Social and community resources and long-term recovery from treated and untreated alcoholism
Social and community resources and long-term recovery from treated and untreated alcoholism
复制标题
DOI：
10.15288/jsa.1997.58.231
复制
发表时间：
1997-05-01
期刊：
影响因子：
--
通讯作者：
Cohen, C
中科院分区：
文献类型：
--
作者：
Humphreys, K;Moos, RH;Cohen, C
目的：对酒精中毒过程的长期研究表明，除专业治疗外，还有各种因素影响康复过程。本研究评估了人口统计学因素、基线酒精相关问题和抑郁、专业治疗、匿名戒酒会（AA）和其他社会和社区资源在预测缓解和8年以上心理社会结局中的作用。方法：在戒毒单位和酗酒信息和转诊服务处招募了628名以前未经治疗的酗酒者。在这些参与者中，395人（68.2%）在3年和8年后接受了随访。大多数（83.3%）为白色（n = 329），50.1%（n = 198）为男性。在每个接触点，参与者完成了自我管理的清单，评估他们目前的问题，治疗利用率，AA参与和关系质量。结果如下：基线后3年内接受的住院治疗天数与8年缓解或心理社会结局无关。前3年更多的门诊治疗增加了8年缓解的可能性，但与心理社会结局无关。在前3年参加AA会议的数量预测缓解，较低的抑郁症，以及与朋友和配偶/伴侣的高质量关系在8年。基线时的扩展家庭质量也预测了8年时的缓解和更高质量的友谊和家庭关系。结论：鉴于酗酒是一种慢性的、依赖于环境的疾病，短期干预措施几乎没有长期影响也就不足为奇了。长期可用的社会和社区资源更有可能对酒精中毒的过程产生持久的影响。
Objective: Long-term studies of the course of alcoholism suggest that a variety of factors other than professional treatment influence the process of recovery. This study evaluated the role of demographic factors, baseline alcohol-related problems and depression, professional treatment, Alcoholics Anonymous (AA) and other social and community resources in predicting remission and psychosocial outcome over 8 years. Method: A sample of 628 previously untreated alcoholic individuals was recruited at detoxification units and alcoholism information and referral services. Of these participants, 395 (68.2%) were followed 3 and 8 years later. Most (83.3%) were white (n = 329) and 50.1% (n = 198) were men. At each contact point, participants completed a self-administered inventory that assessed their current problems, treatment utilization, AA participation and quality of relationships. Results: Number of inpatient treatment days received in the 3 years after baseline were not independently related to 8-year remission or psychosocial outcomes. More outpatient treatment in the first 3 years increased the likelihood of 8-year remission, but was not related to psychosocial outcomes. The number of AA meetings attended in the first 3 years predicted remission, lower depression, and higher quality relationships with friends and spouse/partner at 8 years. Extended family quality at baseline also predicted remission and higher quality friendships and family relationships at 8 years. Conclusions: Given that alcoholism is a chronic, context-dependent disorder, it is not surprising that short-term interventions have little long-term impact. Social and community resources that are readily available for long periods are more likely to have a lasting influence on the course of alcoholism.