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Cossmann JC, Scherbaum N, Bonnet U. Substance Addiction in Old Age. GEROPSYCH-THE JOURNAL OF GERONTOPSYCHOLOGY AND GERIATRIC PSYCHIATRY 2016. [DOI: 10.1024/1662-9647/a000140] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Abstract. There is a lack of studies using a structured face-to-face interview focusing on the full spectrum of substance addictions according to ICD or DSM classification systems in older patients. We therefore examined a cohort of 400 randomly selected, at least 65-year-old inpatients of a general hospital concerning addictive disorders using a well-tested structured clinical interview (DSM-IV-TR-based SKID-I). Nearly one third of this cohort was substance dependent: The 12-month prevalence rate for nicotine was 10.3% and for alcohol dependence 3%, with 24.4% and 66.7%, respectively, being severely dependent. These rates were similar to those found in the general German population of persons under 65 year of age. A fifth of the cohort was (mostly mildly) dependent on prescription drugs, remarkably including nonopioid analgesics. One case with a previous dependence on gabapentin was identified. Identification and management of addiction disorders should be considered as part of the basic geriatric assessment.
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Affiliation(s)
- Johanna Cristina Cossmann
- , Department of Psychiatry, Psychotherapy and Psychosomatic Medicine, Evangelisches Krankenhaus Castrop-Rauxel, Academic Training Hospital of the University of Duisburg-Essen, Germany
| | - Norbert Scherbaum
- , Department of Addictive Behavior and Addiction Medicine, LVR-Klinikum Essen, Hospital of the University of Duisburg-Essen, Germany
| | - Udo Bonnet
- , Department of Psychiatry, Psychotherapy and Psychosomatic Medicine, Evangelisches Krankenhaus Castrop-Rauxel, Academic Training Hospital of the University of Duisburg-Essen, Germany
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Hinkin CH, Castellon SA, Dickson-Fuhrman E, Daum G, Jaffe J, Jarvik L. Screening for Drug and Alcohol Abuse Among Older Adults Using a Modified Version of the CAGE. Am J Addict 2001. [DOI: 10.1111/j.1521-0391.2001.tb00521.x] [Citation(s) in RCA: 106] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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