What can long-term follow-up teach us about relapse and prevention of relapse in addiction?
What can long-term follow-up teach us about relapse and prevention of relapse in addiction?
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长期随访对于成瘾复吸和预防复吸能教会我们什么？
DOI：
10.1111/j.1360-0443.1988.tb03021.x
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发表时间：
1988
期刊：
影响因子：
--
通讯作者：
Vaillant,GE
中科院分区：
文献类型：
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作者：
Vaillant,GE
本文回顾了 100 名住院治疗的海洛因成瘾者和 100 名医院治疗的酒精依赖者的治疗史。对这两个队列分别进行了 20 年和 12 年的前瞻性随访，寻找与复发和免复发相关的因素。事实证明，病前的社会稳定性，尤其是稳定的就业史，比成瘾的严重程度或长期性更能有效预测长期结果。住院治疗对长期病程影响不大。对于这两个样本，遇到以下一项或多项——社区强制监督、替代依赖、新关系和鼓舞人心的团体成员——似乎与免于旧病复发有关。预防糖尿病复发的挑战可以作为预防成瘾复发的有用类比。
This article reviews the treatment history of 100 hospital‐treated heroin addicts and 100 hospital‐treated alcohol‐dependent individuals. The two cohorts were prospectively followed for 20 and 12 years respectively and factors related to relapse and freedom from relapse were sought. Premorbid social stability, especially stable employment history, proved a more effective predictor of long‐term outcome than the severity or chronicity of addiction. Inpatient treatment exerted little effect on long‐term course. For both samples, encountering one or more of the following‐community compulsory supervision, a substitute dependence, new relationships, and inspirational group membership‐appeared associated with freedom from relapse. The challenge of preventing relapse in diabetes is offered as a useful analogy for preventing relapse in the addictions.