DSM-5 Latent Classes of Alcohol Users among Treatment Seeking Older Adults.
Objective: Understanding the variation of alcohol use disorder (AUD) among a clinical sample of patients aged 60 and older, by identifying latent classes of AUD and exploring risk factors and outcomes of treatment associated with the class. Method: We used the Danish subsample (n = 341) from the Eld...
| Publicado en: | Substance Use & Misuse Vol. 55; no. 8; pp. 1214 - 1223 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=143137906&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 143137906 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10826084 2VI jtl: Substance Use & Misuse issn: 10826084 maglogo: Y pubinfo: dt: 2020 vid: 55 iid: 8 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 143137906 143137906 145598351 143137906 10.1080/10826084.2020.1731546 143137906 ppf: 1214 ppct: 9 formats: tig: atl: DSM-5 Latent Classes of Alcohol Users among Treatment Seeking Older Adults. aug: au: Mejldal, Anna Andersen, Kjeld Bilberg, Randi Möller, Sören Nielsen, Anette Søgaard affil: Unit of Clinical Alcohol Research, Institute of Clinical Research, University of Southern Denmark, Odense, Denmark sug: subj: DSM Alcoholism Diagnosis Help Seeking Behavior Denmark Alcoholism Therapy Alcoholism Risk Factors Risk Assessment Treatment Outcomes Human Middle Age Aged Aged, 80 and Over Denmark Structural Equation Modeling Alcoholic Intoxication Probability Female Sex Factors Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Female ab: Objective: Understanding the variation of alcohol use disorder (AUD) among a clinical sample of patients aged 60 and older, by identifying latent classes of AUD and exploring risk factors and outcomes of treatment associated with the class. Method: We used the Danish subsample (n = 341) from the Elderly Study. Latent class analysis was used to identify classes based on the 11 symptoms of DSM-5 AUD. We analyzed the associations between class membership and sociodemographic variables, alcohol consumption, and drinking-related outcome of treatment. Results: Three latent classes were identified. Individuals in the low-symptomatic class (34.85%) displayed low endorsement of DSM-5 criteria "Withdrawal", "Time Spent", "Less activities" compared to the other classes, and had fewest drinks per drinking day. Individuals in the moderate-symptomatic class (32.69%) were most likely to be intoxicated in hazardous situations, and those in the high-symptomatic class (32.47%) displayed, with a few exceptions, the highest probabilities of all DSM-5 criteria. Female gender, living alone and prior AUD treatment was associated with increased risk of being in the high-symptomatic class. No difference between classes was found with respect to years with AUD and frequency of drinking days, and latent class membership had no effect on drinking outcome after treatment, when controlling for baseline. Conclusions: Three classes of DSM-5 AUD among older adults in treatment emerged, displaying a low-moderate-high distribution, advocating for a unidimensional construct of DSM-5 AUD. Although different with respect to baseline risk factors, no strong connection between DSM-5 latent class and alcohol consumption after AUD treatment was found. Among 341 older alcohol use disorder (AUD) outpatients, three latent classes of DSM-5 AUD emerged. The classes of DSM-5 AUD displayed a low-moderate-high endorsement of DSM-5 AUD characteristics. The three classes had similar alcohol-related treatment outcomes. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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