Increased Effectiveness of Substance Abuse Treatment: A Prospective Study of Patient‐Treatment “Matching”
Increased Effectiveness of Substance Abuse Treatment: A Prospective Study of Patient‐Treatment “Matching”
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提高药物滥用治疗的有效性：患者治疗“匹配”的前瞻性研究
DOI：
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发表时间：
1983
影响因子：
1.9
通讯作者：
K. A. Druley
中科院分区：
文献类型：
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作者：
Mclellan At;G. Woody;L. Luborsky;C. O'brien;K. A. Druley
早些时候的一项研究回顾评估了六个不同的药物滥用治疗计划的有效性，并产生了一组将患者与最合适的计划相匹配的假设。在本研究中，使用相同的治疗方案和130名酒精依赖患者和256名药物依赖患者的新样本，采用前瞻性设计对这些预测因素和匹配策略进行了测试。将在其预测方案中接受治疗的新患者组(匹配患者)与来自同一样本的未在其预测方案中进行治疗的患者(不匹配患者)进行比较。治疗人员没有被告知匹配标准或哪些患者匹配，因此允许对预测进行实验测试。结果表明，在治疗过程中表现优异，匹配的患者比不匹配的患者平均好19%的6个月结果。在酒精和药物依赖的样本以及所有治疗方案中都看到了匹配效果。作者讨论了这些发现在其他类型的患者和药物滥用和其他精神病学领域的治疗中的应用。
An earlier study retrospectively evaluated the effectiveness of six separate substance abuse treatment programs and generated a set of hypotheses for matching patients to the most appropriate programs. In the present study, these predictors and the matching strategy were tested in a prospective design, using the same treatment programs and a new sample of 130 alcohol-and 256 drug-dependent patients. The new group of patients who were treated in their predicted program (matched patients) were compared with those patients from the same sample who were not treated in their predicted program (mismatched patients). Treatment staff were not apprised of the matching criteria or which patients were matched, thus permitting an experimental test of the predictions. Results indicated superior performance during treatment and an average of 19 per cent better 6-month outcomes for the matched patients than for their mismatched counterparts. The matching effect was seen in both the alcohol-and drug-dependent samples and in all treatment programs. The authors discuss the application of these findings to other types of patients and treatments in substance abuse and other fields of psychiatry.