Gender specific early treatment for women with alcohol addiction (EWA): Impact on work related outcomes. A 25-year registry follow-up of a randomized controlled trial (RCT).
Gender specific early treatment for women with alcohol addiction (EWA): Impact on work related outcomes. A 25-year registry follow-up of a randomized controlled trial (RCT).
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DOI：
10.1016/j.drugalcdep.2022.109600
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发表时间：
2022-10-01
影响因子：
4.2
通讯作者：
Haver, Brit
中科院分区：
文献类型：
--
作者：
Berge, Line Iden;Gjestad, Rolf;Franck, Johan;Javaras, Kristin Nicole;Greenfield, Shelly;Haver, Brit
酒精对个人和社区都造成了巨大的经济负担。我们调查了酒精成瘾妇女早期治疗（EWA）治疗方案对病假、收入、失业和提前退休金的影响，最长可达治疗后25年。EWA RCT包括1983-1984年在瑞典卡罗林斯卡大学医院的200名酒精使用障碍女性。参与者被随机分配到EWA计划，这是一个为期两年的专门女性治疗，包括精神病，人际关系和家庭问题，或在混合性别环境中照常治疗（TAU）。我们通过与国家劳动力市场登记处的联系跟踪了1985-2009年RCT的参与者，并应用潜在增长曲线模型来估计病假，收入，失业和提前退休养老金的水平和变化。相对于TAU，EWA组在治疗后长达21年的病假增加较少。总的来说，我们发现治疗组之间的收入没有差异，然而，两年的间隔分析显示，EWA组治疗后8年的收入增长更大。失业率和提前退休金的水平和变化在治疗组之间没有差异。针对不同性别的治疗强调对酗酒妇女的精神、人际和家庭问题，对病假和收入产生了长期的积极影响。这些发现补充了EWA治疗计划在饮酒模式，心理健康和死亡率方面的积极临床结果。
Alcohol contributes to substantial economic burden, at both individual and community levels. We investigated the effect of the Early treatment for Women with Alcohol Addiction (EWA) treatment program on sickness leave, income, unemployment and early retirement pension up to 25 years following intake to treatment. The EWA RCT included 200 women with alcohol use disorder from 1983–1984 at the Karolinska University Hospital, Sweden. Participants were randomized to the EWA program, a two-year specialized woman only treatment including psychiatric, interpersonal and family concerns, or treatment as usual (TAU) in a mixed gender setting. We followed the participants in the RCT from 1985–2009 through linkage with a national labor market registry and applied latent growth curve modeling to estimate level and change in sickness leave, income, unemployment and early retirement pension. Relative to TAU, the EWA group had less increase in sickness leave up to 21 years after treatment. Overall, we found no differences in income between treatment groups, yet, a two-year interval analysis showed greater rise in income up to 8 years after treatment for the EWA group. Level and change in unemployment and early retirement pension did not differ between treatment groups. Gender specific treatment emphasizing psychiatric, interpersonal and family issues for women with alcohol addiction had long-term positive effects on sickness leave and income. These findings complement positive clinical outcomes of the EWA treatment program on drinking patterns, mental health and mortality.
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影响因子：
4.2
作者：
Greenfield, Shelly F.;Sugarman, Dawn E.;Fitzmaurice, Garrett M.
通讯作者：
Fitzmaurice, Garrett M.
DOI：
10.1111/j.1530-0277.1989.tb00366.x
发表时间：
1989-08-01
期刊：
ALCOHOL-CLINICAL AND EXPERIMENTAL RESEARCH
影响因子：
--
作者：
DAHLGREN, L;WILLANDER, A
通讯作者：
WILLANDER, A
影响因子：
13.6
作者：
Jorgensen, Maja Baeksgaard;Pedersen, Jacob;Tolstrup, Janne S.
通讯作者：
Tolstrup, Janne S.
影响因子：
2.8
作者：
Gjestad, Rolf;Franck, Johan;Haver, Brit
通讯作者：
Haver, Brit
影响因子：
25.8
作者：
Grant, Bridget F.;Chou, S. Patricia;Hasin, Deborah S.
通讯作者：
Hasin, Deborah S.