Clinical trial NCT03509077: Study of Addiction Criteria in the Elderly
Official title: Study of Addiction Criteria in the Elderly
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Depressive Disorder
Keywords: geriatric
addiction
Lead sponsor: University Hospital, Toulouse
Sponsor class: OTHER
First posted: 2018-04-26
Enrollment: 120
Sex: ALL
Minimum age (years): 65
Standard ages: OLDER_ADULT
Accepts healthy volunteers: no
Observational model: OTHER
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Three groups of patients will be recruited in three departments of the University Hospital of Toulouse:

1. Patients meeting the criteria for frailty will be recruited to the Fragility Assessment and Addiction Prevention Day Hospital.
2. Patients over 65, addicts and consultant in a specialized service.
3. Patients who have decompensated their fragility criteria will be recruited from the geriatric post-emergency department of Toulouse University Hospital.

Brief summary: Patients over 65 years old who are exposed to alcohol or benzodiazepines will be recruited through the Fragility Assessment and Addictions Prevention Day Hospital, the Addiction Service and the Geriatric Post-Emergency Department. Toulouse University Hospital.

The investigators will study descriptively the frequency of substance use disorder and the frequency of DSM-5 criteria associated with this diagnosis in a population of elderly subjects.

Detailed description: The hypothesis of this research is that some of the DSM-5 criteria for substance use disorder are more appropriate than others in people over 65 years of age. This study therefore aims to describe the frequency of the DSM-5 criteria for the substance use disorder in a population over 65 years of age and to link it secondarily to the severity of the addiction.

The study is a descriptive study of a population of subjects over 65 years old. It aims to search for addiction criteria in this population by formulating the hypothesis of an addictive vulnerability relating to certain risk factors.

To sensitize the detection of criteria, we chose among older subjects those who are most at risk because they are more exposed to the vulnerability factor relative to this population (physical disability, loss of autonomy, loneliness).

Eligibility criteria: Inclusion Criteria:

* To be over 65
* Have given your non-oral opposition to participate in research
* Mini-Mental State Examination (MMSE) greater than or equal to 24
* Be part of one of the 3 inclusion services of the University Hospital of Toulouse
* For 12 months, have daily consumption of benzodiazepine (at least once a day) and / or have excessive alcohol consumption as recommended by the American Geriatric Society (more than one unit of alcohol per day) ).

Exclusion Criteria:

* Patient refusing to participate in the study
* MMSE less than 24
* Acute decompensation of a psychiatric disorder
* Impossibility to understand or speak French
* Patient under the protection of justice

Primary outcomes:
measure: The number of DSM-5 criteria
timeFrame: 1 hour
Secondary outcomes:
measure: The Mini-GDS : a screening tool
timeFrame: 1 hour
Other outcomes:
Locations:
city: Toulouse
country: France
facility: University Hospital Toulouse
Study officials:
affiliation: University Hospital, Toulouse
name: Juliette Salles, MD
role: PRINCIPAL_INVESTIGATOR
References: