Alcohol and drug dependence among the elderly: Epidemiology, diagnosis, and treatment

Miller, Norman S.; Belkin, Beth M.; Gold, Mark S.

doi:10.1016/0010-440x(91)90008-z

Cited by 78 publications

(38 citation statements)

References 17 publications

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“…This is unfortunate, as benzodiazepines may cause additional problems, especially in later life, such as dizziness and cognitive impairment (Solomon et al 1993). Furthermore, older subjects appear to be at greater risk for abuse of benzodiazepines compared with younger adults (Miller et al 1991).…”

Section: Service Utilizationmentioning

confidence: 99%

Consequences of anxiety in older persons: its effect on disability, well-being and use of health services

et al. 1999

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Section: Service Utilizationmentioning

confidence: 99%

Consequences of anxiety in older persons: its effect on disability, well-being and use of health services

et al. 1999

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“…It is also reported that older methadone patients tend to prefer higher doses of methadone (Gurnack, et al, 2002;Miller et al, 1991).…”

Section: Clinical and Psychosocial Characteristicsmentioning

confidence: 99%

“…Patients who have been on methadone maintenance over the past two to four decades are now more likely to be seen in geriatric settings such as medical and psychiatric clinics and in long term care facilities (Gurnack et al, 2002;Miller et al, 1991) 2. Older patients on methadone maintenance are less likely to request detoxification and tend to prefer to continue the dose of methadone that they received when they were younger (Gurnack et al, 2002;Hiltunen et al, 1995).…”

Section: Clinical and Psychosocial Characteristicsmentioning

confidence: 99%

“…Older adults have greater difficulty sustaining a street heroin habit, and while on methadone, they are likely to restrict their use to licit substances (e.g., alcohol or prescription drugs) to produce euphoria. By contrast, younger methadone patients are inclined to abuse a wider array of both illicit and licit substances to produce the same effect (Miller et al, 1991;Musselman & Kell, 1995). 5.…”

Section: Clinical and Psychosocial Characteristicsmentioning

confidence: 99%

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Methadone Maintenance in Older Adults: An Exploratory Study

Sivesind¹,

Todman²,

Odom³

et al. 2005

PsycEXTRA Dataset

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~ Methadone has been used for the treatment of opioid addictions since the early nineteen-sixties. It is estimated that more than 200,000 individuals take methadone to control their opiate addiction (Blaney & Craig, 1999). Many of those individuals (~20%) have been in opioid-substitute treatment for 10 years or more (SAMHSA, 1994 about the effects of long term methadone use and its interaction with the physical, psychological and psychosocial aspects of the aging process. However, given the steady aging of the population in general and the methadone maintenance treatment (MMT) population in particular, there is a compelling need for a better understanding of the risks and benefits associated with the extended use of methadone in older adults.Beth Israel Medical Center (BIMC) has an extensive network of MMT clinics. The demographic profile of the clientele suggests that BIMC's clinics serve one of the largest populations of elderly methadone patients in the continental United States. We propose to conduct an exploratory study of BIMC's MMT population in order to document the prevalence of psychiatric, physical and psychosocial co-morbidities in the elderly members of that population (>=55 y/o). By comparing this profile with: (a) the profile of a representative sample of younger MMT patients (18-54 y/o); and (b) published prevalence data from the non-MMT, elderly population, we hope to identify areas of dysfunction and modes of adaptation that appear to be uniquely attributable to the interaction of long term methadone use and aging, and thus possible candidates for further and more extensive study.

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“…Il peut cependant s'avérer plus long à cause du ralentissement du métabolisme chez les personnes âgées (Miller et al, 1991). Deux études expérimentales ayant procédé au sevrage des BZD chez des personnes âgées confirment qu'un sevrage réussi en une semaine seulement est possible en substituant la BZD par un hypnosé-datif (lormetazepam) (Petrovic et al, 2002 ;Petrovic et al, 1999).…”

Section: Le Sevrageunclassified

Usage des benzodiazépines chez les personnes âgées : état des connaissances

Rouleau

Proulx

O’Connor

et al. 2004

smq

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Cet article passe en revue la littérature concernant la dépendance aux benzodiazépines (BZD) chez la population des personnes âgées de 65 ans et plus. Alors que les conséquences négatives reliées à l’utilisation prolongée des BZD sont bien connues, le phénomène de la dépendance à ces substances chez cette population l’est beaucoup moins. Il n’existe toujours pas de consensus autour de la définition du problème. L’usage continu des BZD peut être davantage problématique chez les personnes âgées pour qui la tolérance aux agents chimiques diminue avec l’âge. Les facteurs de risque impliqués dans l’usage chronique sont une combinaison interactive entre les caractéristiques des aînés et celles des médecins prescripteurs. Des pistes de recherche étayées sur un changement paradigmatique sont lancées afin de bonifier la recherche dans ce domaine.This article reviews the literature concerning addiction to benzodiazepine (BZD) in the elderly population of 65 and over. While the negative consequences related to a prolonged use of BZD are well known, much less is known on the phenomenon of dependency to these substances in this population. There is still no consensus on the definition of the problem. The continuous use of BZD may be more problematic in the elderly for whom tolerance to chemical agents diminishes with age. The risk factors involved in the chronic use are an interactive combination between the charateristics of the elderly as well as the physicians who prescribe such medication. Paths of research to support a paradigmatic change are presented in order to improve the research in this field.Este artículo examina sucesivamente la literatura concerniente a la dependencia de benzodiacepinas (BDZ) en la población de 65 años y más. Mientras que las consecuencias negativas relacionadas con el uso prolongado de las BZD son muy conociadas, el fenómeno de dependencia de estas substancias en esta población es mucho menor. No existe aún un concenso sobre la definición del problema. El uso continuo de BZD puede ser más problemático en las personas de edad avanzada, cuya tolerancia a los agentes químicos disminuye con la edad. Los factores de riesgo implicados en el uso crónico son una combinación interactiva entre las características de los ancianos y las de los médicos que las prescriben. Se lanzan pistas de investigación apoyadas en un cambio paradigmático a fin de mejorar la investigación en este campo.Este artigo passa em revista a literatura sobre a dependência das benzodiazepinas (BZD) na população das pessoas com 65 anos ou mais. Ao passo que as conseqüências negativas relacionadas com a utilização prolongada das BZD são bem conhecidas, o fenômeno da dependência a estas substâncias na população idosa é muito menos conhecida. Ainda não existe consenso a respeito da definição do problema. O uso contínuo das BZD pode ser muito mais problemático em pessoas idosas, onde a tolerância a agentes químicos diminui com a idade. Os fatores de risco implicados no uso crônico são uma mistura interativa entre as características dos ...

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Alcohol and drug dependence among the elderly: Epidemiology, diagnosis, and treatment

Cited by 78 publications

References 17 publications

Consequences of anxiety in older persons: its effect on disability, well-being and use of health services

Consequences of anxiety in older persons: its effect on disability, well-being and use of health services

Methadone Maintenance in Older Adults: An Exploratory Study

Usage des benzodiazépines chez les personnes âgées : état des connaissances

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