Age-related differences in the associations among at-risk drinking, alcohol use disorder, and psychological distress acr
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ORIGINAL PAPER
Age‑related differences in the associations among at‑risk drinking, alcohol use disorder, and psychological distress across the adult lifespan: a nationwide representative study in South Korea Jee Eun Park1 · Jin Pyo Hong2 · Hong Jin Jeon2 · Su Jeong Seong3 · Jee Hoon Sohn1 · Tae Hyon Ha4 · Dong‑Woo Lee5 · Jong‑Ik Park6 · Seong‑Jin Cho7 · Sung Man Chang8 · Byung‑Soo Kim8 · Hye Won Suk9 · Maeng Je Cho1 · Bong‑Jin Hahm1 Received: 15 August 2019 / Accepted: 3 February 2020 © Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Purpose To investigate age-related differences in the relationships among at-risk alcohol consumption, alcohol use disorder (AUD), and psychological distress with a special focus on older adults. Methods We used a nationwide cross-sectional study of a representative sample of community-dwelling adults from the Korean Epidemiologic Catchment Area study for psychiatric disorders conducted by door-to-door interviews. The Korean version of the Composite International Diagnostic Interview was applied. Subjects were categorized into four age groups: young-to-middle-aged (20–54 years), near-old (55–64 years), early-old (65–74 years), and late-old (≥ 75 years). The associations among at-risk drinking, alcohol use disorder, and psychological distress were examined according to age groups. Results Among a total of 5102 individuals, half of them drank alcohol in the previous year, of whom 20.5% were at-risk drinkers (≥ 100 g/week). Older people were less often diagnosed with AUD than young-to-middle-aged adults with a similar degree of at-risk drinking. They were less likely to meet the DSM-5 AUD criteria in terms of social and vocational role disruption or creation of a physically hazardous situation. However, at-risk drinking showed a stronger association with subjective psychological distress in older adults, particularly in the near-old group (adjusted odds ratio 1.82, 95% confidence interval 1.09–3.03; p = 0.023). Conclusions These findings indicate the importance of screening for mental health problems in older adults, especially nearold adults, who drink more than 100 g of alcohol per week even when they do not satisfy the criteria for a diagnosis of AUD. Keywords At-risk drinking · Alcohol use disorder · Psychological distress · DSM-IV · DSM-5
* Bong‑Jin Hahm [email protected] 1
2
Department of Psychiatry, Seoul National University College of Medicine, Seoul National University Hospital, 101, Daehak‑ro, Jongno‑gu, Seoul 110‑744, South Korea Department of Psychiatry, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea
3
Department of Psychiatry, Hallym University Medical Center, Seoul, South Korea
4
Department of Psychiatry, Seoul National University Bundang Hospital, Sungnam, South Korea
5
Department of Psychiatry, Inje University College of Medicine, Seoul, South Korea
6
Department of Psychiatry, Kangwon National University College of Medicine, Chuncheon, South Korea
7
Department of Psychiatry, Ga
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