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Alcohol misuse among elderly psychiatric patients: a pilot study.
1Peel Mental Health Clinic, Mandurah, Western Australia. masarfraz@aol.com
Substance Use & Misuse
|October 30, 2003
Summary
This pilot study found low alcohol misuse in elderly psychiatric referrals. Alcohol misuse in seniors was linked to elevated Gamma-glutamyl transpeptidase (GGT) levels, depression, and social isolation.
Area of Science:
- Geriatric Psychiatry
- Addiction Medicine
- Public Health
Background:
- Alcohol misuse is a significant public health concern across all age groups.
- The elderly population presents unique challenges in identifying and addressing substance use disorders.
- Limited data exists on the prevalence and correlates of alcohol misuse specifically within elderly psychiatric referrals.
Purpose of the Study:
- To determine the frequency of alcohol misuse among individuals aged 65 and older referred to psychiatric services.
- To explore potential biological and psychosocial factors associated with alcohol misuse in this demographic.
Main Methods:
- A pilot study involving consecutive elderly psychiatric referrals (> 65 years).
- Screening for alcohol misuse using the CAGE questionnaire during psychiatric assessment.
- Measurement of Gamma-glutamyl transpeptidase (GGT) levels in individuals identified with alcohol misuse.
Main Results:
- The overall frequency of alcohol misuse among elderly psychiatric referrals was found to be low.
- Elevated GGT levels were associated with identified alcohol misuse.
- Alcohol misuse correlated with depression, being divorced or widowed, and living alone.
Conclusions:
- Alcohol misuse, while infrequent, is present in elderly psychiatric referrals.
- Biomarkers like GGT and psychosocial factors such as depression and social isolation are relevant indicators.
- Further research is warranted to understand the nuances of alcohol use in the geriatric psychiatric population.
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