A Prospective Study of Integrated Outpatient Treatment for Substance-Abusing Schizophrenic Patients

A Prospective Study of Integrated Outpatient Treatment for Substance-Abusing Schizophrenic Patients
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药物滥用精神分裂症患者综合门诊治疗的前瞻性研究

DOI:
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发表时间:
1995
期刊:
影响因子:
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通讯作者:
C. Miner
C. Miner
中科院分区:
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文献类型:
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作者:
D. Hellerstein;R. Rosenthal;C. Miner

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47例同时患有RDC诊断的精神分裂症和精神活性物质使用障碍的精神病住院患者被随机分配到两种门诊治疗方案之一:1)综合精神病和物质滥用治疗;或2)非综合治疗。患者滥用可卡因,酒精和大麻,超过三分之二的人使用所有三种药物。4个月时,综合治疗组23例患者中有16例(69.6%)仍在治疗,非综合治疗组24例患者中有9例(37.5%)仍在治疗。两组之间再住院没有差异,但治疗非启动者在医院的天数明显多于那些开始治疗的人。在8个月时,继续接受治疗的患者的成瘾和精神严重程度显著降低。参与综合门诊治疗可能会减少再住院,并减轻精神和药物滥用的严重程度。
Forty-seven psychiatric inpatients with concurrent RDC-diag-nosed schizophrenia and psychoactive substance use disorders were randomly assigned to one of two outpatient treatment programs: 1) integrated psychiatric and substance abuse treatment; or 2) non-integrated treatment. Patients abused cocaine, alcohol, and marijuana, with over two-thirds using all three drugs. At 4 months, 16 of 23 patients (69.6%) in integrated treatment remained in treatment vs. 9 of 24 (3 7.5%) in the nonintegrated treatment. Rehospitalization did not differ between groups, but treatment nonstarters had significantly more days in the hospital than those who began treatment. At 8 months, addiction and psychiatric severity decreased significantly for patients remaining in treatment. Engagement in integrated outpatient treatment may decrease rehospitalization, and lessen psychiatric and substance abuse severity.
精神分裂症门诊患者酗酒的治疗:4 年结果。
DOI: 10.1176/ajp.150.2.328
发表时间: 1993
期刊: The American journal of psychiatry
影响因子: --
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DOI: --
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