title: Substance use and brain reward mechanisms in older adults.
abstract: Substance use among older adults is on the rise, with statistics indicating this to be a growing health problem. Brain changes in the reward center of the brain that naturally occur with aging are offered as one source of these statistics. Aging is generally associated with increased prevalence of chronic disease, disability, and death, and therefore a public health goal for older adults is to maintain health, independence, and function. Psychiatric-mental health nurses are uniquely positioned to assist older adults in achievement of these goals through health assessment and promotion. The use of client-centered counseling approaches that recognize the older adult's developmental need for autonomy and choice in decision making have been shown to be effective in increasing motivation in this adult population.
authors.affiliation: University of Illinois College of Nursing, Chicago, IL, USA. Snyderm@uic.edu
authors.forename: Marsha
authors.initials: M
authors.lastname: Snyder
authors.forename: Lois
authors.initials: L
authors.lastname: Platt
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000437:Alcoholism / Q000451:nursing* / Q000503:physiopathology* / Q000523:psychology / Q000534:rehabilitation; D000928:Antidepressive Agents / Q000627:therapeutic use; D001921:Brain / Q000503:physiopathology*; D003376:Counseling; D003430:Cross-Sectional Studies; D003657:Decision Making; D003866:Depressive Disorder / Q000451:nursing / Q000503:physiopathology / Q000523:psychology / Q000534:rehabilitation; D004298:Dopamine / Q000502:physiology; D005260:Female; D006801:Humans; D013287:Illicit Drugs; D008297:Male; D008636:Mesencephalon / Q000503:physiopathology; D008875:Middle Aged; D009042:Motivation / Q000502:physiology*; D009629:Person-Centered Psychotherapy; D026684:Personal Autonomy; D063487:Prescription Drug Misuse; D011613:Psychotherapy / Q000379:methods; D012017:Referral and Consultation; D012201:Reward; D012307:Risk Factors; D019966:Substance-Related Disorders / Q000451:nursing* / Q000503:physiopathology* / Q000523:psychology / Q000534:rehabilitation
chemical_list: D000928:Antidepressive Agents; D013287:Illicit Drugs; D004298:Dopamine