Determinants of relapse and re-admission among alcohol abusers after intensive residential treatment
Determinants of relapse and re-admission among alcohol abusers after intensive residential treatment
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酗酒者强化住院治疗后复发和再次入院的决定因素
DOI：
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发表时间：
2010
影响因子：
3.3
通讯作者：
E. Broekaert
中科院分区：
文献类型：
--
作者：
W. Vanderplasschen;Kag Colpaert;E. Broekaert
比利时几乎没有关于与治疗机构联系的酗酒者的人数和特征以及这些服务的有效性的资料。国际研究已经确定了治疗后复发和恢复的一些决定因素，但还需要进一步的研究，以更好地根据服务使用者的需求定制服务。这项研究旨在衡量酒精滥用者(n=249)在比利时五家精神病院的专科病房接受强化住院治疗后的戒酒和复发情况。使用EuropASI研究了有关物质使用、心理健康、社会支持和融合的六个月结果。用Logistic回归分析来确定复发和再入院的预测因素。观察到酒精和心理问题的严重性显著降低，但在最初的治疗过程六个月后，超过一半的受访者(54%)经常饮酒。“精神问题”和“病人的个人观点”是复发和再入院的最好预测指标。此外，“病人的生活状况”也预示着复发。独立预测复发率的具体变量是“对日常活动的满意度”和“因饮酒而出现问题的天数”。治疗开始时不太严重的精神问题和随访时较严重的精神问题和负面幸福感是再次入院的独立预测因素。我们的结论是，治疗机构需要认识到酗酒复发的性质，并必须从持续护理的角度来组织服务，包括特别关注个人的心理需求和日常/休闲活动。
Little information is available in Belgium on the number and characteristics of alcohol abusers who contact treatment agencies and on the effectiveness of these services. International research has identified some determinants of relapse and recovery after treatment, but additional research is needed in order to better tailor services to the needs of service users.This study aimed at measuring abstinence and relapse among alcohol abusers (n = 249) after intensive, residential treatment in specialized units in five Belgian psychiatric hospitals. Six month outcomes concerning substance use, psychological health, social support and integration were studied using the EuropASI. Logistic regression analyses were performed to identify predictors of relapse and readmission.Significant reductions in the severity of alcohol and psychological problems were observed, but six months after the initial treatment episode more than half of all respondents (54%) had been using alcohol regularly. The domains 'psychiatric problems' and 'patients' personal perspectives' were the best predictors of relapse and readmission. Also, 'patients' living situations' predicted relapse. Specific variables that independently predicted relapse were 'satisfaction with day activities' and 'number of days with problems due to alcohol'. Less severe psychiatric problems at the start of treatment and more severe psychiatric problems and negative feelings of wellbeing at the time of follow-up were independent predictors of readmission.We conclude that treatment agencies need to recognize the relapsing nature of alcohol abuse and have to organize their services from a continuing care perspective, including specific attention for individuals' psychological needs and day/leisure activities.
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影响因子：
3.9
作者：
Vaughn,Thomas;Sarrazin,MaryVaughan;Saleh,ShadiS;Huber,DianeL;Hall,JamesA
通讯作者：
Hall,JamesA
酒精使用障碍的长期结果：将未经治疗的个体与接受匿名和正规治疗的酗酒者进行比较。
DOI：
10.15288/jsa.2000.61.529
发表时间：
2000
期刊：
Journal of studies on alcohol
影响因子：
--
作者：
Timko,C;Moos,RH;Finney,JW;Lesar,MD
通讯作者：
Lesar,MD
一些不健康饮酒的住院患者可能会受益于短暂的干预。
影响因子：
3.4
作者：
Saitz,Richard;Palfai,TiborP;Cheng,DebbieM;Horton,NicholasJ;Dukes,Kim;Kraemer,KevinL;Roberts,MarkS;Guerriero,RosanneT;Samet,JeffreyH
通讯作者：
Samet,JeffreyH
国家合并症调查中 DSM-III-R 酒精滥用和依赖与其他精神疾病的终生共存。
影响因子：
--
作者：
Kessler,RC;Crum,RM;Warner,LA;Nelson,CB;Schulenberg,J;Anthony,JC
通讯作者：
Anthony,JC
寻求帮助的职业：参与专业治疗和戒酒互诫协会之间的联系。
DOI：
10.1016/s0740-5472(03)00190-9
发表时间：
2004
期刊：
Journal of substance abuse treatment.
影响因子：
--
作者：
Moos,RudolfH;Moos,BerniceS
通讯作者：
Moos,BerniceS