Dropout from 12-step self-help groups: Prevalence, predictors, and counteracting treatment influences
Dropout from 12-step self-help groups: Prevalence, predictors, and counteracting treatment influences
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DOI：
10.1016/s0740-5472(03)00021-7
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发表时间：
2003-04-01
影响因子：
3.9
通讯作者：
Moos, R
中科院分区：
文献类型：
--
作者：
Kelly, JF;Moos, R
参加12步自助小组经常被推荐作为专业物质使用障碍（SUD）治疗的辅助手段，但患者从这些小组中退出是常见的。本研究评估了2,778例男性患者治疗后第一年的患病率、预测因素和影响脱落的治疗相关因素。其中，91%（2，518）被确定为在治疗前90天或治疗期间参加了12步组。在1年随访时，40%的患者退出。一些基线因素预测辍学。重要的是，在治疗期间开始12步行为的患者不太可能退出。进一步的研究结果表明，如果在更支持的环境中治疗，脱落风险最高的患者可能风险较低。临床医生可以通过筛查风险因素并相应地集中促进努力来直接降低脱落的可能性，并通过增加治疗环境的连续性来间接降低脱落的可能性，并促进治疗期间的12步参与。(C)2003年爱思唯尔公司All rights reserved.
Attendance at 12-step self-help groups is frequently recommended as an adjunct to professional substance use disorder (SUD) treatment, yet patient dropout from these groups is common. This study assessed the prevalence, predictors, and treatment-related factors affecting dropout in the first year following treatment for 2,778 male patients. Of these, 91% (2,518) were identified as having attended 12-step groups either in the 90 days prior to, or during, treatment. At 1-year followup 40% had dropped out. A number of baseline factors predicted dropout. Importantly, patients who initiated 12-step behaviors during treatment were less likely to drop out. Further findings suggest patients at highest risk for dropout may be at lower risk if treated in a more supportive environment. Clinicians may decrease the likelihood of dropout directly, by screening for risk factors and focusing facilitation efforts accordingly, and indirectly, by increasing the supportiveness of the treatment environment, and facilitating 12-step involvement during treatment. (C) 2003 Elsevier Inc. All rights reserved.