Dually diagnosed patients' responses to substance use disorder treatment.
Dually diagnosed patients' responses to substance use disorder treatment.
复制标题
DOI：
10.1016/j.jsat.2009.03.012
复制
发表时间：
2009-12
影响因子：
3.9
通讯作者：
Moos R
中科院分区：
文献类型：
--
作者：
Boden MT;Moos R
很少有研究调查双重诊断的物质使用和精神障碍（DD）患者对物质使用障碍（SUD）治疗的反应是否与SUD患者一样好。在此，我们评估了男性退伍军人DD和酒精依赖诊断的SUD患者在住院SUD治疗的过程和结果上是否存在差异。主要研究结果显示：(a) DD患者对SUD方案的看法不如SUD患者积极，并且在出院时近端预后更差；(b) DD患者与SUD患者在1年和5年药物使用结果上表现相同，但精神病学结果更差；(c)对治疗有更积极看法的患者出院时预后更好，长期预后也更好。因此，住宅SUD计划相对有效地减少了DD患者的物质使用问题；然而，他们在让DD患者接受治疗和解决他们的精神问题方面不太成功。
Few studies have investigated whether dually diagnosed patients with co-occurring substance use and psychiatric disorders (DD) respond as well to substance use disorder (SUD) treatments as patients with SUD do. Here we assessed whether male veteran DD and SUD patients with alcohol dependence diagnoses differed in the process and outcomes of residential SUD treatment. The main findings showed that (a) DD patients did not perceive SUD programs as positively as patients with SUD did and had worse proximal outcomes at discharge from treatment; (b) DD patients did as well as SUD patients on 1- and 5-year substance use outcomes but had worse psychiatric outcomes; and (c) patients who perceived treatment more positively and had better outcomes at discharge had better longer term outcomes. Thus, residential SUD programs are relatively effective in reducing DD patients’ substance use problems; however, they are less successful in engaging DD patients in treatment and addressing their psychiatric problems.