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Substance Abuse Comorbidity 

Substance Abuse Comorbidity
Chapter:
Substance Abuse Comorbidity
Author(s):

David W. Oslin

and Amy Helstrom

DOI:
10.1093/med/9780199796816.003.0018
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date: 22 February 2020

While rates of alcohol and illicit drug use begin to decline with age, individuals who abuse alcohol and other substances in late life may be at increased risk of a number of negative physical and mental health outcomes that are often exacerbated with advancing age. Demographic changes in the population suggest that the prevalence of substance misuse in later life may be increasing. Depression is frequently comorbid with substance use and the presence of each disorder can negatively impact the course and recovery of the other. This chapter will focus on the intersection between the use and abuse of addictive substances and the presence and course of depressive disorders. Considerations for assessment and treatment for these comorbid presentations among older adults, such as integrated models of care, are discussed.

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