Study of Addiction Criteria in the Elderly (CAPA)

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.

Study Overview

• Status: Unknown
• Conditions: Depressive Disorder

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).

• Study Type: Observational
• Enrollment (Anticipated): 120

Contacts and Locations

Study Locations

• France
  • Toulouse, France, 31059
    • Recruiting
    • University Hospital Toulouse
    • Contact: Juliette Salles, MD; Phone Number: 33 05 34 55 75 24; Email: salles.j@chu-toulouse.fr

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 65 years and older (Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• 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.

Description

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

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
The number of DSM-5 criteria	The number of DSM-5 criteria for substance use disorder in the patient assessment. The number of DSM-5 criteria is a method of problematic substance use leading to clinically significant impairment or impairment characterized by the presence of at least two of the following manifestations over a 12-month period	1 hour

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
The Mini-GDS : a screening tool	The diagnosis of depression will be made using a screening tool, the Mini-GDS, performed in routine clinical practice as part of the assessment at the day hospital for frailty and addiction prevention. The Mini-GDS includes 4 items rated at one point depending on the answer. A higher score 1 makes it possible to suspect the existence of a depression.	1 hour

Collaborators and Investigators

• Sponsor: University Hospital, Toulouse

Study record dates

Study Major Dates

• Study Start (Actual): June 19, 2018
• Primary Completion (Anticipated): June 19, 2019
• Study Completion (Anticipated): June 19, 2019

Study Registration Dates

• First Submitted: April 16, 2018
• First Submitted That Met QC Criteria: April 16, 2018
• First Posted (Actual): April 26, 2018

Study Record Updates

• Last Update Posted (Actual): April 18, 2019
• Last Update Submitted That Met QC Criteria: April 16, 2019
• Last Verified: April 1, 2019

More Information

Terms related to this study

• Keywords: addiction; geriatric
• Additional Relevant MeSH Terms: Mental Disorders; Mood Disorders; Compulsive Behavior; Impulsive Behavior; Depressive Disorder; Behavior, Addictive
• Other Study ID Numbers: RC31/18/0046; 2018-A00905-50 (Other Identifier: ID-RCB)

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No