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Late onset alcoholism.

Tilman Wetterling1, Clemens Veltrup, Ulrich John

  • 1Department of Psychiatry, University Medical School of Lübeck, Lübeck, Germany. wetterling@em.uni-frankfurt.de

European Psychiatry : the Journal of the Association of European Psychiatrists
|May 24, 2003
PubMed
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Late-onset alcohol abuse differs significantly from early-onset alcohol dependence. Late-onset alcoholics show lower dependence rates, fewer prior detoxifications, and better 12-month abstinence, suggesting distinct clinical profiles.

Area of Science:

  • Gerontology
  • Psychiatry
  • Addiction Medicine

Background:

  • Alcohol abuse is prevalent in the elderly, yet often unidentified due to nonspecific symptoms.
  • Diagnostic criteria for alcohol dependence in older adults, especially late-onset abusers, are debated.

Purpose of the Study:

  • To investigate differences between alcoholics with late-onset (after age 45) and early-onset (before age 25) alcohol abuse.
  • To compare diagnostic criteria fulfillment, clinical characteristics, and follow-up outcomes between these groups.

Main Methods:

  • A total of 268 subjects undergoing alcohol detoxification were categorized into three groups based on age of onset of harmful alcohol consumption.
  • Diagnostic criteria for alcohol dependence (ICD-10) were assessed.
  • 12-month follow-up data on abstinence were collected.

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Main Results:

  • Alcohol dependence was diagnosed in 94.1% of early-onset versus 62.2% of late-onset alcoholics (P < 0.0001).
  • Late-onset alcoholics reported less preoccupation with drinking, impaired control, and strong desire for alcohol.
  • Late-onset group had fewer previous detoxifications, lower current alcohol consumption, and higher 12-month abstinence rates.

Conclusions:

  • Late-onset alcoholics exhibit distinct characteristics compared to early-onset alcoholics, including lower dependence rates and better treatment outcomes.
  • Findings suggest that age of onset is a crucial factor in understanding alcohol use disorders in adults.
  • Further research is needed to refine diagnostic and treatment approaches for late-onset alcohol abuse.