Relapse outcomes in a randomized trial of residential and day drug abuse treatment
Relapse outcomes in a randomized trial of residential and day drug abuse treatment
复制标题
DOI：
10.1016/s0740-5472(00)00147-1
复制
发表时间：
2001-01-01
影响因子：
3.9
通讯作者：
Bein, E
中科院分区：
文献类型：
--
作者：
Greenwood, GL;Woods, WJ;Bein, E
在6个月，12个月和18个月的时间间隔复发的结果进行了比较客户随机分配到一天（n = 114）与住宅（n = 147）药物滥用治疗。日间就诊者比住院就诊者更容易在入院后6个月复发（OR = 3.06，P < 0.001）;然而，在12个月和18个月时没有发现背景差异。这些预测因素是通常的就业状况（兼职OR = 17.47，P < 0.001;全时OR = 2.54，P < 0.001），有吸毒史多性伴（OR = 1.16，P <0.01），入院前6个月内无同性性伴（OR = 0.05，P < 0.03）。尽管如此，这些基线预测因子，加上现有的文献，可以被药物治疗专业人员用来识别那些随着时间的推移可能处于复发高风险的个体，并提供专门的治疗和善后资源作为干预和预防措施。(C)2001 Elsevier Science Inc. All rights reserved.
Relapse outcomes at 6-, 12-, and 18-month intervals were compared between clients randomly assigned to day (n = 114) versus residential (n = 147) drug abuse treatment. Day clients were more likely than residential clients to relapse 6 months post-admission (OR = 3.06, P < 0.001); however, no setting differences at 12 or 18 months were found. Few baseline predictors were prospectively related to relapse at 12 and 18 months. These predictors were usual employment status (part-time OR = 17.47, P < 0.001; full-time OR = 2.54, P < 0.001), history of drug injecting (OR = 5.39, P < 0.01), multiple sex partners (OR = 1.16, P < 0.01), and not having a gay sexual partner (OR = 0.05, P < 0.03) during 6 months prior to admission. Still, these baseline predictors, together with the existing literature, could be used by drug treatment professionals to identify individuals who may be at high risk for relapse over time, and to offer specialized treatment and aftercare resources as intervention and prevention measures. (C) 2001 Elsevier Science Inc. All rights reserved.