The overall purpose of the research program is to enhance our understanding of the role of life context and coping factors in the initiation, maintenance, and remission of problem drinking among late-middle-aged and older adults. To address these issues, the project has developed inventories to reliably assess life stressors and social resources, coping responses, and problem drinking among older men and women. These inventories were used, together with a stress and coping framework, to examine the short-term (one-year) course of problem drinking among four groups of men and women: late-onset problem drinkers, chronic (early-onset) problem drinkers, remitted problem drinkers, and nonproblem drinkers. The work to date has focused on comparing late-life problem and nonproblem drinkers, contrasting men and women problem drinkers, describing late-onset problem drinkers, comparing remitted and nonremitted problem drinkers, and examining the associations between life context and coping factors and individual functioning, especially indices of drinking behavior and drinking problems. The proposed work is divided into four phases. Phase One is an examination of the correlates and predictors of short-term changes in problem drinking; it also focuses on the role of depression and other risk factors in late-life problem drinking. Phase Two involves a five-year follow-up to trace the medium-term course of late-life problem drinking and to examine how life context and coping factors predict changes in drinking behavior. It also focuses on adaptation among spouses of late-life problem drinkers and on the measurement of drinking problems among late-middle-aged and older adults. Phase Three examines the process of stress and coping among problem-drinking and nonproblem-drinking older adults. Finally, Phase Four involves the use of the three waves of data to further validate the measures of life stressors, social resources, and coping responses.

Agency
National Institute of Health (NIH)
Institute
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Type
Research Project (R01)
Project #
5R01AA006699-09
Application #
2043548
Study Section
Clinical and Treatment Subcommittee (ALCP)
Project Start
1985-08-01
Project End
1996-07-31
Budget Start
1994-08-01
Budget End
1995-07-31
Support Year
9
Fiscal Year
1994
Total Cost
Indirect Cost
Name
Stanford University
Department
Psychiatry
Type
Schools of Medicine
DUNS #
800771545
City
Stanford
State
CA
Country
United States
Zip Code
94305
Bi, Xiaoyu; Moos, Rudolf H; Timko, Christine et al. (2015) Family conflict and somatic symptoms over 10 years: a growth mixture model analysis. J Psychosom Res 78:459-65
Brennan, Penny L; Schutte, Kathleen K; Moos, Bernice S et al. (2011) Twenty-year alcohol-consumption and drinking-problem trajectories of older men and women. J Stud Alcohol Drugs 72:308-21
Moos, Rudolf H; Schutte, Kathleen K; Brennan, Penny L et al. (2011) Personal, family and social functioning among older couples concordant and discordant for high-risk alcohol consumption. Addiction 106:324-34
Moos, Rudolf H; Brennan, Penny L; Schutte, Kathleen K et al. (2010) Social and financial resources and high-risk alcohol consumption among older adults. Alcohol Clin Exp Res 34:646-54
Brennan, Penny L; Schutte, Kathleen K; Moos, Rudolf H (2010) Retired status and older adults' 10-year drinking trajectories. J Stud Alcohol Drugs 71:165-8
Brennan, Penny L; Schutte, Kathleen K; Moos, Rudolf H (2010) Patterns and predictors of late-life drinking trajectories: a 10-year longitudinal study. Psychol Addict Behav 24:254-64
Moos, Rudolf H; Brennan, Penny L; Schutte, Kathleen K et al. (2010) Spouses of older adults with late-life drinking problems: health, family, and social functioning. J Stud Alcohol Drugs 71:506-14
Moos, Rudolf H; Brennan, Penny L; Schutte, Kathleen K et al. (2010) Older adults' health and late-life drinking patterns: a 20-year perspective. Aging Ment Health 14:33-43
Moos, Rudolf H; Schutte, Kathleen K; Brennan, Penny L et al. (2010) Late-life and life history predictors of older adults' high-risk alcohol consumption and drinking problems. Drug Alcohol Depend 108:13-20
Schutte, Kathleen K; Brennan, Penny L; Moos, Rudolf H (2009) Treated and untreated remission from problem drinking in late life: post-remission functioning and health-related quality of life. Drug Alcohol Depend 99:150-9

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