An Interpretative Phenomenological Analysis and Comparison of the Narratives of Early- and Late-Onset Problem Drinkers in Recovery

As a reaction to late-life events (e.g., bereavement, retirement) and feelings of meaninglessness and purposelessness, one-third of older problem drinkers only start to consume alcohol excessively later in life. Referred to as late-onset, limited research has been undertaken on this distinct cohort of older problem drinkers from the perspective of recovery generally, and more specifically, in the context of recovery capital (RC). Framed within Viktor Frankl’s theory of meaning (logotherapy), semi-structured interviews were undertaken on nine early- and nine late-onset problem drinkers (≥50-years old), now in recovery; early-onset refers to individuals who begin drinking problematically earlier in life. Semi-structured interviews were undertaken on both cohorts and their recovery narratives were analysed, interpreted and compared. Having a meaning and purpose in life (MPL) was prevalent among both groups, as were high levels of abstinence self-efficacy (AS-E). Peer-based recovery support (P-BRS) was equally important to both groups. Late-onset participants reported more salience for social networks and greater social recovery capital (SRC) than early-onset participants. The families of late-onset participants were supportive, whereas the families of early-onset participants were ambivalent about recovery. Both groups experienced considerable improvements to their psychological, emotional and mental health in recovery. The study’s findings suggest that P-BRS and MPL mediate AS-E. The important role that P-BRS, MPL and AS-E play in recovery, can inform addiction/recovery practitioners and other healthcare professionals about how recovery can be sustained and how further support for late-onset individuals can be provided through connection to meaningful activities and groups.