FOLLOW-UP-STUDY OF NARCOTIC DRUG-ADDICTS 5 YEARS AFTER HOSPITALIZATION
FOLLOW-UP-STUDY OF NARCOTIC DRUG-ADDICTS 5 YEARS AFTER HOSPITALIZATION
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DOI：
10.2307/4591754
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发表时间：
1963-01-01
影响因子：
3.3
通讯作者：
BRILL, L
中科院分区：
文献类型：
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作者：
DUVALL, HJ;LOCKE, BZ;BRILL, L
从肯塔基州列克星敦公共卫生服务医院出院的1,359名患者中选择了453名患者，从1952年7月到1955年12月，他们被跟踪了5年。虽然超过97%的人在5年内重新戒毒，但在出院后的第5年，估计只有46%的人重新戒毒，49%的人自愿或非自愿戒毒。30岁以上的出院者自愿戒毒的比例明显高于年轻人;他们还表现出明显更强的戒毒能力。成瘾状态波动，但总的来说，随着时间的推移，戒断率增加，复吸率下降。估计有40%的样本在研究期间的某个时候自愿禁欲。大约41%的人回到德克萨斯州列克星敦和沃斯堡的公共卫生服务医院，在这五年里。在随访期间收集的社会数据显示，大约70%的人有一次或多次被捕，30岁以下的人比30岁以上的人被捕率更高，66%的被捕者违反了毒品规定。退伍后五年，41%的人失业。然而，在那些至少有一个自愿禁欲期的人中，59%的人全职工作。在随访期间，很少有患者接受精神病善后。高复吸率，逮捕和失业率的治疗吸毒者支持的意见，主张系统的社区善后提供给这些人。
A sample of 453 patients selected from 1,359 discharged from the Public Health Service Hospital at Lexington, Ky., between July 1952 and December 1955 were followed for 5 years. Although more than 97% became readdicted during the 5 years, by the 5th year after discharge, only an estimated 46% were readdicted, and 49% were abstinent, either voluntarily or involuntarily. Discharges over 30 years of age showed a significantly higher rate of voluntary abstinence than their younger counterparts; they also showed a significantly greater ability to remain drug free. Addiction status fluctuated, but, in general, abstinence increased with the passage of time and readdiction rates decreased. An estimated 40% of the sample were voluntarily abstinent at some time during the study period. About 41 % returned to the Public Health Service Hospitals at Lexington and Fort Worth, Tex., during the 5 years. Social data collected during the followup period revealed that approximately 70% of the group had one or more arrests, that those under 30 had higher arrest rates than those over 30, and that 66% of all arrests were narcotics violations. Five years after discharge 41% were unemployed. Among those with at least 1 period of voluntary abstinence, however, 59% were employed full time. Few patients received psychiatric aftercare during the followup period. The high relapse, arrest, and unemployment rates of the treated drug addict support the views of those who advocate that systematic community aftercare be provided for such persons.