Use of court-ordered supervised disulfiram therapy at DVA medical centers in the United States.
Use of court-ordered supervised disulfiram therapy at DVA medical centers in the United States.
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在美国 DVA 医疗中心使用法院下令监督的双硫仑治疗。
DOI：
10.1080/10550490590949541
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发表时间：
2005
期刊：
影响因子：
--
通讯作者：
Beresford,ThomasP
中科院分区：
文献类型：
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作者：
Martin,Brandon;Mangum,Laura;Beresford,ThomasP
在报告了对法院强制的双硫仑治疗的高度依从性后，我们假设其他退伍军人事务部（DVA）医疗中心也会报告频繁使用这种方式。在50个州中，有48个州的DVA药物滥用诊所的电话采访与全国DVA频率相匹配。电话调查应答者报告从不/很少使用双硫仑处方的比例为63%，有时为32%，经常为5%，而法院命令的双硫仑从未/很少使用的比例为95%，有时为3%，经常为2%。在全国范围内，双硫仑处方仅占所有退伍军人的0.07%。这些数据表明，需要重新评估双硫仑作为一种未充分使用的酒精依赖治疗方法。
Having reported high adherence to court-mandated disulfiram treatment, we hypothesized that other Department of Veterans Affairs (DVA) medical centers would report frequent use of this modality. Telephone interviews with DVA substance abuse clinics in 48 of the 50 states matched the national DVA frequencies. Phone survey responders reported disulfiram prescription as never/rarely 63%, sometimes 32%, and often 5%, while court-ordered disulfiram was used never/rarely 95%, sometimes 3%, and often 2%. Nationally, disulfiram prescriptions covered only 0.07% of all veterans seen. These data suggest a need for a re-evaluation of disulfiram as an underused treatment for alcohol dependence.