a decrease in responsibility and belonging. Alcohol dependence was associated with shame and stigma, which was especially strong for women. Preferred treatments were tailored for the individual, rather than to general factors such as age or gender. Moreover, important components of treatment were to be met with respect, continuity, and controlled drinking as a treatment goal. Future research should focus on interventions to reduce stigma and the development of patient-centered treatments.

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老年人的酒精依赖、寻求治疗和治疗偏好:定性研究。
简介在瑞典,65 岁及以上老年人的饮酒量有所增加。在老年人中,有 2.7% 的男性和 1.6% 的女性符合酒精依赖症的标准。绝大多数人并不寻求治疗。本研究旨在描述老年人对酒精依赖、寻求治疗和治疗偏好的看法。还将探讨可能存在的性别差异:在 2017 年 12 月至 2018 年 3 月期间,采用半结构化访谈法进行了 2 次焦点小组访谈和 10 次个别访谈。共有 13 位老人参与。采用框架法对数据进行了分析:确定了两个主题和五个次主题:(a) "失去控制时的悔恨和羞耻感 "包括两个次主题,即 (1) 失去对饮酒的控制和 (2) 悔恨和羞耻感;(b) "夺回对生活的控制 "包括三个次主题,即 (1) 意识到自己有饮酒问题,(2) 寻求对酒精依赖的帮助,以及 (3) 对治疗方案和治疗环境的看法:结论:酗酒的增加是由于责任感和归属感的下降。酒精依赖与羞耻感和耻辱感有关,女性的羞耻感和耻辱感尤为强烈。首选的治疗方法是因人而异,而不是根据年龄或性别等一般因素。此外,治疗的重要组成部分是以尊重、持续性和控制饮酒为治疗目标。未来的研究应侧重于减少耻辱感的干预措施和以患者为中心的治疗方法的开发。
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