The purpose of this research is to describe the long-term course of late-life problem drinking and to examine how health and help-seeking, life context and coping, and gender and family factors influence late- life drinking careers. Specifically, we propose to extend an NIAAA-funded 10-year study of late-life problem drinking to 21 years in order to determine the course of older adults'alcohol consumption and problem drinking as they move from being young-old (55 to 65 years at baseline) to being old-old (75 to 86 years at follow-up). Guided by a stress and coping model, we will focus on four sets of issues: (1) We will examine the 21-year course of late-life alcohol consumption and problem drinking and identify high-risk patterns of alcohol consumption and the predictive validity of alternative alcohol consumption guidelines. In addition, we will focus on the rates and predictors of new late-life drinking problems and of remission, and consider the consequences of late-life drinking problems and remission, including whether stably remitted problem drinkers'functioning and life contexts normalize over time or whether there is permanent """"""""scarring"""""""" associated with prior drinking problems. (2) We will examine health-related factors, such as medical conditions, medication use, pain, and depression and suicidal ideation, in relation to fluctuations in late-life drinking patterns. We will also focus on late-life and the lifetime history of help-seeking for alcohol-related and personal problems, as well as natural recovery of drinking problems. (3) We will consider the role of social context and coping, including friends and social resources, and life history factors, in fluctuations in late-life alcohol consumption, drinking problems, and remission and relapse. Finally, (4) we will examine gender and current family influences on the course of late-life problem drinking. By spotlighting the extent of at-risk drinking, late-onset problem drinking, and relapse among adults of advanced age, this research should help health care providers more readily recognize the existence and potential for drinking problems among their oldest patients. By providing insight into reasons adults at this life stage do or do not seek help for drinking problems, and patterns of help-seeking predictive of more favorable drinking outcomes, the research may help to provide the scientific underpinnings to promote development of more accessible and effective alcohol prevention programs for older adults.

Agency
National Institute of Health (NIH)
Institute
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Type
Research Project (R01)
Project #
5R01AA015685-06
Application #
7799687
Study Section
Special Emphasis Panel (ZRG1-RPHB-H (90))
Program Officer
Scott, Marcia S
Project Start
2006-04-10
Project End
2012-03-31
Budget Start
2010-04-01
Budget End
2012-03-31
Support Year
6
Fiscal Year
2010
Total Cost
$248,378
Indirect Cost
Name
Palo Alto Institute for Research & Edu, Inc.
Department
Type
DUNS #
624218814
City
Palo Alto
State
CA
Country
United States
Zip Code
94304
Holahan, Charles J; Brennan, Penny L; Schutte, Kathleen K et al. (2017) Late-Life Drinking Problems: The Predictive Roles of Drinking Level vs. Drinking Pattern. J Stud Alcohol Drugs 78:435-441
Holahan, Charles J; Schutte, Kathleen K; Brennan, Penny L et al. (2015) Drinking Level, Drinking Pattern, and Twenty-Year Total Mortality Among Late-Life Drinkers. J Stud Alcohol Drugs 76:552-8
Woodhead, Erin L; Cronkite, Ruth C; Moos, Rudolf H et al. (2014) Coping strategies predictive of adverse outcomes among community adults. J Clin Psychol 70:1183-95
Holahan, Charles J; Schutte, Kathleen K; Brennan, Penny L et al. (2014) Episodic heavy drinking and 20-year total mortality among late-life moderate drinkers. Alcohol Clin Exp Res 38:1432-8
Brennan, Penny L; SooHoo, Sonya (2014) Psychiatric disorders and pain treatment in community nursing homes. Am J Geriatr Psychiatry 22:792-800
Blonigen, Daniel M; Timko, Christine; Moos, Rudolf H (2013) Alcoholics Anonymous and reduced impulsivity: a novel mechanism of change. Subst Abus 34:4-12
Holahan, Charles J; Schutte, Kathleen K; Brennan, Penny L L et al. (2012) Wine consumption and 20-year mortality among late-life moderate drinkers. J Stud Alcohol Drugs 73:80-8
Moos, Rudolf H (2012) Iatrogenic effects of psychosocial interventions: treatment, life context, and personal risk factors. Subst Use Misuse 47:1592-8
Brennan, P L; Holland, J M; Schutte, K K et al. (2012) Coping trajectories in later life: a 20-year predictive study. Aging Ment Health 16:305-16
Moos, Rudolf H; Finney, John W (2011) Commentary on Lopez-Quintero et al. (2011): Remission and relapse - the Yin-Yang of addictive disorders. Addiction 106:670-1

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