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Ageing and Recovery from Alcoholism

Published online by Cambridge University Press:  02 January 2018

G. Nordström  and
M. Berglund
G. Nordström*
Affiliation:
University of Lund
M. Berglund
Affiliation:
University of Lund
*
University of Lund, S-221 85 Lund, Sweden
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Extract

Fifty-five dependent (DSM-III) male alcoholics, chosen for good social adjustment, were personally followed up about 20 years after their first admission to hospital. The conditions of all the alcoholics were evaluated with a multidimensional diagnostic schedule when first admitted. At the follow-up, 11 were abstainers, 11 reported a change to social drinking via abstinence, and 10 reported a change to social drinking by gradual stages. Improvement after the age of 45 was mainly due to gradual change to social drinking. This type of improvement was in half of the cases attributed to a decreased tolerance for alcohol. In the present sample, there were no indications of any relationship between premature ageing and gradual change to social drinking. It is hypothesised that physiological processes of normal ageing with concomitant changes in reactions to alcohol may be of importance for remission from alcoholism in middle-aged and older alcoholics. The relationships of personality, social factors and the degree of alcohol-dependence to patterns of successful long-term adjustment are discussed.

Type
Papers
Information
The British Journal of Psychiatry , Volume 151 , Issue 3 , September 1987 , pp. 382 - 388
Copyright
Copyright © Royal College of Psychiatrists, 1987 

