TY  - JOUR
PY  - 2021//
TI  - The prognostic role of DSM-5 alcohol use disorder severity and age of onset in treatment outcome among adults aged 60
JO  - Journal of addiction medicine
A1  - Behrendt, Silke
A1  - Kuerbis, Alexis
A1  - Mejldal, Anna
A1  - Braun-Michl, Barbara
A1  - Bilberg, Randi
A1  - Bühringer, Gerhard
A1  - Bogenschutz, Michael
A1  - Nielsen, Anette Søgaard
A1  - Andersen, Kjeld
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - AIMS: To investigate among older adults with DSM-5 alcohol use disorder (AUD) the relevance of (1) baseline DSM-5 AUD severity, (2) age of DSM-5 AUD onset, and (3) the interactions of DSM-5 AUD severity*treatment condition and age of DSM-5 AUD onset*treatment condition for the prediction of AUD treatment outcomes. <br><br>METHODS: The international multicenter RCT "ELDERLY-Study" compared outpatient motivational enhancement therapy (4 sessions) with outpatient motivational enhancement therapy followed by community reinforcement approach for seniors (8 sessions) in adults aged 60+ with DSM-5 AUD. Baseline and 1-, 3-, and 6-month follow-up data from the German and Danish ELDERLY-sites (n = 544) were used (6-month participation rate: 75.9%). DSM-5 AUD diagnoses were obtained using the Mini International Neuropsychiatric Interview and alcohol use using Form 90. Associations between DSM-5 AUD severity and age of onset and AUD treatment outcomes were investigated using multiple logistic regression and generalized linear models. <br><br>RESULTS: The sample was diverse in AUD severity (severe: 54.9%, moderate: 28.2%, mild: 16.9%) and age of onset (median: 50 years; 12-78 years). Overall, with few exceptions, neither AUD severity, nor age of onset, nor their respective interactions with treatment condition significantly predicted drinking outcomes at the different follow-ups (P ≥ 0.05). <br><br>CONCLUSIONS: No indication was found for the need to tailor treatment content according to DSM-5 AUD severity and earlier onset in older adults.<p />  <p>Language: en</p>
LA  - en
SN  - 1932-0620
UR  - http://dx.doi.org/10.1097/ADM.0000000000000892
ID  - ref1
ER  -