Attendance at Narcotics Anonymous and Alcoholics Anonymous meetings, frequency of attendance and substance use outcomes after residential treatment for drug dependence: a 5-year follow-up study
Attendance at Narcotics Anonymous and Alcoholics Anonymous meetings, frequency of attendance and substance use outcomes after residential treatment for drug dependence: a 5-year follow-up study
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DOI：
10.1111/j.1360-0443.2007.02050.x
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发表时间：
2008-01-01
期刊：
影响因子：
6
通讯作者：
Marsden, John
中科院分区：
文献类型：
--
作者：
Gossop, Michael;Stewart, Duncan;Marsden, John
目的本研究探讨了药物依赖住院治疗后，参加麻醉品匿名和酗酒者匿名（NA/AA）会议的频率和药物使用结果之间的关系。据预测，治疗后NA/AA出席将与改善物质使用的结果。方法采用纵向、前瞻性队列设计，对142例药物依赖者进行住院治疗时、1年、2年和4-5年随访时的访谈。数据通过结构化访谈收集。所有后续访谈均由独立专业访谈员进行。结果：与治疗前水平相比，在整个5年的随访期内，阿片类药物的戒断率增加。治疗后参加NA/AA的客户更有可能在随访时戒除阿片类药物。在随访时，对兴奋剂的戒断增加，但（除1年随访外）没有发现NA/AA出勤的额外益处。治疗后戒酒率没有总体变化，但参加NA/AA的客户在所有随访时间点戒酒的可能性更大。更频繁的NA/AA出席者更有可能是戒除阿片类药物和酒精相比，非出席者和不频繁（少于每周）出席者。结论NA/AA可以作为一种支持和补充家庭成瘾治疗的善后资源。鉴于药物依赖患者治疗后酒精使用结果普遍较差，NA/AA参加者的酒精结果改善表明，通过增加参与和参与这些群体的举措，可以提高现有治疗服务的有效性。
Aims This study investigates the relationship between frequency of attendance at Narcotics Anonymous and Alcoholics Anonymous (NA/AA) meetings and substance use outcomes after residential treatment of drug dependence. It was predicted that post-treatment NA/AA attendance would be related to improved substance use outcomes. Methods Using a longitudinal, prospective cohort design, interviews were conducted with drug-dependent clients (n = 142) at intake to residential treatment, and at 1 year, 2 years and 4-5 years follow-up. Data were collected by structured interviews. All follow-up interviews were carried out by independent professional interviewers. Findings Abstinence from opiates was increased throughout the 5-year follow-up period compared to pre-treatment levels. Clients who attended NA/AA after treatment were more likely to be abstinent from opiates at follow-up. Abstinence from stimulants increased at follow-up but (except at 1-year follow-up) no additional benefit was found for NA/AA attendance. There was no overall change in alcohol abstinence after treatment but clients who attended NA/AA were more likely to be abstinent from alcohol at all follow-up points. More frequent NA/AA attenders were more likely to be abstinent from opiates and alcohol when compared both to non-attenders and to infrequent (less than weekly) attenders. Conclusions NA/AA can support and supplement residential addiction treatment as an aftercare resource. In view of the generally poor alcohol use outcomes achieved by drug-dependent patients after treatment, the improved alcohol outcomes of NA/AA attenders suggests that the effectiveness of existing treatment services may be improved by initiatives that lead to increased involvement and engagement with such groups.