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Clinical and therapeutic aspects of the alcohol addiction phenomenon in elderly women

Published online by Cambridge University Press:  13 August 2021

I. Sosin ,
G. Mysko ,
O. Honcharova ,
O. Misna  and
O. Minko
I. Sosin*
Affiliation:
Narcology Department, Kharkiv Medical Academy of Postgraduate Education, Kharkiv, Ukraine
G. Mysko
Affiliation:
Narcology Department, Kharkiv Medical Academy of Postgraduate Education, Kharkiv, Ukraine
O. Honcharova
Affiliation:
Narcology Department, Kharkiv Medical Academy of Postgraduate Education, Kharkiv, Ukraine
O. Misna
Affiliation:
Narcology Department, Kharkiv Medical Academy of Postgraduate Education, Kharkiv, Ukraine
O. Minko
Affiliation:
Department Of Urgent Psychiatry And Narcology, INPN NAMSU, Kharkiv, Ukraine
*
*Corresponding author.

Abstract

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Introduction

Age-related features of alcohol addiction in elderly women (AAEW) have not been studied properly. The WHO classifies 60-75 years as elderly age (‘early old age’), when morphological and physiological functions of all organs and systems fade away, causing severe post-intoxication and withdrawal disorders, giving organic tint to alcohol dependence clinical picture, and rapid onset of alcoholic mental degradation of personality.

Objectives

To study specific clinical, diagnostic and pathophysiological basis of alcohol dependence in aged women for innovative approaches to AAEW treatment.

Methods

Clinical and medical history questioning, international tests and scales to identify alcohol dependence and complications in elderly women. Follow-up monitoring of basic biochemical, clinical, laboratory and electrophysiological findings at treatment runtime.

Results

Multifactorial study and specific gender features in AAEW development allowed to identify abundant dual comorbidity, prevalence, high degree of affective disorders (depression, anxiety, dysphoria) combined with various somatic conditions and diencephalic symptoms in this alcoholic disease pattern. New treatment modality for alcohol dependence in elderly women was proposed and tested; along with classical detoxification and symptomatic therapy, the patients received anxiolytic agent (serotonin receptor stimulator) Buspirone SANDOZ, 5 mg 3 times a day, followed by individually corrected effective dose. The drug stopped anxiety, balanced the mood, causing no addiction. Buspirone was combined with bromine and sodium sulfate transcerebral electrophoresis № 5 and selective psychotherapy.

Conclusions

The proposed integrated therapy for AAEW was proven to be effective by statistical reliability and patient-specific clinical illustrations.

Keywords

Alcohol addictionwomenTreatment
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S561
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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