SAGE Journals Online
Advertisement
Sign In to gain access to subscriptions and/or personal tools.

 

Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Advertisement

Sign In to gain access to subscriptions and/or personal tools.
Journal of Geriatric Psychiatry and Neurology
This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Conigliaro, J.
Right arrow Articles by McNeil, M.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Conigliaro, J.
Right arrow Articles by McNeil, M.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Screening and Identification of Older Adults with Alcohol Problems in Primary Care

Joseph Conigliaro, MD, MPH

Center for Health Services Research, VA Pittsburgh Health Care System (Dr. Conigliaro), and the Division of General Medicine, Center for Research on Health Care, University of Pittsburgh (Drs. Conigliaro, Kraemer, and McNeil), Pittsburgh, Pennsylvania.

Kevin Kraemer, MD, MSc

Center for Health Services Research, VA Pittsburgh Health Care System (Dr. Conigliaro), and the Division of General Medicine, Center for Research on Health Care, University of Pittsburgh (Drs. Conigliaro, Kraemer, and McNeil), Pittsburgh, Pennsylvania.

Melissa McNeil, MD, MPH

Center for Health Services Research, VA Pittsburgh Health Care System (Dr. Conigliaro), and the Division of General Medicine, Center for Research on Health Care, University of Pittsburgh (Drs. Conigliaro, Kraemer, and McNeil), Pittsburgh, Pennsylvania.

Primary care physicians can anticipate encountering more elderly patients with alcohol problems since this population is increasing and the prevalence of alcohol problems has been stable. Brief screening tools, originally developed and validated among younger adults, may not be appropriate in the elderly. Therefore, specific validation studies and the development of elderly specific instruments have been reported. The specific goals of this report are to (1) review available screening tools for alcohol problems, (2) summarize elderly focused studies, and (3) provide recommendations for use in primary care. Using a variety of standards, the CAGE (Cut down, Annoyed, Guilty, and .Eye opener) is the most consistent brief screen, but its threshold may need to be adjusted in the elderly. The Michigan Alcoholism Screening Test-Geriatric Version includes elderly-specific consequences, but its length may hinder routine use even in shortened form. Finally, the Alcohol Use Disorders Identification Test, although less sensitive than the CAGE, can also capture problem drinkers. Efforts are needed to include elderly-specific consequences and meaningful consumption thresholds in a brief, easily applied screen.

Journal of Geriatric Psychiatry and Neurology, Vol. 13, No. 3, 106-114 (2000)
DOI: 10.1177/089198870001300303
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?




Advertisement