How depression in elderly persons is related to their previous drinking over the life span has received little attention. We examined this issue with survey data from a sample representative of persons aged 60 years and older in Erie County, New York (N = 2,325). In one type of analysis, respondents were classified into those who abstained from alcohol throughout life; drank, but never experienced any alcohol-related problems or symptoms; experienced problems only before age 60; experienced them only after age 60; or experienced them both before and after age 60. Drinkers who never experienced alcohol problems had the lowest depressive symptomatology; individuals who experienced alcohol problems both before and after age 60 had the highest. Multiple-regression analyses further confirmed the possible role of earlier (around ages 20 and 40) alcohol problems in predicting elderly depression. Directions for future research and clinical screening of elders' potential alcohol misuse are discussed.
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References
1.
Adams, W. L.
, & Cox, N. S. (1995). Epidemiology of problem drinking among elderly people. International Journal of the Addictions, 30, 1693-1716.
2.
American Psychiatric Association
. (1994). Diagnostic and statistical manual of mental disorders(4th ed.). Washington, DC: Author.
3.
Blazer, D. G., II.
(1993). Depression in late life(2nd ed.). St. Louis, MO: Mosby.
4.
Brennan, P. L.
, & Moos, R. H. (1991). Functioning, life context, and help-seeking among late-onset problem drinkers: Comparisons with nonproblem and early-onset problem drinkers. British Journal of Addiction, 86, 1139-1150.
5.
Buchsbaum, D. G.
, Buchanan, R. G., Welsh, J., Centor, R. M., & Schnoll, S. H. (1992). Screening for drinking disorders in the elderly using theCAGE questionnaire. Journal of the American Geriatrics Society, 40, 662-665.
6.
DeHart, S. S.
, & Hoffmann, N. G. (1995). Screening and diagnosis of “alcohol abuse and dependence” in older adults. International Journal of the Addictions, 30, 1717-1747.
7.
Ewing, J. A.
(1984). Detecting alcoholism: The CAGE questionnaire. Journal of the American Medical Association, 252, 1905-1907.
8.
Ganikos, M.
, Blow, F. C., & Clark, L. (1988). Alcohol and older people: New challenges for mental health workers. Rockville, MD: National Institute on Alcohol Abuse and Alcoholism.
9.
Gurnack, A. M.
(1995). Introduction [Special issue on drugs and the elderly: Use and misuse of drugs, medicines, alcohol, and tobacco]. International Journal of the Addictions, 30, 1685-1688.
10.
Hartka, E.
, Johnstone, B., Leino, E. V., Motoyoshi, M., Temple, M. T.,& Fillmore, K. M. (1991). A meta-analysis of depressive symptomatology and alcohol consumption over time. British Journal of Addiction, 86, 1283-1298.
11.
Hersh, R.
(1992). Major depression or alcohol-induced organic affective syndrome? (Comment). American Journal of Psychiatry, 149, 1276-1276.
12.
McDermott, D. B.
(1989). Depression in the elderly (Comment). The New England Journal of Medicine, 320, 1627-1627.
13.
McFarland, C.
, Ross, M.,& Giltrow, M. (1992). Biased recollections in older adults: The role of implicit theories of aging. Journal of Personality and Social Psychology, 62, 837-850.
14.
Moos, R. H.
, Cronkite, R. C., Billings, A. G., & Finney, J. W. (1983). Health and Daily Living Form manual. Palo Alto, CA: Veterans Administration and Stanford University Medical Centers.
15.
Robins, L. N., Helzer, J. E., Cottler, L., & Goldring, E. (1989). Diagnostic interview schedule, version III-R.Unpublished manuscript, Washington University, St. Louis, MO.
16.
Ross, M.
(1989). Relation of implicit theories to the construction of personal histories. Psychological Review, 96, 341-357.
17.
Russell, M.
, Marshall, J. R., Trevisan, M., Freudenheim, J. L., Chan, A.W.K., Markovic, N., Vana, J. E., & Priore, R. L. (1997). Test-retest reliability of the Cognitive Lifetime Drinking History. American Journal of Epidemiology, 146, 975-981.
18.
Saunders, P. A.
, Copeland, J. R., Dewey, M. E., Davidson, I. A., McWilliam, C., Sharma, V., & Sullivan, C. (1991). Heavy drinking as a risk factor for depression and dementia in elderly men: Findings from the Liverpool Longitudinal Community Study. British Journal of Psychiatry, 159, 213-216.
19.
Schuckit, M. A.
(1986). Genetic and clinical implications of alcoholism and affective disorder. American Journal of Psychiatry, 143, 140-147.
20.
Schutte, K. K.
, Moos, R. H., & Brennan, P. L. (1995). Depression and drinking behavior among women and men: Athree-wave longitudinal study of older adults. Journal of Consulting and Clinical Psychology, 63, 810-822.
21.
Selzer, M. L.
(1971). The Michigan Alcoholism Screening Test: The quest for a new diagnostic instrument. American Journal of Psychiatry, 127, 1653-1658.
22.
Sheikh, J. I.
, & Yesavage, J. A. (1986). Geriatric Depression Scale (GDS): Recent evidence and development of a shorter version. In T. L. Brink (Ed.), Clinical gerontology: A guide to assessment and intervention(pp. 165-173). New York: Haworth.
23.
Sheikh, J. I.
, Yesavage, J. A., Brooks, J. O., Friedman, L., Gratzinger, P., Hill, R. D., Zadeik, A., & Crook, T. (1991). Proposed factor structure of the Geriatric Depression Scale. International Psychogeriatrics, 3, 23-28.
24.
Simpura, J.
, & Poikolainen, K. (1983). Accuracy of retrospective measurement of individual alcohol consumption in men: Areinterviewafter 18 years. Journal of Studies on Alcohol, 44, 911-917.
25.
Sobell, L. C.
, Sobell, M. B., Riley, D. M., Schuller, R., Pavan, D. S., Cancilla, A., Klajner, F., & Leo, G. I. (1988). The reliability of alcohol abusers' self-reports of drinking and life events that occurred in the distant past. Journal of Studies on Alcohol, 49, 225-232.
26.
Thibault, J. M.
, & Maly, R. C. (1993). Recognition and treatment of substance abuse in the elderly. Primary Care, 20, 155-165.
27.
Tucker, J. A.
, Vuchinich, R. E., Harris, C. V., Gavornik, M. G.,& Rudd, E. J. (1991). Agreement between subject and collateral verbal reports of alcohol consumption in older adults. Journal of Studies on Alcohol, 52, 148-155.
28.
Welte, J. W.
, & Mirand, A. L. (1992). Alcohol use by the elderly: A report on the Erie County Elder Drinking Survey. Buffalo, NY: Research Institute on Addictions.
29.
Welte, J. W.
,& Mirand, A. L. (1994). Lifetime drinking patterns of elders from a general population survey. Drug and Alcohol Dependence, 35, 133-140.
