A national evaluation of treatment outcomes for cocaine dependence
A national evaluation of treatment outcomes for cocaine dependence
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DOI：
10.1001/archpsyc.56.6.507
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发表时间：
1999-06-01
影响因子：
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通讯作者：
Anglin, MD
中科院分区：
文献类型：
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作者：
Simpson, DD;Joe, GW;Anglin, MD
背景：这项全国性研究侧重于社区治疗可卡因依赖的治疗后结果。3种主要治疗方式出院后第一年每周(或更频繁)使用可卡因的复发情况与患者入院时的问题严重程度和住院时间有关。方法：我们采用自然主义的非实验评估设计，研究了来自美国11个城市的1605名可卡因依赖患者。从1991年11月至1993年12月，他们先后被纳入国家药物滥用治疗结果研究中的55个社区治疗方案。结果：在1605例患者中，377例(23.5%)报告在治疗后一年内每周吸食可卡因(从入院前的73.1%下降)。另有18.0%的人重新参加了另一个药物治疗项目。接受计划的患者问题更严重，治疗停留时间更短(
Background: This national study focused on post-treatment outcomes of community treatments of cocaine dependence. Relapse to weekly (or more frequent) cocaine use in the first year after discharge from 3 major treatment modalities was examined in relation to patient problem severity at admission to the treatment program and length of stay.Methods: We studied 1605 cocaine-dependent patients from 11 cities located throughout the United Stares using a naturalistic, nonexperimental evaluation design. They were sequentially admitted from November 1991 to December 1993 to 55 community-based treatment programs in the national Drug Abuse Treatment Outcome Studies. Included were 542 patients admitted to 19 long-term residential programs, 458 patients admitted to 24 outpatient drug-free programs, and 605 patients admitted to 12 short-term inpatient programs.Results: Of 1605 patients, 377 (23.5%) reported weekly cocaine use in the year following treatment (dropping from 73.1% in the year before admission). An additional 18.0% had returned to another drug treatment program. Higher severity of patient problems at program intake and shorter stays in treatment (