Predictors of recovery following involuntary hospitalization of violent substance abuse patients
Predictors of recovery following involuntary hospitalization of violent substance abuse patients
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DOI：
10.1080/10550490390143394
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发表时间：
2003-01-01
影响因子：
3.7
通讯作者：
Hoffman, A
中科院分区：
文献类型：
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作者：
André, C;Jaber, JA;Hoffman, A
本研究的目的是评估暴力药物滥用患者非自愿住院后良好康复的结果和预测因素。我们于1997年收治了20例患者（16例男性，年龄13 ~ 53岁[平均s.d = 32.9 +/- 10.2]），他们在药物滥用后表现出暴力行为并丧失自控能力，平均住院时间为73.5天（20 ~ 455天）。他们接受了精神药物治疗、12步计划（明尼苏达）、心理治疗和家庭治疗，住院后接受咨询、心理治疗和参加自助小组。随访3 ~ 24个月（17.8 +/- 4.9）。我们采用T检验和Fisher检验研究维持完全戒断和社会适应（专业教育、家庭和法律参数）的概率（显著性水平p 0.05）。在这20名患者中，13名患者（65%）获得了良好的社会重新融入，12名患者保持了完全戒断。2例死亡（艾滋病、肝硬化）。入院时较低的年龄（p = 0.02）、住院后的某种形式的治疗（p = 0.007）、整个治疗期间的坚持（p = 0.05）和定期参加自助小组（p = 0.05）增加了完全戒断和重新融入社会的机会。在其他人口统计学参数、药物使用（数量或类别）、既往住院、住院时间或随访方面没有发现显著差异。根据严格的临床和社会标准，60%的患者在18个月内可以预期良好的结果。早期干预和增加长期治疗依从性的因素会增加戒断和重返社会，因此应进一步探讨。
The goal of this study was to evaluate the results and predictors of good recovery following involuntary hospitalization of violent substance abuse patients. Twenty patients (16 male, aged 13 to 53 years [mean s.d. = 32.9 +/- 10.2]) were admitted in 1997 with a median hospital time of 73.5 days (20 to 455) for exhibiting violent behavior following drug abuse and a loss of self-control. They were treated with psychiatric medication, a 12-step program (Minnesota), psychotherqpy and family therapy, and, following hospitalization, counselling, psychotherapy, and participation in self-help groups. Follow-up ranged from 3 to 24 months (17.8 +/- 4.9). We studied the probability of maintenance of complete abstinence and social adaptation (professional-educational, family and le,gal parameters) using T and Fisher tests (significance level p 0.05). Of the twenty, thirteen patients (65%) achieved excellent social reintegration, and twelve maintained total abstinence. Two patients died (AIDS, hepatic cirrhosis). The chances of complete abstinence and social reintegration were increased by lower age at admission (p = 0.02), some form of treatment following hospitalization (p = 0.007), adherence to the entire period of treatment (p = 0.05), and regular attendance at self-help groups (p = 0.05). No significant differences were found in terms of other demographic parameters, drugs used (number or class), previous hospital admissions, length of hospitalization, or follow-up. Sixty percent of patients can expect an excellent outcome over a period of 18 months, according to strict clinical and social criteria. Early intervention and factors increasing adherence to prolonged treatment increase abstinence and social reintegration and thus should be further explored.