英国社区老年精神病学服务下老年人的危险饮酒和双重诊断

IF 0.8 Q4 PSYCHOLOGY, CLINICAL Advances in Dual Diagnosis Pub Date : 2019-11-07 DOI:10.1108/add-05-2019-0004
R. Rao
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引用次数: 1

摘要

目的评估高危饮酒模式及其与社区服务中老年人双重诊断的关系仍未得到充分探讨。本文旨在对这一问题进行探讨。设计/方法/方法使用酒精使用障碍识别测试(审计)对190名65岁及以上的人进行了饮酒风险和共存精神障碍的检查。总的来说,24%的饮酒者的饮酒量超过了较低的风险水平,22%的人在过去的12个月里酗酒。那些在审计中得到1分或以上的人更有可能是男性,与不饮酒者和报告过去没有酒精问题的人相比,他们有更大的认知障碍。研究局限性/意义考虑到迷你精神状态检查在检测酒精相关认知障碍(ARCI)方面的局限性,在更大的研究人群中使用其他认知筛查工具也是有必要的。实际意义需要更加重视对老年男性饮酒者和认知障碍者的风险饮酒评估。独创性/价值在主流精神卫生服务机构中,特别是在酗酒的老年人中,常规检测认知障碍和痴呆症的范围相当大。由于ARCI与功能丧失和独立性相关,因此早期发现和干预可改善健康和社会结果。
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Risky drinking and dual diagnosis in older people under a UK community old age psychiatry service
Purpose The assessment of patterns in risky drinking and its association with dual diagnosis in community services for older people remains under-explored. The paper aims to discuss this issue. Design/methodology/approach Drinking risk using the Alcohol Use Disorders Identification Test (AUDIT) and the presence of co-existing mental disorders was examined in 190 people aged 65 and over. Findings In total, 24 per cent of drinkers drank above lower risk levels and 22 per cent reported binge drinking over the past 12 months. Those scoring 1 or more on the AUDIT were more likely to be male and to have greater cognitive impairment than non-drinkers and those reporting no past problems with alcohol. Research limitations/implications Given the limitations of the Mini Mental State Examination in the detection of alcohol related cognitive impairment (ARCI), the use of other cognitive screening instruments in larger study populations is also warranted. Practical implications Greater attention needs to be paid to the assessment of risky drinking in older male drinkers and those with cognitive impairment. Originality/value There is considerable scope for the routine detection of cognitive impairment and dementia in older people with alcohol use within mainstream mental health services, particularly in those with binge drinking. As ARCI is associated with loss of function and independence, early detection and intervention can improve health and social outcomes.
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来源期刊
Advances in Dual Diagnosis
Advances in Dual Diagnosis PSYCHOLOGY, CLINICAL-
CiteScore
1.50
自引率
33.30%
发文量
15
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