Pre-Treatment Expectations in Clients: Impact on Retention and Effectiveness in Outpatient Substance Abuse Treatment
Pre-Treatment Expectations in Clients: Impact on Retention and Effectiveness in Outpatient Substance Abuse Treatment
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DOI：
10.1017/s1352465810000846
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发表时间：
2011-05-01
影响因子：
1.8
通讯作者：
Saarnio, Pekka
中科院分区：
文献类型：
--
作者：
Kuusisto, Katja;Knuuttila, Vesa;Saarnio, Pekka
背景：常见因素对治疗效果有重要影响，同时也介导治疗的特定因素。作为常见因素之一，患者对治疗的期望尚未得到充分研究。目的：通过6个月的随访，了解药物滥用门诊病人治疗前的期望及其对保留、有效性和满意度的影响。方法：因变量包括来访者对十二步骤原则的态度和参与程度、医疗情况和治疗师的角色。结果：强调基线治疗的重要性预示着辍学。同样，在6个月的随访中，与那些认为药物治疗对康复不重要的人相比，它预测禁欲天数（PDA(6)）的百分比更低。对相互支持的态度越积极，禁欲天数的比例越高。在随访中，那些在基线时评估治疗师在康复中的作用最重要的人对治疗最满意。结论：患者的治疗前期望对治疗的保留和效果有影响。应进一步努力研究如何改善来访者对治疗的形象，以及如何改善有多重问题的来访者的承诺。
Background: Common factors are important for the therapy outcome and also mediate the specific factors of therapy. As one of the common factors, client's expectations towards treatment have been understudied. Aims: The aim was to examine the pre-treatment expectations of outpatient substance abuse treatment clients (N = 327, 111 females, 216 males) and its impact on retention, effectiveness and satisfaction at 6-month follow-up. Method: Dependent variables included the clients' attitudes towards the twelve-step principles and participation, medical treatment and therapists' role. Results: An emphasis on the importance of medical treatment at baseline predicted dropping out. Similarly, it predicted a lower percent days abstinent (PDA(6)) at 6 months follow-up in comparison to those who did not consider medical treatment important for recovery. Percent days abstinent increased with a more positive attitude to mutual support. At follow-up, those who had assessed the therapist's role in recovery to be most important at the baseline were most satisfied with the treatment. Conclusions: The client's pre-treatment expectations have an impact on treatment retention and effectiveness. Further effort should be made to study how clients' image of treatment could be improved and also how the commitment of the clients with multiple problems could be improved.