Advertisement

Bijblijven

, Volume 34, Issue 8, pp 634–645 | Cite as

55-plussers en problematisch alcoholgebruik in de huisartsenpraktijk

  • Han Luijkx
  • Rob Kok
Article
  • 14 Downloads

Samenvatting

Nederlandse ouderen zijn de afgelopen decennia meer alcohol gaan gebruiken. Een kleine groep drinkt daarbij overmatig. Overmatig gebruik van alcohol kan tot medische problemen leiden die niet altijd als zodanig worden herkend.

Er zijn effectieve interventies binnen de eerste lijn bij overmatig alcoholgebruik en bij de lichte DSM-5-stoornis in het gebruik van alcohol (SGA).

Deze interventies zijn er op gericht via motiverende gespreksvoering (MGV) de leefstijl te veranderen in de richting van gezonder gedrag.

Bij de ernstiger SGA, vaak met neiging tot recidief in combinatie met somatische en/of psychiatrische stoornissen, is verwijzing naar de tweede lijn een goede keuze.

Literatuur

  1. 1.
    Gezondheidsraad. Richtlijnen goede voeding. publicatienr. 2015/24. Den Haag: Gezondheidsraad; 2015.Google Scholar
  2. 2.
    Grant BF, Chou SP, Saha TD, et al. Prevalence of 12-Month Alcohol Use, High-Risk Drinking, and DSM-IV Alcohol Use Disorder in the United States, 2001–2002 to 2012–2013: Results From the National Epidemiologic Survey on Alcohol and Related Conditions. JAMA Psychiatry. 2017;74(9):911–23.CrossRefGoogle Scholar
  3. 3.
    Blazer DG, Wu LT. The epidemiology of alcohol use disorders and subthreshold dependence in a middle-aged and elderly community sample. Am J Geriatr Psychiatry. 2011;19(8):685–94.CrossRefGoogle Scholar
  4. 4.
    Heijkants C, Veerbeek M, Willemse B. Alcoholgebruik onder 55-plussers. Geron. 2017;3(19):65.  https://doi.org/10.1007/s40718-017-0059-9.CrossRefGoogle Scholar
  5. 5.
    Comijs HC, Aartsen MJ, Visser M, Deeg DJ. Alcohol consumption among persons aged 55+ in The Netherlands. Tijdschr Gerontol Geriatr. 2012;43(3):115–26.CrossRefGoogle Scholar
  6. 6.
    Platt A, Sloan F, Costanzo Ph, et al. Alcohol-consumption trajectories and associated characteristics among adults older than age 50. J Stud Alcohol Drugs. 2010;71(2):169–79.CrossRefGoogle Scholar
  7. 7.
    O’Connell H, Chin A, Cunningham C, et al. Alcohol use disorders in elderly people. Redefining an age old problem in old age. BMJ. 2003;327(7416):664–7.CrossRefGoogle Scholar
  8. 8.
    NHG. NHG-Standaard Problematisch alcoholgebruik. Utrecht: NHG; 2014.Google Scholar
  9. 9.
    VeiligheidNL. Letsel Informatie Systeem 2007–2016. Amsterdam: VeiligheidNL; 2016.Google Scholar
  10. 10.
    LADIS. Kerncijfers. Houten: Stichting Informatievoorziening Zorg. 2015.Google Scholar
  11. 11.
    Schwarzinger M, Pollock B, Hasan O, et al. Contribution of alcohol use disorders to the burden of dementia in France 2008–13: a nationwide retrospective cohort study. Lancet Public Health. 2018;3(3):e124-e132.CrossRefGoogle Scholar
  12. 12.
    Emerging Risk Factors Collaboration/EPIC-CCVD/UK Biobank Alcohol Study Group. Risk thresholds for alcohol consumption: combined analysis of individual data for 599 912 current drinkers in 83 prospective studies. Lancet. 2018;391(10129):1513–23.CrossRefGoogle Scholar
  13. 13.
    Stockwell T, Zhao J, Panwar S, et al. Do ‘moderate’ drinkers have reduced mortality risk? A systematic review and Meta-analysis of alcohol consumption and all-cause mortality. J Stud Alcohol Drugs. 2016;77(2):185–98.CrossRefGoogle Scholar
  14. 14.
    Holmes MV, Dale CE, Zuccolo L. Association between alcohol and cardiovascular disease: a mendelian randomisation analysis on individual participant data. BMJ. 2014;349:g4164.CrossRefGoogle Scholar
