The effect of alcoholism in methadone-maintained persons on productive activity: a randomized control trial.

The effect of alcoholism in methadone-maintained persons on productive activity: a randomized control trial.
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服用美沙酮的人酗酒对生产活动的影响:一项随机对照试验。

DOI:
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发表时间:
1982
期刊:
Alcoholism: Clinical and Experimental Research
影响因子:
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通讯作者:
B. Stimmel
B. Stimmel
中科院分区:
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文献类型:
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作者:
M. Cohen;D. Korts;R. Hanbury;V. Sturiano;G. Jackson;B. Stimmel

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酒精中毒对生产活动指数的影响是在一项前瞻性、随机化和对照研究中确定的,该研究对接受美沙酮维持治疗(MM)的麻醉剂成瘾者进行酒精中毒研究。生产活动指数包括:从事生产活动的人的百分比;每季度工作天数;每季度被捕人数;住院人数;以及每季度住院天数。基线以及纵向数据获得的手术酗酒者(OA),非活动性酗酒者(IA)和非酗酒者(NA)。OA患者随后被随机分配到一个或多个对照组,接受以禁欲为导向的洞察力团体治疗或以控制饮酒为导向的行为矫正团体治疗。在研究的29个月临床阶段,OA MM与NA的留存率无显著差异。同样,在任何生产活动指数方面,也没有报告任何重要性。接受治疗的OA患者的生产活动指数与随机分配至对照组的患者相比也未显示任何显著差异。然而,在寻求和维持治疗他们的酒精中毒的OA的依从性是足够差的,因此,任何关于生产活动指数的治疗效果的结论应谨慎看待。
The effect of alcoholism on indices of productive activity was determined in a prospective, randomized, and controlled study of alcoholism in narcotic addicts undergoing methadone maintenance (MM) therapy. Indices of productive activity included: percentage of persons engaged in productive activities; number of days worked per quarter; number of arrests per quarter; number of hospitalizations; and days of hospitalizations per quarter. Baseline as well as longitudinal data were obtained on operative alcoholics (OA), inactive alcoholics (IA), and nonalcoholics (NA). OA patients were subsequently randomized to a control group or groups receiving either abstinence-oriented insight group therapy or controlled drinking-oriented behavioral modification group therapy. The retention rate in MM of OA versus NA during the 29-month clinical phase of the study did not differ significantly. Similarly, no significance was reported with respect to any index of productive activity. Indices of productive activity in OA undergoing treatment as compared to those randomized to the control group also did not reveal any significant differences. The compliance of OA in seeking and maintaining therapy for their alcoholism, however, was sufficiently poor so that any conclusions concerning the effectiveness of therapy on indices of productive activity should be viewed cautiously.