노년기 알코올 및 기타 물질관련장애 = Geriatric Alcohol and Other Substance-Related Disorders

국문 초록 (Abstract)

알코올, 처방약물 등 노인에서 물질남용이나 물질의존은 우리도 모르게 급증하고 있다. 노인은 특히 알코올의 부작용에 취약하다. 노인에서 물질남용이나 물질의존의 주요 결과는 정신과적 및 내과적 문제들이다. 수면장애와 자살율의 증가를 동반한 우울증 외에도, 알코올은 치매의 원인이 되거나 치매에 영향을 미칠 수 있다. 노인에서 알코올리즘의 임상양상은 젊은이에서와 다르므로 진단을 어렵게 만든다. 따라서 CAGE(Cut down, Annoyed, Guilty, Eye-opener) 설문지, AUDIT(Alcohol Use Disorders Identification Test), MASTG (Michigan Alcoholism Screening Test-Geriatric Version), SMAST-G(Short Michigan Alcoholism Screening Test-Geriatric Version) 등의 타당도 높은 산별도구들이 진단에 도움이 될 수 있다. 치료 목표는 단주이지만, 고위험군의 환자들에 대해서는 단기적 중재가 권고되며, 부작용에 조심하면서 약물치료를 사용할 수 있다.

다국어 초록 (Multilingual Abstract)

Substance abuse among older adults, including alcohol, prescription and over-the-counter drugs, has been an invisible epidemic. Elderly people are particularly vulnerable to the adverse effects of alcohol. Psychiatric and medical problems constitute major consequences of substance abuse or dependence. In addition to depression with increased risk of suicide and sleep disorders, alcohol may cause or contribute to dementia. Clinical features vary from those in younger persons, which can complicate diagnosis. Therefore, validated screening tools such as the CAGE(Cut down, Annoyed, Guilty, Eye-opener) Questionnaire, AUDIT(Alcohol Use Disorders Identification Test), MAST-G(Michigan Alcoholism Screening Test-Geriatric Version), SMAST-G(Short Michigan Alcoholism Screening Test-Geriatric Version) can aid diagnosis. Treatment goal is almost always abstinence, brief interventions are recommended for at-risk patients, pharmacotherapy may be used with caution of side effects.

목차 (Table of Contents)

• 서론
• 역학
• 진단
• 치료
• 증례
• 요약
• 참고문헌

참고문헌 (Reference)

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