Skip to main content Accessibility help
×
Home
Hostname: page-component-55597f9d44-qcsxw Total loading time: 0.238 Render date: 2022-08-12T16:31:25.605Z Has data issue: true Feature Flags: { "shouldUseShareProductTool": true, "shouldUseHypothesis": true, "isUnsiloEnabled": true, "useRatesEcommerce": false, "useNewApi": true } hasContentIssue true

Article contents

Related factors with substance use in old adults

Published online by Cambridge University Press:  23 March 2020

E. Ros-Cucurull*
Affiliation:
Hospital Vall d’Hebron, Psychiatry, Barcelona, Spain Addiction and Dual Diagnosis Unit- Vall d’Hebron, Psychiatry, Barcelona, Spain Universidad Autonoma, Psychiatry, Barcelona, Spain
C. Daigre
Affiliation:
Hospital Vall d’Hebron, Psychiatry, Barcelona, Spain Addiction and Dual Diagnosis Unit- Vall d’Hebron, Psychiatry, Barcelona, Spain Universidad Autonoma, Psychiatry, Barcelona, Spain
L. Grau-Lopez
Affiliation:
Hospital Vall d’Hebron, Psychiatry, Barcelona, Spain Addiction and Dual Diagnosis Unit- Vall d’Hebron, Psychiatry, Barcelona, Spain Universidad Autonoma, Psychiatry, Barcelona, Spain
C. Barral
Affiliation:
Hospital Vall d’Hebron, Psychiatry, Barcelona, Spain Addiction and Dual Diagnosis Unit- Vall d’Hebron, Psychiatry, Barcelona, Spain
A.C. Abad
Affiliation:
Hospital Vall d’Hebron, Psychiatry, Barcelona, Spain Addiction and Dual Diagnosis Unit- Vall d’Hebron, Psychiatry, Barcelona, Spain
M.B. Ortiz
Affiliation:
Hospital Mare de Deu de la Mercè, Psychiatry, Barcelona, Spain
R. Martinez-Arias
Affiliation:
Hospital Vall d’Hebron, Psychiatry, Barcelona, Spain
E. Garcia
Affiliation:
Hospital Vall d’Hebron, Psychiatry, Barcelona, Spain
C. Cardona
Affiliation:
Hospital Vall d’Hebron, Psychiatry, Barcelona, Spain
C. Jacas
Affiliation:
Hospital Vall d’Hebron, Psychiatry, Barcelona, Spain
M. Casas
Affiliation:
Hospital Vall d’Hebron, Psychiatry, Barcelona, Spain Universidad Autonoma, Psychiatry, Barcelona, Spain
C. Roncero
Affiliation:
Hospital Vall d’Hebron, Psychiatry, Barcelona, Spain Addiction and Dual Diagnosis Unit- Vall d’Hebron, Psychiatry, Barcelona, Spain Universidad Autonoma, Psychiatry, Barcelona, Spain
*
* Corresponding author.
Get access

Abstract

Intro

Substance use disorder is a growing phenomenon among the elderly. It is undervalued, misidentified, underdiagnosed and poorly treated.

Aim

Study prevalence, characteristics and risk factors associated with drug use among the elderly.

Method

A 6-month prospective study of substance use in elderly patients (65+) who attended the addiction and dual diagnosis unit, Vall d’Hebron University Hospital.

Results

Fifty-nine patients evaluated, mean age 70.04 years, 60% men. A total of 49.1% are married, 35.8% divorced and 53.8% live with a partner and/or children. A total of 67.3% have basic studies and 78.8% are pensioners. A total of 82.7% have no criminal record.

Medical comorbidity presents in 90.4% of the sample, psychiatric and addictive family background in 42.3% and 37.3%. A total of 67.3% have comorbid Axis I (mainly affective disorders) and 25% Axis II (cluster B most). A total of 7.7% attempted suicide at least once.

The main substance is alcohol (76.9%), followed by prescription drugs (19.3%). A total of 28.8% are multi-drug users. A total of 67.3% have used tobacco in their life and 63.5% are currently dependent. The average age of onset for a disorder for any substance consumption is 28.19, being lower for alcohol and illegal substances and higher for prescription drugs.

A total of 61.5% have gone through treatment before but only 32.7% has been admitted because of addiction. The adherence rate is 90.4% and the relapse rate 8.3% at first month and 13% at 6 months.

Conclusions

Old adults present differences compared to overall drug user population: prevalence by gender is almost equal, lower Axis II, less multi-drug consumption and both dropout and relapse rate are drastically lower.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
EV91
Copyright
Copyright © European Psychiatric Association 2016

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)
Submit a response

Comments

No Comments have been published for this article.

Save article to Kindle

To save this article to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Related factors with substance use in old adults
Available formats
×

Save article to Dropbox

To save this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you used this feature, you will be asked to authorise Cambridge Core to connect with your Dropbox account. Find out more about saving content to Dropbox.

Related factors with substance use in old adults
Available formats
×

Save article to Google Drive

To save this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you used this feature, you will be asked to authorise Cambridge Core to connect with your Google Drive account. Find out more about saving content to Google Drive.

Related factors with substance use in old adults
Available formats
×
×

Reply to: Submit a response

Please enter your response.

Your details

Please enter a valid email address.

Conflicting interests

Do you have any conflicting interests? *