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References

Årmark, C. (1952) A study in alcoholism. Acta Psychiatrica Scandinavica, Suppl. 70.Google Scholar
American Psychiatric Association, Committee On Nomenclature And Statistics (1980) Diagnostic and Statistical Manual of Mental Disorders, 3rd edn. Washington, DC.Google Scholar
$Arsberg, M., Montgomery, S. A., Perris, C., Schalling, D. & Sedvall, G. (1978) CPRS – the Comprehensive Psychopathological Rating Scale. Acta Psychiatrica Scandinavica, Suppl. 271.Google Scholar
Bailey, M. & Stewart, J. (1967) Normal drinking by persons reporting previous problem drinking. Quarterly Journal of Studies on Alcohol, 28, 305–315.CrossRefGoogle ScholarPubMed
Bardo, M. T. & Risner, M. E. (1985) Biochemical substrates of drug abuse. In Determinants of Substance Abuse: Biological, Psychological and Environmental Factors (eds Galizio, M. & Maisto, S. A.). New York: Plenum Press.Google Scholar
Berglund, M. (1980) Health Insurance records in the course of alcoholism: a two-year follow-up study. Scandinavian Journal of Social Medicine, 8, 125–129.Google Scholar
Berglund, M. (1984a) Suicide in alcoholism – a prospective study of 88 suicides: the multidimensional diagnosis at first admission. Archives of General Psychiatry, 41, 888–891.CrossRefGoogle ScholarPubMed
Berglund, M. (1984b) Mortality in alcoholics related to clinical state at first admission: a study of 537 deaths. Acta Psychiatrica Scandinavica, 70, 407–416.CrossRefGoogle ScholarPubMed
Berglund, M. (1985) Cerebral dysfunction in alcoholism related to mortality and long-term social adjustment. Alcoholism: Clinical and Experimental Research,9, 153–157.Google Scholar
Berglund, M., Leijonquist, H. & Hörlen, M. (1977) Prognostic significance and reversibility of cerebral dysfunction in alcoholics. Journal of Studies on Alcohol, 38, 1761–1770.CrossRefGoogle ScholarPubMed
Berglund, M., Leijonquist, H. & Hörlen, M., Bliding, G., Blidino, $Ar. & Risberg, J. (1980) Reversibility of cerebral dysfunction in alcoholism during the first seven weeks of abstinence-a regional cerebral blood flow study. Acta Psychiatrica Scandinavica, Suppl. 286, 62, 118–127.Google Scholar
Cahalan, D. & Room, R. (1974) Problem Drinkers among American Men. New Brunswick, NJ: Rutgers Center for Alcohol Studies.Google Scholar
Ciompi, L. & Eisert, M. (1971) Etudes catamnestiques de longue durée sur le viellissement des alcooliques. Social Psychiatry, 6, 129–151.CrossRefGoogle Scholar
Davies, D. L., Sheppard, M. & Myers, E. (1956) The two-year prognosis of fifty alcohol addicts after treatment in hospital. Quarterly Journal of Studies on Alcohol, 17, 485–502.Google Scholar
Desoto, C. B., O'donnell, W. E., Allred, L. J. & Lopes, C. E. (1985) Symptomatology in alcoholics at various stages of abstinence. Alcoholism: Clinical and Experimental Research, 9, 505–512.Google Scholar
Drew, L. H. R. (1968) Alcoholism as a self-limiting disease. Quarterly Journal of Studies on Alcohol, 29, 956–967.Google Scholar
Essen-Möller, E. (1961) On classification of mental disorders. Acta Psychiatrica Scandinavica, 37, 119–126.Google Scholar
Essen-Möller, E. (1971) Suggestions for further improvement of the international classification of mental disorders. Psychological Medicine, 1, 308–311.Google Scholar
Essen-Möller, E. & Wohlfarth, S. (1947) Suggestions for the amendment of the Swedish classification of mental disorders. Acta Psychiatrica et Neurologica Scandinavica, Suppl. 47, 551–555.Google Scholar
Fillmore, K. M. (1975) Relationships between specific drinking problems in early adulthood and middle age: an exploratory 20-year follow-up study. Quarterly Journal of Studies on Alcohol, 36, 882–907.Google Scholar
Fillmore, K. M. & Midanik, L. (1984) Chronicity of drinking problems among men: a longitudinal study. Journal of Studies on Alcohol, 45, 228–236.Google Scholar
Gottfries, C. G. (1980) Human brain levels of monoamines and their metabolites: postmortem investigations. Acta Psychiatrica Scandinavica, Suppl. 280, 49–60.Google Scholar
Grant, I., Adams, K. M. & Reed, R. (1984) Aging, abstinence, and medical risk factors in the prediction of neuropsychologic deficit among longterm alcoholics. Archives of General Psychiatry, 41, 710–718.CrossRefGoogle ScholarPubMed
Hermos, J. A. (1984) Drinking by alcoholic cirrhotic patients under medical care: a literature survey. Alcoholism: Clinical and Experimental Research, 8, 314–318.Google Scholar
Hesselbrock, M. N., Meyer, R. E. & Keener, J. J. (1985) Psychopathology in hospitalised alcoholics. Archives of General Psychiatry, 42, 1050–1055.CrossRefGoogle Scholar
Holsten, F. & Waal, H. (1980) The DTES – Drug Taking Evaluation Scale: a simple scale for the evaluation of drug taking behaviour. Acta Psychiatrica Scandinavica, 61, 275–305.Google Scholar
Ishikawa, Y., Meyer, J. S., Tanahashi, N., Hata, T., Velez, M., Fann, W. E., Kandula, P., Motel, K. F. & Rogers, R. L. (1986) Abstinence improves cerebral perfusion and brain volume in alcoholic neurotoxicity without Wernicke – Korsakoff syndrome. Journal of Cerebral Blood Flow and Metabolism, 6, 86–94.Google Scholar
Kendell, R. E. (1965) Normal drinking by former alcohol addicts. Quarterly Journal of Studies on Alcohol, 26, 247–257.Google Scholar
Knupfer, G. (1972) Ex-problem drinkers. In Life History Research in Psychopathology (eds Roff, M., Robins, L. N. & Pollack, H.), vol. 2. Minneapolis: University of Minnesota Press.Google Scholar
Liljequist, S. (1979) Behavioural and Biochemical Effects of Chronic Ethanol Administration. Dissertation, Gothenburg.Google Scholar
Mulford, H. A. (1982) The epidemiology of alcoholism and its implications. In Encyclopedic Handbook of Alcoholism (eds Pattison, E. M. & Kaufman, E.). New York: Gardner Press.Google Scholar
Nordstrom, G. & Berglund, M. (1986a) Successfully adjusted alcoholics lost to long-term follow-up: a prospective study. Drug and Alcohol Dependence 18, 11–22.Google Scholar
Nordstrom, G. & Berglund, M. (1986b) Successful adjustment in alcoholism: relationships between causes of improvement, personality and social factors. Journal of Nervous and Mental Disease 174, 664–668.Google Scholar
Nordstrom, G. & Berglund, M. (1987a) A prospective study of successful long-term adjustment in alcohol dependence. Social drinking vs abstinence. Journal of Studies on Alcohol (in press).Google Scholar
Nordstrom, G. & Berglund, M. (1987b) Type 1 and type 2 alcoholics (Cloninger & Bohman) have different patterns of successful long-term adjustment. British Journal of Addiction (in press).Google Scholar
öjesjö, L. (1980) Prevalence of known and hidden alcoholism in the revisited Lundby population. Social Psychiatry, 15, 81–90.Google Scholar
öjesjö, L. (1981) Long-term outcome in alcohol abuse and alcoholism among males in the Lundby general population, Sweden. British Journal of Addiction, 76, 391–400.Google Scholar
Parker, E. S., Parker, E. A., Brody, J. A. & Schoenberg, R. (1982) Cognitive patterns resembling premature aging in male social drinkers. Alcoholism: Clinical and Experimental Research, 6, 46–52.CrossRefGoogle ScholarPubMed
Ron, M. A., Acker, W., Shaw, G. K. & Lishman, W. A. (1982) Computerized tomography of the brain in chronic alcoholism: a survey and follow-up study. Brain, 105, 497–514.CrossRefGoogle ScholarPubMed
Saunders, W. M. & Kershaw, P. W. (1979) Spontaneous remission from alcoholism – a community study. British Journal of Addiction, 74, 251–265.Google Scholar
Siegel, S. (1956) Nonparametric Statistics for the Behavioral Sciences. McGraw-Hill International Book Company.Google Scholar
Stabenau, J. R. (1984) Implications of family history of alcoholism, antisocial personality, and sex differences in alcohol dependence. American Journal of Psychiatry, 141, 1178–1182.Google Scholar
Vaillant, G. E. (1983) The Natural History of Alcoholism. Causes, Patterns and Paths to Recovery. Cambridge, Mass, & London, England: Harvard University Press.Google Scholar
Vallance, M. (1965) Alcoholism: a two-year follow-up study of patients admitted to the psychiatric department of a general hospital. British Journal of Psychiatry, 111, 348–356.Google Scholar
Vogel-Sprott, M. & Barrett, P. (1984) Age, drinking habits and the effects of alcohol. Journal of Studies on Alcohol, 45, 517–521.Google Scholar
Winblad, B., Adolfsson, R., Gottfries, C. G., Oreland, L. & Roos, B. E. (1978) Brain monoamines, monoamine metabolites and enzymes in physiological aging and senile dementia. In Recent Developments in Mass Spectrometry in Biochemistry and Medicine (ed. Frigerio, A.). New York: Plenum Publishing Corporation.Google Scholar
Wood, W. G. & Armbrecht, H. J. (1982) Behavioral effects of ethanol in animals: age differences and age changes. Alcoholism: Clinical and Experimental Research, 6, 3–12.CrossRefGoogle ScholarPubMed
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