  15. 15.
    Zhao J, Stockwell T, Roemer A, et al. Alcohol consumption and mortality from coronary heart disease: an updated meta-analysis of cohort studies. J Stud Alcohol Drugs. 2017;78(3):375–86.CrossRefGoogle Scholar
  16. 16.
    Beullens J, Aertgeerts B. Screening for alcohol abuse and dependence in older people using DSM criteria: a review. Aging Ment Health. 2004;8(1):76–82.CrossRefGoogle Scholar
  17. 17.
    Royal College of Psychiatrists. College report CR165. 2011.Google Scholar
  18. 18.
    Werkgroep Stoornissen in gebruik en werkgroep Somatische gevolgen. Multidisciplinaire Richtlijn Stoornissen in het gebruik van alcohol. Utrecht: Trimbos-instituut; 2009.Google Scholar
  19. 19.
    Tuithof M, Have M ten, Brink W van den, et al. Treatment seeking for alcohol use disorders: treatment gap or adequate self-selection? Eur Addict Res. 2016;22(5):277–85.CrossRefGoogle Scholar
  20. 20.
    Harper C. Wernicke’s encephalopathy: a more common disease than realised. A neuropathologicial study of 51 cases. J Neurol Neurosurg Psychiatr. 1979;42(3):226–31.CrossRefGoogle Scholar
  21. 21.
    Fleming MF, Manwell LB, Barry KL, et al. Brief physician advice for alcohol problems in older adults: a randomized community-based trial. J Fam Pract. 1999;48:378–84.PubMedGoogle Scholar
  22. 22.
    Gordon AJ, Conigliaro J, Maisto SA, et al. Comparison of consumption effects of brief interventions for hazardous drinking elderly. Subst Use Misuse. 2003;38(8):1017–35.CrossRefGoogle Scholar
  23. 23.
    Fink A, Elliot MN, Tsai M, et al. An evaluation of an intervention to assist primary care physicians in screening and educating patients who use alcohol. J Am Geriatr Soc. 2005;53(112):1937–43. Erratum in J Am Geriatr Soc. 2008 Jun:56(6):1165.CrossRefGoogle Scholar
  24. 24.
    Hermes JSJ, Etten DM van, Berg JF van den. Fris Verder: Een groepsaanbod voor ouderen met alcoholproblemen, TvZ: Tijdschrift voor Verpleegkundigen 2016;126(2):44–47.CrossRefGoogle Scholar
  25. 25.
    Kuerbis A, Sacco P. A review of existing treatments for substance abuse among the elderly and recommendations for future directions. Subst Abus. 2013;7:13–37.Google Scholar
  26. 26.
    Moy I, Crome P, Crome I, et al. Systematic and narrative review of treatment for older people with substance problems. Eur Geriatr Med. 2013;2:212–36.CrossRefGoogle Scholar
  27. 27.
    Kok RM. Treatment of alcohol use disorders in the elderly: an overview of RCT’s. Int Psychogeriatr. 2014;26(11):1767–70.CrossRefGoogle Scholar
  28. 28.
    Kashner TM, Rodell DE, Ogden SR, et al. Outcomes and costs of two VA in patient treatment programs for older alcoholic patients. Hosp Community Psychiatry. 1992;43(10):985–9.PubMedGoogle Scholar
  29. 29.
    Lee HS, Mericle AA, Ayalon L, et al. Harm reduction among at-risk elderly drinkers: a site-specific analysis from the multi-site Primary-Care Research in Substance Abuse and Mental Health for Elderly (PRISM-E) study. Int J Geriatr Psychiatry. 2009;24:54–60.CrossRefGoogle Scholar
  30. 30.
    Berg JF van den, Hermes JSJ, Brink W van den, Blanken P, Kist N, Kok RM. Physical and Mental Health and Social Functioning in Older Alcohol-Dependent Inpatients: The Role of Age of Onset. European Addiction Research 2014;20(5):226–232.CrossRefGoogle Scholar

Copyright information

© Bohn Stafleu van Loghum is een imprint van Springer Media B.V., onderdeel van Springer Nature 2018

Authors and Affiliations

  1. 1.KNMG, Brijder verslavingszorgDen HaagNederland
  2. 2.Parnassia GroepDen HaagNederland

Personalised recommendations